Cocke County Hma LLC
Organization Active NPI Obstetrics & Gynecology Physician · Newport, TN
NPI 1104463322 · NPPES record last updated Dec 6, 2019
Key facts
- NPI
- 1104463322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- COCKE COUNTY HMA LLC
- Practice address
- 434 4TH St Ste 305
Newport, TN 37821-3735 - Phone
- (423) 613-6381
- Fax
- (423) 613-6382
- NPI assigned
- Dec 6, 2019
- Organization subpart
- No
Authorized official
- Name
- James P Wright
- Title
- VP Physician Business Services
- Phone
- (615) 778-1502
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 8
-
Walter K Conerly, CRNA
-
David Blair Coston, MSN-CRNA
-
James M Cunningham, CRNA
-
Hazel Charlene Davis, CRNA
-
Deneen Higgins, CRNA
-
Cassandre Elise Lang, CRNA
-
William T. Sellers, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200619000776 | TN | Part B Supplier - Clinic/Group Practice | 4183898562 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment Practice locations: Newport, TN |
National Provider Directory
- Tax ID family
- Cocke County Hma LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
434 4TH St Ste 305
Newport, TN 37821-3735
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 778-8196
Other providers in Newport, TN
- Cherokee Health Systems
- Cherokee Health Systems
- Class 'a' Clinic LLC
- Beverly Joanne Clontz
- Cocke County Ambulance Service Inc
- Cocke County Hma LLC
- Cocke County Hma LLC
- Cocke County Hma LLC
- Cocke County Hma, LLC
- Cocke County Hma, LLC
All providers in Newport, TN · Obstetrics & Gynecology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2019. 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.