Hearland Medical P C
Organization Active NPI Pediatrics Physician · Harrogate, TN
NPI 1306938352 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1306938352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- HEARLAND MEDICAL P C
- Practice address
- 170 Beech Street
Suite 1
Harrogate, TN 37752 - Phone
- (423) 626-7297
- Fax
- (423) 851-4704
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Pat G Fugate
- Title
- Credentialing
- Phone
- (423) 626-7297
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Hearland Medical P C
Locations
309 N Broad St
New Tazewell, TN 37825
Phone (423) 626-7287
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
170 Beech Street
Suite 1
Harrogate, TN 37752
Mailing address
309 N Broad St
New Tazewell, TN 37825-6600
Phone (423) 626-7297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3715983 | Medicaid | TN |
Other providers in Harrogate, TN
- Michael Harris
- Harrogate Family & Health Care, Inc.
- Harrogate Family Practice
- Harrogate Health Group LLC
- Cierra Nicole Hatfield-Partin
- Heartland Pharmacy, LLC
- Sarah Hedayati
- Trinidad Hernandez Jr.
- Tracie Herrell
- Randi Michelle Johnson
All providers in Harrogate, TN · Pediatrics 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 11, 2025. 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.