Gregory L Demotts (NPI# 1891708111, PAC ID# 5799889747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891708111 |
| PAC ID by PECOS | 5799889747 |
| Professional Enrollment ID | I20100923001253 |
| Full Name | Gregory L Demotts |
| Organization Legal Name | MOUNTAIN REGION FAMILY MEDICINE P C |
| Address |
142 Meade Ave Nickelsville VA 24271-2108 |
| Phone Number | 2764792201 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890699961 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 444 Clinchfield St, Kingsport, TN 37660-3858 | MOUNTAIN REGION FAMILY MEDICINE P C | |
| 142 Meade Ave, Nickelsville, VA 24271-2108 | 2764792201 | MOUNTAIN REGION FAMILY MEDICINE P C |
| Organization Legal Name | MOUNTAIN REGION FAMILY MEDICINE P C |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alysen M Carter | Family Medicine | Mountain Region Family Medicine P C | 390 Kane St, Gate City, VA 24251-2753 |
| Brent Baker | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Amanda Malone | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Zachary Linuel Sumpter | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Aaron K Metcalf | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Monna J. Nelms | Nurse Practitioner | Mountain Region Family Medicine P C | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 |
| Richard L Brandon | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kevin D Misischia | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3863 |
| Wesley Vance Eastridge | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Kimberly D Roller | Family Medicine | Mountain Region Family Medicine P C | 444 Clinchfield St, Kingsport, TN 37660-3858 |
| Street Address |
142 MEADE AVE |
| City | NICKELSVILLE |
| State | VA |
| Zip | 24271-2108 |
| City | NICKELSVILLE |
| Zip Code | 24271 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NICKELSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gregory L Demotts.
| 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.