Mary Wise (NPI# 1831545086, PAC ID# 3072804459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831545086 |
| PAC ID by PECOS | 3072804459 |
| Professional Enrollment ID | I20191106003546 |
| Full Name | Mary Wise |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Address |
1300 Old Weisgarber Rd Knoxville TN 37909-1291 |
| Phone Number | 8655842146 |
| Gender | F |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860305463 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| 440173 | PARKWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 8655842146 | COVENANT MEDICAL GROUP INC |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob E Gingerich | General Surgery | Covenant Medical Group Inc | 703 Mcfarland St, Morristown, TN 37814-3977 |
| Kelly E Bewsey | Urology | Covenant Medical Group Inc | 701 Mcfarland St, Morristown, TN 37814-3977 |
| Tyler Gilbert Gunderson | Orthopedic Surgery | Covenant Medical Group Inc | 118 Brown Ave, Suite 103, Crossville, TN 38555-7740 |
| Daniel I. Cordas | Orthopedic Surgery | Covenant Medical Group Inc | 629 Middlecreek Rd, Sevierville, TN 37862-5014 |
| Brijal P Patel | Internal Medicine | Covenant Medical Group Inc | 103 Bennett Rd, Oliver Springs, TN 37840-5008 |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| April Freeman | Nurse Practitioner | Covenant Medical Group Inc | 110 Industrial Park Lane, Lake City, TN 37769-2300 |
| Troy Wayne Stovall | Family Medicine | Covenant Medical Group Inc | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5641 |
| Joseph C Petit | Cardiovascular Disease (cardiology) | Covenant Medical Group Inc | 576 Ft Loudon Medical Ctr, Suite 200, Lenoir City, TN 37772 |
| Jadeleize Gormley | Nurse Practitioner | Covenant Medical Group Inc | 9320 Park W Blvd, Knoxville, TN 37923-4301 |
| Street Address |
1300 OLD WEISGARBER RD |
| City | KNOXVILLE |
| State | TN |
| Zip | 37909-1291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James S Hicks | Family Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Jeffrey A Mcmichael | Family Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Douglas J Marlow | Internal Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| James P Howell | Family Medicine | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Charles L Robinson | Family Practice | Covenant Medical Group Inc | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan B Gibson | Physical Therapy | Summit Medical Group, Pllc | 1128 Weisgarber Rd, Suite 230, Knoxville, TN 37909 |
| Cynthia L Whisenant | Nurse Practitioner | Summit Medical Group, Pllc | 1128 Weisgarber Rd, Suite 230, Knoxville, TN 37909 |
| Amie Phipps | Nurse Practitioner | Summit Medical Group, Pllc | 1128 Weisgarber Rd, Suite 230, Knoxville, TN 37909 |
| Susan Carnahan | Occupational Therapy | 1454 Francis Station Dr, Knoxville, TN 37909-1123 | |
| Mary L Byrd | Nurse Practitioner | 2820 Lake Brook Blvd, Knoxville, TN 37909-1133 | |
| Jeremiah N Bivins | Allergy/immunology | Allergy Associates, Pa | 1320 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Herman G Botero | Orthopedic Surgery | Orthotennessee, PC | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 |
| Rachel Diane Kohn | Physician Assistant | Orthotennessee, PC | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 |
| Katelyn Holt | Physician Assistant | Orthotennessee, PC | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 |
| Jeffrey G Jarnagin | Physician Assistant | Orthotennessee, PC | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 |
| Find all physicians in zip 37909 | |||
| City | KNOXVILLE |
| Zip Code | 37909 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KNOXVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary Wise.
| 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.