Mrs. Katie Greene Pegram
MD | Pediatrics | Female
Mrs. Katie Greene Pegram, MD is a Clarksville, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics. Mrs. Katie Greene Pegram is also known as
Katie Marie Greene.
Current practice location of Mrs. Katie Greene Pegram is
490 Dunlop Ln, Clarksville, Tennessee - 37040-5007. She can be contacted on phone at
931-245-8400.
Mrs. Katie Greene Pegram is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Katie Greene Pegram is
1780977207 which was assigned by NPPES on 17 May, 2011 and it was last updated on 29 Aug, 2022.
Mrs. Katie Greene Pegram license number is
51676 for Pediatrics (208000000X) in Tennessee.
Mrs. Katie Greene Pegram is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Katie Greene Pegram basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mrs. Katie Greene Pegram |
|---|
| Other Name : | Katie Marie Greene |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mrs. Katie Greene Pegram address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 490 Dunlop Ln
Clarksville, TN, 37040-5007
United States |
|---|
| Phone Number : | 931-245-8400 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780977207 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2011 |
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| Last Updated On : | 29 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Katie Greene Pegram are as mentioned. Primary taxonomy code for Mrs. Katie Greene Pegram, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 51676 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Katie Greene Pegram such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| Q028432 | MEDICAID | TN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | katie.pegram.2@7977.direct.athenahealth.com
| | DIRECT
|
| 490 Dunlop Ln,
Clarksville, TN, 37040-5007
|
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3799
Clarksville, TN, 37043-3799
United States |
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| Phone Number : | 931-245-7000 |
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Business Location:
Patients can refer following map for directions to
Mrs. Katie Greene Pegram practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.