HUGHSTON CLINIC SOUTHEAST,PC (NPI# 1841899879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841899879 |
| Entity Type | Organization |
| Organization Name | HUGHSTON CLINIC SOUTHEAST,PC |
| Practice Address |
3443 Dickerson Pike Ste 190 Nashville TN 37207-2533 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 6158601580 |
| Practice Fax Number | 6158601541 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | AMANDA FROMKIN (CREDENTIALING MGR) |
| Authorized Official Telephone | 7064943071 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUGHSTON CLINIC SOUTHEAST, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3443 DICKERSON PIKE STE 190 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602645 | Noelle M Austin | Physical Therapist | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2005-07-07 |
| 1265044838 | Hughston Clinic Southeast, PC | Nurse Practitioner | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2020-08-17 |
| 1811461908 | Kenzie Dye | Nurse Practitioner | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2019-01-11 |
| 1326440199 | Amanda Dreve | Physician Assistant | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2014-09-23 |
| 1134460942 | Matthew Wahrendorff Deweese | Nurse Practitioner | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2013-03-05 |
| 1598852600 | Philip Kregor | Orthopaedic Surgery | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841690096 | Arun Alex | Physician Assistant | 7277 Charlotte Pike Unit 211, Nashville, TN 37209-5041 | 2014-08-25 |
| 1144463936 | Marcus S. Burns | Physician Assistant | 2010 Church St Ste 700, Nashville, TN 37203-2072 | 2009-04-09 |
| 1154425627 | Kevin Chalaron Barry | Physician Assistant | 203 Mason Ave Apt 6, Nashville, TN 37203-1119 | 2006-09-12 |
| 1851384473 | Timothy James Hornyak | Physician Assistant | 1310 24th Ave S, Nashville, TN 37212-2637 | 2005-08-30 |
| 1891255022 | Matthew Steven Hawkins | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2019-03-22 |
| 1598231060 | Jessica Uvarov | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2018-10-22 |
| 1154863298 | Andrew Charles Cressman | Physician Assistant | 2400 Patterson St, Suite 300, Nashville, TN 37203-1562 | 2016-11-07 |
| 1174990899 | Ap of Nashville, LLC | Physician Assistant | 2000 Glen Echo Rd Ste 111, Nashville, TN 37215-2857 | 2015-08-28 |
| 1326440199 | Amanda Dreve | Physician Assistant | 3443 Dickerson Pike Ste 190, Nashville, TN 37207-2533 | 2014-09-23 |
| 1164862124 | Jaquelyn Michelle Ford | Physician Assistant | 1211 Medical Center Dr, Nashville, TN 37232-0011 | 2013-07-04 |
| Find all providers in NASHVILLE | ||||
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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.