| Family Medical Clinic Of North Ms Inc | |
|
3451 Goodman Rd Ste 115 Southaven MS 38672-9304 | |
| (662) 890-5555 | |
| (662) 890-8899 |
| Full Name | Family Medical Clinic Of North Ms Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3451 Goodman Rd, Southaven, Mississippi |
| Authorized Official Name and Position | Robert L Skinner (VICE PRESIDENT) |
| Authorized Official Contact | 6628505555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Of North Ms Inc 3451 Goodman Rd Ste 115 Southaven MS 38672-9304 Ph: (662) 890-5555 | Family Medical Clinic Of North Ms Inc 3451 Goodman Rd Ste 115 Southaven MS 38672-9304 Ph: (662) 890-5555 |
| NPI Number | 1134174154 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 5294790861 |
|---|---|
| Medicare Enrollment ID | O20041123000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134174154 | NPI | - | NPPES |
| CK6296 | Other | MS | PALMETTO |
| CK6296 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Mississippi) | Primary |
| Provider Name | Deanna Nabors |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619939204 PECOS PAC ID: 2264423664 Enrollment ID: I20041123000416 |
| Provider Name | Nicole L Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851575138 PECOS PAC ID: 4688748346 Enrollment ID: I20080730000255 |
| Provider Name | Mary E Tullos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639339682 PECOS PAC ID: 6608906607 Enrollment ID: I20100618000242 |
| Provider Name | Robert Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558363689 PECOS PAC ID: 4284638354 Enrollment ID: I20100830000136 |
| Provider Name | Amy R Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376754077 PECOS PAC ID: 0244427458 Enrollment ID: I20101213001181 |
| Provider Name | Sidney Shone E Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508148990 PECOS PAC ID: 3072774140 Enrollment ID: I20120417000422 |
| Provider Name | Jennifer B. Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174872626 PECOS PAC ID: 9133378748 Enrollment ID: I20120925000526 |
| Provider Name | Rachel R Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235457789 PECOS PAC ID: 6507086477 Enrollment ID: I20140929001034 |
| Provider Name | Shannon Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043662398 PECOS PAC ID: 4880982503 Enrollment ID: I20161013000200 |
| Provider Name | Samantha Vickrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982079000 PECOS PAC ID: 9032410931 Enrollment ID: I20171005002174 |
| Provider Name | Lauren Nichole Vanderburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669907424 PECOS PAC ID: 4082974688 Enrollment ID: I20190723001878 |
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Narayanan Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman, Ste 133, Southaven, MS 38672 Phone: 662-895-9498 Fax: 662-890-4547 | |
Dr Kiandokht Partovi Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Windy Ridge Dr, Southaven, MS 38671 Phone: 662-449-4308 | |
Baptist Memorial Hospital-desoto, Inc, Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-4000 | |
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