Trey Pegram (NPI# 1205128352, PAC ID# 6800036591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1205128352 |
| PAC ID by PECOS | 6800036591 |
| Professional Enrollment ID | I20170719003975 |
| Full Name | Trey Pegram |
| Organization Legal Name | SOUTHEAST EYE SPECIALISTS PLLC |
| Address |
980 Hwy 28 408 Jasper TN 37347-3696 |
| Phone Number | 4235087337 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6800708504 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440006 | TRISTAR SKYLINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| 980 Hwy 28 408, Jasper, TN 37347-3696 | 4235087337 | SOUTHEAST EYE SPECIALISTS PLLC |
| Organization Legal Name | SOUTHEAST EYE SPECIALISTS PLLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Jarvis | Optometry | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Thomas Peter Lindquist | Ophthalmology | Southeast Eye Specialists Pllc | 1109 Burleyson Rd, Suite 101, Dalton, GA 30720-4600 |
| Edward A Peterson | Ophthalmology | Southeast Eye Specialists Pllc | 135 N Meadows Dr A, Athens, TN 37303-4172 |
| Peter Richard Andrews | Ophthalmology | Southeast Eye Specialists Pllc | 1400 Dowell Springs Blvd, Suite 310, Knoxville, TN 37909-2445 |
| Sonya M Smoak | Optometry | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Rex A Yannis | Ophthalmology | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Daryl F Mann | Optometry | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Sachie Hase Craig | Optometry | Southeast Eye Specialists Pllc | 934 S Broadway St, Suite C, Portland, TN 37148-1718 |
| Paige Thompson | Optometry | Southeast Eye Specialists Pllc | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 |
| Carolee M Cutler Peck | Ophthalmology | Southeast Eye Specialists Pllc | 107 N Congress Blvd, Smithville, TN 37166-1445 |
| Street Address |
980 HWY 28 408 |
| City | JASPER |
| State | TN |
| Zip | 37347-3696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damieon Brown | Podiatry | 980 Hwy 28 408, Jasper, TN 37347-3696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Gannon | Nurse Practitioner | Volunteer Behavioral Health Care System | 215 Hickman Rd, Jasper, TN 37347 |
| Glenna W Lashley | Nurse Practitioner | 503 Westfield Place, Jasper, TN 37347-0400 | |
| Michael T Czarnecki | Pulmonary Disease | 3697 Main St, Jasper, TN 37347-0417 | |
| Benjamin Waldorf | Urology | Independent Physical Therapy LLC | 4150 Main St, Suite 101, Jasper, TN 37347-3446 |
| Joseph N Sledge Iii | Cardiovascular Disease (cardiology) | 12 Courthouse Sq, Jasper, TN 37347-3530 | |
| William Allen | Optometry | 4597 Main St, Jasper, TN 37347-3540 | |
| Charles A Crump | Internal Medicine | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Harsha N Shanthaveerappa | Pulmonary Disease | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| David S Attaway | Emergency Medicine | Heron Emergency Physicians Pllc | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Brittany B Bossert | Nurse Practitioner | Chattanooga Diagnostic Associates LLC | 1000 Hwy 28, Jasper, TN 37347-3638 |
| Find all physicians in zip 37347 | |||
| City | JASPER |
| Zip Code | 37347 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | JASPER + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Trey Pegram.
| 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.