Sheryl D Pack (NPI# 1598715419, PAC ID# 5294741559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1598715419 |
| PAC ID by PECOS | 5294741559 |
| Professional Enrollment ID | I20060224000162 |
| Full Name | Sheryl D Pack |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
1497 W Elk Ave Suite 21 Elizabethton TN 37643-2872 |
| Phone Number | 4235427420 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440018 | SYCAMORE SHOALS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2872 | 4235427420 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
1497 W ELK AVE SUITE 21 |
| City | ELIZABETHTON |
| State | TN |
| Zip | 37643-2872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Mcneilly | Pulmonary Disease | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 22b, Elizabethton, TN 37643-2896 |
| Mirle Girish | Pulmonary Disease | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 22b, Elizabethton, TN 37643-2896 |
| Jeremy Meyer | General Surgery | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 10, Elizabethton, TN 37643-2896 |
| Justin David Digby | General Surgery | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 10, Elizabethton, TN 37643-2896 |
| Adil K Warsy | Pulmonary Disease | Blue Ridge Medical Management Corporation | 1497 W Elk Ave, Suite 22b, Elizabethton, TN 37643-2896 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Sams | Optometry | 114 S Sycamore St, Elizabethton, TN 37643-0001 | |
| Ashley C Baker | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| Victoria Ashley Howard | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| John Francis Holland | Optometry | Family Eyecare Center, Pllc | 629 Broad St, Elizabethton, TN 37643-2221 |
| Stephen Edward Wheeler | Chiropractic | 835 Broad St, Elizabethton, TN 37643-2312 | |
| Charles Peters Iii | Physical Therapy | Champion Physical Therapy LLC | 420 Railroad St, Elizabethton, TN 37643-2504 |
| Kimberly Kay Kleine | Nurse Practitioner | Shc Medical Partners of Tennessee, LLC | 1500 W Elk Ave, Suite 109, Elizabethton, TN 37643-2655 |
| Jessica R Odell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 |
| Prabha Jaishwal Long | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 |
| Anthony Tin-lung Pang-ng | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Find all physicians in zip 37643 | |||
| City | ELIZABETHTON |
| Zip Code | 37643 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELIZABETHTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sheryl D Pack.
| 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.