Deadra R Tucker
AMG - SOUTHERN TENNESSEE, LLC


Address: 491 Majors Blvd, Lynchburg, TN 37352-8344
Phone: 9319671333

Deadra R Tucker (NPI# 1174828180, PAC ID# 5597930420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1174828180
PAC ID by PECOS 5597930420
Professional Enrollment ID I20111205000696
Full Name Deadra R Tucker
Organization Legal Name AMG - SOUTHERN TENNESSEE, LLC
Address 491 Majors Blvd
Lynchburg
TN 37352-8344
Phone Number 9319671333
Gender F
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5991765943
Number of Group Practice Members 39
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440058 SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER

Other Locations

Address Phone Organization
491 Majors Blvd, Lynchburg, TN 37352-8344 9319671333 AMG - SOUTHERN TENNESSEE, LLC
108 W Blackwell St, Tullahoma, TN 37388-3505 9318413821 AMG - SOUTHERN TENNESSEE, LLC

Organization Information

Organization Legal Name AMG - SOUTHERN TENNESSEE, LLC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Heather Ann Hyden Nurse Practitioner Amg - Southern Tennessee, LLC 183 Hospital Rd, Suite B, Winchester, TN 37398-2471
Christopher Michael Murray Internal Medicine Amg - Southern Tennessee, LLC 186 Hospital Rd, Suite 200, Winchester, TN 37398-2473
Kelsey M Purcell Physician Assistant Amg - Southern Tennessee, LLC 100 Hunters Ln, Tullahoma, TN 37388-8263
Anne Burnett Nurse Practitioner Amg - Southern Tennessee, LLC 81 Memorial Dr, Winchester, TN 37398-2401
Barry A Cortis Family Medicine Amg - Southern Tennessee, LLC 1894 Cowan Hwy, Suite 2, Winchester, TN 37398-2644
Isaac J Mcfadden Psychiatry Amg - Southern Tennessee, LLC 15 S Central Ave, Monteagle, TN 37356-3074
Shon P Nolin Family Medicine Amg - Southern Tennessee, LLC 66 Sunrise Park, Winchester, TN 37398-2345
Andrea Kelley Gore Hayes Nurse Practitioner Amg - Southern Tennessee, LLC 108 W Blackwell St, Tullahoma, TN 37388-3505
James T Mcclure Orthopedic Surgery Amg - Southern Tennessee, LLC 185 Hospital Rd, Winchester, TN 37398-2404
Richard A Bagby Jr. Orthopedic Surgery Amg - Southern Tennessee, LLC 185 Hospital Rd, Winchester, TN 37398-2404

Office Location

Street Address 491 MAJORS BLVD
City LYNCHBURG
State TN
Zip 37352-8344

Physicians in the same location

Name Specialty Organization Address
Melissa Smedley Nurse Practitioner Amg - Southern Tennessee, LLC 491 Majors Blvd, Lynchburg, TN 37352-8344

Physicians in the same zip code

Name Specialty Organization Address
Lori A Russell Physician Assistant 40 Lynchburg Hwy, Lynchburg, TN 37352-7449
Robert Yasui Physician Assistant 40 Lynchburg Hwy, Lynchburg, TN 37352-7449
Rachel A Anderson Nurse Practitioner 13 Hiles St, Suite 8039, Lynchburg, TN 37352-8381

Competitor

Search similar physicians

City LYNCHBURG
Zip Code 37352
Specialty NURSE PRACTITIONER
City + Specialty LYNCHBURG + NURSE PRACTITIONER

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Dataset Information

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.

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