Whitney Jackson Moore (NPI# 1427560531, PAC ID# 4587927538) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427560531 |
| PAC ID by PECOS | 4587927538 |
| Professional Enrollment ID | I20180404002359 |
| Full Name | Whitney Jackson Moore |
| Organization Legal Name | CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE |
| Address |
187 W Main St Decaturville TN 38329-8078 |
| Phone Number | 7318522761 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3971872284 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440070 | DECATUR COUNTY GENERAL HOSPITAL |
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 187 W Main St, Decaturville, TN 38329-8078 | 7318522761 | CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE |
| Main St, Lobelville, TN 37097-0001 | 9315932277 | LOBELVILLE CLINIC |
| Organization Legal Name | CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsey Johnson Sparks | Nurse Practitioner | Chelsey Sparks Dba Decaturville Family Practice | 187 W Main St, Decaturville, TN 38329-8078 |
| Street Address |
187 W MAIN ST |
| City | DECATURVILLE |
| State | TN |
| Zip | 38329-8078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juelena L Todd | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Troy W Balgo | General Practice | 187 W Main St, 100 Belmont Medical Care, St Clairsville, OH 43950-1157 | |
| Audra C Cave | Nurse Practitioner | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Matthew Allan Roe | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Chelsey Johnson Sparks | Nurse Practitioner | Chelsey Sparks Dba Decaturville Family Practice | 187 W Main St, Decaturville, TN 38329-8078 |
| Christi D Jones | Nurse Practitioner | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Hayam Kamal Shaker | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Maryshell Brosche B Zaffino | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Laura K Brooks | Physician Assistant | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Bryan K Hodge | Family Medicine | Blue Ridge Community Health Services Inc | 187 W Main St, Spindale, NC 28160-1539 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramesh Keesara Reddy | Internal Medicine | 187 W Main St, Decaturville, TN 38329-8078 |
| City | DECATURVILLE |
| Zip Code | 38329 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECATURVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Whitney Jackson Moore.
| 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.