Michael C Tedder (NPI# 1629403738, PAC ID# 1153556519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629403738 |
| PAC ID by PECOS | 1153556519 |
| Professional Enrollment ID | I20131021001738 |
| Full Name | Michael C Tedder |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Address |
525 Devonia St B Harriman TN 37748-2163 |
| Phone Number | 8658820046 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860305463 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440031 | ROANE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 525 Devonia St B, Harriman, TN 37748-2163 | 8658820046 | COVENANT MEDICAL GROUP INC |
| 111 Clyde St, Loudon, TN 37774-1600 | 8654581554 | COVENANT MEDICAL GROUP INC |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob E Gingerich | General Surgery | Covenant Medical Group Inc | 703 Mcfarland St, Morristown, TN 37814-3977 |
| Kelly E Bewsey | Urology | Covenant Medical Group Inc | 701 Mcfarland St, Morristown, TN 37814-3977 |
| Tyler Gilbert Gunderson | Orthopedic Surgery | Covenant Medical Group Inc | 118 Brown Ave, Suite 103, Crossville, TN 38555-7740 |
| Daniel I. Cordas | Orthopedic Surgery | Covenant Medical Group Inc | 629 Middlecreek Rd, Sevierville, TN 37862-5014 |
| Brijal P Patel | Internal Medicine | Covenant Medical Group Inc | 103 Bennett Rd, Oliver Springs, TN 37840-5008 |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| April Freeman | Nurse Practitioner | Covenant Medical Group Inc | 110 Industrial Park Lane, Lake City, TN 37769-2300 |
| Troy Wayne Stovall | Family Medicine | Covenant Medical Group Inc | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5641 |
| Joseph C Petit | Cardiovascular Disease (cardiology) | Covenant Medical Group Inc | 576 Ft Loudon Medical Ctr, Suite 200, Lenoir City, TN 37772 |
| Jadeleize Gormley | Nurse Practitioner | Covenant Medical Group Inc | 9320 Park W Blvd, Knoxville, TN 37923-4301 |
| Street Address |
525 DEVONIA ST B |
| City | HARRIMAN |
| State | TN |
| Zip | 37748-2163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra A Keller | Nurse Practitioner | Covenant Medical Group Inc | 525 Devonia St B, Harriman, TN 37748-2163 |
| Miriam B Tedder | Family Medicine | Covenant Medical Group Inc | 525 Devonia St B, Harriman, TN 37748-2163 |
| Samer A El-chemeitelli | Pulmonary Disease | Covenant Medical Group Inc | 525 Devonia St B, Harriman, TN 37748-2163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Olsen | Nurse Practitioner | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Renu Bhateja | Psychiatry | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Shelly L Bingham | Clinical Social Worker | Mental Health Centers and Clinics of Tennessee | 221 Devonia St, Harriman, TN 37748-2006 |
| Timothy S Ochs | Certified Registered Nurse Anesthetist (crna) | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Kenneth Zalewski | Certified Registered Nurse Anesthetist (crna) | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Melissa R Blair | Nurse Practitioner | The Pulmonary and Sleep Consultants | 412 Devonia St, Suite 201, Harriman, TN 37748-2009 |
| Hassan F Nadrous | Pulmonary Disease | The Pulmonary and Sleep Consultants | 412 Devonia St, Suite 201, Harriman, TN 37748-2009 |
| Christiane G Jernigan | Certified Registered Nurse Anesthetist | Priority Anesthesia, Pllc | 412 Devonia St, Harriman, TN 37748-2009 |
| Lanita Gann | Nurse Practitioner | 401 Devonia St, Harriman, TN 37748-2010 | |
| Meredith Shropshire | Nurse Practitioner | Thompson Oncology Group | 431 Devonia St, Harriman, TN 37748-2010 |
| Find all physicians in zip 37748 | |||
| City | HARRIMAN |
| Zip Code | 37748 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARRIMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michael C Tedder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.