Shc Medical Partners of Tennessee, LLC
NPI 1609051895ActiveOrganization· Nurse Practitioner· Mountain City, TN
Nurse Practitioner in Mountain City, Tennessee, registered in NPPES in January 2008, part of Shc Medical Partners, LLC. The authorized official on file is Penny Carol Logan, Chief Operating Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609051895 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shc Medical Partners, LLC |
| NPI issued | Jan 7, 2008 |
| Last updated in NPPES | Jul 26, 2023 |
| Certified by provider | Jul 26, 2023 |
| Reactivated | Mar 15, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0564617 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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