1 TEAM CLINIC LLC (NPI# 1578000410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578000410 |
| Entity Type | Organization |
| Organization Name | 1 TEAM CLINIC LLC |
| Practice Address |
199 Pottertown Rd Midway TN 37809-3213 |
| Mailing Address |
Po Box 416 Greeneville TN 37744-0416 |
| Practice Telephone | 4234224454 |
| Mailing Telephone | 4236390187 |
| Mailing Fax Number | 4236392504 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | MR. CHARLES CALVIN DOTY JR. (PRESIDENT) |
| Authorized Official Telephone | 4236390187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1043217352 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
199 POTTERTOWN RD |
| City | MIDWAY |
| State | TN |
| Zip Code | 37809-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217532 | Joyce Wright | Nurse Practitioner | 199 Pottertown Rd, Midway, TN 37809-3213 | 2005-06-30 |
| 1780027078 | Healthstat On-site Clinic/dtr- Midway | Preventive Medicine | 199 Pottertown Rd, Midway, TN 37809-3213 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948465 | Richard Lee Cobble Jr. | Non-emergency Medical Transport (VAN) | 1135 Mcdonald Rd, Midway, TN 37809-3615 | 2016-09-01 |
| 1558873026 | Safety Senior Transportation | Non-emergency Medical Transport (VAN) | 315 Midway Cir, Midway, TN 37809-3709 | 2017-10-24 |
| 1922443795 | Sara Anne Killion | Respiratory Therapist, Registered | 2205 Bibles Chapel Rd, Midway, TN 37809-4144 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
| 1235736182 | Think Big Youth Organization LLC | Case Management | 9784 E Oglethorpe Hwy Ste C, Midway, GA 31320-4546 | 2020-10-05 |
| 1376158360 | Two Rivers Counseling and Psychological Services, LLC | Counselor | 72 Bonnie Reed Psge, Midway, GA 31320-4925 | 2020-09-15 |
| 1336751965 | Kordine D Steinke | Community Health Worker | 1458 Oak Ln, Midway, UT 84049 | 2020-08-17 |
| 1568073609 | Veronica Jean Hunt | Home Health Aide | 558 Blue Room Rd Rd, Midway, WV 25878-2587 | 2020-08-12 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1003430133 | Cascade Academy | Residential Treatment Facility, Emotionally Disturbed Children | 430 W 200 N, Midway, UT 84049 | 2020-06-04 |
| 1982225249 | Miranda Lee | Registered Nurse | 75852, Midway, TX 75852 | 2020-04-28 |
| 1326667825 | Wanda Franklin | Non-emergency Medical Transport (VAN) | 63 Pine Straw Dr, Midway, FL 32343-4283 | 2020-04-14 |
| 1992332035 | Jaron Richard Nielson | Student in an Organized Health Care Education/Training Program | 60 N 400 E, Midway, UT 84049-6841 | 2020-03-26 |
| Find all providers in MIDWAY | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.