| Central Mississippi Health Services, Inc | |
|
1134 Winter St Jackson MS 39204-2841 | |
| (601) 948-5572 | |
| (601) 353-7070 |
| Full Name | Central Mississippi Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1134 Winter St, Jackson, Mississippi |
| Authorized Official Name and Position | Terry Johnson (HUMAN RESOURCE MANAGER) |
| Authorized Official Contact | 6019485572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Mississippi Health Services, Inc 1134 Winter St Jackson MS 39204-2841 Ph: (601) 948-5572 | Central Mississippi Health Services, Inc 1134 Winter St Jackson MS 39204-2841 Ph: (601) 948-5572 |
| NPI Number | 1730120502 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 04/28/2022 |
| Medicare PECOS PAC ID | 2961398029 |
|---|---|
| Medicare Enrollment ID | O20040225000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730120502 | NPI | - | NPPES |
| 09014156 | Medicaid | MS |
| Provider Name | Edith F Smith Rayford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154359842 PECOS PAC ID: 9032005103 Enrollment ID: I20040225000716 |
| Provider Name | Zina D Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134158579 PECOS PAC ID: 5193798916 Enrollment ID: I20040818001063 |
| Provider Name | Starkey Hudson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083639744 PECOS PAC ID: 4284694415 Enrollment ID: I20041013000104 |
| Provider Name | Robert Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285663591 PECOS PAC ID: 1456247527 Enrollment ID: I20060425000003 |
| Provider Name | Obie M Mcnair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851321384 PECOS PAC ID: 0244271591 Enrollment ID: I20060425000197 |
| Provider Name | Geraldine Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124032677 PECOS PAC ID: 8325041924 Enrollment ID: I20060822000150 |
| Provider Name | Eurekia D Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548459019 PECOS PAC ID: 4789753161 Enrollment ID: I20080527000694 |
| Provider Name | Janice E Bacon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750438446 PECOS PAC ID: 9032306709 Enrollment ID: I20101209000936 |
| Provider Name | Myra A Wheaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902972235 PECOS PAC ID: 6103903273 Enrollment ID: I20111026000802 |
| Provider Name | Lionel B Fraser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609983725 PECOS PAC ID: 5890853741 Enrollment ID: I20120329000713 |
| Provider Name | Morlyn Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992070825 PECOS PAC ID: 3870754146 Enrollment ID: I20120412000595 |
| Provider Name | Denetta D Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992149348 PECOS PAC ID: 6002047834 Enrollment ID: I20140320000973 |
| Provider Name | Tamara C Winfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467600817 PECOS PAC ID: 2466634951 Enrollment ID: I20140528001535 |
| Provider Name | Ruth A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609270123 PECOS PAC ID: 2668796475 Enrollment ID: I20150128000194 |
| Provider Name | Edgar Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518361922 PECOS PAC ID: 0345565792 Enrollment ID: I20150206001551 |
| Provider Name | Shaquita Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948075 PECOS PAC ID: 8022396936 Enrollment ID: I20161027002050 |
| Provider Name | Trevalla Kaye Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538697453 PECOS PAC ID: 8820356843 Enrollment ID: I20171221001211 |
| Provider Name | Zipora Martin-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471939 PECOS PAC ID: 5092057414 Enrollment ID: I20190503000901 |
| Provider Name | Montoyae Leavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003392416 PECOS PAC ID: 7810229796 Enrollment ID: I20191025000621 |
| Provider Name | Chinnika L Crisler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215560545 PECOS PAC ID: 1658700018 Enrollment ID: I20200406001772 |
| Provider Name | Keneisha Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295344224 PECOS PAC ID: 3274952205 Enrollment ID: I20200924002058 |
| Provider Name | Gwendolyn S Prater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770176646 PECOS PAC ID: 6608282629 Enrollment ID: I20210316002857 |
| Provider Name | Janice Np Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497380711 PECOS PAC ID: 4688078397 Enrollment ID: I20210803001376 |
| Provider Name | Shardale Mcafee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891226346 PECOS PAC ID: 5395091193 Enrollment ID: I20210818003299 |
| Provider Name | Annisha Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851940951 PECOS PAC ID: 2668863937 Enrollment ID: I20211221000432 |
| Provider Name | Angela Carr Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841916806 PECOS PAC ID: 9032574298 Enrollment ID: I20230424001524 |
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 |