Lisa S. Kellogg (NPI# 1720034127, PAC ID# 5698870145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720034127 |
| PAC ID by PECOS | 5698870145 |
| Professional Enrollment ID | I20070412000147 |
| Full Name | Lisa S. Kellogg |
| Organization Legal Name | PORTLAND PRIMARY CARE, LLC |
| Address |
1720 Nashville Pike A Gallatin TN 37066-3154 |
| Phone Number | 6152308601 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF HOMEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305859851 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| 440003 | SUMNER REGIONAL MEDICAL CENTER |
| 440006 | TRISTAR SKYLINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1720 Nashville Pike, Suite 100, Gallatin, TN 37066-3154 | 6152308601 | PORTLAND PRIMARY CARE, LLC |
| 1720 Nashville Pike A, Gallatin, TN 37066-3154 | 6152308601 | PORTLAND PRIMARY CARE, LLC |
| 103 Redbud Dr E, Portland, TN 37148-1617 | 6153251206 | PORTLAND PRIMARY CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PORTLAND PRIMARY CARE, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Kellogg | Family Medicine | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Alison D Kucich | Family Medicine | Portland Primary Care, LLC | 1720 Nashville Pike, Suite 100, Gallatin, TN 37066-3154 |
| Guillermo Ludi | Internal Medicine | Portland Primary Care, LLC | 103 Redbud Dr E, Portland, TN 37148-1617 |
| Crystal Brock | Nurse Practitioner | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Brandon Deshawn Allen | Internal Medicine | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Ronda M Worsham | Nurse Practitioner | Portland Primary Care, LLC | 103 Redbud Dr E, Portland, TN 37148-1617 |
| Ellen K Meador | Physician Assistant | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Street Address |
1720 NASHVILLE PIKE A |
| City | GALLATIN |
| State | TN |
| Zip | 37066-3154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Kellogg | Family Medicine | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Crystal Brock | Nurse Practitioner | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Brandon Deshawn Allen | Internal Medicine | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Ellen K Meador | Physician Assistant | Portland Primary Care, LLC | 1720 Nashville Pike A, Gallatin, TN 37066-3154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Buell | Certified Registered Nurse Anesthetist (crna) | 890 N Blue Jay Way, Gallatin, TN 37066 | |
| Norman Nygard | Psychologist, Clinical | Key Rehabilitation Inc | 140 Thorne Blvd, Gallatin, TN 37066-1509 |
| Anne Hudson | Nurse Practitioner | Progressive Care Medical Group of Tn Pllc | 438 N Water Ave, Gallatin, TN 37066-2306 |
| Latasha R Martin | Nurse Practitioner | Progressive Care Medical Group of Tn Pllc | 438 N Water Ave, Gallatin, TN 37066-2306 |
| Betsy L Brentise | Nurse Practitioner | Progressive Care Medical Group of Tn Pllc | 438 N Water Ave, Gallatin, TN 37066-2306 |
| Jayanthi Samuel | Nurse Practitioner | Progressive Care Medical Group of Tn Pllc | 438 N Water Ave, Gallatin, TN 37066-2306 |
| Mary E Genung | Nurse Practitioner | Right Care Family Practice Pllc | 438 N Water Ave, Gallatin, TN 37066-2399 |
| Zachariah J Ramsey | Emergency Medicine | Emergency Physicians At Sumner Pllc | 555 Hartsville Pike, Gallatin, TN 37066-2400 |
| Wardah Khan | Nurse Practitioner | Concord Infectious Disease Associates, PC | 555 Hartsville Pike, Gallatin, TN 37066-2400 |
| Andrew Porter | Physician Assistant | Centennial Heart LLC | 555 Hartsville Pike, Gallatin, TN 37066-2400 |
| Find all physicians in zip 37066 | |||
| City | GALLATIN |
| Zip Code | 37066 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GALLATIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa S. Kellogg.
| 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.