Connie L Nickelson (NPI# 1841229903, PAC ID# 1850350042) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841229903 |
| PAC ID by PECOS | 1850350042 |
| Professional Enrollment ID | I20041004001085 |
| Full Name | Connie L Nickelson |
| Organization Legal Name | PRIMARY CARE AND GERIATRICS, PC |
| Address |
711 Mcfarland St Morristown TN 37814-3977 |
| Phone Number | 4233177412 |
| Gender | F |
| Credential | MD |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3577605054 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440030 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION |
| 440050 | TAKOMA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 4237875000 | APP OF TENNESSEE HM, PLLC |
| 711 Mcfarland St, Morristown, TN 37814-3977 | 4233177412 | PRIMARY CARE AND GERIATRICS, PC |
| 2835 Hwy 231 N, Shelbyville, TN 37160-7327 | 9316855433 | APP OF TENNESSEE HM, PLLC |
| Organization Legal Name | PRIMARY CARE AND GERIATRICS, PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajeev Gupta | Family Medicine | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Michael Igbokwe | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Carmina V Rines | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Cory Rhea Carr | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Candace R. Harris | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Cathy Vance | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Street Address |
711 MCFARLAND ST |
| City | MORRISTOWN |
| State | TN |
| Zip | 37814-3977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajeev Gupta | Family Medicine | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Michael Igbokwe | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Carmina V Rines | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Cory Rhea Carr | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Candace R. Harris | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Cathy Vance | Nurse Practitioner | Primary Care and Geriatrics, PC | 711 Mcfarland St, Morristown, TN 37814-3977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobby W Douglas | Ophthalmology | Baptist Eye Surgeons, Pllc | 3001 W Andrew Johnson Hwy, Morristown Regional Eye Center, Morristown, TN 37814 |
| Dana Papworth | Physician Assistant | East Tennessee Clinic Corp | 502 W 7th, Morristown, TN 37814 |
| Arvinder J Sachdev | Gastroenterology | 619 W 7th St, Morristown, TN 37814 | |
| Janis Holt | Ophthalmology | Baptist Eye Surgeons, Pllc | 3001 W Andrew Johnson Hwy, Morristown Regional Eye Center, Morristown, TN 37814 |
| William John Crawford | Optometry | 3765w Andrew Johnson Hwy, Morristown, TN 37814-1101 | |
| Tonya Reyes | Nurse Practitioner | Knoxville Hma Physician Management, LLC | 305 N Bellwood Rd, Morristown, TN 37814-1120 |
| Rachel D Bowman | Family Medicine | Knoxville Hma Physician Management, LLC | 305 N Bellwood Rd, Morristown, TN 37814-1120 |
| Alexander Michael Tummers | General Surgery | Knoxville Hma Physician Management, LLC | 305 N Bellwood Rd, Morristown, TN 37814-1120 |
| Heather R Shultz | Nurse Practitioner | Knoxville Hma Physician Management, LLC | 305 N Bellwood Rd, Morristown, TN 37814-1120 |
| Lori Ann Blackburn | Physician Assistant | Knoxville Hma Physician Management, LLC | 305 N Bellwood Rd, Morristown, TN 37814-1120 |
| Find all physicians in zip 37814 | |||
| City | MORRISTOWN |
| Zip Code | 37814 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MORRISTOWN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Connie L Nickelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.