People's Choice Clinic, LLC

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

APN0000021448 Issued in TN

Legal business name

PEOPLE'S CHOICE CLINIC, LLC

Practice address

2516 Pulaski Hwy
Columbia, TN 38401-5753

Phone

(931) 548-2656

NPI assigned

May 7, 2018

Last updated

Mar 5, 2022By 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

Revrey Amey, FNP-BCNPI 1265984876

Title

Nurse Practitioner/Manager

Phone

(931) 548-2656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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 2

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.

• Revrey Amey, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbia, TN
  • NPI 1265984876
  Medicare reassignment NPD Authorized official
• Emily Jackson, RN

  • Student in an Organized Health Care Education/Training Program
  • Columbia, TN
  • NPI 1598699084
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1912496738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 PULASKI HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015753",
            "telephone_number": "931-548-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 PULASKI HWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015753",
            "telephone_number": "931-548-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S CHOICE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "AMEY",
        "authorized_official_first_name": "REVREY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/MANAGER",
        "authorized_official_telephone_number": "931-548-2656",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "APN0000021448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Pearson, RBT
• Jack T Pearson, MD
• Lisa Diann Peden, B.S.
• Jaime Pelletier, OTD
• Michael J Pelletier, MD
• Ashley Nicole Perez, AU.D.
• Christian David Perez
• Deanna Kathleen Perkins
• David Perry
• James Perry

• General Practice Registered Nurse in Columbia, TN
• Providers in Columbia, TN by specialty
• General Practice Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.