Jaime C Blaylock (NPI# 1083881064, PAC ID# 6305987488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083881064 |
| PAC ID by PECOS | 6305987488 |
| Professional Enrollment ID | I20100112000230 |
| Full Name | Jaime C Blaylock |
| Organization Legal Name | JAMES R SPURLOCK III DO |
| Address |
370 Doolittle Rd Suite 1 Woodbury TN 37190-1129 |
| Phone Number | 6155633245 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355528126 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440200 | STONES RIVER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 | 6155633245 | JAMES R SPURLOCK III DO |
| Organization Legal Name | JAMES R SPURLOCK III DO |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Spurlock Iii | Family Medicine | James R Spurlock IIi Do | 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 |
| Street Address |
370 DOOLITTLE RD SUITE 1 |
| City | WOODBURY |
| State | TN |
| Zip | 37190-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James R Spurlock Iii | Family Medicine | James R Spurlock IIi Do | 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 |
| Holly S Blankenship | Family Medicine | 370 Doolittle Rd, Suite 1, Woodbury, TN 37190-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theda D Bell | Clinical Social Worker | 105 S Tatum St, Woodbury, TN 37190-1138 | |
| Bernard J Coomes | Chiropractic | 313 W Main St, Suite C, Woodbury, TN 37190-1144 | |
| Trea C Wessel | Chiropractic | 824 Mcminnville Hwy, Woodbury, TN 37190-1241 | |
| Tabitha M Smith | Nurse Practitioner | Community Wellness Clinic, Inc | 89 Mears Dr, Woodbury, TN 37190-1284 |
| Heather Melton | Nurse Practitioner | Community Wellness Clinic, Inc | 89 Mears Dr, Woodbury, TN 37190-1284 |
| Paula M Todd | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
| Jennifer Courtway | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
| Rachel L Rivers | Nurse Practitioner | Cannon County Healthcare PC | 205 S Mccrary St, Woodbury, TN 37190-1439 |
| City | WOODBURY |
| Zip Code | 37190 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WOODBURY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jaime C Blaylock.
| 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.