Dayspring Health Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DAYSPRING HEALTH INC

Practice address

107 S Main St
Jellico, TN 37762

Phone

(423) 784-8492

Fax

(423) 784-8358

NPI assigned

May 17, 2007

Last updated

Oct 23, 2019By 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

W Mark Watt, CEO

Title

Ceo

Phone

(423) 784-8492

Specialties & licenses 3

Addresses

Other names 1

• Dayspring Family Health Center Former legal business name

Tax ID family

Dayspring FHC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dayspring Health Inc

  dba Dayspring Dental

  • Federally Qualified Health Center (FQHC)
  • Williamsburg, KY
  • NPI 1841764271
  NPD tax ID

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1770790065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "address_2": "P.O. BOX 540",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622154",
            "telephone_number": "423-784-8492",
            "fax_number": "423-784-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "37762",
            "telephone_number": "423-784-8492",
            "fax_number": "423-784-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSPRING HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-784-8492",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayspring Family Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Charles H. Wilkens, M.D.,P.C.
• Roxanna Chitwood
• Austin Corey
• Rebecca Creekmore-Hinkle
• Benjamin Wayne D'Ooge, M.D.
• Dayspring Health, Inc. (Dayspring Jellico)
• Heather Mae Demaree, P.A.C.
• Karen Nicole Eldridge, ARNP
• David Escalante, MD
• Ess of Jellico LLC

• Family Medicine Physician in Jellico, TN
• Providers in Jellico, 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 23, 2019; 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.