Talisha Ettina Leeann Troutt (NPI# 1639696784, PAC ID# 2961759113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639696784 |
| PAC ID by PECOS | 2961759113 |
| Professional Enrollment ID | I20180719002077 |
| Full Name | Talisha Ettina Leeann Troutt |
| Organization Legal Name | GRAY FAMILY CLINIC PLC |
| Address |
132 Old Gray Station Rd Gray TN 37615-3434 |
| Phone Number | 4234678001 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325262108 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 132 Old Gray Station Rd, Gray, TN 37615-3434 | 4234678001 | GRAY FAMILY CLINIC PLC |
| Organization Legal Name | GRAY FAMILY CLINIC PLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah J Cote | Family Medicine | Gray Family Clinic Plc | 132 Old Gray Station Rd, Gray, TN 37615-3434 |
| William J Cote | Nurse Practitioner | Gray Family Clinic Plc | 132 Old Gray Station Rd, Gray, TN 37615-3434 |
| Street Address |
132 OLD GRAY STATION RD |
| City | GRAY |
| State | TN |
| Zip | 37615-3434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah J Cote | Family Medicine | Gray Family Clinic Plc | 132 Old Gray Station Rd, Gray, TN 37615-3434 |
| William J Cote | Nurse Practitioner | Gray Family Clinic Plc | 132 Old Gray Station Rd, Gray, TN 37615-3434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcy K Lau | Qualified Audiologist | Medical Education Assistance Corporation | 156 S Dossett Dr, Johnson City, TN 37615-1702 |
| Marie Johnson | Qualified Speech Language Pathologist | Medical Education Assistance Corporation | 156 S Dossett Dr, Johnson City, TN 37615-1702 |
| Jody E. Musick | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Caleb Pearson | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Alan Bunger | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Jacob A. Wright | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Jonathan D Baker | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Michael A Wolf | Optometry | 122 Old Gray Station Rd, Suite 1, Gray, TN 37615-3434 | |
| Jennifer Aileen Correll | Psychologist, Clinical | Ipc Pac Healthcare Services of Tennessee PC | 791 Old Gray Station Rd, Gray, TN 37615-3717 |
| Pyung Jay Suh | Family Medicine | Foundation Medical, Inc. | 1730 Old Gray Station Rd, Johnson City, TN 37615-3869 |
| Find all physicians in zip 37615 | |||
| City | GRAY |
| Zip Code | 37615 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Talisha Ettina Leeann Troutt.
| 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.