Dwayne A Hughett

Individual provider Active NPI Case Manager/Care Coordinator · Oneida, TN

NPI 1215362249 · NPPES record last updated Sep 10, 2013

Key facts

NPI
1215362249
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
22510 Alberta St
Oneida, TN 37841-3802
Phone
(865) 525-0391
Fax
(865) 525-0393
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Solution Source, LLC. Past Accepting new patients
Omni Community Health, Inc. Past
since Sep 27, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

22510 Alberta St
Oneida, TN 37841-3802

Mailing address

22510 Alberta St
Oneida, TN 37841-3802
Phone (865) 525-0391

Other providers in Oneida, TN

All providers in Oneida, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.