Experienced Care Clinic Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EXPERIENCED CARE CLINIC INC.

Practice address

8008 Main St
Pound, VA 24279-0000

Phone

(276) 796-4586

NPI assigned

May 1, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tammy Branham, FNPNPI 1518218528

Title

Owner

Phone

(276) 393-8284

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Ann Branham, FNP

  • Family Nurse Practitioner
  • Clintwood, VA
  • NPI 1518218528
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1285079558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "POUND",
            "state": "VA",
            "postal_code": "242790908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 MAIN ST",
            "city": "POUND",
            "state": "VA",
            "postal_code": "242790000",
            "telephone_number": "276-796-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCED CARE CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-393-8284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Ryan Bush, PHARMD
• Randall Kenneth Cantrell, GENERAL CONTRACTOR
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• Michael Brian Deel, RPH
• Family Preservation Services, Inc
• Scotty R Matney, PHARM D
• Melissa Lea Morton-Fishman, MD
• Mountain Comprehensive Health Corporation
• Mountain Comprehensive Health Corporation

• Family Nurse Practitioner in Pound, VA
• Providers in Pound, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.