| Baptist Medical Clinics | |
|
1200 N State St Ste 270 Jackson MS 39202-2027 | |
| (601) 974-6246 | |
| (601) 353-4414 |
| Full Name | Baptist Medical Clinics |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 N State St Ste 270, Jackson, Mississippi |
| Authorized Official Name and Position | Gregory M Duckett (SR VP/CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Medical Clinics 350 N Humphreys Blvd Memphis TN 38120-2177 Ph: (601) 292-4261 | Baptist Medical Clinics 1200 N State St Ste 270 Jackson MS 39202-2027 Ph: (601) 974-6246 |
| NPI Number | 1992774814 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 1153216411 |
|---|---|
| Medicare Enrollment ID | O20040217000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992774814 | NPI | - | NPPES |
| 03807380 | Medicaid | MS |
| Provider Name | Susan L Graning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831252683 PECOS PAC ID: 6709788789 Enrollment ID: I20040121000571 |
| Provider Name | Nanette A Ballard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356367312 PECOS PAC ID: 0143123364 Enrollment ID: I20040130000451 |
| Provider Name | Massie Headley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649249426 PECOS PAC ID: 0446145288 Enrollment ID: I20040219000497 |
| Provider Name | William Castle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538138391 PECOS PAC ID: 8729973573 Enrollment ID: I20040219000559 |
| Provider Name | Larry Md Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164491924 PECOS PAC ID: 0749175503 Enrollment ID: I20040219000629 |
| Provider Name | Robert Scott French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295704989 PECOS PAC ID: 8325933062 Enrollment ID: I20040220000207 |
| Provider Name | Robert A Sheely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104895028 PECOS PAC ID: 3678468360 Enrollment ID: I20040220000523 |
| Provider Name | Mark O Rester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538140512 PECOS PAC ID: 8820989205 Enrollment ID: I20040324000179 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20040330001252 |
| Provider Name | Edward T Cullom |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710997135 PECOS PAC ID: 2961495304 Enrollment ID: I20040403000133 |
| Provider Name | Harold R Nichols |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699726158 PECOS PAC ID: 3375536592 Enrollment ID: I20040405001055 |
| Provider Name | Michael L Folkes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295834018 PECOS PAC ID: 3779576905 Enrollment ID: I20040405001113 |
| Provider Name | Joseph A Kwentus |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1477582096 PECOS PAC ID: 3678567245 Enrollment ID: I20040414001441 |
| Provider Name | Mohammed I Awaad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720039043 PECOS PAC ID: 4688669187 Enrollment ID: I20040415000421 |
| Provider Name | Jodi M Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720193675 PECOS PAC ID: 2466449319 Enrollment ID: I20040430000614 |
| Provider Name | Douglas D Harkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457376915 PECOS PAC ID: 6901895879 Enrollment ID: I20040507000382 |
| Provider Name | Lucius F Sams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003838699 PECOS PAC ID: 4284618828 Enrollment ID: I20040615000566 |
| Provider Name | David Flemming |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093726739 PECOS PAC ID: 9234113531 Enrollment ID: I20040615000832 |
| Provider Name | Debashis Biswas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831144039 PECOS PAC ID: 0840277620 Enrollment ID: I20040630000319 |
| Provider Name | Shara M Beckwith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609864974 PECOS PAC ID: 8628056595 Enrollment ID: I20040708001048 |
| Provider Name | Tommie K Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023187689 PECOS PAC ID: 7315925591 Enrollment ID: I20040713000919 |
| Provider Name | Blakeley F Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184675571 PECOS PAC ID: 8527053214 Enrollment ID: I20040723000138 |
| Provider Name | Michael S Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619943503 PECOS PAC ID: 2860472404 Enrollment ID: I20040723000147 |
| Provider Name | Cheyne A Robinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548332224 PECOS PAC ID: 4587634654 Enrollment ID: I20040727001006 |
| Provider Name | Charles D Herrington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043263122 PECOS PAC ID: 4486635208 Enrollment ID: I20040817000639 |
| Provider Name | Zina D Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134158579 PECOS PAC ID: 5193798916 Enrollment ID: I20040818001063 |
| Provider Name | James William Erwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972542512 PECOS PAC ID: 1153397963 Enrollment ID: I20040902001250 |
| Provider Name | William H Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245341726 PECOS PAC ID: 1254308885 Enrollment ID: I20040914000352 |
| Provider Name | James L Moore |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265479471 PECOS PAC ID: 3274592787 Enrollment ID: I20041008000661 |
| Provider Name | Eniola O Otuseso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962451757 PECOS PAC ID: 6608836952 Enrollment ID: I20041216000662 |
| Provider Name | David S Braden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689697336 PECOS PAC ID: 8426015876 Enrollment ID: I20050103000207 |
| Provider Name | Howard R Holaday |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790795110 PECOS PAC ID: 3971555830 Enrollment ID: I20050218000516 |
| Provider Name | Lee C Woods |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639142870 PECOS PAC ID: 7113973868 Enrollment ID: I20050324001093 |
| Provider Name | Ronnie K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104860907 PECOS PAC ID: 8527005669 Enrollment ID: I20050411001065 |
| Provider Name | Sonya K Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952383812 PECOS PAC ID: 9234177106 Enrollment ID: I20050420001394 |
| Provider Name | Salvador Arceo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831148972 PECOS PAC ID: 4082655725 Enrollment ID: I20050512000783 |
| Provider Name | Bruce Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730199290 PECOS PAC ID: 8729021118 Enrollment ID: I20050607000393 |
| Provider Name | Jerry M Sheppard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649280983 PECOS PAC ID: 6608801048 Enrollment ID: I20051004000864 |
| Provider Name | Kenneth C Ball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770593014 PECOS PAC ID: 6002831237 Enrollment ID: I20051006000967 |
| Provider Name | Mary A Gordy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124167325 PECOS PAC ID: 8527084177 Enrollment ID: I20051021000885 |
| Provider Name | John W Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306814801 PECOS PAC ID: 3971520362 Enrollment ID: I20051025000677 |
| Provider Name | William Keith Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874571 PECOS PAC ID: 9234156639 Enrollment ID: I20051025000787 |
| Provider Name | Troy O Walters |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710069828 PECOS PAC ID: 4284654369 Enrollment ID: I20051205000290 |
| Provider Name | Elizabeth Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205844537 PECOS PAC ID: 1153343132 Enrollment ID: I20051220000156 |
| Provider Name | Mabel Zevallos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336197649 PECOS PAC ID: 1153337548 Enrollment ID: I20060222000297 |
| Provider Name | Michael C Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881643369 PECOS PAC ID: 2264448802 Enrollment ID: I20060306000625 |
| Provider Name | Ehsan-ullah Khan Durrani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144253626 PECOS PAC ID: 1658341755 Enrollment ID: I20060421000460 |
| Provider Name | Katheryn N Del Castillo-arceo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609945716 PECOS PAC ID: 5294745881 Enrollment ID: I20060426000789 |
| Provider Name | James G Burnham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881644367 PECOS PAC ID: 6608870704 Enrollment ID: I20060901000252 |
| Provider Name | Cameron Guild |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396771366 PECOS PAC ID: 2668476425 Enrollment ID: I20060908000447 |
| Provider Name | Eric A Mcvey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467433995 PECOS PAC ID: 1951296219 Enrollment ID: I20060926000538 |
| Provider Name | Ladean J Livingston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992726137 PECOS PAC ID: 4183620354 Enrollment ID: I20061011000199 |
| Provider Name | David N Duddleston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003840539 PECOS PAC ID: 0143228775 Enrollment ID: I20061115000247 |
| Provider Name | Clinton E Hull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437232717 PECOS PAC ID: 8729021670 Enrollment ID: I20070123000189 |
| Provider Name | Gregory Myrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134234941 PECOS PAC ID: 5890796221 Enrollment ID: I20070126000427 |
| Provider Name | Stacey Snyder Pannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831267756 PECOS PAC ID: 7113929282 Enrollment ID: I20070202000498 |
| Provider Name | Fakhri Dalati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013967835 PECOS PAC ID: 3173590320 Enrollment ID: I20070322000387 |
| Provider Name | Michael S King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992861298 PECOS PAC ID: 4082712500 Enrollment ID: I20070607000229 |
| Provider Name | Angela T Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407884356 PECOS PAC ID: 0648379149 Enrollment ID: I20070625000419 |
| Provider Name | Laurie H Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609071265 PECOS PAC ID: 6709985054 Enrollment ID: I20070627000228 |
| Provider Name | Kevin Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841492568 PECOS PAC ID: 1355432782 Enrollment ID: I20070814000338 |
| Provider Name | Keith D Thorne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467559476 PECOS PAC ID: 8729171905 Enrollment ID: I20070904000412 |
| Provider Name | Joseph B Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417155896 PECOS PAC ID: 5092808188 Enrollment ID: I20070905000739 |
| Provider Name | William C Renfrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073625273 PECOS PAC ID: 3375637192 Enrollment ID: I20070924000401 |
| Provider Name | Anamaria Andrei |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285829200 PECOS PAC ID: 7416044045 Enrollment ID: I20071030000205 |
| Provider Name | Christina L Barlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043244510 PECOS PAC ID: 4385732866 Enrollment ID: I20071116000244 |
| Provider Name | Steven A. Bigler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396776258 PECOS PAC ID: 8426145145 Enrollment ID: I20071127000424 |
| Provider Name | Kimberly W Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073548350 PECOS PAC ID: 1850480724 Enrollment ID: I20071129000377 |
| Provider Name | Jeanette L Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912927526 PECOS PAC ID: 7012006984 Enrollment ID: I20071129000396 |
| Provider Name | Jennifer F Rhea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568651289 PECOS PAC ID: 1153405550 Enrollment ID: I20080225000131 |
| Provider Name | Carrie Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790907707 PECOS PAC ID: 7214011642 Enrollment ID: I20080225000363 |
| Provider Name | Frank Criddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447279526 PECOS PAC ID: 6204910052 Enrollment ID: I20080303000682 |
| Provider Name | Amanda K Purser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689876864 PECOS PAC ID: 8628154671 Enrollment ID: I20080401000085 |
| Provider Name | Lewis Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700896263 PECOS PAC ID: 6800972860 Enrollment ID: I20080401000164 |
| Provider Name | Scott M Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366556557 PECOS PAC ID: 0547347106 Enrollment ID: I20080407000222 |
| Provider Name | David M Bartley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255516126 PECOS PAC ID: 2769569300 Enrollment ID: I20080408000160 |
| Provider Name | John H Hammett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982809687 PECOS PAC ID: 8022187947 Enrollment ID: I20080519000565 |
| Provider Name | Samuel Todd Lawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578582417 PECOS PAC ID: 6608946744 Enrollment ID: I20080602000631 |
| Provider Name | Todd A Clayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386621936 PECOS PAC ID: 1951471960 Enrollment ID: I20080604000042 |
| Provider Name | Gordon Delashmet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538104757 PECOS PAC ID: 3375623549 Enrollment ID: I20080605000851 |
| Provider Name | Henry C Waterer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326064601 PECOS PAC ID: 3779653340 Enrollment ID: I20080609000506 |
| Provider Name | Meredith H Covington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821186917 PECOS PAC ID: 5395847636 Enrollment ID: I20080616000618 |
| Provider Name | Steven R Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629243530 PECOS PAC ID: 7719059211 Enrollment ID: I20080627000278 |
| Provider Name | Keith O Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316131568 PECOS PAC ID: 3375615669 Enrollment ID: I20080701000523 |
| Provider Name | James L Warnock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356360119 PECOS PAC ID: 1254415698 Enrollment ID: I20080708000362 |
| Provider Name | Bret J Barrett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265640577 PECOS PAC ID: 3779657960 Enrollment ID: I20080806000375 |
| Provider Name | Susan B Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003835885 PECOS PAC ID: 3870668320 Enrollment ID: I20080818000381 |
| Provider Name | Jason K Taylor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649481607 PECOS PAC ID: 5597830042 Enrollment ID: I20080818000401 |
| Provider Name | William J Harris |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1912058520 PECOS PAC ID: 6901972793 Enrollment ID: I20080902000170 |
| Provider Name | Christy M Nohra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992905384 PECOS PAC ID: 9638245293 Enrollment ID: I20080904000497 |
| Provider Name | John A Bellan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609883446 PECOS PAC ID: 1254408818 Enrollment ID: I20080923000631 |
| Provider Name | Alfredo H Figueroa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134236128 PECOS PAC ID: 0840367405 Enrollment ID: I20080923000680 |
| Provider Name | Michael R Byers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346311982 PECOS PAC ID: 0244121986 Enrollment ID: I20080925000304 |
| Provider Name | Adrienne Sizer-johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275754285 PECOS PAC ID: 5496823874 Enrollment ID: I20081013000301 |
| Provider Name | Carrie R Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851590871 PECOS PAC ID: 6103984042 Enrollment ID: I20081022000411 |
| Provider Name | Susan S Byrd |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871756635 PECOS PAC ID: 1557423894 Enrollment ID: I20081222000302 |
| Provider Name | Deepika Majithia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316961139 PECOS PAC ID: 4688739345 Enrollment ID: I20090212000001 |
| Provider Name | Gina B Burge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184879439 PECOS PAC ID: 3476619651 Enrollment ID: I20090313000265 |
| Provider Name | John L Cross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770794695 PECOS PAC ID: 5890846745 Enrollment ID: I20090706000501 |
| Provider Name | Lynne C Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922147123 PECOS PAC ID: 3274688320 Enrollment ID: I20090826000291 |
| Provider Name | Craig V Adams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114969011 PECOS PAC ID: 5193728905 Enrollment ID: I20090827000603 |
| Provider Name | Mitchell W Mcgarrh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871530709 PECOS PAC ID: 5193871663 Enrollment ID: I20090928000677 |
| Provider Name | William T Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760564660 PECOS PAC ID: 0042356107 Enrollment ID: I20091005000306 |
| Provider Name | Ashley B Pullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400403 PECOS PAC ID: 8921145194 Enrollment ID: I20091020000493 |
| Provider Name | Rosalind Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598982993 PECOS PAC ID: 4789721812 Enrollment ID: I20091022000332 |
| Provider Name | Jimmy V Wolfe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093791220 PECOS PAC ID: 7810953478 Enrollment ID: I20091202000269 |
| Provider Name | Anesha M Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760661821 PECOS PAC ID: 9234219494 Enrollment ID: I20100205000606 |
| Provider Name | Lynne Anne Orozco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477741569 PECOS PAC ID: 5092859959 Enrollment ID: I20100217000013 |
| Provider Name | Kevin A Heintzelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184701344 PECOS PAC ID: 4082758891 Enrollment ID: I20100217000535 |
| Provider Name | Jeffrey A Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497710685 PECOS PAC ID: 5496884033 Enrollment ID: I20100520000272 |
| Provider Name | Katherine M Jett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407854938 PECOS PAC ID: 9234118084 Enrollment ID: I20100622000802 |
| Provider Name | Lisa A Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174855647 PECOS PAC ID: 8820129661 Enrollment ID: I20100623000472 |
| Provider Name | Albert Michael Koury |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225143910 PECOS PAC ID: 3678607918 Enrollment ID: I20100823000355 |
| Provider Name | Sarah Tatum-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437380961 PECOS PAC ID: 6305960345 Enrollment ID: I20100827000848 |
| Provider Name | Derek Letort |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023202272 PECOS PAC ID: 3678645744 Enrollment ID: I20101013000681 |
| Provider Name | Melynda C Noble |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598734808 PECOS PAC ID: 1658566609 Enrollment ID: I20101116000585 |
| Provider Name | Scott A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447405998 PECOS PAC ID: 2466647375 Enrollment ID: I20101117000311 |
| Provider Name | Heather M Kuriger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609181882 PECOS PAC ID: 2668668542 Enrollment ID: I20101118000767 |
| Provider Name | Jeffrey Leduff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912079161 PECOS PAC ID: 5890981005 Enrollment ID: I20101130001216 |
| Provider Name | Paul Douglas Vanlandingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992877047 PECOS PAC ID: 1557557642 Enrollment ID: I20101201000906 |
| Provider Name | Donna A Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932272200 PECOS PAC ID: 5991991978 Enrollment ID: I20101202000692 |
| Provider Name | Benjamin B Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326378357 PECOS PAC ID: 7012105257 Enrollment ID: I20110103000609 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110128000153 |
| Provider Name | Mohammad A. Ali |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679759898 PECOS PAC ID: 8628258654 Enrollment ID: I20110209000233 |
| Provider Name | Kelley Michel Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679596613 PECOS PAC ID: 4789865205 Enrollment ID: I20110216000863 |
| Provider Name | Margaret M Prasanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093033656 PECOS PAC ID: 1355522046 Enrollment ID: I20110301000669 |
| Provider Name | Chad A Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417253840 PECOS PAC ID: 5092999805 Enrollment ID: I20110401000562 |
| Provider Name | Terance Hardeman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659674356 PECOS PAC ID: 2860676418 Enrollment ID: I20110406000663 |
| Provider Name | Jon Beall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922179548 PECOS PAC ID: 5395856280 Enrollment ID: I20110419000421 |
| Provider Name | Sheon H Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114256260 PECOS PAC ID: 3173651254 Enrollment ID: I20110419000673 |
| Provider Name | Kenisha Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811044613 PECOS PAC ID: 4284819111 Enrollment ID: I20110419000708 |
| Provider Name | Michael C Roberson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669508263 PECOS PAC ID: 3375430747 Enrollment ID: I20110512000121 |
| Provider Name | Joshua C Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104024769 PECOS PAC ID: 3779760061 Enrollment ID: I20110614000759 |
| Provider Name | Vicky D Mclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528221009 PECOS PAC ID: 3274702311 Enrollment ID: I20110808000315 |
| Provider Name | Jasmine Sandhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154584811 PECOS PAC ID: 6709055338 Enrollment ID: I20110816000254 |
| Provider Name | Bonny A Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306126271 PECOS PAC ID: 2668644824 Enrollment ID: I20111012000108 |
| Provider Name | Samuel Peeples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659443836 PECOS PAC ID: 1759492648 Enrollment ID: I20111114000029 |
| Provider Name | Gina B Seago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952473084 PECOS PAC ID: 5092989822 Enrollment ID: I20111114000283 |
| Provider Name | Charles R Frye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740331099 PECOS PAC ID: 7214194661 Enrollment ID: I20120213000750 |
| Provider Name | Kenyatta N Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457633034 PECOS PAC ID: 5799943106 Enrollment ID: I20120214000728 |
| Provider Name | Stuart L Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275763823 PECOS PAC ID: 1456547975 Enrollment ID: I20120327000425 |
| Provider Name | Stephen Epperson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013902725 PECOS PAC ID: 2668474990 Enrollment ID: I20120417000240 |
| Provider Name | Jennifer E Tuccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871872820 PECOS PAC ID: 3173787967 Enrollment ID: I20120606000665 |
| Provider Name | Neal I Shparago |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326121542 PECOS PAC ID: 5193980878 Enrollment ID: I20120702000239 |
| Provider Name | David J Sinclair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235391046 PECOS PAC ID: 9032368048 Enrollment ID: I20121008000610 |
| Provider Name | Deletha Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255409173 PECOS PAC ID: 0244480119 Enrollment ID: I20121031000121 |
| Provider Name | Jessica Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760646426 PECOS PAC ID: 7719138163 Enrollment ID: I20121112000075 |
| Provider Name | Sridevi Alla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700016763 PECOS PAC ID: 0345491247 Enrollment ID: I20121126000446 |
| Provider Name | Amanda K Covault |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154385490 PECOS PAC ID: 1658262621 Enrollment ID: I20130219000393 |
| Provider Name | Kimberly D Apostolidis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023307840 PECOS PAC ID: 3375781354 Enrollment ID: I20130603000625 |
| Provider Name | Shanna A Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205178241 PECOS PAC ID: 8022256023 Enrollment ID: I20130604000088 |
| Provider Name | Erin M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730439407 PECOS PAC ID: 8527218361 Enrollment ID: I20130718000557 |
| Provider Name | Eric M Reiners |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396057618 PECOS PAC ID: 3577704360 Enrollment ID: I20130719000604 |
| Provider Name | Matthew Kenyon George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659383297 PECOS PAC ID: 4284531096 Enrollment ID: I20130820000671 |
| Provider Name | Daniel E Ramirez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386933000 PECOS PAC ID: 5395988257 Enrollment ID: I20130826000685 |
| Provider Name | Timothy C Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073830790 PECOS PAC ID: 2365685146 Enrollment ID: I20130826000996 |
| Provider Name | Jana Phillips |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477714731 PECOS PAC ID: 5991949166 Enrollment ID: I20130910000818 |
| Provider Name | Lauren B Treadwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801108196 PECOS PAC ID: 0345484994 Enrollment ID: I20130920000295 |
| Provider Name | Joseph Shannon Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730511064 PECOS PAC ID: 9335105337 Enrollment ID: I20131024001418 |
| Provider Name | Jason J Shannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972935641 PECOS PAC ID: 3779718804 Enrollment ID: I20131028000472 |
| Provider Name | Sara Shrock Sanders |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477783850 PECOS PAC ID: 2668607573 Enrollment ID: I20131031000955 |
| Provider Name | Cyril Mark Anara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053660969 PECOS PAC ID: 5496983611 Enrollment ID: I20140116000081 |
| Provider Name | Ayesha Khalid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679702302 PECOS PAC ID: 0941496848 Enrollment ID: I20140210001619 |
| Provider Name | Jason Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225476864 PECOS PAC ID: 1759523715 Enrollment ID: I20140505000916 |
| Provider Name | Spencer K Sullivan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073735114 PECOS PAC ID: 0749445195 Enrollment ID: I20140804000267 |
| Provider Name | Seth Compton |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043449598 PECOS PAC ID: 2466670765 Enrollment ID: I20140828001161 |
| Provider Name | Stacey O Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750705513 PECOS PAC ID: 9931329471 Enrollment ID: I20141003000716 |
| Provider Name | Stuart L Britt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093130312 PECOS PAC ID: 6507081809 Enrollment ID: I20141023001946 |
| Provider Name | Penny Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598191298 PECOS PAC ID: 0547481798 Enrollment ID: I20141031001685 |
| Provider Name | Kathleen Boyles Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720497951 PECOS PAC ID: 3870715972 Enrollment ID: I20141105000232 |
| Provider Name | Cornell D Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871917294 PECOS PAC ID: 8426289786 Enrollment ID: I20141111000581 |
| Provider Name | Kathryn B Brown |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023362456 PECOS PAC ID: 9234356023 Enrollment ID: I20150116000528 |
| Provider Name | James Zebedee Whatley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184988594 PECOS PAC ID: 5597083998 Enrollment ID: I20150513000709 |
| Provider Name | James R Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336540715 PECOS PAC ID: 5496069775 Enrollment ID: I20150730012220 |
| Provider Name | Nader G Atalla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497083901 PECOS PAC ID: 7618012626 Enrollment ID: I20150817001763 |
| Provider Name | Antonella T Marchionna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180107 PECOS PAC ID: 9436464633 Enrollment ID: I20150818003574 |
| Provider Name | Claudia W Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972530632 PECOS PAC ID: 7911212964 Enrollment ID: I20150819008688 |
| Provider Name | Patrick Ross Thurmond |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275897670 PECOS PAC ID: 4880913193 Enrollment ID: I20150827000823 |
| Provider Name | Melissa E Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578795134 PECOS PAC ID: 9537215694 Enrollment ID: I20150904000299 |
| Provider Name | Raven Ladner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740549781 PECOS PAC ID: 8729211164 Enrollment ID: I20151012002123 |
| Provider Name | Lacey Whittington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164832408 PECOS PAC ID: 0446569057 Enrollment ID: I20151022000692 |
| Provider Name | Dino Robert Phillippi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841551496 PECOS PAC ID: 1759511025 Enrollment ID: I20151103001188 |
| Provider Name | Ka'trevia A Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083021984 PECOS PAC ID: 7214247873 Enrollment ID: I20151111000305 |
| Provider Name | Bryce Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265809685 PECOS PAC ID: 2163732736 Enrollment ID: I20151111000588 |
| Provider Name | Christian A Zegarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285900563 PECOS PAC ID: 7618277823 Enrollment ID: I20151119001599 |
| Provider Name | Brandi A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316328461 PECOS PAC ID: 4183924939 Enrollment ID: I20151130000904 |
| Provider Name | Ajay R Vongala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089508 PECOS PAC ID: 9133429764 Enrollment ID: I20151203000378 |
| Provider Name | Sudheer Tangella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124382536 PECOS PAC ID: 8527382415 Enrollment ID: I20151205000078 |
| Provider Name | Alexis Chika Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20151207001701 |
| Provider Name | Dixie W Ishee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508057811 PECOS PAC ID: 2062594864 Enrollment ID: I20160114000255 |
| Provider Name | Kelli Conwill Cranford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528431145 PECOS PAC ID: 8628371705 Enrollment ID: I20160122002129 |
| Provider Name | Pegah Hosseini-carroll |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316180870 PECOS PAC ID: 5890095962 Enrollment ID: I20160123000139 |
| Provider Name | Mary Austin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518262237 PECOS PAC ID: 3375847924 Enrollment ID: I20160202002377 |
| Provider Name | Robin Bayles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437454055 PECOS PAC ID: 5092019562 Enrollment ID: I20160203000813 |
| Provider Name | Lisa Hodges |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851696561 PECOS PAC ID: 1759685274 Enrollment ID: I20160203002096 |
| Provider Name | Jason Reeves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275546103 PECOS PAC ID: 7618271164 Enrollment ID: I20160204000323 |
| Provider Name | Krista Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568767242 PECOS PAC ID: 1052615416 Enrollment ID: I20160204000817 |
| Provider Name | Sharon Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588029508 PECOS PAC ID: 9335443605 Enrollment ID: I20160205001978 |
| Provider Name | Robbin Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679877336 PECOS PAC ID: 5496059768 Enrollment ID: I20160205002083 |
| Provider Name | Rebecca Lee Cauthen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134589930 PECOS PAC ID: 9638476484 Enrollment ID: I20160323000411 |
| Provider Name | James Earl Bankhead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386015311 PECOS PAC ID: 3678873213 Enrollment ID: I20160328000883 |
| Provider Name | Robert L Summers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871856534 PECOS PAC ID: 9436372281 Enrollment ID: I20160418001578 |
| Provider Name | Jonathan M Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073925244 PECOS PAC ID: 5496079386 Enrollment ID: I20160526000989 |
| Provider Name | Shawn W Sanders |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629207170 PECOS PAC ID: 1850682220 Enrollment ID: I20160615002597 |
| Provider Name | Dana Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457706913 PECOS PAC ID: 0941591929 Enrollment ID: I20160622001329 |
| Provider Name | Stephen D Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508206913 PECOS PAC ID: 0143547281 Enrollment ID: I20160623001424 |
| Provider Name | Joel Nutt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1265720791 PECOS PAC ID: 0941526891 Enrollment ID: I20160727001978 |
| Provider Name | Laura R Daily |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982961728 PECOS PAC ID: 3678723483 Enrollment ID: I20160802001790 |
| Provider Name | David Charles Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053751370 PECOS PAC ID: 1557685336 Enrollment ID: I20160803001701 |
| Provider Name | Rebecca Pace |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003103516 PECOS PAC ID: 2365736550 Enrollment ID: I20160811000028 |
| Provider Name | Christina Glover |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356638845 PECOS PAC ID: 8123312162 Enrollment ID: I20160813000076 |
| Provider Name | Susan Duong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346415114 PECOS PAC ID: 9436292323 Enrollment ID: I20160829000101 |
| Provider Name | Jessica C Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891148011 PECOS PAC ID: 6901194166 Enrollment ID: I20161004002298 |
| Provider Name | Heidi Rhodus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922479658 PECOS PAC ID: 5395023907 Enrollment ID: I20161102002500 |
| Provider Name | Rebecca L Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750830378 PECOS PAC ID: 8224317391 Enrollment ID: I20161111001588 |
| Provider Name | Laurie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854323 PECOS PAC ID: 5991085458 Enrollment ID: I20161130000094 |
| Provider Name | Harold A Dungan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841619301 PECOS PAC ID: 4587888961 Enrollment ID: I20170106000431 |
| Provider Name | Mary C Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396288197 PECOS PAC ID: 7911289152 Enrollment ID: I20170123002050 |
| Provider Name | William B Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326580820 PECOS PAC ID: 9739462326 Enrollment ID: I20170206000401 |
| Provider Name | Rachel P Hearst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811396971 PECOS PAC ID: 8527342393 Enrollment ID: I20170223001235 |
| Provider Name | Bridget Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790040533 PECOS PAC ID: 7315221959 Enrollment ID: I20170228000606 |
| Provider Name | Kenneth L Boswell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053380568 PECOS PAC ID: 7214918606 Enrollment ID: I20170322000553 |
| Provider Name | Samantha Harpole Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598197576 PECOS PAC ID: 1254616303 Enrollment ID: I20170403000300 |
| Provider Name | Jared K Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154686541 PECOS PAC ID: 1355657305 Enrollment ID: I20170405002281 |
| Provider Name | Denise Mcduffey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114339082 PECOS PAC ID: 7214257955 Enrollment ID: I20170616002218 |
| Provider Name | Melissa Yvonne White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033643432 PECOS PAC ID: 7618246752 Enrollment ID: I20170816002914 |
| Provider Name | Tyler W Winford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659630911 PECOS PAC ID: 3173830635 Enrollment ID: I20170818000343 |
| Provider Name | Katie F Berry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609143015 PECOS PAC ID: 9234305046 Enrollment ID: I20170906000623 |
| Provider Name | Menarvia Nixon Gaddis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407173453 PECOS PAC ID: 8729384185 Enrollment ID: I20170918000220 |
| Provider Name | Nathaniel H Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548672868 PECOS PAC ID: 6305164716 Enrollment ID: I20170927001938 |
| Provider Name | Brandi D Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497271415 PECOS PAC ID: 9739455460 Enrollment ID: I20171025002226 |
| Provider Name | Stephen D Dill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316297500 PECOS PAC ID: 2668739459 Enrollment ID: I20171204001203 |
| Provider Name | Laura K Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386164630 PECOS PAC ID: 3577822972 Enrollment ID: I20180110001878 |
| Provider Name | Terica Herron Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720490691 PECOS PAC ID: 7719294487 Enrollment ID: I20180116001314 |
| Provider Name | Kasi C Saucier |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326561721 PECOS PAC ID: 1153680822 Enrollment ID: I20180126000200 |
| Provider Name | Amy E. Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346751195 PECOS PAC ID: 4981964947 Enrollment ID: I20180212002795 |
| Provider Name | Paula Leigh Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902322787 PECOS PAC ID: 5890057459 Enrollment ID: I20180319000973 |
| Provider Name | Hope N Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932552643 PECOS PAC ID: 4587929575 Enrollment ID: I20180522001263 |
| Provider Name | Rae R Quigley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952795403 PECOS PAC ID: 7315253341 Enrollment ID: I20180627001336 |
| Provider Name | Kathryn Audell Piburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275828030 PECOS PAC ID: 8123206422 Enrollment ID: I20180709000401 |
| Provider Name | Kimberly Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831681345 PECOS PAC ID: 1456608926 Enrollment ID: I20180716002890 |
| Provider Name | Andrew Q Weeks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346504768 PECOS PAC ID: 7618224783 Enrollment ID: I20180719003387 |
| Provider Name | Yathish Haralur Sreekantaiah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265747117 PECOS PAC ID: 0648550236 Enrollment ID: I20180918002688 |
| Provider Name | Charvi N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013398213 PECOS PAC ID: 5597071738 Enrollment ID: I20181018002873 |
| Provider Name | Sarika Chandak Bedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710366992 PECOS PAC ID: 7517273691 Enrollment ID: I20181020000079 |
| Provider Name | Megan J Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710461389 PECOS PAC ID: 4183978851 Enrollment ID: I20181115001062 |
| Provider Name | Melissa Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063989036 PECOS PAC ID: 2264777887 Enrollment ID: I20181228001806 |
| Provider Name | Meghan Blankenship Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205307543 PECOS PAC ID: 2062759640 Enrollment ID: I20190122001145 |
| Provider Name | Erin Hamilton Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046585 PECOS PAC ID: 1355689365 Enrollment ID: I20190218002489 |
| Provider Name | Azniv Azar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700298411 PECOS PAC ID: 3072865716 Enrollment ID: I20190314000722 |
| Provider Name | Bobbie Evans Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942778311 PECOS PAC ID: 0244570604 Enrollment ID: I20190321000318 |
| Provider Name | Monique M Mclaurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356805345 PECOS PAC ID: 9537400684 Enrollment ID: I20190418000377 |
| Provider Name | Xin Qi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427442391 PECOS PAC ID: 2163739723 Enrollment ID: I20190802001224 |
| Provider Name | David L Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861846313 PECOS PAC ID: 4981992302 Enrollment ID: I20190805002397 |
| Provider Name | Susan Frichter Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114377298 PECOS PAC ID: 3274827191 Enrollment ID: I20190819003997 |
| Provider Name | Michelle Massad Glorioso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205498243 PECOS PAC ID: 7416285309 Enrollment ID: I20190830001315 |
| Provider Name | Meredith Celeste Boston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467012203 PECOS PAC ID: 3072842780 Enrollment ID: I20190905001935 |
| Provider Name | David C Marbury |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396164802 PECOS PAC ID: 5799007654 Enrollment ID: I20190916001314 |
| Provider Name | Morgan Ariel Doty-moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538713839 PECOS PAC ID: 4688904576 Enrollment ID: I20190918003463 |
| Provider Name | Brady K Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386290955 PECOS PAC ID: 3779814447 Enrollment ID: I20191010000846 |
| Provider Name | Amanda Stauble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768331 PECOS PAC ID: 3779814330 Enrollment ID: I20191011001778 |
| Provider Name | Lauren Lanier Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053962068 PECOS PAC ID: 4981036753 Enrollment ID: I20191115001905 |
| Provider Name | Emily Mangum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992356158 PECOS PAC ID: 5395179790 Enrollment ID: I20191217003200 |
| Provider Name | Lindsey G Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629619325 PECOS PAC ID: 1951735885 Enrollment ID: I20191230001922 |
| Provider Name | Frank Haugland |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578557013 PECOS PAC ID: 2567439268 Enrollment ID: I20200219001617 |
| Provider Name | Cameron Nicole Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265080584 PECOS PAC ID: 5890124499 Enrollment ID: I20200402001743 |
| Provider Name | Stephen Robert Chow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558774174 PECOS PAC ID: 1759606866 Enrollment ID: I20200421000523 |
| Provider Name | Rahat M Bhatti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831489301 PECOS PAC ID: 7719114586 Enrollment ID: I20200617002698 |
| Provider Name | Matthew Brett Hyatt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396156394 PECOS PAC ID: 4789998733 Enrollment ID: I20200630001230 |
| Provider Name | Adrienne W Maier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841601861 PECOS PAC ID: 1153673967 Enrollment ID: I20200710001091 |
| Provider Name | Ian C White-gittens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073034831 PECOS PAC ID: 1456775790 Enrollment ID: I20200721000750 |
| Provider Name | Abdu Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851824171 PECOS PAC ID: 2668743535 Enrollment ID: I20200729000573 |
| Provider Name | Allison Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073131074 PECOS PAC ID: 1557786142 Enrollment ID: I20200729003174 |
| Provider Name | Romaisa Wadood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467976977 PECOS PAC ID: 7911246905 Enrollment ID: I20200810000577 |
| Provider Name | Vanessa Louise Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023643715 PECOS PAC ID: 4082031927 Enrollment ID: I20200824003015 |
| Provider Name | Melissa E Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184156804 PECOS PAC ID: 9537439625 Enrollment ID: I20200824003175 |
| Provider Name | Jadeline Anyumba-mitema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457873812 PECOS PAC ID: 8628332228 Enrollment ID: I20200901000618 |
| Provider Name | Galen A Ohnmacht |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528161619 PECOS PAC ID: 4981706439 Enrollment ID: I20200908001319 |
| Provider Name | Aimee Renee Cockerham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086096 PECOS PAC ID: 2668890849 Enrollment ID: I20200921001677 |
| Provider Name | Lilian E Massihi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821520537 PECOS PAC ID: 8426328550 Enrollment ID: I20200923000269 |
| Provider Name | Kynni Addisyn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760013742 PECOS PAC ID: 3476972514 Enrollment ID: I20200923001683 |
| Provider Name | Joseph B Tullos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609105196 PECOS PAC ID: 0941326938 Enrollment ID: I20201019000237 |
| Provider Name | Lindsay Pilgrim Sherman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730786690 PECOS PAC ID: 1355752734 Enrollment ID: I20201117001024 |
| Provider Name | Tyler Owen Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619464948 PECOS PAC ID: 7113276023 Enrollment ID: I20201130000798 |
| Provider Name | Sharron Rena Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326649336 PECOS PAC ID: 6608289848 Enrollment ID: I20210108000245 |
| Provider Name | Morgan Elise Chalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174114185 PECOS PAC ID: 4688081896 Enrollment ID: I20210405001542 |
| Provider Name | Sarah Spencer Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124428628 PECOS PAC ID: 1052611266 Enrollment ID: I20210421002550 |
| Provider Name | Ladaryl Lorraine Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760949390 PECOS PAC ID: 3971911454 Enrollment ID: I20210422000171 |
| Provider Name | Eric Michael Holland |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275951097 PECOS PAC ID: 4688892524 Enrollment ID: I20210601001635 |
| Provider Name | Cris A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306454442 PECOS PAC ID: 3577962976 Enrollment ID: I20210603002976 |
| Provider Name | Olushola B Obafemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659804987 PECOS PAC ID: 8628342557 Enrollment ID: I20210708003595 |
| Provider Name | Susan A Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20210712000583 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20210712003079 |
| Provider Name | Nerijus Dovidauskas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386121176 PECOS PAC ID: 1456753342 Enrollment ID: I20210715000159 |
| Provider Name | Jeffrey F Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20210716001516 |
| Provider Name | Stephen Hurwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134145592 PECOS PAC ID: 0749213221 Enrollment ID: I20210723001101 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20210728000237 |
| Provider Name | Adam Eric Berman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588613194 PECOS PAC ID: 8729051743 Enrollment ID: I20210825004271 |
| Provider Name | Dana Jae Smith Brunson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528556792 PECOS PAC ID: 6204185861 Enrollment ID: I20210831000839 |
| Provider Name | Caitlin A Burnett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629448899 PECOS PAC ID: 2466858154 Enrollment ID: I20210903001026 |
| Provider Name | Ashley Elizabeth Peden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104597947 PECOS PAC ID: 3870991441 Enrollment ID: I20211012002449 |
| Provider Name | Sabreen R Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689833824 PECOS PAC ID: 4688857543 Enrollment ID: I20211123000666 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20211207001635 |
| Provider Name | Jessalynn Denton Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821754631 PECOS PAC ID: 9537551270 Enrollment ID: I20220110001070 |
| Provider Name | Yesha D Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942968482 PECOS PAC ID: 7618369604 Enrollment ID: I20220125002365 |
| Provider Name | Shelby Sirmon Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295377877 PECOS PAC ID: 4880087147 Enrollment ID: I20220209000416 |
| Provider Name | Lindsey A Rowland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467617696 PECOS PAC ID: 3870988223 Enrollment ID: I20220322000016 |
| Provider Name | Andrea Tamika Frazier Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336742410 PECOS PAC ID: 7214322627 Enrollment ID: I20220322002250 |
| Provider Name | Patricia A Oyarce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356516884 PECOS PAC ID: 9830585843 Enrollment ID: I20220330002793 |
| Provider Name | David A Johnson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922035104 PECOS PAC ID: 3779673801 Enrollment ID: I20220330003101 |
| Provider Name | Gena Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629668900 PECOS PAC ID: 8820485212 Enrollment ID: I20220504001271 |
| Provider Name | Jeremy S White |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104237007 PECOS PAC ID: 3870887730 Enrollment ID: I20220608003209 |
| Provider Name | Hailey Blackburn Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982356978 PECOS PAC ID: 4880073188 Enrollment ID: I20220616001138 |
| Provider Name | Erica "courtney" Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548492945 PECOS PAC ID: 2860615473 Enrollment ID: I20220705000379 |
| Provider Name | Ashley B Rountree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447607056 PECOS PAC ID: 3870886591 Enrollment ID: I20220720002077 |
| Provider Name | Elizabeth Katherine Schimmel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558604934 PECOS PAC ID: 7416190004 Enrollment ID: I20220721002330 |
| Provider Name | Marianne Kerut Wilson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255728010 PECOS PAC ID: 6204143076 Enrollment ID: I20220819001601 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20220824003835 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20220926000688 |
| Provider Name | Takinya Binion Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295332302 PECOS PAC ID: 4688084957 Enrollment ID: I20220927000201 |
| Provider Name | Maziar Sighary |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1508319815 PECOS PAC ID: 0345626461 Enrollment ID: I20220927002755 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20220930002226 |
| Provider Name | Brian P Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20221012002937 |
| Provider Name | Emily Ables Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790404952 PECOS PAC ID: 1850767617 Enrollment ID: I20221019000978 |
| Provider Name | Allison Hart Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689301327 PECOS PAC ID: 4587030358 Enrollment ID: I20221019001319 |
| Provider Name | Kristen Donald Blakeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184342164 PECOS PAC ID: 5890161434 Enrollment ID: I20221021001870 |
| Provider Name | Lydia Jane Dungan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912367939 PECOS PAC ID: 9931490638 Enrollment ID: I20221031002609 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20221118000049 |
| Provider Name | Amber Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699498774 PECOS PAC ID: 9133597255 Enrollment ID: I20221122000347 |
| Provider Name | Evelyn Michelle Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184230898 PECOS PAC ID: 3375911027 Enrollment ID: I20221130001413 |
| Provider Name | Jessica Harris Templeton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780300376 PECOS PAC ID: 0749658391 Enrollment ID: I20221201002443 |
| Provider Name | Thomas Lavie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20230405000046 |
| Provider Name | Ashley Dorman Brian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518668201 PECOS PAC ID: 7911362884 Enrollment ID: I20230427001865 |
| Provider Name | Dustin K Reed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1982135562 PECOS PAC ID: 1456621564 Enrollment ID: I20230530002167 |
| Provider Name | Whitney Morgan Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346949047 PECOS PAC ID: 3476911926 Enrollment ID: I20230615002096 |
| Provider Name | Daniel H Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417480831 PECOS PAC ID: 2163788647 Enrollment ID: I20230618000025 |
| Provider Name | Joseph A De Gruy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750874145 PECOS PAC ID: 9032463732 Enrollment ID: I20230629000126 |
| Provider Name | Kaitlyn Renfrow Chow |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457849721 PECOS PAC ID: 9638421993 Enrollment ID: I20230705001661 |
| Provider Name | Martha E Magnuson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073000394 PECOS PAC ID: 2466701875 Enrollment ID: I20230705002239 |
| Provider Name | Sydney Nichole West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255960829 PECOS PAC ID: 8426418732 Enrollment ID: I20230718004281 |
| Provider Name | Mary Garrard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982381059 PECOS PAC ID: 7517311756 Enrollment ID: I20230921003849 |
| Provider Name | Alison Daigle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730476839 PECOS PAC ID: 9032338579 Enrollment ID: I20231018000793 |
| Provider Name | Mary Stover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437514734 PECOS PAC ID: 5890772305 Enrollment ID: I20231023001249 |
| Provider Name | Taryn Green Sardar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780117192 PECOS PAC ID: 5193099612 Enrollment ID: I20231025002230 |
| Provider Name | Ebony Allison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780180786 PECOS PAC ID: 3375806714 Enrollment ID: I20231120001785 |
| Provider Name | Christopher M Puls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376514125 PECOS PAC ID: 1850353392 Enrollment ID: I20240223001645 |
| Provider Name | Carsten Ritter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982869343 PECOS PAC ID: 2961674296 Enrollment ID: I20240305003020 |
| Provider Name | April Jonita Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619514437 PECOS PAC ID: 2466865878 Enrollment ID: I20240328003903 |
| Provider Name | Emily Davidson Cialone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457117889 PECOS PAC ID: 9032551999 Enrollment ID: I20240523000290 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |