JACK W CAREY JR. (NPI# 1588738744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588738744 |
| Entity Type | Individual |
| Full Name | JACK W CAREY JR. |
| Credential | MD |
| Practice Address |
220 Broadway Hartsville TN 37074-1304 |
| Practice Telephone | 6153742101 |
| Practice Fax Number | 6153744560 |
| Mailing Telephone | 6153742101 |
| Mailing Fax Number | 6153744560 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD0000009615 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3168871 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659395382 | Jack P Carey | Neurological Surgery | 26116 Fawnwood Ct, Bonita Springs, FL 34134-8690 | 2006-07-26 |
| 1265657951 | Jack Willard Carey IIi | Hospitalist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2007-04-16 |
| Street Address |
220 BROADWAY |
| City | HARTSVILLE |
| State | TN |
| Zip Code | 37074-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902349913 | James D Carey | Nurse Practitioner | 220 Broadway, Hartsville, TN 37074-1304 | 2016-11-22 |
| 1053854083 | James D Carey | Nurse Practitioner | 220 Broadway, Hartsville, TN 37074-1304 | 2016-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144531658 | Crowder Family Healthcare | Nurse Practitioner | 211 East Mcmurry Blvd., Hartsville, TN 37074 | 2010-06-30 |
| 1982893806 | United Neighborhood Health Services, Inc | Clinic/Center | 100 Damascus St, Hartsville, TN 37074 | 2007-10-16 |
| 1033156898 | Nursing Centers Unlimited Inc | Nursing Facility/Intermediate Care Facility | 649 Mcmurry Blvd, Hartsville, TN 37074 | 2006-06-01 |
| 1700375136 | Jacob Michael Stephens | Nurse Practitioner | 140 Macon Way, Hartsville, TN 37074 | 2018-05-01 |
| 1699834903 | Floyd Reed Jr. | Family Medicine | 213 Broadway, Hartsville, TN 37074 | 2006-12-06 |
| 1407846975 | Andrew Herod Marshall | Dentist | 110 Mcmurry Blvd, Hartsville, TN 37074-1108 | 2005-10-26 |
| 1760794499 | Crowder Family Healthcare LLC | Clinic/Center | 211 Mcmurry Blvd E, Hartsville, TN 37074-1109 | 2010-07-10 |
| 1457543084 | Hartsville Pharmacy LLC. | Pharmacy | 207 Mcmurry Blvd E, Hartsville, TN 37074-1109 | 2007-08-17 |
| 1922559095 | Kalie Faulkner | Nurse Practitioner | 211 Mcmurry Blvd E, Hartsville, TN 37074-1109 | 2016-10-24 |
| 1154725703 | Badru, Inc | Clinic/Center | 211 Mcmurry Blvd E, Hartsville, TN 37074-1109 | 2014-10-10 |
| Find all providers in zip 37074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1609197623 | Luz Yolanda Mendez | Family Medicine | 701 Medical Park Dr Ste 207, Hartsville, SC 29550-4778 | 2010-06-14 |
| 1245337955 | Pee Dee Healthcare Pa | Family Medicine | 214 S 2nd Street, Hartsville, SC 29550 | 2006-09-17 |
| 1760479620 | Carolina Family Practice P A | Family Medicine | 208 Swift Creek Rd, Hartsville, SC 29550-4383 | 2005-10-05 |
| 1679573422 | Kenneth C Evans | Family Medicine | 515 E Carolina Ave, Hartsville, SC 29550-4311 | 2005-07-22 |
| 1720630429 | Brandy Jackson Sinclair | Family Medicine | 708 Medical Park Dr, Hartsville, SC 29550-4765 | 2019-07-12 |
| 1770030926 | Hartsville Medical Associates LLC | Family Medicine | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2016-09-06 |
| 1144670266 | Daniel R Conner | Family Medicine | 1268 S 4th St, Hartsville, SC 29550-0703 | 2016-06-20 |
| 1194122598 | Palmetto Family Medicine and Senior Care, LLC | Family Medicine | 420 W Carolina Ave, Hartsville, SC 29550-4524 | 2014-12-01 |
| 1659640803 | Trousdale Physician Practices LLC | Family Medicine | 502 Church St, Hartsville, TN 37074-1744 | 2011-12-16 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 37074 |
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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.