McKenzie Clinic Corp
Organization Active NPI Family Medicine Physician · MC Kenzie, TN
NPI 1174526701 · NPPES record last updated Sep 25, 2008
Key facts
- NPI
- 1174526701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MCKENZIE CLINIC CORP
- Practice address
- 201 Hospital Dr
MC Kenzie, TN 38201-1649 - Phone
- (615) 465-7645
- Fax
- (615) 465-3017
- NPI assigned
- May 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Debbie T Brewer
- Title
- Director
- Phone
- (615) 465-7626
Practitioners 7
-
Laura Baker, NP-C
-
Meike Alexandra Bridgeman, NURSE PRACTITIONER
-
Kristin Russell Davis, FNP-BC
-
Beth Mitchell Graves, NP-C
-
Kenneth S Jackson, FNP
-
Tanya Lynn Jackson, FNP-BC
National Provider Directory
Locations
205 Hospital Dr
#A
Mc Kenzie, TN 38201
Phone (731) 352-6601
201 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Interoperability endpoints
- https://api.platform.athenahealth.com/1568/brand/1/csg/21/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | TN | Yes |
Addresses
Primary practice location
201 Hospital Dr
MC Kenzie, TN 38201-1649
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3377734 | Medicaid | TN |
Other providers in MC Kenzie, TN
- Sarah Leyerle
- Amber Nicole Lipford
- LS Transportation
- David Christopher Martin
- McKenzie Board of Education
- McKenzie Family Chiropractic
- McKenzie Healthcare and Rehabilitation Center LLC
- McKenzie Medical Center
- McKenzie Medical Center
- McKenzie Medical Center Lab
All providers in MC Kenzie, TN · Family Medicine 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 Sep 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.