Robert Alan Wilson (NPI# 1699782557, PAC ID# 1850577909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699782557 |
| PAC ID by PECOS | 1850577909 |
| Professional Enrollment ID | I20110916000297 |
| Full Name | Robert Alan Wilson |
| Organization Legal Name | COVENANT FAMILY PRACTICE, PC |
| Address |
251 Hillcrest Dr Clarksville TN 37043-5086 |
| Phone Number | 9312451150 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305839093 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| 441322 | |
| 440035 | TENNOVA HEALTHCARE-CLARKSVILLE |
| Address | Phone | Organization |
|---|---|---|
| 251 Hillcrest Dr, Clarksville, TN 37043-5086 | 9312451150 | COVENANT FAMILY PRACTICE, PC |
| 21 W Roby Dr, Erin, TN 37061-6113 | 9312892450 | COVENANT FAMILY PRACTICE, PC |
| Organization Legal Name | COVENANT FAMILY PRACTICE, PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Elizabeth Mcgee | Physician Assistant | Covenant Family Practice, PC | 21 W Roby Dr, Erin, TN 37061-6113 |
| Abegaile S Denison | Family Practice | Covenant Family Practice, PC | 2151 Wilma Rudolph Blvd, Clarksville, TN 37040-6663 |
| David L Boles | Family Medicine | Covenant Family Practice, PC | 1011 Hwy 76, Suite A, Clarksville, TN 37043-2531 |
| David W Johnson | General Practice | Covenant Family Practice, PC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| David Keith Moore | Family Medicine | Covenant Family Practice, PC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Jamie Paul Rigoni | Physician Assistant | Covenant Family Practice, PC | 1011 Hwy 76, Clarksville, TN 37043-2531 |
| Jewell Kaylor | Nurse Practitioner | Covenant Family Practice, PC | 1011 Hwy 76, Clarksville, TN 37043-2531 |
| Street Address |
251 HILLCREST DR |
| City | CLARKSVILLE |
| State | TN |
| Zip | 37043-5086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Myers | Interventional Cardiology | Centennial Heart LLC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| David W Johnson | General Practice | Covenant Family Practice, PC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| David Keith Moore | Family Medicine | Covenant Family Practice, PC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| David Bruce Williams | Internal Medicine | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad A Alsoub | Pulmonary Disease | Advanced Diagnostic Imaging PC | 2233 Stokes Rd, Suite B, Clarksville, TN 37043-1818 |
| Tonya Renee Mclaughlin | Nurse Practitioner | Advanced Diagnostic Imaging PC | 2233 Stokes Rd, Suite B, Clarksville, TN 37043-1818 |
| Anil Patel | Gastroenterology | Anil Patel, Md PC | 280 Warfield Blvd, Clarksville, TN 37043-1828 |
| George S Lee | Maxillofacial Surgery | Cumberland Surgical Arts and Associates, Pllc | 2285 Rudolphtown Rd, Suite 200, Clarksville, TN 37043-2226 |
| Jason Scott Lilly | Oral Surgery | Cumberland Surgical Arts and Associates, Pllc | 2285 Rudolphtown Rd, Suite 200, Clarksville, TN 37043-2226 |
| Matthew Adam Defelice | Maxillofacial Surgery | Cumberland Surgical Arts, Pllc | 2285 Rudolphtown Rd, Suite 200, Clarksville, TN 37043-2226 |
| Mary Beth Holbrook | Physical Therapy | High Pointe Rehab LLC | 2319 Rudolphtown Rd, Clarksville, TN 37043-2228 |
| Hannah L Kos | Qualified Speech Language Pathologist | High Pointe Rehab LLC | 2319 Rudolphtown Rd, Clarksville, TN 37043-2228 |
| Bethany Froboese | Physical Therapy | High Pointe Rehab LLC | 2319 Rudolphtown Rd, Clarksville, TN 37043-2228 |
| Jennifer Lynn Scott | Physical Therapy | High Pointe Rehab LLC | 2319 Rudolphtown Rd, Clarksville, TN 37043-2228 |
| Find all physicians in zip 37043 | |||
| City | CLARKSVILLE |
| Zip Code | 37043 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLARKSVILLE + FAMILY MEDICINE |
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| 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.