| Community Medical Center | |
|
92 W Ratliff Street Lucedale MS 39452-6537 | |
| (601) 947-8181 | |
| (601) 947-4411 |
| Full Name | Community Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 92 W Ratliff Street, Lucedale, Mississippi |
| Authorized Official Name and Position | Susan Rutledge (BILLING MANAGER) |
| Authorized Official Contact | 6019471330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Center Po Box 1007 Lucedale MS 39452-1007 Ph: (601) 947-8181 | Community Medical Center 92 W Ratliff Street Lucedale MS 39452-6537 Ph: (601) 947-8181 |
| NPI Number | 1194734913 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 02/04/2020 |
| Medicare PECOS PAC ID | 8921072588 |
|---|---|
| Medicare Enrollment ID | O20040820000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194734913 | NPI | - | NPPES |
| C00960 | Other | MS | MEDICARE CAHABA |
| CN0018 | Other | MS | RAILROAD MEDICARE/OTHER |
| 09013891 | Medicaid | MS |
| Provider Name | Reese Lindsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669484515 PECOS PAC ID: 3870492770 Enrollment ID: I20040108000494 |
| Provider Name | Melissa Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174517007 PECOS PAC ID: 7618865551 Enrollment ID: I20040310000914 |
| Provider Name | Gene D Cathey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811918246 PECOS PAC ID: 5092718593 Enrollment ID: I20060823000574 |
| Provider Name | Heather H Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740347483 PECOS PAC ID: 4789780735 Enrollment ID: I20070508000268 |
| Provider Name | Larry A Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215976022 PECOS PAC ID: 9032170758 Enrollment ID: I20070802000443 |
| Provider Name | Courtney L Valentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700086014 PECOS PAC ID: 5092874065 Enrollment ID: I20081105000405 |
| Provider Name | Michael S Huber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487767281 PECOS PAC ID: 3971650334 Enrollment ID: I20090422000298 |
| Provider Name | Seth A Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093828683 PECOS PAC ID: 0547303141 Enrollment ID: I20100204000481 |
| Provider Name | Harilal R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992818793 PECOS PAC ID: 0042353658 Enrollment ID: I20100204000537 |
| Provider Name | Christopher E Lansdown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043420383 PECOS PAC ID: 9032249768 Enrollment ID: I20100607000659 |
| Provider Name | Deedy Hill Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952628398 PECOS PAC ID: 9830387539 Enrollment ID: I20101222000335 |
| Provider Name | Ginger E. Dunnam-smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710905997 PECOS PAC ID: 7416130513 Enrollment ID: I20110328000472 |
| Provider Name | Sheon H Mendoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114256260 PECOS PAC ID: 3173651254 Enrollment ID: I20110419000673 |
| Provider Name | Deborah Ann Hyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063428449 PECOS PAC ID: 6709936172 Enrollment ID: I20120821001025 |
| Provider Name | Christian C Langley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750798344 PECOS PAC ID: 7012135429 Enrollment ID: I20140827000716 |
| Provider Name | William Mcarthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770552259 PECOS PAC ID: 5991762676 Enrollment ID: I20150205001668 |
| Provider Name | Courtney Lauren Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346642428 PECOS PAC ID: 6305162462 Enrollment ID: I20150309000102 |
| Provider Name | Kelley Elizabeth Debar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942609664 PECOS PAC ID: 2961729777 Enrollment ID: I20150316000847 |
| Provider Name | Frankie Brianna Mixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871978403 PECOS PAC ID: 5193031151 Enrollment ID: I20150904002214 |
| Provider Name | Brandon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841675436 PECOS PAC ID: 2567779846 Enrollment ID: I20170131000641 |
| Provider Name | Christopher Shane Blomberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982023149 PECOS PAC ID: 5193021632 Enrollment ID: I20170916000013 |
| Provider Name | Edward Eray Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379084 PECOS PAC ID: 5496029621 Enrollment ID: I20170926003849 |
| Provider Name | Natoya Barnett-grindley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134350465 PECOS PAC ID: 3072667542 Enrollment ID: I20171207000786 |
| Provider Name | Deven Nicole Fejka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316464266 PECOS PAC ID: 8921363631 Enrollment ID: I20180530002263 |
| Provider Name | Matthew T Capalbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700269206 PECOS PAC ID: 3173879376 Enrollment ID: I20180702000028 |
| Provider Name | John Martin Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447736491 PECOS PAC ID: 8729322169 Enrollment ID: I20181211003668 |
| Provider Name | Tristan Green Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487127031 PECOS PAC ID: 8729327507 Enrollment ID: I20190222002500 |
| Provider Name | Hieu Pham Gia Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952854978 PECOS PAC ID: 8820338973 Enrollment ID: I20190327001967 |
| Provider Name | Miju Yu Kurtzweil |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033650031 PECOS PAC ID: 1658620786 Enrollment ID: I20200211000043 |
| Provider Name | Joel Cheir Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114389541 PECOS PAC ID: 8325334865 Enrollment ID: I20200221000714 |
| Provider Name | Alexander Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336688795 PECOS PAC ID: 5698024099 Enrollment ID: I20200615001914 |
| Provider Name | Jacob Fenster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134668189 PECOS PAC ID: 3173872033 Enrollment ID: I20200619000447 |
| Provider Name | Holly M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730799578 PECOS PAC ID: 7911325477 Enrollment ID: I20200915002023 |
| Provider Name | Tyler Owen Howell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619464948 PECOS PAC ID: 7113276023 Enrollment ID: I20201130000798 |
| Provider Name | Kayla Marie Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003404732 PECOS PAC ID: 4183031966 Enrollment ID: I20210323000256 |
| Provider Name | Cody Lynn Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427554823 PECOS PAC ID: 6103171749 Enrollment ID: I20210608003615 |
| Provider Name | Brandon Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639746001 PECOS PAC ID: 0547662025 Enrollment ID: I20210706003239 |
| Provider Name | Jessica Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700550233 PECOS PAC ID: 0941607303 Enrollment ID: I20210928000981 |
| Provider Name | Jason Keith Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104595396 PECOS PAC ID: 4082002548 Enrollment ID: I20211102002819 |
| Provider Name | Jennifer Atkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457679300 PECOS PAC ID: 2365670916 Enrollment ID: I20220125002487 |
| Provider Name | Kristin Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225622384 PECOS PAC ID: 3870901291 Enrollment ID: I20220216000937 |
| Provider Name | Alaina Brooke Huff-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417681446 PECOS PAC ID: 3779968698 Enrollment ID: I20220913003711 |
| Provider Name | Benjamin Eugene Giuffria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598385767 PECOS PAC ID: 7214396043 Enrollment ID: I20230711002429 |
| Provider Name | Melanie Linton Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275397507 PECOS PAC ID: 9032554621 Enrollment ID: I20240305003902 |
| Provider Name | Taylor Lynn Hultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952166753 PECOS PAC ID: 6709223001 Enrollment ID: I20240322000186 |
Community Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 | |
E. Kevin O'hea Md Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 697 Manila St, Lucedale, MS 39452 Phone: 601-947-3377 Fax: 601-947-3380 | |
Community Medical Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-1330 Fax: 601-947-1331 | |
Lucedale Urgent Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 W Frontage Rd Ste C, Lucedale, MS 39452 Phone: 251-633-0123 Fax: 251-445-3722 | |
E Kevin Ohea Md General Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 697 Manila St, Lucedale, MS 39452 Phone: 601-947-3377 Fax: 601-947-3380 | |
J Fails, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext Ste D, Lucedale, MS 39452 Phone: 601-953-3433 |