DR. PAMELA ANN WELLS (NPI# 1588754535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588754535 |
| Entity Type | Individual |
| Full Name | DR. PAMELA ANN WELLS |
| Credential | M.D. |
| Practice Address |
700 W Forest Ave Ste 300 Jackson TN 38301-3937 |
| Mailing Address |
Po Box 400 Jackson TN 38302-0400 |
| Practice Telephone | 7314220330 |
| Practice Fax Number | 7314220417 |
| Mailing Telephone | 7314238697 |
| Mailing Fax Number | 7314225743 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD45782 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1518378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891280335 | Pamela Laverne Wells | Registered Nurse | 5 Christy Dr Ste 103, Chadds Ford, PA 19317-9667 | 2018-06-27 |
| 1679004147 | Pamela Wells | Counselor | 552 E Main St Apt 925, Statesboro, GA 30461-4264 | 2017-03-25 |
| 1396291266 | Pamela Wells | Driver | 832 Tammy Cove Ln, Jacksonville, FL 32218-7646 | 2016-08-30 |
| 1154502532 | Pamela Beaver Wells | Nurse Practitioner | 198 Ross Carter Blvd, Duffield, VA 24244-5117 | 2007-11-14 |
| 1912921479 | Pamela Anne Wells | Pediatrics | 3230 Waring Ct Ste P, Oceanside, CA 92056-4509 | 2006-07-27 |
| 1003899030 | Pamela F Wells | Chiropractor | 685 E Remington Dr, Sunnyvale, CA 94087-1941 | 2005-11-23 |
| 1265725188 | Pamela S Wells | Counselor | 1115 Bethel Rd, Suite 206, Columbus, OH 43220-2690 | 2011-05-25 |
| 1851418636 | Pamela Lynne Wells | Social Worker | 1066 Kenduskeag Ave, Bangor, ME 04401-2914 | 2007-03-25 |
| 1972628063 | Pamela Sue Wells | Technician, Other | 622 Powell Avenue, Developmental Services, Big Stone Gap, VA 24219 | 2007-03-20 |
| 1538127147 | Pamela Anne Wells | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-05-03 |
| Street Address |
700 W FOREST AVE STE 300 |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881958 | Heath Broussard | Surgery | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2005-09-14 |
| 1659723823 | Jennifer S Mcfarland | Nurse Practitioner | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2016-07-12 |
| 1164767133 | Lisa Jewel Alexander Nwokolo | Nurse Practitioner | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2012-12-03 |
| 1487970497 | William Charles Barrow | Psychiatry & Neurology | 700 W Forest Ave, Ste 200, Jackson, TN 38301-3937 | 2010-04-15 |
| 1033448642 | Amanda Caroline Holley | Audiologist | 700 W Forest Ave, Ste. 300, Jackson, TN 38301-3937 | 2009-12-10 |
| 1275868390 | West Tennessee Medical Group Inc | Durable Medical Equipment & Medical Supplies | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3937 | 2009-10-07 |
| 1689816142 | Timothy Philip Love | Surgery | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2009-03-30 |
| 1407092836 | Margaret J Spragins | Nurse Practitioner | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2009-01-07 |
| 1063675692 | Fausta Ditah | Internal Medicine | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2008-07-03 |
| 1760653505 | Timothy Chad Davenport | Urology | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1891030946 | Cherry Hill Radiology Pllc | Radiology | 401 Redfield Dr, Jackson, TN 38305-8555 | 2012-11-30 |
| 1245414275 | Breathit County Imaging Center | Radiology | 1389 Ky Hwy 15 North, St. John Newmans Medical Plaza, Jackson, KY 41339 | 2007-12-27 |
| 1407933930 | Karen Collette Jensen | Radiology | 14 Adams Road, Jackson, NH 03846 | 2006-11-01 |
| 1770676801 | Gerald O Daniel | Radiology | 708 W Forest Avenue, Jackson, TN 38301 | 2006-10-02 |
| 1497761837 | Arlin George Hatfield IIi | Radiology | 1405 North State Street, Suite 200, Jackson, MS 39202 | 2006-07-31 |
| 1225083942 | Robert Houston Hardin Jr. | Radiology | 2210 Heritage Hill Dr, Jackson, MS 39211-5821 | 2006-05-23 |
| 1881655967 | Jane Warne Brown | Radiology | 91 Stonehaven Cir, Jackson, TN 38305-1945 | 2006-03-29 |
| 1780645028 | Andrew Laurence Rivard | Radiology | 2500 State Street, University of Mississippi Medical Center, Jackson, MS 39216 | 2006-03-28 |
| 1013985134 | John A. Sullivan | Radiology | 7330 Ryegrass Road, Jackson, WY 83001 | 2006-03-14 |
| Find all providers in JACKSON | ||||
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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.