Emergency Medical Care Facilities PC
Organization Active NPI Emergency Medicine Physician · Jackson, TN
NPI 1538345855 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1538345855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICAL CARE FACILITIES PC
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 541-6574
- Fax
- (731) 541-6042
- NPI assigned
- Jan 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Donald B Hatcher, MD
- Title
- MD/Authorized Official
- Phone
- (731) 541-5492
Practitioners 177
-
Troy D Adkins, APN
-
Timothy Elbert Ashmore, M.D.
-
Shivani Bhatnagar, M.D.
-
Caitlin Black, MD
-
Gloria Ann Burns, MD
-
Fred Gregory Cox, MD
-
James A Fisette, M.D.
-
Walter Frizzell Fletcher, M.D.
-
Kalee Jo Fountain, FNP-C
-
Kasem Ghannam, D.O.
-
David S. Goldberg, M.D.
-
Joe M. Harris, M.D.
-
Wesley Hawkins, MD
-
William Tyler Hayden, M.D.
-
Michael Blaine Houchin, M.D.
-
Gurpreet Machra, M.D.
-
Sue Miller, MD
-
Haley Gardner Milligan, F.N.P
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060509000565 | TN | Part B Supplier - Clinic/Group Practice | 6103837877 |
Receives reassigned benefits from 153 practitioners Practice locations: Milan, TN; Camden, TN; Martin, TN; Jackson, TN; Bolivar, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | MD17640 | TN | |
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
620 Skyline Drive
Jackson, TN 38301-3923
Phone (731) 541-6574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD17640 | Other | TN | LICENSE |
Other providers in Jackson, TN
- Thomas W Ellis
- Latoya Fene Ellison
- Beth A Elmore
- Rebecca Elrod Manning
- Debra Elsfelder
- Tameka Lasha Emerson
- Emg Clinics of Tennessee PLLC
- Emg Specialty Clinics, P.C.
- Tony Ray Emison
- Kelechi Eremina Emmanuel
All providers in Jackson, TN · Emergency 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 Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.