Cecil Dewayne Knight (NPI# 1508909599, PAC ID# 7214016021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1508909599 |
| PAC ID by PECOS | 7214016021 |
| Professional Enrollment ID | I20080523000465 |
| Full Name | Cecil Dewayne Knight |
| Organization Legal Name | PREFERRED FAMILY MEDICAL CARE LLC |
| Address |
9026 Hiwassee Nest Charleston TN 37310-5305 |
| Phone Number | 4236653666 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6800013608 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9026 Hiwassee Nest, Charleston, TN 37310-5305 | 4236653666 | PREFERRED FAMILY MEDICAL CARE LLC |
| 764 Old Chattanooga Swpike, Cleveland, TN 37311-8566 | 4233031959 | LIFE BRIDGES, INC |
| Organization Legal Name | PREFERRED FAMILY MEDICAL CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kavin J Johnson | Family Practice | Preferred Family Medical Care LLC | 9029 Hiwassee Nest, Charleston, TN 37310 |
| Keith L Kidd | Nurse Practitioner | Preferred Family Medical Care LLC | 9026 Hiwassee Nest, Charleston, TN 37310-5305 |
| Street Address |
9026 HIWASSEE NEST |
| City | CHARLESTON |
| State | TN |
| Zip | 37310-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith L Kidd | Nurse Practitioner | Preferred Family Medical Care LLC | 9026 Hiwassee Nest, Charleston, TN 37310-5305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kavin J Johnson | Family Practice | Preferred Family Medical Care LLC | 9029 Hiwassee Nest, Charleston, TN 37310 |
| City | CHARLESTON |
| Zip Code | 37310 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | CHARLESTON + GENERAL PRACTICE |
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| 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.