1977 Mesk
Organization Active NPI Wound Care Registered Nurse · Cleveland, TN
NPI 1083593073 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1083593073
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Wound Care Registered Nurse 163WW0000X
- Legal business name
- 1977 MESK
- Practice address
- 2900 Oakland Dr NW
Cleveland, TN 37312-5278 - Phone
- (315) 569-5318
- NPI assigned
- Sep 2, 2025
- Organization subpart
- No
Authorized official
- Name
- Ralph Ugarte
- Title
- Manager
- Phone
- (407) 305-3791
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Practitioners 4
-
Kim Bova, NP
-
Lisa M Grolling, RN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251023000029 | TN | Part B Supplier - Clinic/Group Practice | 2466950316 |
Receives reassigned benefits from 1 practitioner Practice locations: Cleveland, TN |
National Provider Directory
- Tax ID family
- 1977 Mesk
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse |
163WW0000X | Yes | ||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
2900 Oakland Dr NW
Cleveland, TN 37312-5278
Mailing address
2900 Oakland Dr NW
Cleveland, TN 37312-5278
Other names
- Remedy Wound Care
Other providers in Cleveland, TN
All providers in Cleveland, TN · Wound Care Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.