Madisonville Primary Care Group PLLC
A Medicare group practice based in Madisonville, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6507037645), with 9 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6507037645
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 4
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110921000012 | TN | Part B Supplier - Clinic/Group Practice | 1861780496 |
| O20220927003883 | TN | Part A Provider - Rural Health Clinic | 1861780496 |
| O20220929002072 | TN | Part A Provider - Rural Health Clinic | 1780304238 |
| O20220927004013 | TN | Part A Provider - Rural Health Clinic | 1326768870 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Madisonville Primary Care Group PLLC
- Rural Health Clinic/Center
- Athens, TN
- NPI 1326768870
-
Madisonville Primary Care Group PLLC
- Rural Health Clinic/Center
- Etowah, TN
- NPI 1780304238
-
Madisonville Primary Care Group PLLC
- Rural Health Clinic/Center
- Madisonville, TN
- NPI 1861780496
Practice locations
- Athens, TN2
- Etowah, TN2
- Madisonville, TN2
Clinicians 9
Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (8).
-
Tyler Branscum, PA-C
- Medical Physician Assistant
- Madisonville, TN
- NPI 1730945775
-
Gregory Brian Cain, PA-C
- Medical Physician Assistant
- Madisonville, TN
- NPI 1528388592
-
Michelle L Davis, NP
- Nurse Practitioner
- Athens, TN
- NPI 1881951994
-
Heidie A Fisher, PA-C
- Medical Physician Assistant
- Madisonville, TN
- NPI 1861818437
-
Erin Himes, PA-C
- Medical Physician Assistant
- Madisonville, TN
- NPI 1316700321
-
Joshua Owen Jones, FNP
- Family Nurse Practitioner
- Madisonville, TN
- NPI 1023801248
-
Joshua Kenton Newman, PA-C
- Medical Physician Assistant
- Athens, TN
- NPI 1770251514
-
Deletra Michelle Wilke, PA-C
- Medical Physician Assistant
- Madisonville, TN
- NPI 1841731817
-
Cana Williams
- Physician Assistant
- Madisonville, TN
- NPI 1457151011
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.