; NPI #1144636119

Contact Information

GREGARY BYERS, NP-C

107 TENNESSEE ST
BOLIVAR, TN 38008-1822

Phone: 731-212-3196
Fax: 731-212-3193
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for

NPI Number 1144636119

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 07/10/2014

Last updated 02/18/2025 - More than a year ago

Identifiers

TN	License #	18850
TN	Medicaid	Q010912

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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