Nathaniel R Whaley (NPI# 1245213545, PAC ID# 4284787011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1245213545 |
| PAC ID by PECOS | 4284787011 |
| Professional Enrollment ID | I20090727000811 |
| Full Name | Nathaniel R Whaley |
| Organization Legal Name | TRI-STATE MOUNTAIN NEUROLOGY ASSOCIATES PC |
| Address |
1321 Sunset Dr Suite 11 Johnson City TN 37604-7902 |
| Phone Number | 4239286174 |
| Gender | M |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4587753892 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 440001 | UNICOI COUNTY MEMORIAL HOSPITAL |
| 440050 | TAKOMA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 | 4239286174 | TRI-STATE MOUNTAIN NEUROLOGY ASSOCIATES PC |
| Organization Legal Name | TRI-STATE MOUNTAIN NEUROLOGY ASSOCIATES PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy Story | Nurse Practitioner | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| John M Dengler | Neurology | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Shelly Dorene Howard | Nurse Practitioner | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Teresa A Martin | Nurse Practitioner | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Stephen Michael Kimbrough | Neurology | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Johnson City, TN 37604-7902 |
| Street Address |
1321 SUNSET DR SUITE 11 |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-7902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy Story | Nurse Practitioner | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Tara L Dew | Optometry | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Thomas K Braswell | Ophthalmology | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| John M Dengler | Neurology | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Shelly Dorene Howard | Nurse Practitioner | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Teresa A Martin | Nurse Practitioner | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Suite 11, Johnson City, TN 37604-7902 |
| Stephen Michael Kimbrough | Neurology | Tri-state Mountain Neurology Associates PC | 1321 Sunset Dr, Johnson City, TN 37604-7902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | NEUROLOGY |
| City + Specialty | JOHNSON CITY + NEUROLOGY |
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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.