Deborah Leggett (NPI# 1528442688, PAC ID# 5496055600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528442688 |
| PAC ID by PECOS | 5496055600 |
| Professional Enrollment ID | I20151119001750 |
| Full Name | Deborah Leggett |
| Organization Legal Name | PRIMARY CARE CLINIC OF JACKSON |
| Address |
45 Hurt St Trezevant TN 38258-2505 |
| Phone Number | 7316693863 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901173657 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 | 7312656197 | PRIMARY CARE CLINIC OF JACKSON |
| 45 Hurt St, Trezevant, TN 38258-2505 | 7316693863 | PRIMARY CARE CLINIC OF JACKSON |
| Organization Legal Name | PRIMARY CARE CLINIC OF JACKSON |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Kathy M O'connor-wray | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Street Address |
45 HURT ST |
| City | TREZEVANT |
| State | TN |
| Zip | 38258-2505 |
| City | TREZEVANT |
| Zip Code | 38258 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TREZEVANT + NURSE PRACTITIONER |
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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.