Thomas D Shirley (NPI# 1609218569, PAC ID# 5890938260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609218569 |
| PAC ID by PECOS | 5890938260 |
| Professional Enrollment ID | I20130904000443 |
| Full Name | Thomas D Shirley |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Address |
11546 Chapman Hwy B Seymour TN 37865-5044 |
| Phone Number | 8655795080 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860305463 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440081 | LECONTE MEDICAL CENTER |
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11546 Chapman Hwy B, Seymour, TN 37865-5044 | 8655795080 | COVENANT MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob E Gingerich | General Surgery | Covenant Medical Group Inc | 703 Mcfarland St, Morristown, TN 37814-3977 |
| Kelly E Bewsey | Urology | Covenant Medical Group Inc | 701 Mcfarland St, Morristown, TN 37814-3977 |
| Tyler Gilbert Gunderson | Orthopedic Surgery | Covenant Medical Group Inc | 118 Brown Ave, Suite 103, Crossville, TN 38555-7740 |
| Daniel I. Cordas | Orthopedic Surgery | Covenant Medical Group Inc | 629 Middlecreek Rd, Sevierville, TN 37862-5014 |
| Brijal P Patel | Internal Medicine | Covenant Medical Group Inc | 103 Bennett Rd, Oliver Springs, TN 37840-5008 |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| April Freeman | Nurse Practitioner | Covenant Medical Group Inc | 110 Industrial Park Lane, Lake City, TN 37769-2300 |
| Troy Wayne Stovall | Family Medicine | Covenant Medical Group Inc | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5641 |
| Joseph C Petit | Cardiovascular Disease (cardiology) | Covenant Medical Group Inc | 576 Ft Loudon Medical Ctr, Suite 200, Lenoir City, TN 37772 |
| Jadeleize Gormley | Nurse Practitioner | Covenant Medical Group Inc | 9320 Park W Blvd, Knoxville, TN 37923-4301 |
| Street Address |
11546 CHAPMAN HWY B |
| City | SEYMOUR |
| State | TN |
| Zip | 37865-5044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Jo Beighle | Chiropractic | 216 Phoenix Ct B, Seymour, TN 37865-3914 | |
| Dwyn Ellison Mackenzie Mounger | Nurse Practitioner | Summit Medical Group, Pllc | 10626 Chapman Hwy, Seymour, TN 37865-4703 |
| Brittany Lucas | Nurse Practitioner | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Alexandra J Fort | Nurse Practitioner | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Sara L Propst | Psychologist, Clinical | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Kristin Lewis | Psychologist, Clinical | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Febe I Wallace | Internal Medicine | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Joy M Parrish | Clinical Social Worker | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Dennis King | Family Practice | Cherokee Health Systems | 10731 Chapman Hwy, Seymour, TN 37865-4765 |
| Greg Arthur Mcclurg | Optometry | 10721 Chapman Hwy, Suite 5, Seymour, TN 37865-4771 | |
| Find all physicians in zip 37865 | |||
| City | SEYMOUR |
| Zip Code | 37865 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SEYMOUR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Thomas D Shirley.
| 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.