Northcrest Physician Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD6465 Issued in TN

Legal business name

NORTHCREST PHYSICIAN SERVICES INC

Practice address

417 Northcrest Dr
430 Northcrest Dr
Springfield, TN 37172-3973

Phone

(615) 382-5710

Fax

(615) 382-5776

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Jerlyn S Davis

Title

Biller

Phone

(615) 382-5710

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• Direct secure messaging: williambeauchamp@ncps.allscriptsdirect.net
• Direct secure messaging: stephanieduffer@ncps.allscriptsdirect.net
• Direct secure messaging: susanjorden@ncps.allscriptsdirect.net
• Direct secure messaging: joshthornhill@ncps.allscriptsdirect.net
• Direct secure messaging: shannonalley@ncps.allscriptsdirect.net
• Direct secure messaging: robertferland@ncps.allscriptsdirect.net
• Direct secure messaging: christinedemers@ncps.allscriptsdirect.net
• Direct secure messaging: jaclynperez@ncps.allscriptsdirect.net
• Direct secure messaging: sherrirandolph@ncps.allscriptsdirect.net
• Direct secure messaging: anneeyler@ncps.allscriptsdirect.net
• Direct secure messaging: gilbertbazaldua@ncps.allscriptsdirect.net
• Direct secure messaging: johnpennington@ncps.allscriptsdirect.net
• Direct secure messaging: dennisrainwater@ncps.allscriptsdirect.net
• Direct secure messaging: kerigalbreath@ncps.allscriptsdirect.net
• Direct secure messaging: ronasiscoe@ncps.allscriptsdirect.net
• Direct secure messaging: mirandabarrow@ncps.allscriptsdirect.net
• Direct secure messaging: georgedahir@ncps.allscriptsdirect.net
• Direct secure messaging: stacynadler@ncps.allscriptsdirect.net
• Direct secure messaging: tamarabatson@ncps.allscriptsdirect.net
• Direct secure messaging: williamlewis@ncps.allscriptsdirect.net

Practitioners 20

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

• Shannon Lynn Alley, FNP-BC

  • Neonatal Nurse Practitioner
  • Nashville, TN
  • NPI 1265768923
  NPD
• Kerry Lynn Carrigan-Fite

  • Nurse Practitioner
  • Joelton, TN
  • NPI 1497008866
  NPD
• Stephanie Brooke Duffer, NP

  • Nurse Practitioner
  • Gallatin, TN
  • NPI 1578706701
  NPD
• Sheana Carey Fox, NP-C

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1164787750
  NPD
• Keri Galbreath, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1477960680
  NPD
• Jaclyn M Perez, FNP-C

  • Family Nurse Practitioner
  • Clarksville, TN
  • NPI 1174779375
  NPD
• Rona Darlene Siscoe, FNP-C

  • Family Nurse Practitioner
  • White House, TN
  • NPI 1801272257
  NPD
• Josh Edward Thornhill, PA-C

  • Physician Assistant
  • Clarksville, TN
  • NPI 1457594947
  NPD
• Emily Hurd Saldana, PAC

  • Medical Physician Assistant
  • Hopkinsville, KY
  • NPI 1013342062
  NPD
• Amy J. Webster, APRN

  • Family Nurse Practitioner
  • Russellville, KY
  • NPI 1932544582
  NPD
• William Raymond Carney, M.D.

  • Family Medicine Physician
  • Camden, TN
  • NPI 1770521940

  Family Medicine

  NPD (past)
• Elizabeth Cecelic, APRN

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1942401922
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1356561856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371720969",
            "telephone_number": "615-382-5710",
            "fax_number": "615-382-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 NORTHCREST DR",
            "address_2": "430 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723973",
            "telephone_number": "615-382-5710",
            "fax_number": "615-382-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCREST PHYSICIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JERLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "615-382-5710"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "24985",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "31309",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD6465",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "37667",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "31565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3709970",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3371051",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3709979",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northcrest Home Health
• Northcrest Medical Center
• Northcrest Medical Center
• Northcrest Medical Center
• Northcrest Medical Center
• Ellen Nunley, OTR/L
• Jodi Lane Nuss, DMD
• Mary C Oddo, CCC-SLP
• Felisa Odle
• Onstott, Farris, and Fisher Family Dentistry

• All providers in Springfield, TN
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.