Melani Sidwell (NPI# 1477091122, PAC ID# 8426321332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477091122 |
| PAC ID by PECOS | 8426321332 |
| Professional Enrollment ID | I20170828004763 |
| Full Name | Melani Sidwell |
| Organization Legal Name | THE GROVE PRIMARY CARE CLINIC LLC |
| Address |
541 W Park Pl Suite C Henderson TN 38340-2027 |
| Phone Number | 7319830499 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032280854 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 541 W Park Pl, Suite C, Henderson, TN 38340-2027 | 7319830499 | THE GROVE PRIMARY CARE CLINIC LLC |
| Organization Legal Name | THE GROVE PRIMARY CARE CLINIC LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison L Adams | Nurse Practitioner | The Grove Primary Care Clinic LLC | 702 S Main St, Middleton, TN 38052-3615 |
| Charlynn Johnson | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Amanda K Taylor | Nurse Practitioner | The Grove Primary Care Clinic LLC | 702 S Main St, Middleton, TN 38052-3615 |
| Damien E Nethery | Clinical Social Worker | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Jessica Kirk | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Laura B Brasher | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Cheryl Lynn Middleton | Nurse Practitioner | The Grove Primary Care Clinic LLC | 702 S Main St, Middleton, TN 38052-3615 |
| Kathy D Butler | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Kimberly Roberts | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Tina L Mccall | Nurse Practitioner | The Grove Primary Care Clinic LLC | 702 S Main St, Middleton, TN 38052-3615 |
| Street Address |
541 W PARK PL SUITE C |
| City | HENDERSON |
| State | TN |
| Zip | 38340-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlynn Johnson | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Damien E Nethery | Clinical Social Worker | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Jessica Kirk | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Laura B Brasher | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Kathy D Butler | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Kimberly Roberts | Nurse Practitioner | The Grove Primary Care Clinic LLC | 541 W Park Pl, Suite C, Henderson, TN 38340-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart D Rogers | Optometry | 124 N Washington Ave, Henderson, TN 38340-0159 | |
| Rajesh G Rao | Physician Assistant | Fast Pace Medical Clinic Pllc | 715 E Main St A, Henderson, TN 38340-1708 |
| Holly Brooke Shourd | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 715 E Main St A, Henderson, TN 38340-1708 |
| Betty A Carter | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 715 E Main St A, Henderson, TN 38340-1708 |
| Megan Pittman | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 715 E Main St A, Henderson, TN 38340-1708 |
| Whitney W Scott | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 715 E Main St A, Henderson, TN 38340-1708 |
| Anna A Sheffield | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 715 E Main St A, Henderson, TN 38340-1708 |
| Brian Monroe Mccarver | Family Medicine | 426 White Ave, Henderson, TN 38340-1914 | |
| Melina R Rose | Clinical Social Worker | 109 Crook Ave, Henderson, TN 38340-1939 | |
| Traci K Hill | Nurse Practitioner | West Tennessee Primary Care, LLC | 557 W Park Pl, Henderson, TN 38340-2027 |
| Find all physicians in zip 38340 | |||
| City | HENDERSON |
| Zip Code | 38340 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HENDERSON + NURSE PRACTITIONER |
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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.