Nikki L Wallace (NPI# 1104875459, PAC ID# 2567475957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1104875459 |
| PAC ID by PECOS | 2567475957 |
| Professional Enrollment ID | I20060802000171 |
| Full Name | Nikki L Wallace |
| Organization Legal Name | ANESTHESIA MEDICAL GROUP, P.C. |
| Address |
545 Stonecrest Pkwy Smyrna TN 37167-6804 |
| Phone Number | 6152203720 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6901702307 |
| Number of Group Practice Members | 480 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180051 | JENNIE STUART MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 320 W 18th St, Hopkinsville, KY 42240-1965 | 9018441590 | LIFELINC ANESTHESIA PLLC |
| 8250 Eagle Way, Hopkinsville, KY 42240-8750 | 9018441590 | LIFELINC ANESTHESIA PLLC |
| 545 Stonecrest Pkwy, Smyrna, TN 37167-6804 | 6152203720 | ANESTHESIA MEDICAL GROUP, P.C. |
| Organization Legal Name | ANESTHESIA MEDICAL GROUP, P.C. |
| Physicians | 479 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Barnes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 8250 Eagle Way, Hopkinsville, KY 42240-8750 |
| Megan S Estes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 1801 Ashley Cir, Bowling Green, KY 42104-3362 |
| Jon Schwindt | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 110 29th N Ave, Suite 202, Nashville, TN 37203-1448 |
| William D Rodes | Anesthesiology | Anesthesia Medical Group, P.C. | 110 29th Ave N, Suite 202, Nashville, TN 37203-1448 |
| Hodon K Yates | Anesthesiology | Anesthesia Medical Group, P.C. | 2014 Quail Hollow Cir, Franklin, TN 37067-5967 |
| Mark E Dentz | Anesthesiology | Anesthesia Medical Group, P.C. | 2000 Church St, Nashville, TN 37236-0001 |
| Misty Coggins Handy | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 110 29th N Ave, Suite 202, Nashville, TN 37203-1448 |
| Mark E Arrington | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 2000 Church St, Nashville, TN 37236-0001 |
| William Barlow | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 110 29th Ave N, Suite 202, Nashville, TN 37203-1448 |
| Donna Cornelius | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 110 29th N Ave, Suite 202, Nashville, TN 37203-1448 |
| Street Address |
545 STONECREST PKWY |
| City | SMYRNA |
| State | TN |
| Zip | 37167-6804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faiza Rehman | Internal Medicine | Physician Services of Middle Tennessee, LLC | 800 Great Cir, Smyrna, TN 37167-2508 |
| Paul Douglas Trapeni Jr. | Optometry | 23 N Lowry St, Smyrna, TN 37167-2525 | |
| James M Haaven | Optometry | 570 Enon Springs Rd E, Smyrna, TN 37167-2905 | |
| Sarah Schwartz Wilson | Family Medicine | 115 Enon Springs Rd E, Smyrna, TN 37167-3009 | |
| Olawumi O Ayo | Internal Medicine | Cornerstone Medical Associates Pllc | 125 Enon Springs Rd E, Smyrna, TN 37167-3009 |
| Gary Schwartz | Internal Medicine | 115 Enon Springs E, Smyrna, TN 37167-3009 | |
| John M Byrnes | Internal Medicine | 115 Enon Springs Rd E, Smyrna, TN 37167-3009 | |
| Robin Adam | Nurse Practitioner | Volunteer Behavioral Health Care System | 131 Mayfield Dr, Smyrna, TN 37167-3018 |
| Katherine Gee | Nurse Practitioner | Volunteer Behavioral Health Care System | 131 Mayfield Dr, Smyrna, TN 37167-3018 |
| Ernest K Johnson Iii | General Surgery | 200 Mayfield Dr, Smyrna, TN 37167-3019 | |
| Find all physicians in zip 37167 | |||
| City | SMYRNA |
| Zip Code | 37167 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SMYRNA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.