Active NPI 1356465603 Individual Practitioner Female Practitioner

Lora D Spurlock , NP

Nurse Practitioner • Newport, TN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Lora Spurlock, NP is a certified Nurse Practitioner practicing in Newport, TN. With approximately 22 years of clinical experience since completing medical education in 2004, Lora Spurlock delivers high-quality medical care to the local community at 229 HEDRICK DR.

Lora Spurlock maintains professional affiliations with Segue Health Partners Llc, Rural Medical Services, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, comprehensive group of blood chemicals, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

229 Hedrick Dr

Newport, TN 378212902

Telephone 4236231057

Associated Practice Facility / Clinic

🏢 Rural Medical Services, Inc. Facility NPI 1437191194

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Newport, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +11.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 12.4 Yrs

Regional Practice Density

18 Specialists

Practicing in Newport, TN (2343 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spurlock (22 Years) 22 Yrs

Newport Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	42	$200.00	$103.29
80053 Blood test, comprehensive group of blood chemicals	86	43	$50.00	$10.35
36415 Insertion of needle into vein for collection of blood sample	74	39	$20.00	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	73	44	$34.00	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	63	41	$56.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	52	34	$68.00	$16.46
99213 Established patient office or other outpatient visit, typically 15 minutes	40	24	$140.00	$72.22
83036 Hemoglobin A1C level	31	21	$47.00	$9.52
82570 Creatinine level to test for kidney function or muscle injury	23	17	$25.00	$5.08
82043 Urine microalbumin (protein) level	23	17	$20.00	$5.66
99497 Advance care planning, first 30 minutes	12	12	$185.00	$67.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$85.00	$44.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$160.00	$105.63
G0444 Annual depression screening, 5 to 15 minutes	11	11	$50.00	$15.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	214	158	$12.80	$7.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	173	136	$21.34	$7.58
80053 Blood test, comprehensive group of blood chemicals	166	134	$24.56	$10.29
80061 Blood test, lipids (cholesterol and triglycerides)	160	132	$36.05	$12.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	112	$224.49	$100.59
99213 Established patient office or other outpatient visit, typically 15 minutes	128	99	$151.53	$70.74
84443 Blood test, thyroid stimulating hormone (TSH)	116	99	$42.90	$16.46
83036 Hemoglobin A1C level	101	83	$25.57	$9.44
82570 Creatinine level to test for kidney function or muscle injury	52	44	$15.69	$5.08
82043 Urine microalbumin (protein) level	48	40	$30.08	$5.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	27	$51.42	$11.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$324.52	$99.50
84153 Psa (prostate specific antigen) measurement, total	30	30	$43.63	$18.02
G0444 Annual depression screening, 5 to 15 minutes	28	28	$50.00	$13.99
82306 Vitamin d-3 level	27	27	$76.85	$28.09
84439 Thyroxine (thyroid chemical), free	27	25	$28.22	$8.55
81003 Automated urinalysis test	25	18	$8.64	$2.20
82607 Cyanocobalamin (vitamin B-12) level	22	21	$45.55	$14.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	285	202	$9.65	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	176	$199.05	$101.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	215	175	$23.49	$7.56
80061 Blood test, lipids (cholesterol and triglycerides)	203	167	$40.51	$12.97
80053 Blood test, comprehensive group of blood chemicals	182	148	$21.38	$10.24
99213 Established patient office or other outpatient visit, typically 15 minutes	178	126	$128.06	$71.99
83036 Hemoglobin A1C level	138	116	$27.31	$9.42
84443 Blood test, thyroid stimulating hormone (TSH)	127	114	$40.08	$16.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	86	12	$9.58	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$327.50	$103.25
G0008 Administration of influenza virus vaccine	75	75	$45.87	$27.16
G0444 Annual depression screening, 5 to 15 minutes	75	75	$50.00	$14.14
82043 Urine microalbumin (protein) level	67	62	$34.27	$5.68
90662 Influenza vaccine split virus, preservative free	67	67	$85.00	$67.52
82570 Creatinine level to test for kidney function or muscle injury	67	62	$19.24	$5.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	32	$44.93	$11.32
81003 Automated urinalysis test	43	32	$9.91	$2.20
84439 Thyroxine (thyroid chemical), free	38	34	$23.08	$8.84
82306 Vitamin d-3 level	28	27	$70.82	$28.05
84153 Psa (prostate specific antigen) measurement, total	26	26	$43.00	$17.33
82607 Cyanocobalamin (vitamin B-12) level	18	17	$36.00	$14.78
G0103 Prostate cancer screening; prostate specific antigen test (psa)	18	18	$43.00	$18.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$288.56	$142.97
81001 Manual urinalysis test with examination using microscope, automated	15	14	$35.73	$3.14
83525 Insulin measurement, total	13	13	$27.00	$11.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$1559.18	$159.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	80	$102.35	$72.25
36415 Insertion of needle into vein for collection of blood sample	89	61	$14.61	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	59	$144.83	$102.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	46	$38.41	$7.65
80061 Blood test, lipids (cholesterol and triglycerides)	57	42	$76.63	$12.94
83036 Hemoglobin A1C level	46	31	$38.89	$9.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	24	$30.97	$11.27
82947 Blood glucose (sugar) level	24	17	$40.00	$3.93
82044 Urine microalbumin (protein) analysis	22	19	$40.00	$6.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	12	$861.82	$83.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$1593.75	$160.90
81001 Manual urinalysis test with examination using microscope, automated	15	14	$40.00	$3.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	285	139	$8.00	$2.97
80053 Blood test, comprehensive group of blood chemicals	257	133	$21.33	$10.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	134	$203.00	$87.04
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	229	120	$19.00	$7.72
80061 Blood test, lipids (cholesterol and triglycerides)	211	117	$32.63	$13.24
84443 Blood test, thyroid stimulating hormone (TSH)	176	106	$40.67	$16.59
83036 Hemoglobin A1C level	107	58	$23.34	$9.65
99213 Established patient office or other outpatient visit, typically 15 minutes	102	78	$135.82	$59.91
81003 Automated urinalysis test	67	48	$6.00	$2.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$229.73	$92.93
G0444 Annual depression screening, 5 to 15 minutes	59	59	$42.00	$14.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	31	$58.95	$11.37
J0696 Injection, ceftriaxone sodium, per 250 mg	50	12	$1.60	$0.59
84439 Thyroxine (thyroid chemical), free	49	34	$21.41	$8.95
82306 Vitamin d-3 level	47	37	$69.94	$29.46
G0008 Administration of influenza virus vaccine	38	37	$46.92	$15.71
84153 Psa (prostate specific antigen) measurement, total	36	27	$43.44	$18.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	35	35	$31.00	$19.55
82607 Cyanocobalamin (vitamin B-12) level	35	31	$36.40	$14.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	24	$276.00	$117.67
71046 X-ray of chest, 2 views	30	23	$56.53	$25.69
82043 Urine microalbumin (protein) level	30	23	$32.73	$5.74
82570 Creatinine level to test for kidney function or muscle injury	30	23	$13.00	$5.14
81001 Manual urinalysis test with examination using microscope, automated	22	20	$8.00	$3.15
J1040 Injection, methylprednisolone acetate, 80 mg	15	12	$15.47	$11.57
87651 Detection test for Strep (Streptococcus, group A)	14	13	$84.29	$34.79
87502 Detection test by nucleic acid for multiple types influenza virus	13	12	$204.54	$93.64
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$43.31	$19.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	248	142	$8.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	131	$199.23	$86.23
80053 Blood test, comprehensive group of blood chemicals	231	135	$22.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	216	133	$19.00	$8.46
80061 Blood test, lipids (cholesterol and triglycerides)	178	117	$34.00	$14.58
99213 Established patient office or other outpatient visit, typically 15 minutes	164	119	$133.80	$58.90
84443 Blood test, thyroid stimulating hormone (TSH)	130	90	$42.00	$18.30
J0696 Injection, ceftriaxone sodium, per 250 mg	112	23	$2.00	$0.59
83036 Hemoglobin A1C level	87	58	$24.00	$10.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	76	49	$60.00	$13.18
81003 Automated urinalysis test	75	59	$6.00	$2.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$220.00	$92.05
G0444 Annual depression screening, 5 to 15 minutes	62	62	$72.00	$14.22
82607 Cyanocobalamin (vitamin B-12) level	41	34	$37.00	$16.41
71046 X-ray of chest, 2 views	33	29	$75.00	$24.66
82306 Vitamin d-3 level	32	28	$73.00	$32.23
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$23.00	$17.48
G0008 Administration of influenza virus vaccine	26	26	$46.08	$15.42
J1040 Injection, methylprednisolone acetate, 80 mg	26	24	$16.00	$12.16
84439 Thyroxine (thyroid chemical), free	25	21	$22.00	$9.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	22	22	$72.00	$14.22
82570 Creatinine level to test for kidney function or muscle injury	20	19	$13.00	$5.63
82043 Urine microalbumin (protein) level	20	19	$34.00	$6.29
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$45.00	$20.03
84153 Psa (prostate specific antigen) measurement, total	17	15	$45.00	$20.03
G0009 Administration of pneumococcal vaccine	17	17	$46.71	$15.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$397.00	$165.85
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$39.33	$13.33
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$74.00	$28.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$314.50	$131.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$269.33	$115.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	219	105	$8.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	106	$201.42	$85.34
80053 Blood test, comprehensive group of blood chemicals	175	105	$21.06	$12.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	161	104	$19.00	$9.40
J0696 Injection, ceftriaxone sodium, per 250 mg	132	25	$2.00	$0.61
99213 Established patient office or other outpatient visit, typically 15 minutes	125	89	$135.37	$58.05
80061 Blood test, lipids (cholesterol and triglycerides)	124	89	$34.00	$16.09
84443 Blood test, thyroid stimulating hormone (TSH)	112	74	$42.00	$20.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	43	$58.63	$16.14
83036 Hemoglobin A1C level	65	41	$24.00	$11.75
81003 Automated urinalysis test	59	43	$5.66	$2.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$228.00	$92.77
71046 X-ray of chest, 2 views	46	36	$79.70	$23.24
G0444 Annual depression screening, 5 to 15 minutes	33	33	$72.00	$14.20
82607 Cyanocobalamin (vitamin B-12) level	32	30	$37.00	$18.24
J1040 Injection, methylprednisolone acetate, 80 mg	29	25	$15.07	$12.96
G0009 Administration of pneumococcal vaccine	24	24	$45.83	$18.89
G0442 Annual alcohol misuse screening, 5 to 15 minutes	21	21	$72.00	$14.46
G0008 Administration of influenza virus vaccine	21	21	$47.05	$18.89
84153 Psa (prostate specific antigen) measurement, total	20	15	$45.00	$22.26
84439 Thyroxine (thyroid chemical), free	19	14	$22.00	$10.42
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$23.00	$17.48
82306 Vitamin d-3 level	17	17	$73.00	$35.82
90670 Pneumococcal vaccine for injection into muscle	17	17	$240.65	$195.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$265.06	$115.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$386.33	$165.12
94010 Test to measure expiratory airflow and volume	12	12	$82.75	$27.99
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$39.75	$12.19
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$45.00	$22.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	160	97	$7.80	$2.94
80053 Blood test, comprehensive group of blood chemicals	150	96	$18.00	$9.60
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	135	89	$18.33	$10.45
99213 Established patient office or other outpatient visit, typically 15 minutes	132	101	$130.00	$57.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	80	$195.00	$85.01
J0696 Injection, ceftriaxone sodium, per 250 mg	114	26	$2.00	$0.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	109	61	$54.65	$19.88
84443 Blood test, thyroid stimulating hormone (TSH)	96	76	$40.00	$22.59
80061 Blood test, lipids (cholesterol and triglycerides)	86	65	$33.79	$15.04
81003 Automated urinalysis test	68	52	$5.00	$3.02
83036 Hemoglobin A1C level	60	43	$23.00	$13.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	36	$264.00	$115.10
71020 X-ray of chest, 2 views, front and side	39	31	$60.00	$21.80
82607 Cyanocobalamin (vitamin B-12) level	37	35	$35.86	$20.27
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$26.24	$15.40
J1040 Injection, methylprednisolone acetate, 80 mg	30	26	$11.83	$10.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$228.00	$89.69
J1030 Injection, methylprednisolone acetate, 40 mg	27	26	$6.48	$5.62
G0103 Prostate cancer screening; prostate specific antigen test (psa)	15	15	$42.33	$24.73
82306 Vitamin d-3 level	13	13	$70.00	$39.80
G0008 Administration of influenza virus vaccine	13	13	$43.92	$23.26
82570 Creatinine level to test for kidney function or muscle injury	11	11	$11.00	$6.96
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$21.27	$17.48

Medical Specialties & State Licenses

CMS Verified: 2025-09-25

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN APN11536

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3341090 (TN)

Hospital & Practice Group Affiliations

Segue Health Partners Llc

765 Woodland Trace Ln, Cordova, TN 380186609

Phone: 9016263515

Rural Medical Services, Inc.

111 Mockingbird Ave, Parrottsville, TN 378432741

Phone: 4236251170

Rural Medical Services, Inc.

207 Murray Dr, Newport, TN 378213631

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Nurse Practitioner

NPI 1194796177

RNC, Family Nurse Practitioner

Sharmian Mccoy , MA

Marriage & Family Therapist

NPI 1295938108

Master of Arts

Olga Woods , FNP

Nurse Practitioner

NPI 1346212446

Family Nurse Practitioner

Brittany Dixon , FNP

Nurse Practitioner

NPI 1649750811

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location September 25, 2025

Registered at 229 HEDRICK DR, NEWPORT, TN 378212902 (Tel: 4236231057)

📍

Updated Practice Location November 28, 2023

Registered at 1124 FOX MEADOWS BLVD STE 3, SEVIERVILLE, TN 378626927 (Tel: 8654460224)

📍

Updated Business Mailing Address November 28, 2023

Registered at 1124 FOX MEADOWS BLVD STE 3, SEVIERVILLE, TN 378626927 (Tel: 8654460224)

📍

Updated Practice Location February 08, 2021

Registered at 434 4TH ST STE 310, NEWPORT, TN 378213735 (Tel: 4236230640)

📍

Updated Business Mailing Address February 08, 2021

Registered at 434 4TH ST STE 310, NEWPORT, TN 378213735 (Tel: 4236230640)

✅

NPI Profile Active June 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2017

Registered at 641 MIDDLE CREEK RD, SEVIERVILLE, TN 378625014 (Tel: 8654280583)

📍

Updated Business Mailing Address June 23, 2017

Registered at 1225 E. WEISGARBER ROAD, SUITE 200, KNOXVILLE, TN 379092604 (Tel: 8655844747)

👤

Provider Name / Credentials Updated June 23, 2017

Recorded as LORA SPURLOCK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2017

Nurse Practitioner (License #APN11536 in TN)

✅

NPI Profile Active July 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 03, 2013

Registered at 641 MIDDLE CREEK RD, SEVIERVILLE, TN 378625014 (Tel: 8654280583)

📍

Updated Business Mailing Address July 03, 2013

Registered at 1225 E. WEISGARBER ROAD, SUITE 200, KNOXVILLE, TN 379092604 (Tel: 8655844747)

👤

Provider Name / Credentials Updated July 03, 2013

Recorded as LORA BYRD, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2013

Nurse Practitioner (License #APN11536 in TN)

🟢

Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356465603

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 19, 2007

Last Update: September 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1124 Fox Meadows Blvd Ste 3

Sevierville, TN 378626927

Phone: 8654460224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.