Robert E Nichols (NPI# 1154332591, PAC ID# 3577659176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154332591 |
| PAC ID by PECOS | 3577659176 |
| Professional Enrollment ID | I20091201000004 |
| Full Name | Robert E Nichols |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Address |
100 Lantana Rd Suite 202 Crossville TN 38555-1903 |
| Phone Number | 9314845141 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860305463 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440009 | CUMBERLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 | 9314845141 | COVENANT MEDICAL GROUP INC |
| 132 Stonehenge Dr, Crossville, TN 38558-6279 | 9314845141 | 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 |
100 LANTANA RD SUITE 202 |
| City | CROSSVILLE |
| State | TN |
| Zip | 38555-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Douglas R Carpenter | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| John M Lewis | Internal Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Carissa Beth Cooper | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie Fossett | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Michael C Good | Obstetrics/gynecology | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Julie L Livesay | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Lia C Boyanton | Family Medicine | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Arehart | Anesthesiology | 181 Matherly St, Crossville, TN 38555-1001 | |
| Dustin Joe Moss | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Stacey B Carlton | Family Medicine | 229 Interstate Dr 105, Crossville, TN 38555-2704 | |
| Kimberly C Bell | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Amandi N Proffitt | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| April L Thornton | Nurse Practitioner | Exac Care LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Kimberly D Hoover | Occupational Therapy | Stacey B. Carlton, M.d. | 229 Interstate Dr 105, Crossville, TN 38555-2704 |
| Wendy Stout Henderson | Nurse Practitioner | Exac Care Crossville LLC | 229 Interstate Dr 103, Crossville, TN 38555-2704 |
| Pierre K Berry | Family Medicine | 13 Bob Tollett Loop, Crossville, TN 38555-2835 | |
| Reynaldo A Olaechea | General Surgery | Cumberland Physician Group, LLC | 49 Cleveland St, Suite 320, Crossville, TN 38555-2854 |
| Find all physicians in zip 38555 | |||
| City | CROSSVILLE |
| Zip Code | 38555 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CROSSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Robert E Nichols.
| 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.