ACHIEVE HEALTH AND WELLNESS (NPI# 1639474745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639474745 |
| Entity Type | Organization |
| Organization Name | ACHIEVE HEALTH AND WELLNESS |
| Practice Address |
406 Roy Martin Rd Suite 9 Gray TN 37615-2244 |
| Practice Telephone | 4234771101 |
| Practice Fax Number | 4234771102 |
| Mailing Telephone | 4234771101 |
| Mailing Fax Number | 4234771102 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2020-01-16 |
| Authorized Official Name | MR. JODY ERIC MUSICK (PHYSICAL THERAPIST / OWNER) |
| Authorized Official Telephone | 4235340692 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0025661 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1522471 | 05 | |
| TN | BCBSTN | 4293099 | 01 |
| TN | Q004105 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 E Center St, Kingsport, TN 376604230 | 4237651611 | 4237651612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386914158 | Achieve Health and Wellness | Clinic/Center | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2012-01-10 |
| Street Address |
406 ROY MARTIN RD SUITE 9 |
| City | GRAY |
| State | TN |
| Zip Code | 37615-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306157268 | Alan C Bunger | Physical Therapist | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2010-06-25 |
| 1659611176 | Rebecca Karen Johnston | Physical Therapist | 406 Roy Martin Rd, Gray, TN 37615-2244 | 2013-02-20 |
| 1215209036 | Timothy Andy Wooten | Physical Therapist | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2012-02-09 |
| 1386914158 | Achieve Health and Wellness | Clinic/Center | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2012-01-10 |
| 1215218714 | Melissa Gail Campbell | Massage Therapist | 406 Roy Martin Rd, Suite#1, Gray, TN 37615-2244 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1386914158 | Achieve Health and Wellness | Clinic/Center | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2244 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| 1346898913 | Gentry Enterprises LLC | Clinic/Center | 930 5th Ave S, Nashville, TN 37203-4612 | 2019-08-27 |
| 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.