TIPTON COUNTY INTEGRATED MEDICINE (NPI# 1093265605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093265605 |
| Entity Type | Organization |
| Organization Name | TIPTON COUNTY INTEGRATED MEDICINE |
| Practice Address |
201 W Pleasant Avenue Covington TN 38019-2538 |
| Mailing Address |
201 W Pleasant Ave Covington TN 38019-2538 |
| Practice Telephone | 9014751100 |
| Mailing Telephone | 9014751100 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | BRECK BEASLEY (MANAGER) |
| Authorized Official Telephone | 9014751100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
201 W PLEASANT AVENUE |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198400 | Jodene Marie Nagel | General Practice | 13091 Brown Bridge Rd, Covington, GA 30016-9109 | 2019-05-02 |
| 1720527260 | Ochsner Clinic LLC | General Practice | 1111 Greengate Dr, Ste B, Covington, LA 70433-5269 | 2017-02-16 |
| 1023467834 | Szczepanski Medical LLC | General Practice | 71107 Highway 21 Ste 2, Covington, LA 70433-7243 | 2016-06-13 |
| 1811356884 | Ochsner Clinic LLC | General Practice | 1341 Ochsner Blvd, Covington, LA 70433-8172 | 2016-02-18 |
| 1922340793 | Robert John Amato | General Practice | 141 Lakeview Cir, Covington, LA 70433-7513 | 2013-03-20 |
| 1215197884 | Gary James French | General Practice | 1200 Champagne St, Covington, LA 70433-5643 | 2008-06-16 |
| 1780695148 | Robert Lee Faulkner Jr. | General Practice | 4186 Mill St, Covington, GA 30014 | 2006-08-11 |
| 1942833827 | Axis Risk LLC | General Practice | 6142 Gordy Street, Covington, GA 30014 | 2020-02-19 |
| 1275083529 | Ochsner Clinic LLC | General Practice | 1203 S Tyler St, Covington, LA 70433-2353 | 2016-10-11 |
| 1942683180 | Ochsner Clinic LLC | General Practice | 71211 Highway 21, Ste B, Covington, LA 70433-7121 | 2015-07-07 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.