Gastrointestinal Associates, P.a. | |
2510 Lakeland Dr Flowood MS 39232-9513 | |
(601) 355-1234 | |
(601) 326-3566 |
Full Name | Gastrointestinal Associates, P.a. |
---|---|
Speciality | Internal Medicine |
Location | 2510 Lakeland Dr, Flowood, Mississippi |
Authorized Official Name and Position | Pierce D. Dotherow (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6013551234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gastrointestinal Associates, P.a. 2510 Lakeland Dr Flowood MS 39232-9513 Ph: (601) 355-1234 | Gastrointestinal Associates, P.a. 2510 Lakeland Dr Flowood MS 39232-9513 Ph: (601) 355-1234 |
NPI Number | 1093765604 |
---|---|
Provider Enumeration Date | 05/12/2006 |
Last Update Date | 08/27/2024 |
Medicare PECOS PAC ID | 5294795241 |
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Medicare Enrollment ID | O20041013001263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093765604 | NPI | - | NPPES |
09011758 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
2080P0206X | Pediatrics - Pediatric Gastroenterology | (* (Not Available)) | Secondary |
Provider Name | Samuel D Hensley |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1801884234 PECOS PAC ID: 5597668715 Enrollment ID: I20040130000474 |
Provider Name | John D Mckee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972503456 PECOS PAC ID: 5395632673 Enrollment ID: I20040302000347 |
Provider Name | Alva Dillon |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1699775171 PECOS PAC ID: 2163311440 Enrollment ID: I20040313000766 |
Provider Name | Albert Chiemprabha |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326003005 PECOS PAC ID: 1658368287 Enrollment ID: I20040427000685 |
Provider Name | Shuja Yousuf |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1881643088 PECOS PAC ID: 9133116023 Enrollment ID: I20040430000947 |
Provider Name | Kristi H Clayton |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255423844 PECOS PAC ID: 4789675018 Enrollment ID: I20040524001009 |
Provider Name | Becky B Everett |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1760578843 PECOS PAC ID: 4385620699 Enrollment ID: I20040628000535 |
Provider Name | William M Farmer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558374850 PECOS PAC ID: 6406759273 Enrollment ID: I20040706000285 |
Provider Name | Lee C Woods |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1639142870 PECOS PAC ID: 7113973868 Enrollment ID: I20050324001093 |
Provider Name | Michelle A Petro |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679561948 PECOS PAC ID: 3476599564 Enrollment ID: I20050629000280 |
Provider Name | Mabel Zevallos |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336197649 PECOS PAC ID: 1153337548 Enrollment ID: I20060222000297 |
Provider Name | Michael B Nobles |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033125471 PECOS PAC ID: 7911906300 Enrollment ID: I20061212000720 |
Provider Name | Donna F Morgan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619089810 PECOS PAC ID: 0244332286 Enrollment ID: I20070222000401 |
Provider Name | Michael S King |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992861298 PECOS PAC ID: 4082712500 Enrollment ID: I20070607000229 |
Provider Name | Laresa V Newton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215067491 PECOS PAC ID: 5890894273 Enrollment ID: I20070626000435 |
Provider Name | Elizabeth A Clark |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184710345 PECOS PAC ID: 8022190313 Enrollment ID: I20080125000087 |
Provider Name | Matthew Paul Gerald |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1891717138 PECOS PAC ID: 2860574605 Enrollment ID: I20080131000605 |
Provider Name | Carrie Flowers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790907707 PECOS PAC ID: 7214011642 Enrollment ID: I20080225000363 |
Provider Name | Ginger C Mccluer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184750838 PECOS PAC ID: 5294819330 Enrollment ID: I20080227000563 |
Provider Name | Tina M Gregg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649463050 PECOS PAC ID: 4880778778 Enrollment ID: I20080303000172 |
Provider Name | Kymberly A Holy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1609819028 PECOS PAC ID: 2264516061 Enrollment ID: I20080303000315 |
Provider Name | Pamela Fowler |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568633022 PECOS PAC ID: 6305916461 Enrollment ID: I20080531000057 |
Provider Name | George P Weathers |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033393434 PECOS PAC ID: 4284705740 Enrollment ID: I20080611000636 |
Provider Name | Keith Brown |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1376710756 PECOS PAC ID: 9436221975 Enrollment ID: I20080628000060 |
Provider Name | Sherry S Gleason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780729665 PECOS PAC ID: 3476625146 Enrollment ID: I20080712000158 |
Provider Name | Richard A Benson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1962662825 PECOS PAC ID: 6709953375 Enrollment ID: I20080923000723 |
Provider Name | Adrienne Sizer-johnson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1275754285 PECOS PAC ID: 5496823874 Enrollment ID: I20081013000301 |
Provider Name | Farren A Windham |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1477576171 PECOS PAC ID: 2163585548 Enrollment ID: I20090112000234 |
Provider Name | John M Runnels |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215149711 PECOS PAC ID: 8628129442 Enrollment ID: I20090707000508 |
Provider Name | Mitchell W Mcgarrh |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1871530709 PECOS PAC ID: 5193871663 Enrollment ID: I20090928000677 |
Provider Name | Melody B Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427282854 PECOS PAC ID: 0749328243 Enrollment ID: I20091103000409 |
Provider Name | Donnie Croley |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386626323 PECOS PAC ID: 3476692617 Enrollment ID: I20091202000183 |
Provider Name | Lyndsey M Patrick |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1962713016 PECOS PAC ID: 8325171275 Enrollment ID: I20100729000626 |
Provider Name | Pierce Dotherow |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346238615 PECOS PAC ID: 6709882368 Enrollment ID: I20100810000232 |
Provider Name | Reed Hogan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023006293 PECOS PAC ID: 2769493535 Enrollment ID: I20100811000332 |
Provider Name | Vonda Gail Reeves |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194713529 PECOS PAC ID: 3971509530 Enrollment ID: I20100817001267 |
Provider Name | Mark Edward Wilson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1184612368 PECOS PAC ID: 0244236800 Enrollment ID: I20100818000060 |
Provider Name | Cynthia Haden Wright |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1417945668 PECOS PAC ID: 7517963176 Enrollment ID: I20100818000282 |
Provider Name | Paul Milner |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356339782 PECOS PAC ID: 1254337819 Enrollment ID: I20100818000300 |
Provider Name | James A Underwood |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447240494 PECOS PAC ID: 5799781357 Enrollment ID: I20100818000370 |
Provider Name | Henry Creed Fox |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407859887 PECOS PAC ID: 0446239230 Enrollment ID: I20100909000248 |
Provider Name | Charles Troy Morrissette |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1760485148 PECOS PAC ID: 1254310048 Enrollment ID: I20100909000289 |
Provider Name | Stephen E Buckley |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740283126 PECOS PAC ID: 0244219038 Enrollment ID: I20100909000318 |
Provider Name | Misti L Ready |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750696498 PECOS PAC ID: 9436344066 Enrollment ID: I20101109001092 |
Provider Name | Kristin C Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639482672 PECOS PAC ID: 4587859525 Enrollment ID: I20101116000557 |
Provider Name | Lisa T Jackson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972696516 PECOS PAC ID: 5597951640 Enrollment ID: I20101201000479 |
Provider Name | Kelly R O Reilly |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1558599837 PECOS PAC ID: 9931395910 Enrollment ID: I20101202000625 |
Provider Name | Reedonna L Hinton |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386847762 PECOS PAC ID: 4688862337 Enrollment ID: I20101221001060 |
Provider Name | Ronald Peter Kotfila |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942298120 PECOS PAC ID: 8527064187 Enrollment ID: I20101228000393 |
Provider Name | Shirley S. Donelson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669543120 PECOS PAC ID: 6901095215 Enrollment ID: I20110118000467 |
Provider Name | Makau P. Lee |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093887259 PECOS PAC ID: 7618150921 Enrollment ID: I20110324000230 |
Provider Name | Donald Page Brannan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568533198 PECOS PAC ID: 2365626660 Enrollment ID: I20110412000130 |
Provider Name | Charles E Hall |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568534832 PECOS PAC ID: 2769669605 Enrollment ID: I20110602000173 |
Provider Name | Sara Rippel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346403466 PECOS PAC ID: 9638357510 Enrollment ID: I20110623000341 |
Provider Name | Alfred E. Mcnair |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1700885746 PECOS PAC ID: 2961419254 Enrollment ID: I20110711000437 |
Provider Name | Denton C Stokes |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1164714192 PECOS PAC ID: 1456539352 Enrollment ID: I20110719000370 |
Provider Name | Lajuana Yevette Newton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144518515 PECOS PAC ID: 3173796554 Enrollment ID: I20111031000378 |
Provider Name | David Quarles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235436577 PECOS PAC ID: 5395910608 Enrollment ID: I20111215000518 |
Provider Name | David J Ware |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1104919711 PECOS PAC ID: 8628245750 Enrollment ID: I20120112000728 |
Provider Name | Ashley P Beam |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134485725 PECOS PAC ID: 9931363819 Enrollment ID: I20120605000262 |
Provider Name | Jason K Jones |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1407115397 PECOS PAC ID: 6406011436 Enrollment ID: I20120626000159 |
Provider Name | Ernest S Weeks |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134330822 PECOS PAC ID: 6204092489 Enrollment ID: I20120717000385 |
Provider Name | Jane Claire B Williams |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1578760534 PECOS PAC ID: 2163685124 Enrollment ID: I20120725000376 |
Provider Name | Susan R Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740537687 PECOS PAC ID: 6800040460 Enrollment ID: I20130206000470 |
Provider Name | Amanda K Covault |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1154385490 PECOS PAC ID: 1658262621 Enrollment ID: I20130219000393 |
Provider Name | Alysia M Byers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770824476 PECOS PAC ID: 2961642475 Enrollment ID: I20130705000272 |
Provider Name | Jeffrey B Mccrary |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245438860 PECOS PAC ID: 6204077472 Enrollment ID: I20130731000060 |
Provider Name | Brittany J Morrow |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1124468061 PECOS PAC ID: 7416183348 Enrollment ID: I20131122000904 |
Provider Name | Tracie A Abplanalp |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1972875110 PECOS PAC ID: 7416115696 Enrollment ID: I20131216001290 |
Provider Name | Micah R Welborn |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1407289283 PECOS PAC ID: 0345470241 Enrollment ID: I20140219002002 |
Provider Name | Reed Blanchard Hogan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356504682 PECOS PAC ID: 5294998910 Enrollment ID: I20140805000727 |
Provider Name | Ronald Matthew Perkins |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1134489362 PECOS PAC ID: 9638334055 Enrollment ID: I20140828000654 |
Provider Name | Lindsay E Humphreys |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326441668 PECOS PAC ID: 0446572085 Enrollment ID: I20141209002101 |
Provider Name | Mary W Nash |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1407245988 PECOS PAC ID: 8527384460 Enrollment ID: I20150311001996 |
Provider Name | Audrey Leigh Upchurch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841698792 PECOS PAC ID: 2264740596 Enrollment ID: I20151006000786 |
Provider Name | Marshea Liddell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528473261 PECOS PAC ID: 0345469144 Enrollment ID: I20151113001094 |
Provider Name | Susan P Muzslay |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1114397536 PECOS PAC ID: 4981904000 Enrollment ID: I20151123000083 |
Provider Name | Katy Gayle Gavin |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1215395348 PECOS PAC ID: 6507162799 Enrollment ID: I20160315000850 |
Provider Name | Stewart A Boyd |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194954578 PECOS PAC ID: 1658597430 Enrollment ID: I20160516000072 |
Provider Name | Alexandria Tanner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710371018 PECOS PAC ID: 2961795232 Enrollment ID: I20160727000825 |
Provider Name | Mary Young Lowry |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285952465 PECOS PAC ID: 6507002326 Enrollment ID: I20160803002003 |
Provider Name | Tina J Ceccorulli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588015903 PECOS PAC ID: 1153615653 Enrollment ID: I20160805001495 |
Provider Name | Jennifer L Landry |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1588898910 PECOS PAC ID: 9537200803 Enrollment ID: I20160922002571 |
Provider Name | Rachel Brooke Fairchild |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477909596 PECOS PAC ID: 9133417686 Enrollment ID: I20161017000317 |
Provider Name | Luan L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811439490 PECOS PAC ID: 7214219328 Enrollment ID: I20170125002793 |
Provider Name | John F Mccrory |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1841494127 PECOS PAC ID: 0648556431 Enrollment ID: I20170410001666 |
Provider Name | Ralph Brooks Vance |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1487974192 PECOS PAC ID: 2466745658 Enrollment ID: I20170519000776 |
Provider Name | Rachael Cade Stegall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093260150 PECOS PAC ID: 1759659014 Enrollment ID: I20170612000005 |
Provider Name | Ollie Demarre Jones |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1265725758 PECOS PAC ID: 3476821547 Enrollment ID: I20170613002471 |
Provider Name | Maranda Eversoll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376072413 PECOS PAC ID: 7416229141 Enrollment ID: I20170816000176 |
Provider Name | Sheena Renell Smoot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982122552 PECOS PAC ID: 6800154238 Enrollment ID: I20171213000280 |
Provider Name | Takiffany Jean Palmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215418975 PECOS PAC ID: 1456602739 Enrollment ID: I20180926000249 |
Provider Name | Angela B Pressley-wallace |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609132232 PECOS PAC ID: 8224382817 Enrollment ID: I20181119000090 |
Provider Name | Wassem Juakiem |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1508177387 PECOS PAC ID: 1759525900 Enrollment ID: I20190307001013 |
Provider Name | Emily E Randle |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1174095749 PECOS PAC ID: 6507106382 Enrollment ID: I20190313001990 |
Provider Name | Alexandra Hobbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982103198 PECOS PAC ID: 9133461825 Enrollment ID: I20190429002699 |
Provider Name | Roderick S Brown |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215391354 PECOS PAC ID: 1557656519 Enrollment ID: I20190807002743 |
Provider Name | Patrick J Sanchez |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669812087 PECOS PAC ID: 2668791971 Enrollment ID: I20190824000215 |
Provider Name | Erin Kathleen Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942761382 PECOS PAC ID: 7719218007 Enrollment ID: I20191017002775 |
Provider Name | Ross Pinson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1902242035 PECOS PAC ID: 2668774597 Enrollment ID: I20200415000218 |
Provider Name | Aimee Renee Cockerham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669086096 PECOS PAC ID: 2668890849 Enrollment ID: I20200921001677 |
Provider Name | Jan Petrasek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003251497 PECOS PAC ID: 7113276353 Enrollment ID: I20201118003285 |
Provider Name | Miranda Rawls Harper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154935104 PECOS PAC ID: 4486069143 Enrollment ID: I20210211000626 |
Provider Name | Monica Alison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821684838 PECOS PAC ID: 7315352200 Enrollment ID: I20210301000356 |
Provider Name | Abbie Brielle Kalem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992304885 PECOS PAC ID: 0042626541 Enrollment ID: I20210309000027 |
Provider Name | Kathleen Michele Tate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922614171 PECOS PAC ID: 4789085986 Enrollment ID: I20210625000467 |
Provider Name | Lauren Busby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598350399 PECOS PAC ID: 8426441379 Enrollment ID: I20220217000665 |
Provider Name | Parker Ellison |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1760911598 PECOS PAC ID: 5890061949 Enrollment ID: I20230718003029 |
Baptist Medical Clinic - Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5341 Lakeland Dr, Flowood, MS 39232 Phone: 601-919-2173 Fax: 601-919-9723 | |
Diabetes And Endocrine Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 Courthouse Cir, Flowood, MS 39232 Phone: 601-932-1223 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Lakeland Pl, Flowood, MS 39232 Phone: 601-992-2200 | |
Psyclinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2540 Flowood Dr, Suite A, Flowood, MS 39232 Phone: 601-939-5993 Fax: 601-939-5935 | |
Patriot Healthcare Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Lakeland Drive, Flowood, MS 39232 Phone: 228-563-4787 | |
Center Of Infectious Disease Excellence Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 River Oaks Dr, Flowood, MS 39232 Phone: 601-944-1717 |