OrganizationActive
Geriatric Essentials, PC
NPI 1043812696 · Geriatric Psychiatry Physician · Mayfield, KY
Provider details
- NPI number
- 1043812696
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Geriatric Essentials PC
- Organization subpart
- Yes
- Authorized official
- Susan Lovelace, Billing/Credentialing(731) 410-7719
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
402 W Farthing St
Mayfield, KY 42066-2900
Phone: (731) 571-8808
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12432
Jackson, TN 38308-0141
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.