Michael Kimbro (NPI# 1831155951, PAC ID# 8426032160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831155951 |
| PAC ID by PECOS | 8426032160 |
| Professional Enrollment ID | I20040617001629 |
| Full Name | Michael Kimbro |
| Organization Legal Name | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Address |
1901 S Shady St Mountain City TN 37683-2021 |
| Phone Number | 4237271100 |
| Gender | M |
| Credential | MD |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678859477 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441304 | JOHNSON COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1901 S Shady St, Mountain City, TN 37683-2021 | 4237271100 | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Organization Legal Name | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Tin-lung Pang-ng | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Jeffrey D Turner | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Vedire Vijaysen Reddy | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| John H Mullins | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Alexis Paije Greene | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| David W Hale Jr. | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 2000 Brookside Dr, Kingsport, TN 37660-4627 |
| Shane M Adams | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Clifford G Williamson | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Scott Denham | General Surgery | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Brett Reece | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Street Address |
1901 S SHADY ST |
| City | MOUNTAIN CITY |
| State | TN |
| Zip | 37683-2021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Mcqueen | Nurse Practitioner | Mountain States Health Alliance | 1901 S Shady St, Mountain City, TN 37683-2021 |
| James W Shine | Family Medicine | Mountain States Health Alliance | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Michelle Lee Manuel | Nurse Practitioner | East Tennessee State University | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Cristy G Lee | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Lindsey Debord Yoggerst | Nurse Practitioner | Mountain States Health Alliance | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Deborah J Hassebrock | Nurse Practitioner | East Tennessee State University | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Susanne M Shine | Family Medicine | Mountain States Health Alliance | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Amanda K Reichenbach | Nurse Practitioner | East Tennessee State University | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Sharon G Trumbley | Nurse Practitioner | East Tennessee State University | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Robert Griffith | Internal Medicine | Mountain States Health Alliance | 1901 S Shady St, Mountain City, TN 37683-2021 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Floyd J Barker Ii | General Practice | 132 W Main St, Mountain City, TN 37683-1308 | |
| George A. Cunningham | Optometry | 140 W Main St, Mountain City, TN 37683-1308 | |
| Donald R Walters | General Practice | Donald R Walters Mdpc | 212 N Church St, Mountain City, TN 37683-1326 |
| Taunda L Motsinger | Nurse Practitioner | 412 Donnelly St, Mountain City, TN 37683-1512 | |
| Mark R Doman | Internal Medicine | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Jaime A Strozier | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Rachiel E Gibson | Physician Assistant | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Wesley R Hanson | Family Medicine | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Samuel Brown | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Lisa A Trent | Nurse Practitioner | Rural Health Services Consortium of Upper East Tennessee Inc | 222 Oak St, Mountain City, TN 37683-1526 |
| Find all physicians in zip 37683 | |||
| City | MOUNTAIN CITY |
| Zip Code | 37683 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUNTAIN CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Kimbro.
| 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.