Alysen M Carter (NPI# 1194110346, PAC ID# 4880941814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194110346 |
| PAC ID by PECOS | 4880941814 |
| Professional Enrollment ID | I20180723002488 |
| Full Name | Alysen M Carter |
| Organization Legal Name | MOUNTAIN REGION FAMILY MEDICINE P C |
| Address |
390 Kane St Gate City VA 24251-2753 |
| Phone Number | 2763863411 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890699961 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 390 Kane St, Gate City, VA 24251-2753 | 2763863411 | MOUNTAIN REGION FAMILY MEDICINE P C |
| 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 | 4232302100 | MOUNTAIN REGION FAMILY MEDICINE P C |
| Organization Legal Name | MOUNTAIN REGION FAMILY MEDICINE P C |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Baker | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Amanda Malone | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Gregory L Demotts | Family Medicine | Mountain Region Family Medicine P C | 142 Meade Ave, Nickelsville, VA 24271-2108 |
| Zachary Linuel Sumpter | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Aaron K Metcalf | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Monna J. Nelms | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Richard L Brandon | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kevin D Misischia | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Wesley Vance Eastridge | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kimberly D Roller | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Street Address |
390 KANE ST |
| City | GATE CITY |
| State | VA |
| Zip | 24251-2753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Brooke Mcnew-hall | Nurse Practitioner | Mountain Region Family Medicine P C | 390 Kane St, Gate City, VA 24251-2753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Mcdonough | Psychologist, Clinical | 142 W Jackson St, Suite 101, Gate City, VA 24251-2929 | |
| Melissa Repko | Optometry | Repko Family Vision Center, Pllc | 241 Gateway Plz, Suite 106, Gate City, VA 24251-3350 |
| Taylor E Repko | Optometry | Repko Family Vision Center, Pllc | 241 Gateway Plz, Suite 106, Gate City, VA 24251-3350 |
| Eleanor S Cantrell | Internal Medicine | Commonwealth of Virginia State Board of Health | 190 Beech St, Suite 102, Gate City, VA 24251-3600 |
| City | GATE CITY |
| Zip Code | 24251 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GATE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alysen M Carter.
| 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.