Carol Winfred Guess, M.D.
Individual provider Active NPI Family Medicine Physician · Tiptonville, TN
NPI 1992848816 · NPPES record last updated Dec 3, 2012
Key facts
- NPI
- 1992848816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD17158 (TN)
- Practice address
- 710 Carl Perkins Parkway
Tiptonville, TN 38079-1305 - Phone
- (731) 253-6690
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Louisville School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizens of Lake County for Health Care Inc
Practice addresses (Care Compare)
130 N Main St
Ridgely, TN 38080-1317
Phone (731) 264-5518
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone (731) 253-6692
Hospital & facility affiliations
- Adoration Home Health Martin
- Extendicare Home Health of Western TN
- Baptist Memorial Hospital Union City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000433 | TN | Practitioner - General Practice | 4880632587 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17158 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens of Lake County for Health Care Inc | Current |
Accepting new patients | |
| Citizens of Lake County for Health Care Inc | Current |
Accepting new patients | |
| Citizens of Lake County for Health Care, Inc | Past | Accepting new patients | |
| Horizons Health Services | Past | Accepting new patients | |
| Central Aroostook Psychiatric Services LLC | Past | Accepting new patients |
Locations
130 N Main St
Ridgely, TN 38080
Phone (731) 264-5518
317 Cleveland St
Ripley, TN 38063
Phone (731) 221-1804
215 S Court St
Tiptonville, TN 38079
Phone (731) 253-6690
710 Carl Perkins Pkwy
Tiptonville, TN 38079
Phone (731) 253-6690
321 E Harper St
Troy, TN 38260
Phone (731) 442-0956
Interoperability endpoints
- carol.guess.p1@direct.clchc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17158 | TN | Yes |
Addresses
Primary practice location
710 Carl Perkins Parkway
Tiptonville, TN 38079-1305
Mailing address
710 Carl Perkins Parkway
Tiptonville, TN 38079
Phone (731) 253-6690
Other providers in Tiptonville, TN
- County of Lake
- Kristen Deaton
- Kerri A Ervin
- Courtney Faught
- Colton Edward Gramse
- Norma Jean Johnson
- Courtney Kent
- Terra Micah King
- Fernando Cardenas Lagrimas
- Lake County Primary Care
All providers in Tiptonville, TN · Family 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 Dec 3, 2012. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.