Gloria A Burns (NPI# 1932173259, PAC ID# 5294721247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1932173259 |
| PAC ID by PECOS | 5294721247 |
| Professional Enrollment ID | I20070714000086 |
| Full Name | Gloria A Burns |
| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Address |
640 Nuckolls Rd Bolivar TN 38008-1532 |
| Phone Number | 7316608759 |
| Gender | F |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3971781006 |
| Number of Group Practice Members | 108 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040019 | FORREST CITY MEDICAL CENTER |
| 441320 | |
| 041316 | SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 640 Nuckolls Rd, Bolivar, TN 38008-1532 | 7316608759 | WEST TENNESSEE MEDICAL GROUP, INC |
| 650 Nuckolls Rd, Bolivar, TN 38008-1532 | 7314241001 | WEST TENNESSEE MEDICAL GROUP, INC |
| 3525 Chere Carol Rd, Humboldt, TN 38343-3638 | 7315413570 | EMERGENCY MEDICAL CARE FACILITIES PC |
| 620 Skyline Dr, Jackson, TN 38301-3923 | 7315415000 | WEST TENNESSEE MEDICAL GROUP, INC |
| 620 Skyline Dr, Jackson, TN 38301-3923 | 7315416574 | EMERGENCY MEDICAL CARE FACILITIES PC |
| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy E Bartholomew | Nurse Practitioner | West Tennessee Medical Group, Inc | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3940 |
| William Jake Lancaster | Internal Medicine | West Tennessee Medical Group, Inc | 587 Skyline Dr, Jackson, TN 38301-3938 |
| Robin D Atkinson | Obstetrics/gynecology | West Tennessee Medical Group, Inc | 657 Skyline Dr, Jackson, TN 38301-3903 |
| Joanne C Frazee | Nurse Practitioner | West Tennessee Medical Group, Inc | 27 Medical Ctr Dr, Jackson, TN 38301-3949 |
| John William Vinson | Family Medicine | West Tennessee Medical Group, Inc | 270 E Court Ave, Suite B, Selmer, TN 38375-0000 |
| Timothy F Linder | Family Medicine | West Tennessee Medical Group, Inc | 9550 Hwy 412 W, Lexington, TN 38351-5849 |
| James D Day | General Surgery | West Tennessee Medical Group, Inc | 395 Hospital Blvd, Jackson, TN 38305-2080 |
| Keith L Atkins | Internal Medicine | West Tennessee Medical Group, Inc | 640 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Saif M Tahsin | Hospitalist | West Tennessee Medical Group, Inc | 620 Skyline Dr, Jackson, TN 38301-3923 |
| Brittain D Little | Gastroenterology | West Tennessee Medical Group, Inc | 620 Skyline Dr, Jackson, TN 38301-3923 |
| Street Address |
640 NUCKOLLS RD |
| City | BOLIVAR |
| State | TN |
| Zip | 38008-1532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith L Atkins | Internal Medicine | West Tennessee Medical Group, Inc | 640 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Samuel T Johnson Jr. | Family Medicine | West Tennessee Medical Group, Inc | 640 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Robert H Dunnebacke | Internal Medicine | West Tennessee Medical Group, Inc | 640 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary J Allen | Nurse Practitioner | 206 Stevens Rd, Bolivar, TN 38008-1120 | |
| Nithyananda Pakkala | Family Medicine | 630 Nuckolls Rd, Bolivar, TN 38008-1532 | |
| Gregory Blase Franz | Hematology/oncology | Jackson Madison County General Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Angelia J Doyle | Clinical Social Worker | 610 Nuckolls Rd, Bolivar, TN 38008-1532 | |
| Walter F Fletcher | Family Medicine | Emergency Medical Care Facilities PC | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Brian Neal Walker | Internal Medicine | Jackson Madison County General Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Sheree E Smith | Nurse Practitioner | Jackson Madison County General Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Amy M Bryant | Nurse Practitioner | Jackson Madison County General Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Joseph E Fouche | Internal Medicine | Jackson Madison County General Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Archie W Wright | Hematology/oncology | Jackson Madison County General Hospital | 650 Nuckolls Rd, Bolivar, TN 38008-1532 |
| Find all physicians in zip 38008 | |||
| City | BOLIVAR |
| Zip Code | 38008 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOLIVAR + 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.