Teanna J Moore (NPI# 1295054617, PAC ID# 2860610813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295054617 |
| PAC ID by PECOS | 2860610813 |
| Professional Enrollment ID | I20180522000581 |
| Full Name | Teanna J Moore |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
2204 Pavilion Dr Suite 310 Kingsport TN 37660-4653 |
| Phone Number | 4232243900 |
| Gender | F |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440176 | INDIAN PATH MEDICAL CENTER |
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2204 Pavilion Dr, Suite 310, Kingsport, TN 37660-4653 | 4232243900 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
2204 PAVILION DR SUITE 310 |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-4653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Rice | Certified Registered Nurse Anesthetist (crna) | Tennessee Anesthesiology LLC | 2204 Pavilion Dr, Kingsport, TN 37660-4651 |
| Brent W Barrett | Certified Registered Nurse Anesthetist (crna) | Tennessee Anesthesiology LLC | 2204 Pavilion Dr, Kingsport, TN 37660-4651 |
| Rebecca Jane Hamilton | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Michael Jude Sullivan | Gastroenterology | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Holly C Grigsby | General Practice | 2204 Pavilion Dr, Suite 110, Kingsport, TN 37660-4651 | |
| Lawrence Delmore Bailey | Gastroenterology | Holston Medical Group PC | 2204 Pavilion Dr, Suite 115, Kingsport, TN 37660-4651 |
| Adrian Denise Qualls | Physician Assistant | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Amanda Beth Campbell | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Danny Almond | Physical Therapy | Holston Medical Group PC | 2204 Pavilion Dr, Suite 115, Kingsport, TN 37660-4651 |
| Darik S Barger | Nurse Practitioner | Sullivan and Ptrs | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4651 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KINGSPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Teanna J Moore.
| 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.