| Byhalia Family Health Center - Medical | |
|
12 East Brunswick Ave. Byhalia MS 38611 | |
| (662) 838-2163 | |
| (662) 838-7944 |
| Full Name | Byhalia Family Health Center - Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 East Brunswick Ave., Byhalia, Mississippi |
| Authorized Official Name and Position | Marjorie P. Mckinney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6628382163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Byhalia Family Health Center - Medical 12 East Brunswick Ave. Po Box 698 Byhalia MS 38611 Ph: (662) 838-2163 | Byhalia Family Health Center - Medical 12 East Brunswick Ave. Byhalia MS 38611 Ph: (662) 838-2163 |
| NPI Number | 1558410738 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 11/17/2010 |
| Medicare PECOS PAC ID | 5294717377 |
|---|---|
| Medicare Enrollment ID | O20040602001469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558410738 | NPI | - | NPPES |
| 9010036 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Annabelle Cabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407850019 PECOS PAC ID: 3072597152 Enrollment ID: I20040616000422 |
| Provider Name | Lorenzo Cabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043214653 PECOS PAC ID: 0042287302 Enrollment ID: I20040915000734 |
| Provider Name | Anita Golden-simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831193440 PECOS PAC ID: 7810933660 Enrollment ID: I20050701000025 |
| Provider Name | Chauntay Y Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407043987 PECOS PAC ID: 8820161698 Enrollment ID: I20080728000123 |
| Provider Name | Teresa Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770587388 PECOS PAC ID: 5395811509 Enrollment ID: I20080911000264 |
| Provider Name | Francesca A Wilkins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801061486 PECOS PAC ID: 1456490929 Enrollment ID: I20091124000077 |
| Provider Name | Brenda Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932103546 PECOS PAC ID: 0143353045 Enrollment ID: I20100729000082 |
| Provider Name | Clifton Rodgers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861496507 PECOS PAC ID: 9638338437 Enrollment ID: I20120314000765 |
| Provider Name | Scott Wood Kirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952356206 PECOS PAC ID: 9638182207 Enrollment ID: I20130731000711 |
| Provider Name | Cara Y Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548510761 PECOS PAC ID: 2365693611 Enrollment ID: I20140318000403 |
| Provider Name | Rachel R Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235457789 PECOS PAC ID: 6507086477 Enrollment ID: I20140929001034 |
| Provider Name | Tiffany J Petty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366760001 PECOS PAC ID: 0446490700 Enrollment ID: I20140929002389 |
| Provider Name | Ellouise M Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841560927 PECOS PAC ID: 5799952032 Enrollment ID: I20141024001662 |
| Provider Name | Chassity W Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558761668 PECOS PAC ID: 4880816081 Enrollment ID: I20151210001125 |
| Provider Name | Chrystal Williams Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700274016 PECOS PAC ID: 0648575415 Enrollment ID: I20160217000446 |
| Provider Name | Nikisha M Newsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033648803 PECOS PAC ID: 4880964816 Enrollment ID: I20170724001964 |
| Provider Name | Donica M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710498746 PECOS PAC ID: 2567722937 Enrollment ID: I20180202000644 |
| Provider Name | Ashley M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306491758 PECOS PAC ID: 9830421874 Enrollment ID: I20191024001912 |
| Provider Name | Joseph Hogue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886594 PECOS PAC ID: 1557665528 Enrollment ID: I20200403000025 |
| Provider Name | Heather Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588143580 PECOS PAC ID: 8921411547 Enrollment ID: I20210913003370 |
| Provider Name | Raquel Janay Reed-washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336764778 PECOS PAC ID: 7719376672 Enrollment ID: I20211115001276 |
| Provider Name | Kizmet Lashon Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346963519 PECOS PAC ID: 8325417769 Enrollment ID: I20221207001554 |
| Provider Name | Darlene Sue Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285233452 PECOS PAC ID: 3072984384 Enrollment ID: I20230125000730 |
| Provider Name | Jasmine Monique Mack |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932859105 PECOS PAC ID: 5597126672 Enrollment ID: I20230804003636 |
| Provider Name | Lacutlass Sharnise Byno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952032393 PECOS PAC ID: 9638548050 Enrollment ID: I20240111001375 |
Speedy Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 Church St, Byhalia, MS 38611 Phone: 662-850-0144 Fax: 662-850-0161 | |
Helpmates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8541 Highway 178 Ste C, Byhalia, MS 38611 Phone: 662-850-3002 Fax: 877-583-5013 | |
Byhalia Family Health Center - Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 East Brunswick, Byhalia, MS 38611 Phone: 662-838-2163 Fax: 662-838-7944 | |
Metelecare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14100 Glynn Valley Cv S, Byhalia, MS 38611 Phone: 601-410-1695 | |
Best Choice Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6391 Hwy 72, Byhalia, MS 38611 Phone: 901-827-1853 |