| Right Track Medical Group, Inc | |
|
1203 Medical Park Dr Oxford MS 38655-5327 | |
| (662) 234-7601 | |
| (662) 234-8531 |
| Full Name | Right Track Medical Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1203 Medical Park Dr, Oxford, Mississippi |
| Authorized Official Name and Position | Thomas D Fowlkes (SEC/TREAS) |
| Authorized Official Contact | 6628017508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Right Track Medical Group, Inc Po Box 1437 Oxford MS 38655-1437 Ph: (662) 234-7601 | Right Track Medical Group, Inc 1203 Medical Park Dr Oxford MS 38655-5327 Ph: (662) 234-7601 |
| NPI Number | 1972080257 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 8729403415 |
|---|---|
| Medicare Enrollment ID | O20200728003297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972080257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21831 (Mississippi) | Primary |
| Provider Name | Elizabeth Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578653218 PECOS PAC ID: 3971585290 Enrollment ID: I20040602000191 |
| Provider Name | John H Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821027368 PECOS PAC ID: 6305872136 Enrollment ID: I20050713000646 |
| Provider Name | Cheryl K Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487693024 PECOS PAC ID: 2860595568 Enrollment ID: I20070319000314 |
| Provider Name | David B Sumerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508193459 PECOS PAC ID: 1759423791 Enrollment ID: I20100128000625 |
| Provider Name | Donna Kay Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205915428 PECOS PAC ID: 3072641430 Enrollment ID: I20100506000170 |
| Provider Name | Sarah K Gantz Pannel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013110857 PECOS PAC ID: 1052583085 Enrollment ID: I20111017000247 |
| Provider Name | Ann L Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528322120 PECOS PAC ID: 1456508977 Enrollment ID: I20120905000531 |
| Provider Name | Ella M Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740568443 PECOS PAC ID: 6608048608 Enrollment ID: I20120914000502 |
| Provider Name | Mae Arrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356757678 PECOS PAC ID: 9638463243 Enrollment ID: I20160804001164 |
| Provider Name | Laporshia Mcbeth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710437686 PECOS PAC ID: 9335420157 Enrollment ID: I20170110000022 |
| Provider Name | Aracelis Johanna Lu Brea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164723318 PECOS PAC ID: 2860714383 Enrollment ID: I20170929000445 |
| Provider Name | Ramona Rachel Girley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437648854 PECOS PAC ID: 8527323849 Enrollment ID: I20180607000277 |
| Provider Name | Meghan M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760941348 PECOS PAC ID: 2567894785 Enrollment ID: I20191108001826 |
| Provider Name | Felicia Gathings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396383501 PECOS PAC ID: 4284069352 Enrollment ID: I20200117001127 |
| Provider Name | Rhagen Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033769245 PECOS PAC ID: 7810324951 Enrollment ID: I20200302000218 |
| Provider Name | Dianna Forrest Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043679079 PECOS PAC ID: 0143659078 Enrollment ID: I20200329000094 |
| Provider Name | Leslie C Bensieck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407328412 PECOS PAC ID: 2062839715 Enrollment ID: I20200826003737 |
| Provider Name | Jennie K Lofton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578097655 PECOS PAC ID: 3779858188 Enrollment ID: I20200917000656 |
| Provider Name | Richard Stephen Pannel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649473489 PECOS PAC ID: 3274958970 Enrollment ID: I20200929001404 |
| Provider Name | Amanda Hester Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902031099 PECOS PAC ID: 3577982164 Enrollment ID: I20201001000022 |
| Provider Name | Ginnifer Poole Hutcheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740837194 PECOS PAC ID: 6901225101 Enrollment ID: I20201007000611 |
| Provider Name | Latesha R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343028 PECOS PAC ID: 9537579875 Enrollment ID: I20201028000260 |
| Provider Name | Ashley T Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073070702 PECOS PAC ID: 1355759721 Enrollment ID: I20210423001144 |
| Provider Name | Ruth A Bibeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851983704 PECOS PAC ID: 9931517232 Enrollment ID: I20210427001555 |
| Provider Name | Carrie Mcgrew Gholston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902448301 PECOS PAC ID: 9638587884 Enrollment ID: I20210428000689 |
| Provider Name | Zetonnia Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649852609 PECOS PAC ID: 3375942865 Enrollment ID: I20210603002285 |
| Provider Name | Yvonne Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962074021 PECOS PAC ID: 6507269933 Enrollment ID: I20210722003469 |
| Provider Name | Kerri Jo Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275007510 PECOS PAC ID: 0840694667 Enrollment ID: I20210802001135 |
| Provider Name | Amanda Brooke Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366918195 PECOS PAC ID: 5991193468 Enrollment ID: I20211102003425 |
| Provider Name | Brandi Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336817238 PECOS PAC ID: 7911387105 Enrollment ID: I20220706001021 |
| Provider Name | Shameka Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326786765 PECOS PAC ID: 7315328028 Enrollment ID: I20220712004162 |
| Provider Name | Ashley Pfahler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538716477 PECOS PAC ID: 8325423981 Enrollment ID: I20220916003203 |
| Provider Name | Jessica Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114653433 PECOS PAC ID: 6204211873 Enrollment ID: I20220917000631 |
| Provider Name | Mandy Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588188619 PECOS PAC ID: 6800162017 Enrollment ID: I20220919002523 |
| Provider Name | Loring J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427289677 PECOS PAC ID: 5799089207 Enrollment ID: I20220919002585 |
| Provider Name | Ingram Baylark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639842644 PECOS PAC ID: 7315323441 Enrollment ID: I20220927003339 |
| Provider Name | Latrinia Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598485567 PECOS PAC ID: 9335525930 Enrollment ID: I20221005002545 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598151169 PECOS PAC ID: 5193192656 Enrollment ID: I20221114000811 |
| Provider Name | Clifton Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265030175 PECOS PAC ID: 5294125118 Enrollment ID: I20230417000042 |
| Provider Name | Bethany Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972223915 PECOS PAC ID: 5698131514 Enrollment ID: I20230519000496 |
| Provider Name | Mary Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497488779 PECOS PAC ID: 2567829419 Enrollment ID: I20230607003218 |
| Provider Name | James D Cade Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780244608 PECOS PAC ID: 2062847486 Enrollment ID: I20230609001660 |
| Provider Name | Briana Lovelace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972281756 PECOS PAC ID: 2668835158 Enrollment ID: I20230831000747 |
| Provider Name | Jennifer A Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508553512 PECOS PAC ID: 0648633156 Enrollment ID: I20230831001798 |
| Provider Name | Olivia Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477206134 PECOS PAC ID: 2668821646 Enrollment ID: I20231215002509 |
| Provider Name | Candy Rafal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790903201 PECOS PAC ID: 7214389212 Enrollment ID: I20240116000439 |
| Provider Name | Mary Prestage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548445299 PECOS PAC ID: 2163871666 Enrollment ID: I20240129002508 |
| Provider Name | Alysha Velez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578901575 PECOS PAC ID: 6901255850 Enrollment ID: I20240129002606 |
| Provider Name | Willie Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952772410 PECOS PAC ID: 9234588617 Enrollment ID: I20240129002724 |
| Provider Name | Katherine Baggett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316368624 PECOS PAC ID: 8325497597 Enrollment ID: I20240219000920 |
Pathways Counseling Service, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Westminster Dr, Oxford, MS 38655 Phone: 662-561-5765 | |
Mhk Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Glen Alden Cir, Oxford, MS 38655 Phone: 630-886-3257 | |
Lafayette Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2887 S Lamar Blvd, Oxford, MS 38655 Phone: 662-638-8877 | |
Cdl Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2690 W Oxford Loop Ste 146, Oxford, MS 38655 Phone: 662-801-5535 | |
Communicare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Highway 7 S, Oxford, MS 38655 Phone: 662-234-7521 Fax: 662-234-7558 | |
Acceptance Counseling Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2692 W Oxford Loop, Oxford, MS 38655 Phone: 662-533-0220 | |
Oxford Play Therapy Training Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2653 W Oxford Loop, Suite 104, Oxford, MS 38655 Phone: 662-234-6848 Fax: 662-234-9792 |