| Aegis Group Practice Llc | |
|
619 Highland Colony Pkwy, Ridgeland, MS 39157-8786 | |
| (800) 444-6845 | |
| (479) 478-2852 |
| Full Name | Aegis Group Practice Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 619 Highland Colony Pkwy, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881271302 | NPI | - | NPPES |
| Provider Name | Twanda Vershun Longino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326485558 PECOS PAC ID: 9931465531 Enrollment ID: I20171115001517 |
| Provider Name | Jasmine Martin Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679863245 PECOS PAC ID: 4789952979 Enrollment ID: I20171209000085 |
| Provider Name | Amy A Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528431434 PECOS PAC ID: 3971836651 Enrollment ID: I20190612001062 |
| Provider Name | Emily Y Sloan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194921155 PECOS PAC ID: 7810380441 Enrollment ID: I20220203001057 |
| Provider Name | Emily B Freeman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831384312 PECOS PAC ID: 9638542566 Enrollment ID: I20230223002717 |
| Provider Name | Feshondra F Tripp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174850192 PECOS PAC ID: 2264805035 Enrollment ID: I20230224001675 |
| Provider Name | Emily Harrison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649052283 PECOS PAC ID: 2062860463 Enrollment ID: I20231125000183 |
| Provider Name | Tyshianna B Edwards |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841926086 PECOS PAC ID: 4688023922 Enrollment ID: I20231212000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Group Practice Llc 2601 Network Blvd Ste 102, Frisco, TX 75034-9092 Ph: (972) 372-6779 | Aegis Group Practice Llc 619 Highland Colony Pkwy, Ridgeland, MS 39157-8786 Ph: (800) 444-6845 |
Christine Antonia Shadie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Reneda S Watts-anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Arthur Davis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 745 S Pear Orchard Rd, Suite 335, Ridgeland, MS 39157 Phone: 601-573-9974 | |
Joe H Smelser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553 | |
Kathryn Collums, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite C, Ridgeland, MS 39157 Phone: 601-308-5117 Fax: 601-308-5103 | |
Shelby Adkins Ladner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761 | |
Justin Nichols, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415 |