Melissa Jean Fullerton (NPI# 1982869855, PAC ID# 3476724584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1982869855 |
| PAC ID by PECOS | 3476724584 |
| Professional Enrollment ID | I20190209000105 |
| Full Name | Melissa Jean Fullerton |
| Organization Legal Name | CHURCH HEALTH CENTER OF MEMPHIS INC |
| Address |
1350 Concourse Ave Suite 142 Memphis TN 38104-2020 |
| Phone Number | 9012720003 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517863392 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 | 9012720003 | CHURCH HEALTH CENTER OF MEMPHIS INC |
| Organization Legal Name | CHURCH HEALTH CENTER OF MEMPHIS INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose M Townley Bakewell | Internal Medicine | Church Health Center of Memphis Inc | 1200 Peabody Ave, Memphis, TN 38104-4506 |
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Street Address |
1350 CONCOURSE AVE SUITE 142 |
| City | MEMPHIS |
| State | TN |
| Zip | 38104-2020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel G Fuller | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Michael Christensen | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Gregory Wolfe | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Kristina Haworth | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Rachel Grant | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Reena Lepine | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Constance Victoria Simpson | Nurse Practitioner | Msk Group PC | 1350 Concourse Ave, Suite 363, Memphis, TN 38104-2023 |
| Susan F Nelson | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| David Keith Jennings | Internal Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sheila M Thomas | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aditee S Satpute | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Banjul L Covington | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Sharon L Thorpe | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Glenn Scott Morris | Family Medicine | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Tammy L Carnahan | Nurse Practitioner | Church Health Center of Memphis Inc | 1350 Concourse Ave, Suite 142, Memphis, TN 38104-2020 |
| Cory Scott Heinkel | Physical Therapy | Msk Group PC | 1350 Concourse Ave, Suite 363, Memphis, TN 38104-2023 |
| Stephen M Wetick | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Wilson Walter Mcgriff | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Jennifer D James | Chiropractic | Msk Group PC | 1350 Concourse Ave, Suite 363, Memphis, TN 38104-2023 |
| Brian Knight | Optometry | Southern College of Optometry | 1350 Concourse Ave, Suite 264, Memphis, TN 38104-2023 |
| Find all physicians in zip 38104 | |||
| City | MEMPHIS |
| Zip Code | 38104 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MEMPHIS + 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.