Ms Carrie Mcgrew Gholston, | |
141 Township Ave Ste 107, Ridgeland, MS 39157-8697 | |
(601) 707-5676 | |
Not Available |
Full Name | Ms Carrie Mcgrew Gholston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 141 Township Ave Ste 107, Ridgeland, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902448301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 903621 (Mississippi) | Primary |
Entity Name | Right Track Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972080257 PECOS PAC ID: 8729403415 Enrollment ID: O20200728003297 |
Mailing Address | Practice Location Address |
---|---|
Ms Carrie Mcgrew Gholston, 118 Palin Dr, Madison, MS 39110-6962 Ph: (601) 720-9991 | Ms Carrie Mcgrew Gholston, 141 Township Ave Ste 107, Ridgeland, MS 39157-8697 Ph: (601) 707-5676 |
Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737 | |
Kenneth Kaiser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687 | |
Dr. Amanda B Greene, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157 Phone: 601-499-0282 Fax: 601-499-0347 | |
Mrs. Michelle Hughes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Mary Margaret Endris, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Highland Colony Pkwy, Ridgeland, MS 39157 Phone: 601-341-6535 | |
Jenna Gaddy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Highland Colony Pkwy, Suite 7205, Ridgeland, MS 39157 Phone: 601-366-0855 |