Access Family Health - Smithville Clinic | |
60021 Monroe St Smithville MS 38870-7779 | |
(662) 651-4637 | |
(662) 651-4636 |
Full Name | Access Family Health - Smithville Clinic |
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Speciality | Clinic/Center |
Location | 60021 Monroe St, Smithville, Mississippi |
Authorized Official Name and Position | Marilyn Sumerford (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6626514686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Family Health - Smithville Clinic Po Box 305 Smithville MS 38870-0305 Ph: (662) 651-4637 | Access Family Health - Smithville Clinic 60021 Monroe St Smithville MS 38870-7779 Ph: (662) 651-4637 |
NPI Number | 1457453730 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 06/25/2014 |
Medicare PECOS PAC ID | 4082509492 |
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Medicare Enrollment ID | O20040216000862 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457453730 | NPI | - | NPPES |
DB3359 | Other | RAILROAD MEDICARE PTAN | |
09011581 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Provider Name | James M Monroe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982706263 PECOS PAC ID: 8729045695 Enrollment ID: I20041213000271 |
Provider Name | Kevin R Koehler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710955984 PECOS PAC ID: 7416967344 Enrollment ID: I20060421000424 |
Provider Name | Carissa Searcy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568564870 PECOS PAC ID: 3678573094 Enrollment ID: I20070109000607 |
Provider Name | David B Sumerford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508193459 PECOS PAC ID: 1759423791 Enrollment ID: I20100128000625 |
Provider Name | Amelia Higginbottom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609093665 PECOS PAC ID: 7113054529 Enrollment ID: I20100416000034 |
Provider Name | Whitney Johnson Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780967596 PECOS PAC ID: 9234304866 Enrollment ID: I20111209000666 |
Provider Name | Teresa N Brown |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649361973 PECOS PAC ID: 4789859315 Enrollment ID: I20111209000672 |
Provider Name | Jamesha Tumblin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083975742 PECOS PAC ID: 1254586266 Enrollment ID: I20130223000026 |
Provider Name | Neil Robert Wanee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730153586 PECOS PAC ID: 6709942568 Enrollment ID: I20140807002079 |
Provider Name | Kathryn C Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932589058 PECOS PAC ID: 5597066951 Enrollment ID: I20151209001782 |
Provider Name | Alisha M Parham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669927885 PECOS PAC ID: 4688956006 Enrollment ID: I20170119002480 |
Provider Name | Megan Celeste Hardin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710496559 PECOS PAC ID: 4082973540 Enrollment ID: I20180109002623 |
Provider Name | Katherine Elizabeth Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750869517 PECOS PAC ID: 9739438623 Enrollment ID: I20180827001974 |
Provider Name | Britny Bramlett Owens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427580927 PECOS PAC ID: 7315285681 Enrollment ID: I20190212000781 |
Provider Name | Shannon C Burt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942760210 PECOS PAC ID: 4183957533 Enrollment ID: I20190618000310 |
Provider Name | Angela Floyd |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598026353 PECOS PAC ID: 3173858560 Enrollment ID: I20190708000940 |
Provider Name | Melissa K Beach |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073850970 PECOS PAC ID: 3375975782 Enrollment ID: I20191122001059 |
Provider Name | Hallie Brianna Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770103053 PECOS PAC ID: 0244629046 Enrollment ID: I20211117001268 |
Provider Name | Akira Keyana Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972110963 PECOS PAC ID: 6002208915 Enrollment ID: I20220126000497 |
Provider Name | Adam M Guntharp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073007688 PECOS PAC ID: 5496003386 Enrollment ID: I20220831000410 |
Provider Name | Sara Cagle |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1912693391 PECOS PAC ID: 3476912775 Enrollment ID: I20230705001820 |
Provider Name | Jenny Farris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417662925 PECOS PAC ID: 8426419490 Enrollment ID: I20230807003917 |
Provider Name | Sanjuana Nicole Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609576529 PECOS PAC ID: 2668829540 Enrollment ID: I20231114003862 |
Provider Name | Ericka Nycole Taylor |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508639675 PECOS PAC ID: 4183068588 Enrollment ID: I20240213003871 |
Provider Name | Carleigh Ballard-sayonh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528688819 PECOS PAC ID: 9739527680 Enrollment ID: I20240410003788 |
Access Mobile Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60021 Monroe St, Smithville, MS 38870 Phone: 662-651-4637 | |
Access Family Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60024 Olive St, Smithville, MS 38870 Phone: 662-651-7111 Fax: 662-651-7115 | |
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