Walter J Boyanton Iii (NPI# 1831135706, PAC ID# 3870500119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831135706 |
| PAC ID by PECOS | 3870500119 |
| Professional Enrollment ID | I20150729009219 |
| Full Name | Walter J Boyanton Iii |
| Organization Legal Name | AMG - SOUTHERN TENNESSEE, LLC |
| Address |
300 S Main St Estill Springs TN 37330-4042 |
| Phone Number | 9316495139 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991765943 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440058 | SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER |
| Address | Phone | Organization |
|---|---|---|
| 300 S Main St, Estill Springs, TN 37330-4042 | 9316495139 | 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 |
| Andrea Kelley Gore Hayes | Nurse Practitioner | Amg - Southern Tennessee, LLC | 108 W Blackwell St, Tullahoma, TN 37388-3505 |
| James T Mcclure | Orthopedic Surgery | Amg - Southern Tennessee, LLC | 185 Hospital Rd, Winchester, TN 37398-2404 |
| Street Address |
300 S MAIN ST |
| City | ESTILL SPRINGS |
| State | TN |
| Zip | 37330-4042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackie D Kumm | Nurse Practitioner | Cass Regional Medical Center | 300 S Main St, Peculiar Medical Clinic, Peculiar, MO 64078-9603 |
| Michael A Hicks | Nurse Practitioner | Express Family Care | 300 S Main St, Crescent City, FL 32112-2729 |
| Molly R Urton | Nurse Practitioner | Cass Regional Medical Center | 300 S Main St, Peculiar Medical Clinic, Peculiar, MO 64078-9603 |
| Monica Master | Nurse Practitioner | Amg - Southern Tennessee, LLC | 300 S Main St, Estill Springs, TN 37330-4042 |
| John Glen Carson | Nurse Practitioner | Amg - Southern Tennessee, LLC | 300 S Main St, Estill Springs, TN 37330-4042 |
| John C Milanick | Family Medicine | Medex Medical Express of Palatka LLC | 300 S Main St, Crescent City, FL 32112-2729 |
| William T Swearingen | Family Medicine | Norman Regional Providers-primary Care | 300 S Main St, Primary Care Newcastle, Newcastle, OK 73065-5403 |
| Edwin C Winder Iii | Optometry | 300 S Main St, Tooele, UT 84074-2746 | |
| Kenneth W Petersen | Orthopedic Surgery | Cass Regional Medical Center | 300 S Main St, Peculiar Medical Clinic, Peculiar, MO 64078-9603 |
| Rebeca Juarbe Arrillaga | Internal Medicine | Express Family Care | 300 S Main St, Crescent City, FL 32112-2729 |
| Find all physicians in the same address | |||
| City | ESTILL SPRINGS |
| Zip Code | 37330 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ESTILL SPRINGS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Walter J Boyanton Iii.
| 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.