Pamela Leeann Kersey
Emergency Medicine in Etowah, TN. Individual provider (NPI-1).
NPI number1023064151
StatusActive
Last updated in NPPESJul 26, 2007
Details
- NPI
- 1023064151
- Entity type
- Individual (NPI-1)
- Name
- Pamela Leeann Kersey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2006
- Last updated
- Jul 26, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 36580 | TN | Yes |
Practice location
886 Highway 411 NEtowah, TN 37331-1912
Phone 423-263-3600 · Fax 423-263-3601
Mailing address
3211 Shannon RdSuite 300
Durham, NC 27707-6322
Phone 919-403-2028 · Fax 919-419-7247
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Emergency Medicine Physician providers in Etowah · All 112 providers in Etowah
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