Dederick A Yeargin (NPI# 1952669202, PAC ID# 8820248750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952669202 |
| PAC ID by PECOS | 8820248750 |
| Professional Enrollment ID | I20121030000210 |
| Full Name | Dederick A Yeargin |
| Organization Legal Name | HOME TOWN CLINIC |
| Address |
206 S Horton Pkwy Chapel Hill TN 37034-3102 |
| Phone Number | 9313644663 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183866510 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441309 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 206 S Horton Pkwy, Chapel Hill, TN 37034-3102 | 9313644663 | HOME TOWN CLINIC |
| Organization Legal Name | HOME TOWN CLINIC |
| Physicians | 1 |
| Street Address |
206 S HORTON PKWY |
| City | CHAPEL HILL |
| State | TN |
| Zip | 37034-3102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Card | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Scott B Coffey | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Tonya Lahatte | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Tracy L Carter | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Katie Hill | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Christy S Harris | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Alexis Dunlap | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 4696 Nashville Hwy, Chapel Hill, TN 37034-2110 |
| Joseph Ragan Fowler | Physical Therapy | Independent Physical Therapy LLC | 4654 Nashville Hwy, Chapel Hill, TN 37034-2126 |
| City | CHAPEL HILL |
| Zip Code | 37034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHAPEL HILL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dederick A Yeargin.
| 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.