Andrea Kelley Gore Hayes (NPI# 1295819175, PAC ID# 1254304991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295819175 |
| PAC ID by PECOS | 1254304991 |
| Professional Enrollment ID | I20040819000533 |
| Full Name | Andrea Kelley Gore Hayes |
| Organization Legal Name | AMG - SOUTHERN TENNESSEE, LLC |
| Address |
108 W Blackwell St Tullahoma TN 37388-3505 |
| Phone Number | 9318413821 |
| Gender | F |
| Credential | NP |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991765943 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440144 | TENNOVA HEALTHCARE-HARTON |
| 440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
| 440007 | UNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 108 W Blackwell St, Tullahoma, TN 37388-3505 | 9318413821 | AMG - SOUTHERN TENNESSEE, LLC |
| Organization Legal Name | AMG - SOUTHERN TENNESSEE, LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Ann Hyden | Nurse Practitioner | Amg - Southern Tennessee, LLC | 183 Hospital Rd, Suite B, Winchester, TN 37398-2471 |
| Christopher Michael Murray | Internal Medicine | Amg - Southern Tennessee, LLC | 186 Hospital Rd, Suite 200, Winchester, TN 37398-2473 |
| Kelsey M Purcell | Physician Assistant | Amg - Southern Tennessee, LLC | 100 Hunters Ln, Tullahoma, TN 37388-8263 |
| Anne Burnett | Nurse Practitioner | Amg - Southern Tennessee, LLC | 81 Memorial Dr, Winchester, TN 37398-2401 |
| Barry A Cortis | Family Medicine | Amg - Southern Tennessee, LLC | 1894 Cowan Hwy, Suite 2, Winchester, TN 37398-2644 |
| Deadra R Tucker | Nurse Practitioner | Amg - Southern Tennessee, LLC | 491 Majors Blvd, Lynchburg, TN 37352-8344 |
| Isaac J Mcfadden | Psychiatry | Amg - Southern Tennessee, LLC | 15 S Central Ave, Monteagle, TN 37356-3074 |
| Shon P Nolin | Family Medicine | Amg - Southern Tennessee, LLC | 66 Sunrise Park, Winchester, TN 37398-2345 |
| James T Mcclure | Orthopedic Surgery | Amg - Southern Tennessee, LLC | 185 Hospital Rd, Winchester, TN 37398-2404 |
| Richard A Bagby Jr. | Orthopedic Surgery | Amg - Southern Tennessee, LLC | 185 Hospital Rd, Winchester, TN 37398-2404 |
| Street Address |
108 W BLACKWELL ST |
| City | TULLAHOMA |
| State | TN |
| Zip | 37388-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett L Ferrell | Family Medicine | 100 William N Blvd, Tullahoma, TN 37388 | |
| Jonathan M Garrison | Clinical Psychologist | 111133 Tullahoma Hwy, Tullahoma, TN 37388 | |
| Mark Roddy Russell | Diagnostic Radiology | Medical Imaging Consultants, PC | 1801 N Jackson St, Tullahoma, TN 37388-2201 |
| Robert M Bell | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Matthew D Murphey | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
| Brady Palmer | Optometry | 2111 N Jackson St, Tullahoma, TN 37388-2207 | |
| Heather C Bohannon Iyama | Nurse Practitioner | 2120 N Jackson St, Tullahoma, TN 37388-2208 | |
| Jennifer A Shetters | Nurse Practitioner | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| William B Bradford | Radiation Oncology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | |
| Richard C Cole | Family Medicine | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
| Find all physicians in zip 37388 | |||
| City | TULLAHOMA |
| Zip Code | 37388 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TULLAHOMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea Kelley Gore Hayes.
| 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.