Family Health Care Clinic, Inc. | |
4635 Highway 80 E Pearl MS 39208 | |
(601) 936-3833 | |
(601) 936-3837 |
Full Name | Family Health Care Clinic, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 4635 Highway 80 E, Pearl, Mississippi |
Authorized Official Name and Position | Karina Marie Clayton (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 6018257280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Care Clinic, Inc. Po Box 24116 Jackson MS 39225-4116 Ph: (601) 825-7280 | Family Health Care Clinic, Inc. 4635 Highway 80 E Pearl MS 39208 Ph: (601) 936-3833 |
NPI Number | 1043236326 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 04/16/2020 |
Medicare PECOS PAC ID | 5395656946 |
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Medicare Enrollment ID | O20040831001179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043236326 | NPI | - | NPPES |
09014676 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Mississippi) | Primary |
Provider Name | Pamela A Dillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811030091 PECOS PAC ID: 9931090305 Enrollment ID: I20040324000107 |
Provider Name | Arlene F Foley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790867448 PECOS PAC ID: 6002805421 Enrollment ID: I20040511000528 |
Provider Name | Gary Lamar Hamil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710075031 PECOS PAC ID: 9931166451 Enrollment ID: I20041216000518 |
Provider Name | Teresa Ann Raybourn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992782304 PECOS PAC ID: 0244289528 Enrollment ID: I20050113000268 |
Provider Name | Phyllis A Hightower |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700897444 PECOS PAC ID: 1850341827 Enrollment ID: I20050127000304 |
Provider Name | Zinat R Khandekar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184643686 PECOS PAC ID: 0345294385 Enrollment ID: I20050311000501 |
Provider Name | Margaret O Powell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114010295 PECOS PAC ID: 2264457449 Enrollment ID: I20051006000560 |
Provider Name | Connie Lynn Tramel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336333772 PECOS PAC ID: 6800814369 Enrollment ID: I20051103000716 |
Provider Name | Michael C Livingston |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073532792 PECOS PAC ID: 5395759633 Enrollment ID: I20060126000347 |
Provider Name | Meseret Teferra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205875143 PECOS PAC ID: 5890709703 Enrollment ID: I20060131000308 |
Provider Name | Katherine Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326079047 PECOS PAC ID: 4385640994 Enrollment ID: I20061004000461 |
Provider Name | John C Farmer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891727640 PECOS PAC ID: 9234108267 Enrollment ID: I20080429000708 |
Provider Name | Jerry L Nash |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598921793 PECOS PAC ID: 5799842555 Enrollment ID: I20090323000056 |
Provider Name | Eliane F Eakin |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902860554 PECOS PAC ID: 4284607805 Enrollment ID: I20090825000562 |
Provider Name | Deborah Darlene Stonefield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659508612 PECOS PAC ID: 3678619186 Enrollment ID: I20091013000662 |
Provider Name | Chastity A Barnette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447400064 PECOS PAC ID: 3577757947 Enrollment ID: I20101029000458 |
Provider Name | Dennis U Adams |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1033137658 PECOS PAC ID: 5890984819 Enrollment ID: I20110106000598 |
Provider Name | Yolanda F Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801104526 PECOS PAC ID: 3678758570 Enrollment ID: I20110419000435 |
Provider Name | Jacqueline Suszan Ware |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558670869 PECOS PAC ID: 3072791839 Enrollment ID: I20110624000564 |
Provider Name | Joe Ward |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316962590 PECOS PAC ID: 1355529827 Enrollment ID: I20110705000220 |
Provider Name | Kathryn C Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962716894 PECOS PAC ID: 0345412672 Enrollment ID: I20111011000420 |
Provider Name | Izzeddin Kamelmaz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1346344421 PECOS PAC ID: 9436119179 Enrollment ID: I20120202000515 |
Provider Name | Gregg Willis |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336171511 PECOS PAC ID: 6305897166 Enrollment ID: I20120301000507 |
Provider Name | Ashley K Kirby Ware |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912258450 PECOS PAC ID: 8426295148 Enrollment ID: I20130516000162 |
Provider Name | Dawn C Peery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871844498 PECOS PAC ID: 4082853627 Enrollment ID: I20130612000143 |
Provider Name | Teresa Q Conerly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285065292 PECOS PAC ID: 5092946996 Enrollment ID: I20140318000261 |
Provider Name | Valerie White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053666503 PECOS PAC ID: 9537391966 Enrollment ID: I20140416002075 |
Provider Name | Noralyn C Blalock-perkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568745966 PECOS PAC ID: 1052534294 Enrollment ID: I20140516000022 |
Provider Name | Rachel N Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346652377 PECOS PAC ID: 8022235118 Enrollment ID: I20140813002307 |
Provider Name | Mallory E Mowdy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427458553 PECOS PAC ID: 0547584104 Enrollment ID: I20150130001594 |
Provider Name | Dayna Pridgen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649689548 PECOS PAC ID: 4981929932 Enrollment ID: I20150213001384 |
Provider Name | Constance M Bradford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003960907 PECOS PAC ID: 6002132941 Enrollment ID: I20150311001895 |
Provider Name | Dennetta D Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629477690 PECOS PAC ID: 2264752187 Enrollment ID: I20150518000170 |
Provider Name | Candace Childress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427459817 PECOS PAC ID: 2860713799 Enrollment ID: I20150604000486 |
Provider Name | Tangular Michelle Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902294093 PECOS PAC ID: 9335459122 Enrollment ID: I20151106001037 |
Provider Name | Monique D Pendleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497147318 PECOS PAC ID: 0840593679 Enrollment ID: I20160128000223 |
Provider Name | Radha Alur |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1548259559 PECOS PAC ID: 3870502156 Enrollment ID: I20160217001191 |
Provider Name | Cache' Ariana Longmire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508249830 PECOS PAC ID: 1850605270 Enrollment ID: I20160329000552 |
Provider Name | Rhonda Jill Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104271931 PECOS PAC ID: 4082901640 Enrollment ID: I20160926000272 |
Provider Name | Shimeka Banks |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063771350 PECOS PAC ID: 7719126374 Enrollment ID: I20161005000232 |
Provider Name | Kelsa Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689027492 PECOS PAC ID: 8729368345 Enrollment ID: I20161216000710 |
Provider Name | Khalilah C George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720453673 PECOS PAC ID: 0244511509 Enrollment ID: I20161227001958 |
Provider Name | Esquanickia Fletcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407390438 PECOS PAC ID: 2668755042 Enrollment ID: I20170209000063 |
Provider Name | Lindsey Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851795876 PECOS PAC ID: 5698050045 Enrollment ID: I20170327000981 |
Provider Name | Jennifer Boose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417351883 PECOS PAC ID: 1153698378 Enrollment ID: I20170518001542 |
Provider Name | Nashamba Jackson-bracey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558812263 PECOS PAC ID: 2466729298 Enrollment ID: I20170530001026 |
Provider Name | Yolonda Kinzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134678808 PECOS PAC ID: 1759648389 Enrollment ID: I20171206001940 |
Provider Name | Sheena Renell Smoot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982122552 PECOS PAC ID: 6800154238 Enrollment ID: I20171213000280 |
Provider Name | Lindsey E Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093265233 PECOS PAC ID: 3870853674 Enrollment ID: I20180215000689 |
Provider Name | Jenny Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669971180 PECOS PAC ID: 2567724859 Enrollment ID: I20180327000139 |
Provider Name | Tabitha Nicole Stiff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225532450 PECOS PAC ID: 7416293733 Enrollment ID: I20190108001628 |
Provider Name | Brittany Burage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093280679 PECOS PAC ID: 7416293188 Enrollment ID: I20190117000620 |
Provider Name | Tanga Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447642335 PECOS PAC ID: 7911217955 Enrollment ID: I20190211000340 |
Provider Name | Ericia Latrice Cannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013473891 PECOS PAC ID: 1153661459 Enrollment ID: I20190325000935 |
Provider Name | Cara Monette Morgan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366477630 PECOS PAC ID: 8820999295 Enrollment ID: I20190416000889 |
Provider Name | Cleopathia Campbell Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780193011 PECOS PAC ID: 3274875323 Enrollment ID: I20190422001251 |
Provider Name | Carol Richardson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073051892 PECOS PAC ID: 7911240841 Enrollment ID: I20190516002396 |
Provider Name | April Dawn Randle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699336628 PECOS PAC ID: 1759617699 Enrollment ID: I20190730002377 |
Provider Name | Rochelle Vanity Cork |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548896301 PECOS PAC ID: 3971924499 Enrollment ID: I20200608003133 |
Provider Name | Craig Damon Henry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639717713 PECOS PAC ID: 1850713769 Enrollment ID: I20200623001929 |
Provider Name | Melonie S Graves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760016265 PECOS PAC ID: 6507281078 Enrollment ID: I20200730002114 |
Provider Name | Carmen Rena Rhymes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750908059 PECOS PAC ID: 5294153169 Enrollment ID: I20200910000507 |
Provider Name | Rita Estep |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1942236468 PECOS PAC ID: 0244490274 Enrollment ID: I20201020000858 |
Provider Name | Ventasha S Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467050419 PECOS PAC ID: 6204241797 Enrollment ID: I20210216000227 |
Provider Name | Shadonna Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164016424 PECOS PAC ID: 5395151484 Enrollment ID: I20210316001221 |
Provider Name | Angela Marice Perkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649846791 PECOS PAC ID: 2567864606 Enrollment ID: I20210712002181 |
Provider Name | Linda A Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285300947 PECOS PAC ID: 0547464273 Enrollment ID: I20211006002124 |
Provider Name | Courtney Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568036044 PECOS PAC ID: 3678962917 Enrollment ID: I20211108002211 |
Provider Name | Katie R Neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386306355 PECOS PAC ID: 1759772734 Enrollment ID: I20211230000266 |
Provider Name | Delecia Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174157317 PECOS PAC ID: 3678968377 Enrollment ID: I20220316000869 |
Provider Name | Alexandra Winn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972226017 PECOS PAC ID: 3971972217 Enrollment ID: I20221208002505 |
Provider Name | Sudhir Kumar K Chiluka |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912452053 PECOS PAC ID: 1557641230 Enrollment ID: I20230223002373 |
Provider Name | Ashanta Rene Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457062259 PECOS PAC ID: 0941675151 Enrollment ID: I20230331000210 |
Provider Name | Reanna Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053027581 PECOS PAC ID: 1759746753 Enrollment ID: I20230426001918 |
Provider Name | Brittney My'esha Brumfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629772892 PECOS PAC ID: 1759740566 Enrollment ID: I20230711001770 |
Provider Name | Beverly M. Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881374288 PECOS PAC ID: 0446690549 Enrollment ID: I20240506001336 |
Provider Name | Milinda Kay Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366008211 PECOS PAC ID: 7012459563 Enrollment ID: I20240612000226 |
St Dominic Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5520 Highway 80 E, Pearl, MS 39208 Phone: 601-200-2000 | |
Morris Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Millstone Dr, Pearl, MS 39208 Phone: 601-806-2158 Fax: 601-806-2179 | |
Baptist Medical Clinic - Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3011 Greenfield Rd, Pearl, MS 39208 Phone: 601-825-9000 Fax: 601-825-2513 | |
Baptist Occupational Medical Clinic - Airport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Airport Rd S Ste B, Pearl, MS 39208 Phone: 601-939-1960 Fax: 601-939-1780 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Care Plus Pearl Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Highway 80 E, Pearl, MS 39208 Phone: 601-939-1321 Fax: 601-939-1805 |