Allcare Medical PLLC
Organization Active NPI Rural Health Clinic/Center · Ripley, TN
NPI 1881909877 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1881909877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ALLCARE MEDICAL PLLC
- Practice address
- 313 Cleveland St
Ripley, TN 38063-1205 - Phone
- (731) 635-6000
- Fax
- (731) 635-6010
- NPI assigned
- Aug 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Allen Jones, M.D.
- Title
- Owner/Physician
- Phone
- (731) 677-3000
Owners & managing parties with NPI records 1
-
Mark Allen Jones, MD
Practitioners 4
-
Margrit Forster, LCSW
-
Suzette Carroll Stanley, RN APN FNP-BC
-
Mark Allen Jones, MD
-
Cynthia M. Mashburn, APRN, BC, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Rural health clinic certification: CCN 448903
- Legal name
- ALLCARE MEDICAL PLLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Feb 1, 2011
- Last certification
- Apr 1, 2024
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 17, 2010 in TN
- Enrollment address
- 313 Cleveland St
Ripley, TN 38063-1205
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Mark Allen Jones |
5% Or Greater Direct Ownership Interest |
Jul 17, 2010 | 100% |
| Corporate Director |
Jul 17, 2010 | 100% | |
| W-2 Managing Employee |
Jul 17, 2010 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101026001496 | TN | Part a Provider - Rural Health Clinic | 9638363336 | Practice locations: Ripley, TN |
| O20101130000469 | TN | Part B Supplier - Clinic/Group Practice | 9638363336 |
Receives reassigned benefits from 4 practitioners Practice locations: Ripley, TN |
National Provider Directory
Locations
600 Main St
Friendship, TN 38034
Phone (731) 677-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
313 Cleveland St
Ripley, TN 38063-1205
Mailing address
P.O. Box 52
Friendship, TN 38034-0052
Phone (731) 677-3000
Other providers in Ripley, TN
- Adept Consulting Group LLC
- Aegis Group Practice LLC
- Alison Knack PC Inc
- Cameryn Anderson
- Larry Anderson
- Tamiko Anderson
- Axiom Health Management
- Baptist Memorial Hospital Lauderdale
All providers in Ripley, TN · Rural Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.