James Clark Childress (NPI# 1316509334, PAC ID# 6901133784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316509334 |
| PAC ID by PECOS | 6901133784 |
| Professional Enrollment ID | I20190816001981 |
| Full Name | James Clark Childress |
| Organization Legal Name | CUMBERLAND FAMILY CARE P.C. |
| Address |
457 Vista Dr Sparta TN 38583-1360 |
| Phone Number | 9317383383 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729041835 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440192 | SAINT THOMAS HIGHLANDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 457 Vista Dr, Sparta, TN 38583-1360 | 9317383383 | CUMBERLAND FAMILY CARE P.C. |
| 817 College St, Spencer, TN 38585-3436 | 9319462113 | CUMBERLAND FAMILY CARE P.C. |
| Organization Legal Name | CUMBERLAND FAMILY CARE P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ty T Webb | Family Medicine | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Cameron Heady | Physician Assistant | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Aubrey Noelle Rice | Physician Assistant | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Marla J Moore | Nurse Practitioner | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Street Address |
457 VISTA DR |
| City | SPARTA |
| State | TN |
| Zip | 38583-1360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ty T Webb | Family Medicine | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Cameron Heady | Physician Assistant | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Aubrey Noelle Rice | Physician Assistant | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Marla J Moore | Nurse Practitioner | Cumberland Family Care P.C. | 457 Vista Dr, Sparta, TN 38583-1360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B. Knowles | Internal Medicine | Saint Thomas Medical Partners | 435 Sewell Rd, Sparta, TN 38583 |
| Lanny M Leftwich Jr. | Psychiatry | Saint Thomas Medical Partners | 401 Sewell Rd, Sparta, TN 38583 |
| Kimerly A Neal | Nurse Practitioner | Saint Thomas Medical Partners | 401 Sewell Rd, Sparta, TN 38583 |
| Jeanne Thompson | Nurse Practitioner | Tlc Family Care PC | 705 Howell St, Sparta, TN 38583-1008 |
| Linda B Stover | Nurse Practitioner | Tlc Family Care PC | 705 Howell St, Sparta, TN 38583-1008 |
| Geneth K Wolfer | Internal Medicine | 1060 Golden Mountain Rd, Sparta, TN 38583-1120 | |
| Abhay G Kemkar | Internal Medicine | 441 Sewell Dr, Sparta, TN 38583-1223 | |
| Anna V Benningfield | Nurse Practitioner | Cornerstone Family Medicine LLC | 433 Sewell Dr, Sparta, TN 38583-1223 |
| Edward M Demaree | Certified Registered Nurse Anesthetist (crna) | Aero Anesthesia, Pllc | 401 Sewell Dr, Sparta, TN 38583-1223 |
| Jeffrey D Loveland | Podiatry | 401 Sewell Rd, Sparta, TN 38583-1223 | |
| Find all physicians in zip 38583 | |||
| City | SPARTA |
| Zip Code | 38583 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPARTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on James Clark Childress.
| 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.