Genesia D Irick (NPI# 1811431406, PAC ID# 5092099317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811431406 |
| PAC ID by PECOS | 5092099317 |
| Professional Enrollment ID | I20170306002668 |
| Full Name | Genesia D Irick |
| Organization Legal Name | TRI-CITIES GASTROENTEROLOGY LLC |
| Address |
10461 Wallace Alley St Kingsport TN 37663-3936 |
| Phone Number | 4232791400 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1658354865 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 441304 | JOHNSON COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 4232791400 | TRI-CITIES GASTROENTEROLOGY LLC |
| Organization Legal Name | TRI-CITIES GASTROENTEROLOGY LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Laine Anderson | Nurse Practitioner | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| Jeffrey P Fenyves | Gastroenterology | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| Stephen W Fry | Gastroenterology | Tri-cities Gastroenterology LLC | 105 Gay St, Erwin, TN 37650-1227 |
| James Wesley Denham | Pathology | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| Street Address |
10461 WALLACE ALLEY ST |
| City | KINGSPORT |
| State | TN |
| Zip | 37663-3936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine A Miller | Certified Registered Nurse Anesthetist (crna) | Northeast Tennesee Anesthesia,pllc | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| Ashley Laine Anderson | Nurse Practitioner | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| Jeffrey P Fenyves | Gastroenterology | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| James Wesley Denham | Pathology | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph F Amato | Chiropractic | 4012 Forth Henry Dr, Kingsport, TN 37663 | |
| Ben A Alig | Optometry | 4260 Fort Henry Dr, Suite 16, Kingsport, TN 37663-2248 | |
| Gregory C Russell | Optometry | 102 Professional Park Pvt Dr, Kingsport, TN 37663-2287 | |
| Amanda Malone | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Monna J. Nelms | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Cassie Jeanette Meadows | Nurse Practitioner | Trinity Medical Services | 106 Ferrell Ave, Suite 5, Kingsport, TN 37663-2371 |
| Dewayne S Steffey | Nurse Practitioner | Trinity Medical Services | 106 Ferrell Ave, Suite 5, Kingsport, TN 37663-2371 |
| William P Mcmillin | Optometry | Mac2 Pllc | 4617 Fort Henry Dr, Kingsport, TN 37663-2616 |
| William C Mcmillin | Optometry | Mac2 Pllc | 4617 Fort Henry Dr, Kingsport, TN 37663-2616 |
| Nicholas B Smith | Family Medicine | Blue Ridge Medical Management Corporation | 4600 Fort Henry Dr, Kingsport, TN 37663-2617 |
| Find all physicians in zip 37663 | |||
| City | KINGSPORT |
| Zip Code | 37663 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KINGSPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Genesia D Irick.
| 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.