Jared Todd Gremillion (NPI# 1639526577, PAC ID# 7810226495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1639526577 |
| PAC ID by PECOS | 7810226495 |
| Professional Enrollment ID | I20190906001311 |
| Full Name | Jared Todd Gremillion |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Address |
240 Medical Park Blvd Suite 1500 Bristol TN 37620-7353 |
| Phone Number | 4239902460 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8224935754 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 240 Medical Park Blvd, Suite 1500, Bristol, TN 37620-7353 | 4239902460 | HOLSTON MEDICAL GROUP PC |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Physicians | 239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Jeffrey Richard Many | Family Medicine | Holston Medical Group PC | 275 N Nc 16 Business Hwy, Suite 103, Denver, NC 28037-3008 |
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Brandi N Adams | Obstetrics/gynecology | Holston Medical Group PC | 10826 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-9725 |
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Shannon M Butler | Nurse Practitioner | Holston Medical Group PC | 9611 Sherrill Estates Rd, Suite B, Huntersville, NC 28078-6485 |
| Julie M Wentz | Family Medicine | Holston Medical Group PC | 9816 Sam Furr Rd, Suite 101, Huntersville, NC 28078-5042 |
| Kenyon L Draper | Nurse Practitioner | Holston Medical Group PC | 3500 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8644 |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Jennifer Shafer | Family Medicine | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Street Address |
240 MEDICAL PARK BLVD SUITE 1500 |
| City | BRISTOL |
| State | TN |
| Zip | 37620-7353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Brockmyre | Internal Medicine | Holston Medical Group PC | 240 Medical Park Blvd, Bristol, TN 37620-7346 |
| Jean M Mancini | Internal Medicine | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Dallas Shone | Gastroenterology | Holston Medical Group PC | 240 Medical Park Blvd, Suite 3700, Bristol, TN 37620-7350 |
| Thomas Makres | Pediatric Medicine | Holston Medical Group PC | 240 Medical Park Blvd, Suite 1700, Bristol, TN 37620-7346 |
| Donovan Dean Wilson | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Benjamin Daniel Whitfield | Family Medicine | Holston Medical Group PC | 240 Medical Park Blvd, Suite 1700, Bristol, TN 37620-7346 |
| Jennifer E Mays | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Abram Arwood | Physical Therapy | Holston Medical Group PC | 240 Medical Park Blvd, Bristol, TN 37620-7347 |
| Ashraf Youssef | Orthopedic Surgery | Holston Medical Group PC | 240 Medical Park Blvd, Suite 1500, Bristol, TN 37620-7353 |
| Jessie L Thomas | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 240 Medical Park Blvd, Suite 2400, Bristol, TN 37620-7354 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Fowler | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Tara D Spurling | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Stacie L Mccray | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Cynthia L Mcglothlin | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Nyela Aldridge Edwards | Certified Nurse Midwife (cnm) | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey A Mcqueary | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Autumn R Hoover | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Alyssa Nicole Phelps | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey R Looney | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Lynn H Couch | Certified Registered Nurse Anesthetist (crna) | Innovative Surgical Solutions, Pllc | 3185 W State St, Suite 2020, Bristol, TN 37620-1600 |
| Find all physicians in zip 37620 | |||
| City | BRISTOL |
| Zip Code | 37620 |
| Specialty | PODIATRY |
| City + Specialty | BRISTOL + PODIATRY |
Please comment or provide details below to improve the information on Jared Todd Gremillion.
| 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.