Jack W Carey Jr. (NPI# 1588738744, PAC ID# 9335327584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1588738744 |
| PAC ID by PECOS | 9335327584 |
| Professional Enrollment ID | I20110617000300 |
| Full Name | Jack W Carey Jr. |
| Address |
220 Broadway Hartsville TN 37074-1304 |
| Phone Number | 6153742101 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441301 | TROUSDALE MEDICAL CENTER |
| 440003 | SUMNER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 220 Broadway, Hartsville, TN 37074-1304 | 6153742101 |
| Street Address |
220 BROADWAY |
| City | HARTSVILLE |
| State | TN |
| Zip | 37074-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Olatunde Badru | Internal Medicine | 211 E Mcmurry Blvd, Hartsville, TN 37074-1109 | |
| Joye B Oldham | Nurse Practitioner | 333 E Mcmurry Blvd, Hartsville, TN 37074-1215 | |
| Nelly O Wolugboms | Nurse Practitioner | United Neighborhood Health Services, Inc | 100 Damascus St, Hartsville, TN 37074-1502 |
| Anne C Hensley | Nurse Practitioner | Trousdale Physician Practices LLC | 500 Church St, Hartsville, TN 37074-1744 |
| Francisco O Avila | Family Practice | Trousdale Physician Practices LLC | 500 Church St, Hartsville, TN 37074-1744 |
| Bienvenido T Samson | General Practice | 755 E Mcmurry Blvd, Hartsville, TN 37074-2041 | |
| Amanda S. Livingston | Nurse Practitioner | 755 Mcmurry Blvd E, Hartsville, TN 37074-2068 |
| City | HARTSVILLE |
| Zip Code | 37074 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HARTSVILLE + 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.