Community Care Clinic At New Hope | |
3654-b New Hope Rd Columbus MS 39702 | |
(662) 329-1488 | |
(662) 329-1486 |
Full Name | Community Care Clinic At New Hope |
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Speciality | Clinic/Center |
Location | 3654-b New Hope Rd, Columbus, Mississippi |
Authorized Official Name and Position | Joseph A Gillis (PRESIDENT) |
Authorized Official Contact | 6623275202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Care Clinic At New Hope Po Box 2385 Columbus MS 39704-2385 Ph: (662) 327-5202 | Community Care Clinic At New Hope 3654-b New Hope Rd Columbus MS 39702 Ph: (662) 329-1488 |
NPI Number | 1215276175 |
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Provider Enumeration Date | 02/12/2013 |
Last Update Date | 02/12/2013 |
Medicare PECOS PAC ID | 9234376088 |
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Medicare Enrollment ID | O20130515000064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215276175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Linda W Lamison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831194364 PECOS PAC ID: 5193787257 Enrollment ID: I20041101000416 |
Provider Name | John E Stanback |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629034764 PECOS PAC ID: 7113119439 Enrollment ID: I20101005000933 |
Provider Name | Robert L Buckley |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1356314702 PECOS PAC ID: 4486847076 Enrollment ID: I20101014001097 |
Provider Name | Kristi Lynn Shurden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902132764 PECOS PAC ID: 7719163765 Enrollment ID: I20110510000004 |
Provider Name | Kimberly Robertson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124427133 PECOS PAC ID: 6002038122 Enrollment ID: I20141110001077 |
Provider Name | Allison B Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417357468 PECOS PAC ID: 1951624428 Enrollment ID: I20150108001876 |
Provider Name | Rushaunda L Nash |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548643380 PECOS PAC ID: 6709191745 Enrollment ID: I20150819008459 |
Provider Name | Stefanie T Christy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386020113 PECOS PAC ID: 6800198839 Enrollment ID: I20160108000450 |
Provider Name | Mary Alyssa Gillis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285082925 PECOS PAC ID: 1850684481 Enrollment ID: I20170628000824 |
Provider Name | Ellen Elizabeth Scherrer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609247139 PECOS PAC ID: 2365726742 Enrollment ID: I20190919002397 |
Provider Name | Tacy Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396306957 PECOS PAC ID: 0446582456 Enrollment ID: I20191024000608 |
Provider Name | Christy S. Massey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992347447 PECOS PAC ID: 8325470750 Enrollment ID: I20191122001802 |
Provider Name | Susan Slayton Rushing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912539362 PECOS PAC ID: 5698103257 Enrollment ID: I20200312001506 |
Provider Name | Ashley Sudduth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306370648 PECOS PAC ID: 8022371129 Enrollment ID: I20200326002434 |
Provider Name | Lindsay Ashby Kemp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992120158 PECOS PAC ID: 1355648239 Enrollment ID: I20200730002842 |
Provider Name | Tiffine Lynn Prisock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457967226 PECOS PAC ID: 5799195897 Enrollment ID: I20201030001465 |
Provider Name | Mollie Beard Cornelius |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457733552 PECOS PAC ID: 1355759358 Enrollment ID: I20210412001467 |
Provider Name | Erica Chancey Elkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154097152 PECOS PAC ID: 3577951748 Enrollment ID: I20211021001438 |
Provider Name | Melissa Monsour Atkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588325823 PECOS PAC ID: 6406249705 Enrollment ID: I20220209001722 |
Provider Name | Lauren Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427435643 PECOS PAC ID: 3375856511 Enrollment ID: I20220712000066 |
Provider Name | Christopher Andrew Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942924154 PECOS PAC ID: 1355717158 Enrollment ID: I20221019002342 |
Provider Name | Bryon Andrew Sawyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255975405 PECOS PAC ID: 2860861747 Enrollment ID: I20221229002365 |
Provider Name | Devi Dove Moon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407469638 PECOS PAC ID: 2264807650 Enrollment ID: I20230418000672 |
Provider Name | Victoria Sharp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629857867 PECOS PAC ID: 7719336841 Enrollment ID: I20231214000044 |
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