East Mississippi Medical Clinic, Pllc | |
4711 Poplar Spg Dr Meridian MS 39305-2622 | |
(601) 485-7777 | |
(601) 485-7766 |
Full Name | East Mississippi Medical Clinic, Pllc |
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Speciality | Clinic/Center |
Location | 4711 Poplar Spg Dr, Meridian, Mississippi |
Authorized Official Name and Position | Razee Ameir Ahmad (PRESIDENT) |
Authorized Official Contact | 6014857777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Mississippi Medical Clinic, Pllc 4711 Poplar Springs Dr Meridian MS 39305-2622 Ph: (601) 485-7777 | East Mississippi Medical Clinic, Pllc 4711 Poplar Spg Dr Meridian MS 39305-2622 Ph: (601) 485-7777 |
NPI Number | 1881640142 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 04/25/2013 |
Medicare PECOS PAC ID | 1456362557 |
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Medicare Enrollment ID | O20060602000226 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881640142 | NPI | - | NPPES |
00925081 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 14494 (Mississippi) | Primary |
Provider Name | Razee Ameir Ahmad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235111592 PECOS PAC ID: 2668372434 Enrollment ID: I20040109000573 |
Provider Name | Kerry M Scott |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306827597 PECOS PAC ID: 9133186299 Enrollment ID: I20041210000381 |
Provider Name | Farhan Nafis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144394347 PECOS PAC ID: 2567487598 Enrollment ID: I20051010000446 |
Provider Name | Cynthia M Schuetz Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043541337 PECOS PAC ID: 6002949880 Enrollment ID: I20100730000095 |
Provider Name | Priscilla S Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376814533 PECOS PAC ID: 3375794860 Enrollment ID: I20121109000198 |
Provider Name | Courtney Anita Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336486422 PECOS PAC ID: 5496997371 Enrollment ID: I20130805000842 |
Provider Name | Jenna Harper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568911527 PECOS PAC ID: 5395024152 Enrollment ID: I20161118000113 |
Provider Name | Kymberleigh E James |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134672462 PECOS PAC ID: 8123302056 Enrollment ID: I20170221001858 |
Provider Name | Patricia Gleason Barrios |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861798233 PECOS PAC ID: 1951652486 Enrollment ID: I20180924000550 |
Provider Name | Jacquelyn B Ray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326513920 PECOS PAC ID: 2365781689 Enrollment ID: I20190305001058 |
Provider Name | Courtney S Dubose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134733728 PECOS PAC ID: 3375942022 Enrollment ID: I20210528001208 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Ochsner Health Center- Hwy 19 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |