Physician First PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD015727 Issued in TN

Legal business name

PHYSICIAN FIRST PC

Practice address

2725 Keith St NW
Cleveland, TN 37312

Phone

(423) 476-3330

Fax

(423) 476-5802

NPI assigned

Mar 7, 2007

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerard K Mazza, MDNPI 1568504918

Title

Supervising

Phone

(423) 476-3330

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerard K Mazza, MD

  • Family Medicine Physician
  • Cleveland, TN
  • NPI 1568504918

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• Olivia Denise Brooks, FNP-C

  • Family Nurse Practitioner
  • Cleveland, TN
  • NPI 1497543854
  Medicare reassignment Care Compare group NPD
• Paula J Miller, APN

  • Family Nurse Practitioner
  • Cleveland, TN
  • NPI 1730388844

  GA

  Medicare reassignment Care Compare group NPD
• Leslie Kayla Hafley, PA-C

  • Family Medicine Physician
  • Ocoee, TN
  • NPI 1578213559
  Medicare reassignment Care Compare group
• Ronald C Mahlo, NP-C

  • Family Nurse Practitioner
  • Cleveland, TN
  • NPI 1356456149
  Medicare reassignment NPD
• Mary Frances McDaniel, NP-C

  • Family Nurse Practitioner
  • Ooltewah, TN
  • NPI 1750694246
  Medicare reassignment NPD
• Marchel D Tinney, APN

  • Family Nurse Practitioner
  • Hixson, TN
  • NPI 1831385376
  Medicare reassignment NPD
• Deloyn L McDonough, PA-C

  • Physician Assistant
  • Charleston, TN
  • NPI 1487662672
  Medicare reassignment
• Blake Aaron Powers, PA-C

  • Medical Physician Assistant
  • Athens, TN
  • NPI 1023651007
  Medicare reassignment
• Catherine Ann Delaney, PA-C

  • Medical Physician Assistant
  • Los Lunas, NM
  • NPI 1689735466

  TN

  Medicare reassignment
• Frank Henderson Wood II, MD

  • Family Medicine Physician
  • McCaysville, GA
  • NPI 1730141672
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1629108691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-476-3330",
            "fax_number": "423-476-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-476-3330",
            "fax_number": "423-476-5802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blue Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Caysville",
            "state": "GA",
            "postal_code": "305552505",
            "country_code": "US",
            "telephone_number": "423-476-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN FIRST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SUPERVISING",
        "authorized_official_telephone_number": "423-476-3330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000000148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD015727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3841466",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4009361",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Anthony Pharr, P.T.
• Marilyn Liz Phillips-Smeltzer, DDS
• Alexis Phillips
• Danielle Phillips, LMFT
• Elizabeth Phipps
• Physician Onsite, Inc
• Physician Services of Cleveland, PC
• Dara Elizabeth Piedra
• Heather Pinson
• Paul E Pinson, M.D.

• Family Medicine Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.