MEDICAL DIRECT CARE, PLC


Address: 190 Hatcher Lane, Suite B, Clarksville, TN 37040
Phone: 9312210902

MEDICAL DIRECT CARE, PLC (NPI# 1104253327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104253327
Entity Type Organization
Organization Name MEDICAL DIRECT CARE, PLC
Practice Address 190 Hatcher Lane
Suite B
Clarksville
TN 37040
Practice Telephone 9312210902
Practice Fax Number 9312210602
Mailing Telephone 9312210902
Mailing Fax Number 9312210602
Enumeration Date 2013-10-02
Last Update Date 2013-10-02
Authorized Official Name GREGORY MARCEL FRYER (OWNER)
Authorized Official Telephone 9312210902
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 190 HATCHER LANE
SUITE B
City CLARKSVILLE
State TN
Zip Code 37040

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770124380 Clarksville Treatment Center, LLC Clinic/Center 495 Dunlop Lane, Clarksville, TN 37040 2019-10-04
1295384956 Dena Marie Borchick Technician 3779 Cindy Jo Dr. N, Clarksville, TN 37040 2019-09-05
1477014488 Emily Allen Dentist 930 Hwy 76, Clarksville, TN 37040 2019-03-31
1730640566 Latoya Ewert Counselor Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 2019-03-26
1356811988 Jamie Coles Behavior Technician 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 2018-11-27
1518448554 Bandel Counseling Service Clinic/Center 113 3rd St., Suite 25, Clarksville, TN 37040 2018-08-28
1477052520 Bridget Stokes Behavior Technician 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 2018-02-05
1053824334 Sandra Loren Coates Nurse Practitioner 980 Professional Park Dr Ste C, Clarksville, TN 37040 2017-11-09
1902328362 Terri Brooke Roach Registered Nurse 651 Dunlop Lane, Clarksville, TN 37040 2017-07-07
1093244428 Nikkia Deneil Bell Behavior Technician 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 2017-06-08
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164982443 Compassion Care Clinic Family Medicine 2269 Wilma Rudolph Blvd Ste 106, Clarksville, TN 37040-8416 2019-03-22
1427517986 Garry Henderson Lovins Family Medicine 5914 Perfect Calm Ct, Clarksville, MD 21029-1259 2019-03-14
1962944686 Urgent Care Hillcrest LLC Family Medicine 230 Hillcrest Dr, Clarksville, TN 37043-6520 2016-11-11
1356736854 John Williams Ross Family Medicine 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042-7873 2015-04-01
1215364633 America Cares Trust, Inc Family Medicine 647 Dunlop Ln Ste 102, Clarksville, TN 37040-5165 2013-09-30
1790055747 Care for Your Health, Inc Family Medicine 12140 Flowing Water Trl, Clarksville, MD 21029-1682 2012-01-09
1790916690 Patricia Lee Isaacs Family Medicine 2051 Clevidence Blvd Ste 1, Clarksville, IN 47129-2278 2009-07-27
1316120280 Kenneth Lee Hershberger Family Medicine 309 Archer Dr, Clarksville, MI 48815-9789 2007-12-13
1003013160 William P. Grabenstein Family Medicine 1822 Memorial Dr, Clarksville, TN 37043-4605 2007-06-29
1295882348 David Wesley Johnson Family Medicine 251 Hillcrest Dr, Clarksville, TN 37043-5086 2007-01-04
Find all providers in CLARKSVILLE

Competitor

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City CLARKSVILLE
Zip Code 37040

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Dataset Information

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.

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