Lauderdale Community Hospital LLC
A Medicare group practice based in Ripley, TN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9830505023), with 51 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9830505023
- Provider type
- Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 3
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210507000505 | TN | Part A Provider - Critical Access Hospital | 1376175687 |
| O20210422000338 | TN | Part B Supplier - Clinic/Group Practice | 1962034272 |
| O20220913004217 | TN | Part A Provider - Critical Access Hospital | 1356973663 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lauderdale Community Hospital LLC
dba Lauderdale Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Ripley, TN
- NPI 1356973663
-
Lauderdale Community Hospital LLC
dba Lauderdale Community Hospital
- Critical Access Hospital
- Ripley, TN
- NPI 1376175687
-
Lauderdale Community Hospital LLC
dba Lauderdale Community Hospital
- Emergency Care Clinic/Center
- Ripley, TN
- NPI 1962034272
-
Lauderdale Community Hospital LLC
- Primary Care Clinic/Center
- Ripley, TN
- NPI 1134099906
Practice locations
- Ripley, TN4
Clinicians 51
Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (8).
-
Faris Al-Gebory, M.D.
- Surgery Physician
- Memphis, TN
- NPI 1851421705
-
Andi Marie Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1174893598
-
Bryan Clifford Anderson, DNAP
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1376813949
-
Toby Eric Anderson, MD
- Family Medicine Physician
- Millington, TN
- NPI 1588656730
-
Jesse Ault
- Certified Registered Nurse Anesthetist
- Germantown, TN
- NPI 1437505906
-
Borzou Azima, MD
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1447297692
-
Daniel G Bercu, DO
- Emergency Medicine Physician
- Barbourville, KY
- NPI 1710926456
-
Ashley Blalock
- Primary Care Nurse Practitioner
- Friendship, TN
- NPI 1679931414
-
Kevin Nathaniel Blythe, MD
- Emergency Medicine Physician
- Houston, TX
- NPI 1902149123
-
William Mason Bone, MD, PHD
- Family Medicine Physician
- Pace, FL
- NPI 1750335055
-
Naji Bourji, M.D.
- Cardiovascular Disease Physician
- Jackson, TN
- NPI 1235318056
-
Roderick Rene Boyd, MD
- Surgery Physician
- El Dorado, AR
- NPI 1295754075
-
Gina Vick Bray, DO
- Internal Medicine Physician
- Southaven, MS
- NPI 1255338984
-
Beverly Brown, M.D.
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1710913801
-
Colton Hunter Brown, CRNA
- Certified Registered Nurse Anesthetist
- Germantown, TN
- NPI 1215329628
-
Douglas Lee Campbell, M.D.
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1942528401
-
James A Caylor, MD
- Surgery Physician
- Dyersburg, TN
- NPI 1023071651
-
Charles F. Fatseas, M.D.
- Emergency Medicine Physician
- Sherborn, MA
- NPI 1407874944
-
Candice G Freeman, CRNA
- Certified Registered Nurse Anesthetist
- Germantown, TN
- NPI 1548659238
-
Eva Maria Hardin
- Certified Registered Nurse Anesthetist
- Dyersburg, TN
- NPI 1487969614
-
Renee C Hubbard, DO
- Family Medicine Physician
- Jackson, TN
- NPI 1710636543
-
William A. James, M.D.
- Internal Medicine Physician
- Rives, TN
- NPI 1063494508
-
Bradley Scott Logan, M.D.
- Emergency Medicine Physician
- Lutz, FL
- NPI 1821213067
-
Sharon K Lucus, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1174581102
-
Racheal Ann Lumley
- Nurse Practitioner
- Ripley, TN
- NPI 1316828510
-
William Haywood Mays III, M.D.
- Neurology Physician
- Memphis, TN
- NPI 1265690580
-
Tyler Anthony Mineo, DO
- Emergency Medicine Physician
- Jackson, TN
- NPI 1235603432
-
David Mulvaney, M.D.
- Emergency Medicine Physician
- Dade City, FL
- NPI 1578509659
-
Wayne Darrell Murray, M.D.
- Emergency Medicine Physician
- Memphis, TN
- NPI 1710046636
-
Gabriel C Nold, DO
- Family Medicine Physician
- Jackson, TN
- NPI 1891444626
-
Simon Olalekan Okewole, D.O.
- Clinical Cardiac Electrophysiology Physician
- Jackson, TN
- NPI 1205000296
-
Folarin Olatunji, FNP-BC
- Adult Health Nurse Practitioner
- Dyersburg, TN
- NPI 1942603170
-
Nirav Patel, M.D.
- Cardiovascular Disease Physician
- Jackson, TN
- NPI 1790907418
-
Toby Allen Penner, CRNA, MSN
- Certified Registered Nurse Anesthetist
- Hermiston, OR
- NPI 1750498986
-
William Franklin Pierce V, MD
- Family Medicine Physician
- Brentwood, TN
- NPI 1306473723
-
Mila T. Riehl, MD
- Internal Medicine Physician
- Decatur, AL
- NPI 1003848706
-
Glynn Riels Jr., DO
- Family Medicine Physician
- Ruston, LA
- NPI 1811525017
-
Cory Riley, DNP-CRNA
- Certified Registered Nurse Anesthetist
- Jackson, TN
- NPI 1922731199
-
David Allen Roberts, PA-C
- Physician Assistant
- Dyersburg, TN
- NPI 1346363231
-
Summer Sanders
- Family Nurse Practitioner
- Jackson, TN
- NPI 1801475793
-
Meagan Meketi Seratt, DNP, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, TN
- NPI 1568138816
-
Ethel B. Spivey, DNP FNP- B.C.
- Family Nurse Practitioner
- Covington, TN
- NPI 1447261797
-
Sarah Marie Tiggelaar, M.D.
- Family Medicine Physician
- Rochester, NY
- NPI 1376806851
-
Rachel Tonahill
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1881124253
-
William Matthew Tosh, D.O.
- Surgery Physician
- Dyersburg, TN
- NPI 1558565200
-
Nanette Y. Wells, APN, CRNA, DNSC.
- Certified Registered Nurse Anesthetist
- Dyersburg, TN
- NPI 1174735047
-
Toikus Z Westbrook, MD
- Family Medicine Physician
- Etowah, TN
- NPI 1285738468
-
Mark Christopher Wilson, M.D.
- Emergency Medicine Physician
- Connersville, IN
- NPI 1568402121
-
James Witham Jr., CRNA
- Certified Registered Nurse Anesthetist
- Covington, TN
- NPI 1538260732
-
Anastasiya Woodard, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1295434298
-
Mario Phillip Zamora, MD
- Neurology Physician
- The Woodlands, TX
- NPI 1578098166
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.