| Hattiesburg Clinic Pa | |
|
415 S 28th Ave Hattiesburg MS 39401-7246 | |
| (601) 579-5488 | |
| (601) 579-5240 |
| Full Name | Hattiesburg Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 S 28th Ave, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012685601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hattiesburg Clinic Pa 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Hattiesburg Clinic Pa 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5488 |
| NPI Number | 1740213446 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 5193706794 |
|---|---|
| Medicare Enrollment ID | O20040528000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740213446 | NPI | - | NPPES |
| 09014185 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Joseph S Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235142597 PECOS PAC ID: 0840197364 Enrollment ID: I20031215000096 |
| Provider Name | Lewis E Hatten |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487666061 PECOS PAC ID: 4284532995 Enrollment ID: I20031219000312 |
| Provider Name | Bettye V Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376504597 PECOS PAC ID: 9739077306 Enrollment ID: I20040305000636 |
| Provider Name | Robert Forrest Pinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568406965 PECOS PAC ID: 6709775083 Enrollment ID: I20040313000761 |
| Provider Name | Robert L Gaston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639190440 PECOS PAC ID: 4587656699 Enrollment ID: I20040331000169 |
| Provider Name | Scott H Mcleod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376698977 PECOS PAC ID: 4385636448 Enrollment ID: I20040331000428 |
| Provider Name | Thomas M Walters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336160050 PECOS PAC ID: 6002808573 Enrollment ID: I20040402000543 |
| Provider Name | Michong K Rayborn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134184534 PECOS PAC ID: 7315939808 Enrollment ID: I20040402000662 |
| Provider Name | Pamela Gavin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871781997 PECOS PAC ID: 2163414574 Enrollment ID: I20040402000850 |
| Provider Name | William Pattie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609831007 PECOS PAC ID: 8527050954 Enrollment ID: I20040402000974 |
| Provider Name | Rochelle M Hopkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720191380 PECOS PAC ID: 0941295729 Enrollment ID: I20040420000374 |
| Provider Name | Roger T Lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861417065 PECOS PAC ID: 1052304607 Enrollment ID: I20040420000955 |
| Provider Name | Luis A Irizzary |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669588547 PECOS PAC ID: 6406838564 Enrollment ID: I20040602001303 |
| Provider Name | Michael J Hammett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396757910 PECOS PAC ID: 4688656614 Enrollment ID: I20040603000831 |
| Provider Name | Sean Fink |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710997077 PECOS PAC ID: 8224010103 Enrollment ID: I20040603001255 |
| Provider Name | Terrance A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033223904 PECOS PAC ID: 9739161571 Enrollment ID: I20040604000208 |
| Provider Name | Anita Henderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750494472 PECOS PAC ID: 1759363518 Enrollment ID: I20040604000339 |
| Provider Name | Gregory Owens |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750497590 PECOS PAC ID: 8426030297 Enrollment ID: I20040604000391 |
| Provider Name | Hannah E Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295884617 PECOS PAC ID: 1355324336 Enrollment ID: I20040610000945 |
| Provider Name | Bobby C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205940095 PECOS PAC ID: 3072599919 Enrollment ID: I20040629001437 |
| Provider Name | Wassim E Mouannes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780799965 PECOS PAC ID: 9133199680 Enrollment ID: I20040730000531 |
| Provider Name | Ralph C Kahler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063526895 PECOS PAC ID: 7517932791 Enrollment ID: I20040831001076 |
| Provider Name | Robert J Robbins |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1780792945 PECOS PAC ID: 1456326487 Enrollment ID: I20040901000620 |
| Provider Name | Kevin P Blanchard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992719777 PECOS PAC ID: 1658347125 Enrollment ID: I20040907000482 |
| Provider Name | Bryan N Batson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840958 PECOS PAC ID: 1052388006 Enrollment ID: I20040910000637 |
| Provider Name | Thomas P Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639107121 PECOS PAC ID: 2668449489 Enrollment ID: I20040913000247 |
| Provider Name | Eric W Enger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265442594 PECOS PAC ID: 8729057351 Enrollment ID: I20040929001137 |
| Provider Name | Robert G Wilkins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598875304 PECOS PAC ID: 5496724031 Enrollment ID: I20040929001196 |
| Provider Name | Thad F Waites |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588773774 PECOS PAC ID: 5294718045 Enrollment ID: I20040929001219 |
| Provider Name | Randel L Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639288293 PECOS PAC ID: 5092784645 Enrollment ID: I20040929001233 |
| Provider Name | Wayne E Grayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437169521 PECOS PAC ID: 5294722930 Enrollment ID: I20040930000754 |
| Provider Name | Rambod A Rouhbakhsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285680264 PECOS PAC ID: 7214906643 Enrollment ID: I20041001000134 |
| Provider Name | Barbara S Barnard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144244351 PECOS PAC ID: 0143299503 Enrollment ID: I20041001000406 |
| Provider Name | J D Dumas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548333610 PECOS PAC ID: 8022078187 Enrollment ID: I20041013000610 |
| Provider Name | Robert K Partrige |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265540603 PECOS PAC ID: 1951363019 Enrollment ID: I20041101000458 |
| Provider Name | Scott E Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104840834 PECOS PAC ID: 0749244150 Enrollment ID: I20041116000476 |
| Provider Name | Thomas E King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043324809 PECOS PAC ID: 3779548771 Enrollment ID: I20041201000157 |
| Provider Name | Julie Grissom Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538208830 PECOS PAC ID: 8527024454 Enrollment ID: I20041202000791 |
| Provider Name | Derek E Marshall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255475943 PECOS PAC ID: 7810946852 Enrollment ID: I20050118000401 |
| Provider Name | Angela C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023122900 PECOS PAC ID: 4385637222 Enrollment ID: I20050118000619 |
| Provider Name | Kimberly R Schramm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881703429 PECOS PAC ID: 5193778546 Enrollment ID: I20050224001001 |
| Provider Name | Arthur C Martin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821103185 PECOS PAC ID: 6709830185 Enrollment ID: I20050309000113 |
| Provider Name | Monty R Ladner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730144130 PECOS PAC ID: 3274580188 Enrollment ID: I20050404000228 |
| Provider Name | Wendell R Helveston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881607158 PECOS PAC ID: 0345288536 Enrollment ID: I20050419000655 |
| Provider Name | Susan Blakeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891709572 PECOS PAC ID: 6406746643 Enrollment ID: I20050420000221 |
| Provider Name | Christina L Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477541514 PECOS PAC ID: 7719925536 Enrollment ID: I20050421001375 |
| Provider Name | Edward L Little |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992807291 PECOS PAC ID: 6901846203 Enrollment ID: I20050505000896 |
| Provider Name | Christopher L Cooley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194733543 PECOS PAC ID: 8022058817 Enrollment ID: I20050511000567 |
| Provider Name | Brian S Rifkin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376545145 PECOS PAC ID: 8527001403 Enrollment ID: I20050602000545 |
| Provider Name | Karen H Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942267281 PECOS PAC ID: 9436193422 Enrollment ID: I20050615000637 |
| Provider Name | Lawrence J Leader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508970211 PECOS PAC ID: 8022088954 Enrollment ID: I20050616000373 |
| Provider Name | Billy C Chancellor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053328385 PECOS PAC ID: 2567406671 Enrollment ID: I20050620000029 |
| Provider Name | Ryan W Woods |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831209477 PECOS PAC ID: 0446287528 Enrollment ID: I20050720000516 |
| Provider Name | Todd A Benton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780666313 PECOS PAC ID: 1658308119 Enrollment ID: I20050726000976 |
| Provider Name | Andrew Queler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336257690 PECOS PAC ID: 7214828193 Enrollment ID: I20050824000874 |
| Provider Name | Volkan Ozduran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427099209 PECOS PAC ID: 4587619598 Enrollment ID: I20050916000281 |
| Provider Name | Antonio Jaime Imperial |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902867021 PECOS PAC ID: 3971529298 Enrollment ID: I20051017000482 |
| Provider Name | Sarah M Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861501132 PECOS PAC ID: 0446276331 Enrollment ID: I20051020000212 |
| Provider Name | Derrick R Duffield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922166867 PECOS PAC ID: 6204856958 Enrollment ID: I20051128000298 |
| Provider Name | Joshua A Maksi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023123353 PECOS PAC ID: 6103846787 Enrollment ID: I20051128000651 |
| Provider Name | Roy R Reeves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477564664 PECOS PAC ID: 0749219814 Enrollment ID: I20051212000648 |
| Provider Name | Kenneth S Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407964844 PECOS PAC ID: 9931121480 Enrollment ID: I20051227000317 |
| Provider Name | Curtis J Shaffer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679611446 PECOS PAC ID: 1850313354 Enrollment ID: I20051227000663 |
| Provider Name | Elizabeth A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184668584 PECOS PAC ID: 6204859267 Enrollment ID: I20060105000554 |
| Provider Name | Chrystal A Sumrall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427095579 PECOS PAC ID: 2769497106 Enrollment ID: I20060207000393 |
| Provider Name | Timothy L Lewis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881631828 PECOS PAC ID: 7810903226 Enrollment ID: I20060222000445 |
| Provider Name | William E Yoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831105980 PECOS PAC ID: 5193732568 Enrollment ID: I20060309000169 |
| Provider Name | Carmen L Ingram |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477590420 PECOS PAC ID: 4385651587 Enrollment ID: I20060313000719 |
| Provider Name | Steven Stogner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699884288 PECOS PAC ID: 2961485719 Enrollment ID: I20060418000367 |
| Provider Name | Lewis W Neese |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841305950 PECOS PAC ID: 7315956463 Enrollment ID: I20060418000377 |
| Provider Name | Joe H Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235159302 PECOS PAC ID: 9830192608 Enrollment ID: I20060816000399 |
| Provider Name | David S Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861412967 PECOS PAC ID: 5193728962 Enrollment ID: I20060816000406 |
| Provider Name | Charles A Henderson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972523066 PECOS PAC ID: 7911900782 Enrollment ID: I20060816000408 |
| Provider Name | David L Sicard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609896703 PECOS PAC ID: 3274536040 Enrollment ID: I20060816000413 |
| Provider Name | Timothy W Norton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750301859 PECOS PAC ID: 5092718866 Enrollment ID: I20060816000417 |
| Provider Name | George J Blair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902835234 PECOS PAC ID: 5799788147 Enrollment ID: I20060824000463 |
| Provider Name | Kenneth L Gooch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275547564 PECOS PAC ID: 7416952759 Enrollment ID: I20060920000358 |
| Provider Name | Shirley C Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730295619 PECOS PAC ID: 7810992849 Enrollment ID: I20060926000587 |
| Provider Name | Jonathan W Shook |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881703445 PECOS PAC ID: 5698770584 Enrollment ID: I20060928000025 |
| Provider Name | Woodie J Wilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346354081 PECOS PAC ID: 4789689688 Enrollment ID: I20060928000036 |
| Provider Name | Jennifer J Bryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417976739 PECOS PAC ID: 1850397142 Enrollment ID: I20061010000321 |
| Provider Name | Andrew H Rogness |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760588446 PECOS PAC ID: 9436156015 Enrollment ID: I20061024000275 |
| Provider Name | John S Hrom |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134238496 PECOS PAC ID: 4486651510 Enrollment ID: I20061101000561 |
| Provider Name | Susan Gary Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558391326 PECOS PAC ID: 5294730669 Enrollment ID: I20061103000429 |
| Provider Name | Jennifer L Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710909858 PECOS PAC ID: 5597762476 Enrollment ID: I20061107000405 |
| Provider Name | Roberto H Lopez-santini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316960867 PECOS PAC ID: 1951308709 Enrollment ID: I20061108000721 |
| Provider Name | Christopher Westervelt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740290048 PECOS PAC ID: 2264493709 Enrollment ID: I20061204000327 |
| Provider Name | Ujwal R Neravetla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992882138 PECOS PAC ID: 2163421256 Enrollment ID: I20061219000464 |
| Provider Name | Ali Shahshahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255391728 PECOS PAC ID: 8426011412 Enrollment ID: I20061228000324 |
| Provider Name | Robert B Brahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881608586 PECOS PAC ID: 7416957212 Enrollment ID: I20061229000217 |
| Provider Name | Lori H Bartran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073661419 PECOS PAC ID: 2163526633 Enrollment ID: I20070323000156 |
| Provider Name | Elizabeth M Felder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134174097 PECOS PAC ID: 2860596004 Enrollment ID: I20070328000575 |
| Provider Name | Carl Ramsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003884305 PECOS PAC ID: 7719953025 Enrollment ID: I20070430000641 |
| Provider Name | Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861553224 PECOS PAC ID: 1951408756 Enrollment ID: I20070511000510 |
| Provider Name | Loyd B High |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467422436 PECOS PAC ID: 7113958380 Enrollment ID: I20070518000487 |
| Provider Name | Calvin A Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063403491 PECOS PAC ID: 5799882940 Enrollment ID: I20070522000705 |
| Provider Name | Lynwood C Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093745770 PECOS PAC ID: 9739189721 Enrollment ID: I20070531000575 |
| Provider Name | Gabriel S Mccrary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851466106 PECOS PAC ID: 6901904424 Enrollment ID: I20070607000221 |
| Provider Name | Richard E Clatterbuck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205887338 PECOS PAC ID: 9739287939 Enrollment ID: I20070612000640 |
| Provider Name | Connie A Mcalpin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487859807 PECOS PAC ID: 7719079151 Enrollment ID: I20070815000525 |
| Provider Name | Walid Younis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619018983 PECOS PAC ID: 8022100619 Enrollment ID: I20070828000302 |
| Provider Name | Bassam K Mechleb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063625325 PECOS PAC ID: 7911090295 Enrollment ID: I20070831000283 |
| Provider Name | Stephen C Hammack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639396393 PECOS PAC ID: 5698868560 Enrollment ID: I20070908000084 |
| Provider Name | Philip B Mellen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730108358 PECOS PAC ID: 9638131857 Enrollment ID: I20070910000635 |
| Provider Name | Steven G Cunningham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336140078 PECOS PAC ID: 0345211983 Enrollment ID: I20070911000112 |
| Provider Name | Rebecca W Lauderdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275664732 PECOS PAC ID: 1254424070 Enrollment ID: I20070918000192 |
| Provider Name | Leigh A Strong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336351659 PECOS PAC ID: 4688768997 Enrollment ID: I20070918000244 |
| Provider Name | Traci D Suber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962628966 PECOS PAC ID: 6305930587 Enrollment ID: I20070919000234 |
| Provider Name | Christopher D Boston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295932390 PECOS PAC ID: 9032204870 Enrollment ID: I20071009000271 |
| Provider Name | Dorothy D Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164567996 PECOS PAC ID: 8921194176 Enrollment ID: I20071018000609 |
| Provider Name | Ronald L Schwartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780793331 PECOS PAC ID: 4385733567 Enrollment ID: I20071211000623 |
| Provider Name | Jon D Thornton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235249046 PECOS PAC ID: 9638268816 Enrollment ID: I20071211000647 |
| Provider Name | Darvin L Sibley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003829458 PECOS PAC ID: 3375633555 Enrollment ID: I20071212000618 |
| Provider Name | Bradley N Secrest |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306955950 PECOS PAC ID: 4880784966 Enrollment ID: I20071212000661 |
| Provider Name | John J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285748137 PECOS PAC ID: 8426148578 Enrollment ID: I20071213000438 |
| Provider Name | Libby Y Kot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962516641 PECOS PAC ID: 6406946490 Enrollment ID: I20071213000797 |
| Provider Name | Carolyn K May |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700808821 PECOS PAC ID: 9032209028 Enrollment ID: I20071213000810 |
| Provider Name | Matthew D Mcclain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962517276 PECOS PAC ID: 8628158664 Enrollment ID: I20080103000594 |
| Provider Name | William M Molpus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437189099 PECOS PAC ID: 1355421306 Enrollment ID: I20080103000681 |
| Provider Name | Lisa C Bushardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669488979 PECOS PAC ID: 6204916034 Enrollment ID: I20080107000627 |
| Provider Name | Louis W Benton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538173398 PECOS PAC ID: 4183704828 Enrollment ID: I20080107000727 |
| Provider Name | John W Brahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871507566 PECOS PAC ID: 8224118963 Enrollment ID: I20080107000762 |
| Provider Name | Rodney D Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316969645 PECOS PAC ID: 3971684283 Enrollment ID: I20080112000057 |
| Provider Name | John D Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942217757 PECOS PAC ID: 8325129638 Enrollment ID: I20080112000067 |
| Provider Name | Terri M Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417067224 PECOS PAC ID: 3678654902 Enrollment ID: I20080112000167 |
| Provider Name | Daniel M Habeeb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568474294 PECOS PAC ID: 0749361657 Enrollment ID: I20080117000099 |
| Provider Name | Scott P Guidry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316959018 PECOS PAC ID: 0244311165 Enrollment ID: I20080117000153 |
| Provider Name | John Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467462465 PECOS PAC ID: 0547243396 Enrollment ID: I20080117000244 |
| Provider Name | Sanjay Derhgawen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215945506 PECOS PAC ID: 6204917032 Enrollment ID: I20080117000333 |
| Provider Name | Stephen L Conerly |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174530448 PECOS PAC ID: 1456432988 Enrollment ID: I20080122000644 |
| Provider Name | Damea B Benton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114931300 PECOS PAC ID: 3274615737 Enrollment ID: I20080123000704 |
| Provider Name | Petra R Schneider-redden |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063521607 PECOS PAC ID: 6901907328 Enrollment ID: I20080123000748 |
| Provider Name | Martin D Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043223639 PECOS PAC ID: 6103908678 Enrollment ID: I20080123000765 |
| Provider Name | Joseph P Phillips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366550758 PECOS PAC ID: 4183725500 Enrollment ID: I20080123000796 |
| Provider Name | Stephen L Harless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336151976 PECOS PAC ID: 5294817698 Enrollment ID: I20080124000136 |
| Provider Name | Rodney N Lovitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215042635 PECOS PAC ID: 1153403589 Enrollment ID: I20080124000351 |
| Provider Name | Christopher S Lynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386759603 PECOS PAC ID: 2961584396 Enrollment ID: I20080124000361 |
| Provider Name | Keith M Simnicht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851400410 PECOS PAC ID: 0042392474 Enrollment ID: I20080124000370 |
| Provider Name | Bethany H Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619987914 PECOS PAC ID: 2163504523 Enrollment ID: I20080124000553 |
| Provider Name | John G Holland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851404495 PECOS PAC ID: 0840372090 Enrollment ID: I20080128000541 |
| Provider Name | Thomas Eric Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790797389 PECOS PAC ID: 3870576622 Enrollment ID: I20080128000561 |
| Provider Name | John D Sobiesk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508975178 PECOS PAC ID: 6709968852 Enrollment ID: I20080128000590 |
| Provider Name | Jack G Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326152232 PECOS PAC ID: 3678655727 Enrollment ID: I20080128000624 |
| Provider Name | Jeffrey Hudson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023122942 PECOS PAC ID: 9234112087 Enrollment ID: I20080128000638 |
| Provider Name | Robert C Hudson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821102740 PECOS PAC ID: 4284716333 Enrollment ID: I20080128000648 |
| Provider Name | Brian E Humpherys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861506792 PECOS PAC ID: 4183706237 Enrollment ID: I20080128000655 |
| Provider Name | Gregory A Parvin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154346559 PECOS PAC ID: 7315029402 Enrollment ID: I20080129000133 |
| Provider Name | James M Herrington |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730192907 PECOS PAC ID: 0941382030 Enrollment ID: I20080129000148 |
| Provider Name | Jason D Helton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669485926 PECOS PAC ID: 8022190123 Enrollment ID: I20080129000153 |
| Provider Name | Marland H Mallette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215951959 PECOS PAC ID: 2163504267 Enrollment ID: I20080129000196 |
| Provider Name | Susan L Robbins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437268075 PECOS PAC ID: 7517049612 Enrollment ID: I20080129000203 |
| Provider Name | Brett D Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295843449 PECOS PAC ID: 4688756786 Enrollment ID: I20080129000217 |
| Provider Name | Franklin W Waller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497864607 PECOS PAC ID: 0446332563 Enrollment ID: I20080129000359 |
| Provider Name | Matthew C Whittington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780794594 PECOS PAC ID: 6901988039 Enrollment ID: I20080129000424 |
| Provider Name | Lane J Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528176823 PECOS PAC ID: 4082796123 Enrollment ID: I20080129000514 |
| Provider Name | Glenda F Pittman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629092846 PECOS PAC ID: 2860574688 Enrollment ID: I20080131000413 |
| 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 | Raymond Y Whitehead |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962512525 PECOS PAC ID: 0446332258 Enrollment ID: I20080201000376 |
| Provider Name | Mark A Gallardo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1336159607 PECOS PAC ID: 9335221043 Enrollment ID: I20080201000391 |
| Provider Name | Austin L Stringer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700945078 PECOS PAC ID: 3274615919 Enrollment ID: I20080202000006 |
| Provider Name | Joseph R Danford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477561728 PECOS PAC ID: 7810079555 Enrollment ID: I20080202000011 |
| Provider Name | Jose P Fernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144230491 PECOS PAC ID: 1355423096 Enrollment ID: I20080202000012 |
| Provider Name | Katherine P Alexis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861416042 PECOS PAC ID: 4981786621 Enrollment ID: I20080202000013 |
| Provider Name | Brenton G Richardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871601070 PECOS PAC ID: 1254413990 Enrollment ID: I20080202000019 |
| Provider Name | Richard A Pecunia |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205944659 PECOS PAC ID: 3971685611 Enrollment ID: I20080202000021 |
| Provider Name | Ronald A Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437166832 PECOS PAC ID: 0244312981 Enrollment ID: I20080202000029 |
| Provider Name | James M Weaver |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235248451 PECOS PAC ID: 8325120066 Enrollment ID: I20080202000036 |
| Provider Name | Glenn Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063429470 PECOS PAC ID: 9537142385 Enrollment ID: I20080202000037 |
| Provider Name | Orlando J Andy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659395838 PECOS PAC ID: 6406938141 Enrollment ID: I20080202000040 |
| Provider Name | Hilton L Gillespie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871503086 PECOS PAC ID: 8224110960 Enrollment ID: I20080202000041 |
| Provider Name | Samuel N Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730197054 PECOS PAC ID: 2860574506 Enrollment ID: I20080202000044 |
| Provider Name | Arthur L Glaze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689684805 PECOS PAC ID: 9032291778 Enrollment ID: I20080202000048 |
| Provider Name | Donald V Conerly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497761241 PECOS PAC ID: 1759463490 Enrollment ID: I20080202000055 |
| Provider Name | Luther W Sorrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639191760 PECOS PAC ID: 7416030994 Enrollment ID: I20080206000453 |
| Provider Name | Deanna K Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730298324 PECOS PAC ID: 7012090590 Enrollment ID: I20080206000496 |
| Provider Name | Breanne N Leathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780775619 PECOS PAC ID: 4789760810 Enrollment ID: I20080328000553 |
| Provider Name | Calin Pernes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992748768 PECOS PAC ID: 3072419670 Enrollment ID: I20080408000275 |
| Provider Name | Gabriella Szatmary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972786150 PECOS PAC ID: 4486731932 Enrollment ID: I20080408000355 |
| Provider Name | David R Yowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235307018 PECOS PAC ID: 6406934538 Enrollment ID: I20080415000485 |
| Provider Name | Ashley H Holford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053354027 PECOS PAC ID: 9133208572 Enrollment ID: I20080509000330 |
| Provider Name | Michael E Killen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306023270 PECOS PAC ID: 7517036700 Enrollment ID: I20080514000094 |
| Provider Name | Ryan W Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518145903 PECOS PAC ID: 9436237682 Enrollment ID: I20080527000510 |
| Provider Name | Susan R Oglesbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750385365 PECOS PAC ID: 9133291602 Enrollment ID: I20080630000077 |
| Provider Name | Elizabeth B Mccrary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508040551 PECOS PAC ID: 9335211176 Enrollment ID: I20080710000482 |
| Provider Name | Jennifer C Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447431465 PECOS PAC ID: 6406920891 Enrollment ID: I20080804000006 |
| Provider Name | Kevin B Barker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992790463 PECOS PAC ID: 1850465246 Enrollment ID: I20080804000018 |
| Provider Name | Parker L Bell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619171188 PECOS PAC ID: 0941374342 Enrollment ID: I20080804000026 |
| Provider Name | William B Bowling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982803862 PECOS PAC ID: 1658445051 Enrollment ID: I20080804000050 |
| Provider Name | Portia M Harris |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669662292 PECOS PAC ID: 0840364261 Enrollment ID: I20080804000235 |
| Provider Name | Michael B Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043427834 PECOS PAC ID: 4981778305 Enrollment ID: I20080804000305 |
| Provider Name | Craig Thieling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952409609 PECOS PAC ID: 0244258556 Enrollment ID: I20080804000338 |
| Provider Name | Imad Bitar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821267998 PECOS PAC ID: 5294809620 Enrollment ID: I20080804000364 |
| Provider Name | James W Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326248774 PECOS PAC ID: 6709953953 Enrollment ID: I20080930000381 |
| Provider Name | Brandi G Harper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922270032 PECOS PAC ID: 6002985488 Enrollment ID: I20081001000270 |
| Provider Name | Michelle M Bliss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811159460 PECOS PAC ID: 5193893337 Enrollment ID: I20081001000449 |
| Provider Name | Santo M Borganelli |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235139866 PECOS PAC ID: 7911088323 Enrollment ID: I20081008000688 |
| Provider Name | Jeremy E Chance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811147937 PECOS PAC ID: 9032287404 Enrollment ID: I20081013000221 |
| Provider Name | Courtney W Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952568826 PECOS PAC ID: 6901964741 Enrollment ID: I20081022000517 |
| Provider Name | Scott A Keeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801826474 PECOS PAC ID: 0941106793 Enrollment ID: I20081118000450 |
| Provider Name | Scott G Burks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255348645 PECOS PAC ID: 3072675396 Enrollment ID: I20081222000162 |
| Provider Name | Victoria A Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225281868 PECOS PAC ID: 1951465962 Enrollment ID: I20090205000203 |
| Provider Name | Ann N Whitson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508029695 PECOS PAC ID: 1759447691 Enrollment ID: I20090302000483 |
| Provider Name | Juan A Velez Jr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609939396 PECOS PAC ID: 3678640745 Enrollment ID: I20090424000203 |
| Provider Name | Melanie R Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699913202 PECOS PAC ID: 4183773336 Enrollment ID: I20090519000516 |
| Provider Name | Joel Kavanagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740391390 PECOS PAC ID: 7315098530 Enrollment ID: I20090630000188 |
| Provider Name | Catherine C Hulsey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164483814 PECOS PAC ID: 3678582731 Enrollment ID: I20090630000315 |
| Provider Name | Lisa B Gatwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881846681 PECOS PAC ID: 9133270200 Enrollment ID: I20090701000089 |
| Provider Name | John Alden Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902860372 PECOS PAC ID: 3577594969 Enrollment ID: I20090812000854 |
| Provider Name | Scott T Boyette |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376572008 PECOS PAC ID: 5496836397 Enrollment ID: I20090818000805 |
| Provider Name | Sarah D Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659507564 PECOS PAC ID: 4789739814 Enrollment ID: I20090826000093 |
| Provider Name | Jessica A Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750517660 PECOS PAC ID: 9133274269 Enrollment ID: I20090826000108 |
| Provider Name | Michael J Cox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356514988 PECOS PAC ID: 6406901990 Enrollment ID: I20090904000449 |
| Provider Name | Todd A Versteegh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306044912 PECOS PAC ID: 9537215439 Enrollment ID: I20090917000542 |
| Provider Name | Christopher N Painter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497960264 PECOS PAC ID: 1658427406 Enrollment ID: I20090918000387 |
| Provider Name | Christopher H Wyatt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861613077 PECOS PAC ID: 4880721695 Enrollment ID: I20100428000239 |
| Provider Name | Jeffrey Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275647117 PECOS PAC ID: 1658320858 Enrollment ID: I20100506000407 |
| Provider Name | Steven E Farrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669482907 PECOS PAC ID: 7810098233 Enrollment ID: I20100520000639 |
| Provider Name | Billy M Pickering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487762787 PECOS PAC ID: 4789667536 Enrollment ID: I20100521000348 |
| Provider Name | Jane E Kersh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679687420 PECOS PAC ID: 4789713223 Enrollment ID: I20100521000533 |
| Provider Name | Andrew C Lin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528172244 PECOS PAC ID: 5294864732 Enrollment ID: I20100521000581 |
| Provider Name | Richard J Galloway |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376553222 PECOS PAC ID: 3577692995 Enrollment ID: I20100524000588 |
| Provider Name | Billy R Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649380940 PECOS PAC ID: 4082743406 Enrollment ID: I20100524000633 |
| Provider Name | Cherie Papizan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427166859 PECOS PAC ID: 5395874721 Enrollment ID: I20100524000718 |
| Provider Name | James G Powell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164523932 PECOS PAC ID: 7810026135 Enrollment ID: I20100525000975 |
| Provider Name | Daniel T Mccall |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871694646 PECOS PAC ID: 6901897842 Enrollment ID: I20100525001051 |
| Provider Name | Simon P Redmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528176807 PECOS PAC ID: 0840329082 Enrollment ID: I20100526000220 |
| Provider Name | Maria C Soriano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821107491 PECOS PAC ID: 3971632126 Enrollment ID: I20100526000305 |
| Provider Name | Julie J Lynn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134234453 PECOS PAC ID: 8921137175 Enrollment ID: I20100526000351 |
| Provider Name | Leigh A Haden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184636847 PECOS PAC ID: 4284763459 Enrollment ID: I20100526000521 |
| Provider Name | Charles D Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942213103 PECOS PAC ID: 6406985670 Enrollment ID: I20100526000575 |
| Provider Name | Suyon Rhee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871601062 PECOS PAC ID: 7719017581 Enrollment ID: I20100605000170 |
| Provider Name | Edward Askew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619991809 PECOS PAC ID: 8123158425 Enrollment ID: I20100614000135 |
| Provider Name | Rebecca Hartzog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215267018 PECOS PAC ID: 7315077625 Enrollment ID: I20100614000246 |
| Provider Name | Lisa M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487609871 PECOS PAC ID: 7214068063 Enrollment ID: I20100623000565 |
| Provider Name | Jennifer L Braxton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891928586 PECOS PAC ID: 7618009689 Enrollment ID: I20100712000178 |
| Provider Name | Neal T Holm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235163106 PECOS PAC ID: 6507863586 Enrollment ID: I20100730000253 |
| Provider Name | Charles E Probst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477864585 PECOS PAC ID: 2668505249 Enrollment ID: I20100803000609 |
| Provider Name | Nathan C Darby |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1649470147 PECOS PAC ID: 6204028889 Enrollment ID: I20101014000827 |
| Provider Name | Elizabeth Curley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649478264 PECOS PAC ID: 1355535766 Enrollment ID: I20101029000956 |
| Provider Name | James Ron Burns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093048142 PECOS PAC ID: 4486849189 Enrollment ID: I20101108000878 |
| Provider Name | Telciane Sousa Vesa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295932168 PECOS PAC ID: 9931395761 Enrollment ID: I20101118001408 |
| Provider Name | Gregory N Vickers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760428569 PECOS PAC ID: 2668668872 Enrollment ID: I20101130001262 |
| Provider Name | Ronald S Young |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639107147 PECOS PAC ID: 6204023260 Enrollment ID: I20101203000399 |
| Provider Name | Cleveland A. Hudson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043249485 PECOS PAC ID: 9830259530 Enrollment ID: I20101210000814 |
| Provider Name | Kenneth E Duff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310066 PECOS PAC ID: 7911194311 Enrollment ID: I20101210000872 |
| Provider Name | Craig S Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003844242 PECOS PAC ID: 9537357413 Enrollment ID: I20101218000069 |
| Provider Name | Charlene B Broome |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720007040 PECOS PAC ID: 5496944621 Enrollment ID: I20110105000111 |
| Provider Name | Neil A Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285661934 PECOS PAC ID: 2062607120 Enrollment ID: I20110106000741 |
| Provider Name | Steven M Murphey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669400495 PECOS PAC ID: 3274722210 Enrollment ID: I20110106000846 |
| Provider Name | Charles Carey Upton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992870711 PECOS PAC ID: 0446332142 Enrollment ID: I20110124000683 |
| Provider Name | Michael J Raggio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265493332 PECOS PAC ID: 4587634266 Enrollment ID: I20110128000874 |
| Provider Name | Susan L Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619274032 PECOS PAC ID: 6901080076 Enrollment ID: I20110414000208 |
| Provider Name | John E Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699064659 PECOS PAC ID: 0648455303 Enrollment ID: I20110425000422 |
| Provider Name | Amanda Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992732051 PECOS PAC ID: 1456536812 Enrollment ID: I20110428000226 |
| Provider Name | Kimberly Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275824088 PECOS PAC ID: 3577740885 Enrollment ID: I20110613000752 |
| Provider Name | Joe M Pressler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164625448 PECOS PAC ID: 0749467033 Enrollment ID: I20110614000795 |
| Provider Name | Timothy Thompson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578747390 PECOS PAC ID: 8224117841 Enrollment ID: I20110729000357 |
| Provider Name | Angel M Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275705436 PECOS PAC ID: 2163691551 Enrollment ID: I20110801000261 |
| Provider Name | Stephanie D Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609041532 PECOS PAC ID: 3375712607 Enrollment ID: I20110803000193 |
| Provider Name | Samuel K Box |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396973863 PECOS PAC ID: 9032389457 Enrollment ID: I20110823000260 |
| Provider Name | Melissa C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609156116 PECOS PAC ID: 3274704994 Enrollment ID: I20110928000711 |
| Provider Name | Alicia Wallace Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699959882 PECOS PAC ID: 1850584343 Enrollment ID: I20111011000268 |
| Provider Name | William Waller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053592840 PECOS PAC ID: 6204916695 Enrollment ID: I20111019000077 |
| Provider Name | Joe A Golden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831242627 PECOS PAC ID: 4082796784 Enrollment ID: I20111102000247 |
| Provider Name | Sergey Sergeyevich Dzugan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861683203 PECOS PAC ID: 7911171756 Enrollment ID: I20111114000373 |
| Provider Name | Jeffrey B Wyatt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902181399 PECOS PAC ID: 5698949857 Enrollment ID: I20111128000368 |
| Provider Name | Karen R Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467729293 PECOS PAC ID: 7113193251 Enrollment ID: I20111220000631 |
| Provider Name | Lisa G Dabbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689950040 PECOS PAC ID: 5294902789 Enrollment ID: I20120124000912 |
| Provider Name | Geralynn Morrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710984539 PECOS PAC ID: 9638146897 Enrollment ID: I20120201000610 |
| Provider Name | Jennifer S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053618355 PECOS PAC ID: 6608033022 Enrollment ID: I20120213000465 |
| Provider Name | Lindsey M Flaccomio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366712473 PECOS PAC ID: 1850558552 Enrollment ID: I20120214000416 |
| Provider Name | Misty W Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891941241 PECOS PAC ID: 9436319829 Enrollment ID: I20120321000802 |
| Provider Name | Stuart L Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275763823 PECOS PAC ID: 1456547975 Enrollment ID: I20120327000425 |
| Provider Name | Jeremy A Bennett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811297120 PECOS PAC ID: 1850554213 Enrollment ID: I20120522000995 |
| Provider Name | Kimberly A Sundland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083707814 PECOS PAC ID: 2264428994 Enrollment ID: I20120619000098 |
| Provider Name | Wissam K Mechleb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487841847 PECOS PAC ID: 2961667712 Enrollment ID: I20120629000397 |
| Provider Name | Benjamin C Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518131754 PECOS PAC ID: 6002072428 Enrollment ID: I20120730000210 |
| Provider Name | Krystal M Draughn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740500925 PECOS PAC ID: 3577710995 Enrollment ID: I20120820001034 |
| Provider Name | Tammara A Jordan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104979731 PECOS PAC ID: 3274780036 Enrollment ID: I20120829000732 |
| Provider Name | Paul Drambarean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033344734 PECOS PAC ID: 0941457709 Enrollment ID: I20120829000791 |
| Provider Name | Daniel H Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689858177 PECOS PAC ID: 6204084270 Enrollment ID: I20120917000478 |
| Provider Name | Yakeyla N Naylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720216492 PECOS PAC ID: 2769631332 Enrollment ID: I20120926000306 |
| Provider Name | Brian Bahman Borg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902916778 PECOS PAC ID: 8224183124 Enrollment ID: I20120927000716 |
| Provider Name | Frederick B Mallini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326309600 PECOS PAC ID: 9335398783 Enrollment ID: I20121001000042 |
| Provider Name | Salman Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598932915 PECOS PAC ID: 9830257567 Enrollment ID: I20121005000405 |
| Provider Name | Mariel C Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083964092 PECOS PAC ID: 7012168834 Enrollment ID: I20121102000497 |
| Provider Name | Carrie E Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588908545 PECOS PAC ID: 5193979052 Enrollment ID: I20130131000494 |
| Provider Name | Charles R Mccollum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043418692 PECOS PAC ID: 4385899384 Enrollment ID: I20130222000471 |
| Provider Name | Ronald P. Tynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033450333 PECOS PAC ID: 9032355896 Enrollment ID: I20130424000008 |
| Provider Name | Melanie K Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851602569 PECOS PAC ID: 6608016043 Enrollment ID: I20130709000354 |
| Provider Name | Charles A Ouzts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912136490 PECOS PAC ID: 6901047208 Enrollment ID: I20130730000240 |
| Provider Name | William W Boone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972784999 PECOS PAC ID: 1759537301 Enrollment ID: I20130807000386 |
| Provider Name | Elizabeth F Rose |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790926780 PECOS PAC ID: 7012159502 Enrollment ID: I20130813000433 |
| Provider Name | Jeremy B Wells |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144517822 PECOS PAC ID: 4688817232 Enrollment ID: I20130829000160 |
| Provider Name | Kabeer Burman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003137399 PECOS PAC ID: 7416191671 Enrollment ID: I20130910000588 |
| Provider Name | Terri Bickham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457668162 PECOS PAC ID: 7911131768 Enrollment ID: I20131009001742 |
| Provider Name | Shannon Davis Sims |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780022509 PECOS PAC ID: 8123252798 Enrollment ID: I20131015000230 |
| Provider Name | Heather L Richie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699779371 PECOS PAC ID: 0345222899 Enrollment ID: I20131115000407 |
| Provider Name | Louis M Varner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669682134 PECOS PAC ID: 3678739927 Enrollment ID: I20131211000752 |
| Provider Name | Robert David Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487966750 PECOS PAC ID: 7113822545 Enrollment ID: I20140103000405 |
| Provider Name | Tandy L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679913099 PECOS PAC ID: 9032347133 Enrollment ID: I20140117001037 |
| Provider Name | Marlena B Mims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922435130 PECOS PAC ID: 6204065865 Enrollment ID: I20140131001728 |
| Provider Name | Corey Alexander White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093144438 PECOS PAC ID: 1355570680 Enrollment ID: I20140210000324 |
| Provider Name | Woo S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427357847 PECOS PAC ID: 4880823871 Enrollment ID: I20140218000201 |
| Provider Name | Laura Jackson Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245527902 PECOS PAC ID: 2062642358 Enrollment ID: I20140306001392 |
| Provider Name | Marie Mickail Darby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891970521 PECOS PAC ID: 4082845458 Enrollment ID: I20140327001842 |
| Provider Name | Paul E Zeagler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437499969 PECOS PAC ID: 4486878287 Enrollment ID: I20140618000793 |
| Provider Name | Michael Goebel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366607749 PECOS PAC ID: 4284858820 Enrollment ID: I20140620001704 |
| Provider Name | Kellen Travis Jex |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952698532 PECOS PAC ID: 5991920613 Enrollment ID: I20140711002052 |
| Provider Name | Aprile C Gilmore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144517541 PECOS PAC ID: 7416173596 Enrollment ID: I20140725001051 |
| Provider Name | Judy A Courtney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629155957 PECOS PAC ID: 0648257253 Enrollment ID: I20140731002770 |
| Provider Name | Marilyn Webster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609061167 PECOS PAC ID: 1557450517 Enrollment ID: I20140826002833 |
| 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 | Marylin J. Fouche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356653877 PECOS PAC ID: 8022237932 Enrollment ID: I20140908001926 |
| Provider Name | Lauren E Barry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669784815 PECOS PAC ID: 9638390396 Enrollment ID: I20141021002234 |
| Provider Name | Lauren Ayres Bethea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265744437 PECOS PAC ID: 1951522549 Enrollment ID: I20141023002437 |
| Provider Name | Gilbert Lynn Luckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275934580 PECOS PAC ID: 0143442921 Enrollment ID: I20141111001278 |
| Provider Name | Keerthi Banda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790063857 PECOS PAC ID: 4385895903 Enrollment ID: I20141204001735 |
| Provider Name | Humayun Bakhtawar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982801585 PECOS PAC ID: 3173845757 Enrollment ID: I20141210001163 |
| Provider Name | Sarah E Blackledge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972917367 PECOS PAC ID: 8820311079 Enrollment ID: I20141219001833 |
| Provider Name | Jennifer F Pattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457754855 PECOS PAC ID: 2860716776 Enrollment ID: I20150126000859 |
| Provider Name | Mark Timothy Barron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255576377 PECOS PAC ID: 2264660372 Enrollment ID: I20150203000292 |
| Provider Name | Ashley D Vance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356693949 PECOS PAC ID: 1951541598 Enrollment ID: I20150226000163 |
| Provider Name | Gregg Daniel Stokes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194147355 PECOS PAC ID: 0244462901 Enrollment ID: I20150422000366 |
| Provider Name | Justin David Westervelt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679748016 PECOS PAC ID: 6305024597 Enrollment ID: I20150423000504 |
| Provider Name | Brent Bevard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669486692 PECOS PAC ID: 2163509811 Enrollment ID: I20150504001330 |
| Provider Name | April Vancleve Frierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033506837 PECOS PAC ID: 6305157439 Enrollment ID: I20150616002367 |
| Provider Name | John Michael Porter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518347681 PECOS PAC ID: 5193036515 Enrollment ID: I20150625001144 |
| Provider Name | Christopher A Sumrall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124409339 PECOS PAC ID: 7810200789 Enrollment ID: I20150721001987 |
| Provider Name | Michael Stout |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679863633 PECOS PAC ID: 1153568969 Enrollment ID: I20150727002007 |
| Provider Name | Laura Blanks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306192612 PECOS PAC ID: 6507170578 Enrollment ID: I20150804005432 |
| Provider Name | Gregory Toczyl |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104002047 PECOS PAC ID: 9830245869 Enrollment ID: I20150812007463 |
| Provider Name | William Bradley Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346629326 PECOS PAC ID: 3173838927 Enrollment ID: I20150824000187 |
| Provider Name | Christopher John Douglas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427251511 PECOS PAC ID: 0941350102 Enrollment ID: I20150825003833 |
| Provider Name | Bharat Kumar Malhotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992050991 PECOS PAC ID: 4789832437 Enrollment ID: I20150831002203 |
| Provider Name | Laurie Douglas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013173590 PECOS PAC ID: 0749312551 Enrollment ID: I20150923002246 |
| Provider Name | Bradley Martin Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104293463 PECOS PAC ID: 8628386943 Enrollment ID: I20151006000420 |
| Provider Name | Jeffrey Stokes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407279144 PECOS PAC ID: 4880827476 Enrollment ID: I20151009001154 |
| Provider Name | Matthew Dane Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891163598 PECOS PAC ID: 3678882156 Enrollment ID: I20151023000603 |
| Provider Name | Terry J Burgess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609244342 PECOS PAC ID: 1052621307 Enrollment ID: I20151117001420 |
| Provider Name | Lewis W Aldred |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720428121 PECOS PAC ID: 3678890928 Enrollment ID: I20151117002407 |
| Provider Name | Emiley Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578949913 PECOS PAC ID: 9234439076 Enrollment ID: I20151130000702 |
| Provider Name | Annelle Claire Dugas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831555002 PECOS PAC ID: 1254635386 Enrollment ID: I20160209002635 |
| Provider Name | Martha Claudine Boos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952767857 PECOS PAC ID: 5799089868 Enrollment ID: I20160210001159 |
| Provider Name | Charles Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740646421 PECOS PAC ID: 0749584704 Enrollment ID: I20160211001113 |
| Provider Name | Brandi Elise Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760841142 PECOS PAC ID: 3971808452 Enrollment ID: I20160222000443 |
| 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 | Alexey Fomin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1700211141 PECOS PAC ID: 4385941459 Enrollment ID: I20160405001174 |
| Provider Name | Shannon Lindsey Goldsmith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477748648 PECOS PAC ID: 4486786936 Enrollment ID: I20160407001390 |
| Provider Name | Virginia Moffitt Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518003342 PECOS PAC ID: 1052619681 Enrollment ID: I20160415000831 |
| Provider Name | Mareen Sistrunk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528309887 PECOS PAC ID: 9537306337 Enrollment ID: I20160606000832 |
| Provider Name | Sourabh Mukherjee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598983108 PECOS PAC ID: 9335365063 Enrollment ID: I20160614002060 |
| Provider Name | James A York |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497730469 PECOS PAC ID: 5395911085 Enrollment ID: I20160622002086 |
| Provider Name | Muhammad Umair Ijaz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629490065 PECOS PAC ID: 9436451390 Enrollment ID: I20160720001321 |
| Provider Name | Kendrick Sparks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568584019 PECOS PAC ID: 4385939073 Enrollment ID: I20160819000578 |
| Provider Name | David Mocha Motanya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174887319 PECOS PAC ID: 5799087235 Enrollment ID: I20160906001892 |
| Provider Name | Amanda Dawn Sellers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659635027 PECOS PAC ID: 3274857826 Enrollment ID: I20160908000526 |
| Provider Name | Gregg Onyemachi Anazia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497045512 PECOS PAC ID: 4183844236 Enrollment ID: I20160916001040 |
| Provider Name | Katherine Royals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013357334 PECOS PAC ID: 0547584211 Enrollment ID: I20160917000081 |
| Provider Name | Roland R Estaris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760724520 PECOS PAC ID: 2466676077 Enrollment ID: I20160928000062 |
| Provider Name | Linda Rae Gwaltney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871807776 PECOS PAC ID: 3678755816 Enrollment ID: I20161025001002 |
| Provider Name | Lori Suzonne Foxworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508313446 PECOS PAC ID: 8729367958 Enrollment ID: I20161110002617 |
| Provider Name | Lori Bartran Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366999799 PECOS PAC ID: 5294014270 Enrollment ID: I20161115000871 |
| Provider Name | Erin Alyssa O Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326594482 PECOS PAC ID: 4587944491 Enrollment ID: I20161212001917 |
| Provider Name | Brandon Scott Figueiredo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104376102 PECOS PAC ID: 4587946850 Enrollment ID: I20170120002039 |
| Provider Name | Amanda Lynn Ladd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821545757 PECOS PAC ID: 7214219518 Enrollment ID: I20170121000157 |
| Provider Name | Bradley Earl Tolar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134671381 PECOS PAC ID: 7315229655 Enrollment ID: I20170123001436 |
| Provider Name | Lisa Keeling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932460508 PECOS PAC ID: 3577702810 Enrollment ID: I20170126002379 |
| Provider Name | Jessica Mccallister Tullos |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306254255 PECOS PAC ID: 8729387139 Enrollment ID: I20170203000317 |
| Provider Name | Joshua Ezelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114469459 PECOS PAC ID: 1658654991 Enrollment ID: I20170210000520 |
| Provider Name | Dana Bernardo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972046282 PECOS PAC ID: 8426332057 Enrollment ID: I20170228000480 |
| Provider Name | Adrianna Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285172619 PECOS PAC ID: 3971887274 Enrollment ID: I20170306001885 |
| Provider Name | Lori S Beisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235683665 PECOS PAC ID: 9537444377 Enrollment ID: I20170318000045 |
| Provider Name | Wren Vines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245776343 PECOS PAC ID: 0749566024 Enrollment ID: I20170421001160 |
| Provider Name | Judd M Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730355967 PECOS PAC ID: 5799073581 Enrollment ID: I20170425000149 |
| Provider Name | Kristina A Molnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316480320 PECOS PAC ID: 6002193828 Enrollment ID: I20170504001279 |
| Provider Name | Delana Lynn Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629517115 PECOS PAC ID: 8123305745 Enrollment ID: I20170509002542 |
| Provider Name | Dawn Rankin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811302425 PECOS PAC ID: 6800013848 Enrollment ID: I20170516000384 |
| Provider Name | Gerald Ball Broussard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104117688 PECOS PAC ID: 1850604802 Enrollment ID: I20170524002825 |
| Provider Name | Jeremiah Wesley Daniels |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518014166 PECOS PAC ID: 0941202436 Enrollment ID: I20170615000202 |
| Provider Name | Joshua Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710412234 PECOS PAC ID: 8022388024 Enrollment ID: I20170725000885 |
| Provider Name | Cody C Choate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487064697 PECOS PAC ID: 4688961428 Enrollment ID: I20170731000601 |
| Provider Name | William A Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336559327 PECOS PAC ID: 8921397233 Enrollment ID: I20170731000971 |
| Provider Name | Kory W Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255751525 PECOS PAC ID: 3173813748 Enrollment ID: I20170731000990 |
| Provider Name | Sean P Douglas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093081168 PECOS PAC ID: 2567686348 Enrollment ID: I20170731001768 |
| Provider Name | Blake Robert Olmsted |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780948216 PECOS PAC ID: 2769604578 Enrollment ID: I20170803001050 |
| Provider Name | Rami Jabbour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679980072 PECOS PAC ID: 2163793001 Enrollment ID: I20170810001644 |
| Provider Name | William Currie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518378116 PECOS PAC ID: 2365729290 Enrollment ID: I20170815001352 |
| Provider Name | Farah Mushtaq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669727228 PECOS PAC ID: 1355613043 Enrollment ID: I20170815002932 |
| Provider Name | Richard C Calderone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215340286 PECOS PAC ID: 3870818537 Enrollment ID: I20170818001931 |
| Provider Name | Jana Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488048 PECOS PAC ID: 3577835701 Enrollment ID: I20170822003369 |
| Provider Name | Mary A Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184037038 PECOS PAC ID: 2365766284 Enrollment ID: I20170823000917 |
| Provider Name | Timothy A Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932543816 PECOS PAC ID: 5092955724 Enrollment ID: I20170828000927 |
| Provider Name | Amy D Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245683812 PECOS PAC ID: 5799057683 Enrollment ID: I20170828003181 |
| Provider Name | Jennifer Elaine Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255869665 PECOS PAC ID: 6406120930 Enrollment ID: I20170922000933 |
| Provider Name | Kimberly Briann King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215459136 PECOS PAC ID: 2860767928 Enrollment ID: I20170929001171 |
| Provider Name | Megan M Dillon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013357433 PECOS PAC ID: 9739406331 Enrollment ID: I20171020001484 |
| Provider Name | Leslie Michelle Todd Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417466079 PECOS PAC ID: 1052677879 Enrollment ID: I20171110002942 |
| Provider Name | Lindsey D Salmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265772958 PECOS PAC ID: 6901043827 Enrollment ID: I20171117002813 |
| Provider Name | Sharon Sorrells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043721087 PECOS PAC ID: 6709143837 Enrollment ID: I20171128002893 |
| Provider Name | Joshua Coker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457795684 PECOS PAC ID: 0941519284 Enrollment ID: I20171227002905 |
| Provider Name | Robert Adam Gaston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245744069 PECOS PAC ID: 5991064743 Enrollment ID: I20180124000986 |
| Provider Name | Christopher M Hinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952780066 PECOS PAC ID: 8426364829 Enrollment ID: I20180124001699 |
| Provider Name | Lauren Boyd Robertson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588176424 PECOS PAC ID: 1052670767 Enrollment ID: I20180125000487 |
| Provider Name | Tori Hill Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407980634 PECOS PAC ID: 4880725019 Enrollment ID: I20180226000873 |
| Provider Name | Crystal P Mcnabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565763 PECOS PAC ID: 5193086403 Enrollment ID: I20180301001879 |
| Provider Name | Amanda Leigh Edgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710486808 PECOS PAC ID: 8921369968 Enrollment ID: I20180307002140 |
| Provider Name | Kimberly Phillips Fortenberry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750345005 PECOS PAC ID: 8022030162 Enrollment ID: I20180410001577 |
| Provider Name | Jeremy Alan Vance |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073029799 PECOS PAC ID: 1850655200 Enrollment ID: I20180510001994 |
| Provider Name | Joel A Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891176947 PECOS PAC ID: 5092002410 Enrollment ID: I20180515000274 |
| Provider Name | Aaron Israel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982091096 PECOS PAC ID: 6901118355 Enrollment ID: I20180521000531 |
| Provider Name | Barbara M Karcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558756387 PECOS PAC ID: 7012223290 Enrollment ID: I20180605000076 |
| Provider Name | Andrew Merlan Nida |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730476144 PECOS PAC ID: 5395061857 Enrollment ID: I20180626000764 |
| Provider Name | Karen Creel Ladnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750888129 PECOS PAC ID: 2062768708 Enrollment ID: I20180710003229 |
| Provider Name | Paula Province Warren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932336302 PECOS PAC ID: 2961647375 Enrollment ID: I20180716003276 |
| Provider Name | Vladimir V Karpitskiy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902801848 PECOS PAC ID: 8729982830 Enrollment ID: I20180718000545 |
| Provider Name | Jason A Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760877948 PECOS PAC ID: 1254629074 Enrollment ID: I20180718003475 |
| Provider Name | Daniel James Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982098026 PECOS PAC ID: 7113212572 Enrollment ID: I20180720002608 |
| Provider Name | Destiney Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114410537 PECOS PAC ID: 4183972615 Enrollment ID: I20180731002753 |
| Provider Name | Kristen Sicard Spruill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023420478 PECOS PAC ID: 0446548853 Enrollment ID: I20180731003012 |
| Provider Name | Zachary Bruce Kulzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104317213 PECOS PAC ID: 3476801887 Enrollment ID: I20180801001703 |
| Provider Name | Akram Dera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316346968 PECOS PAC ID: 8921228388 Enrollment ID: I20180801003733 |
| Provider Name | Jennifer Miranda Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225514391 PECOS PAC ID: 2769730555 Enrollment ID: I20180810001266 |
| Provider Name | Asma Khader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235511874 PECOS PAC ID: 9032429949 Enrollment ID: I20180813000596 |
| Provider Name | William F Stringer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295231264 PECOS PAC ID: 3577812981 Enrollment ID: I20180817002475 |
| Provider Name | Mahmud Samra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558743062 PECOS PAC ID: 3678883055 Enrollment ID: I20180817002670 |
| Provider Name | Boris Cehajic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710321211 PECOS PAC ID: 2365682051 Enrollment ID: I20180828002962 |
| Provider Name | Nicole Elise Carden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609288141 PECOS PAC ID: 6507180353 Enrollment ID: I20180905002484 |
| Provider Name | Amrullah Alsatli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285014613 PECOS PAC ID: 5496051369 Enrollment ID: I20180906001878 |
| Provider Name | Maureen Offiah |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760896195 PECOS PAC ID: 5698094050 Enrollment ID: I20180907001549 |
| Provider Name | Kara Lynne Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568957439 PECOS PAC ID: 2860742921 Enrollment ID: I20180911002212 |
| Provider Name | Marla Turner Chapman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114331832 PECOS PAC ID: 5597985432 Enrollment ID: I20181015001871 |
| Provider Name | Nedal Matani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275997959 PECOS PAC ID: 5890047153 Enrollment ID: I20181015002084 |
| Provider Name | Meagan Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861888000 PECOS PAC ID: 1254620586 Enrollment ID: I20181016001217 |
| Provider Name | Sriharsha Chakravarthi Athota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134502115 PECOS PAC ID: 4789936881 Enrollment ID: I20181017001499 |
| Provider Name | Hollianna Mcleod Munna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821579707 PECOS PAC ID: 0345593471 Enrollment ID: I20181019000121 |
| Provider Name | Bridgette Runnels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467840736 PECOS PAC ID: 3678864501 Enrollment ID: I20181019000495 |
| Provider Name | Subodh Adhikari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457731861 PECOS PAC ID: 2961709241 Enrollment ID: I20181019000954 |
| Provider Name | Mohammad Ik Anindo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003299876 PECOS PAC ID: 4981910692 Enrollment ID: I20181109001066 |
| Provider Name | Sherry Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982188421 PECOS PAC ID: 3072867019 Enrollment ID: I20181112000351 |
| Provider Name | Crystal Nichole Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629550496 PECOS PAC ID: 1759625460 Enrollment ID: I20181206003458 |
| Provider Name | Ashley Dueitt Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326511031 PECOS PAC ID: 8729327531 Enrollment ID: I20190221002415 |
| Provider Name | Teresa Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619440534 PECOS PAC ID: 5890034672 Enrollment ID: I20190222002177 |
| Provider Name | Danielle Mcveigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699230193 PECOS PAC ID: 4082955497 Enrollment ID: I20190412001052 |
| Provider Name | Gina Rochelle Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245795657 PECOS PAC ID: 5597006874 Enrollment ID: I20190415001717 |
| Provider Name | Brittany Lee Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548725161 PECOS PAC ID: 3870835499 Enrollment ID: I20190501001952 |
| Provider Name | Brooke Samantha Fryfogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528520277 PECOS PAC ID: 5395088322 Enrollment ID: I20190515000893 |
| Provider Name | Thomas Payne Royals |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184068413 PECOS PAC ID: 6901195957 Enrollment ID: I20190516002648 |
| Provider Name | Thompson Worth Liddell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851703201 PECOS PAC ID: 1456685833 Enrollment ID: I20190619002545 |
| Provider Name | Martha K Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445642 PECOS PAC ID: 9537493846 Enrollment ID: I20190620000280 |
| Provider Name | Nathaniel Nowacki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508201872 PECOS PAC ID: 2062746878 Enrollment ID: I20190627003486 |
| Provider Name | Porter Hudson Glover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053755652 PECOS PAC ID: 3577856996 Enrollment ID: I20190701002277 |
| Provider Name | Nancy Danielle Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821655150 PECOS PAC ID: 0345575361 Enrollment ID: I20190715000187 |
| Provider Name | Diego F Alcivar Franco |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669760021 PECOS PAC ID: 1557616315 Enrollment ID: I20190730003458 |
| Provider Name | Jon Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407268386 PECOS PAC ID: 8921324112 Enrollment ID: I20190730004306 |
| Provider Name | Ahmad Yehya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659780013 PECOS PAC ID: 4385949569 Enrollment ID: I20190731000228 |
| Provider Name | Jenisus Marie Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316390289 PECOS PAC ID: 4688900475 Enrollment ID: I20190801000029 |
| Provider Name | Jason Moss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235558149 PECOS PAC ID: 2567735939 Enrollment ID: I20190809002220 |
| Provider Name | Casie Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578124186 PECOS PAC ID: 6305173568 Enrollment ID: I20190809002266 |
| Provider Name | Nancy S Harrison |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457763336 PECOS PAC ID: 3072820844 Enrollment ID: I20190812000790 |
| Provider Name | Kaitlen Sicard Schexnayder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518386788 PECOS PAC ID: 8921335860 Enrollment ID: I20190814003520 |
| Provider Name | Heather Pritchett Bassi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447802103 PECOS PAC ID: 9537496427 Enrollment ID: I20190815001643 |
| Provider Name | Lauren Brewer Beckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427591627 PECOS PAC ID: 0143501213 Enrollment ID: I20190816000547 |
| Provider Name | Dylan Winston Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891357588 PECOS PAC ID: 2264769025 Enrollment ID: I20190816001120 |
| Provider Name | John Moore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063824688 PECOS PAC ID: 3072739630 Enrollment ID: I20190817000049 |
| Provider Name | Jonathan Hs Rayburn |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033537212 PECOS PAC ID: 1759502065 Enrollment ID: I20191015002356 |
| Provider Name | Royceanne Fairchild Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316465867 PECOS PAC ID: 1355670274 Enrollment ID: I20191030001892 |
| Provider Name | Muhammad Sattar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679925408 PECOS PAC ID: 5597198887 Enrollment ID: I20191126002925 |
| Provider Name | Hillary Brooke Sims |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952727315 PECOS PAC ID: 6800221359 Enrollment ID: I20200110002296 |
| Provider Name | Elizabeth R Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659918084 PECOS PAC ID: 1052746435 Enrollment ID: I20200113000850 |
| Provider Name | Lauren Mckenzy Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811548696 PECOS PAC ID: 7911332101 Enrollment ID: I20200116000593 |
| Provider Name | John Reynolds Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962051946 PECOS PAC ID: 8820423767 Enrollment ID: I20200122002532 |
| Provider Name | Corey Lyle Gambrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720625841 PECOS PAC ID: 8527494202 Enrollment ID: I20200129001613 |
| Provider Name | Jessica Breland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538799275 PECOS PAC ID: 1759719420 Enrollment ID: I20200311000590 |
| Provider Name | Patricia Chevis Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331376 PECOS PAC ID: 4284062357 Enrollment ID: I20200324001434 |
| Provider Name | Frank Joseph Hux |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003030578 PECOS PAC ID: 0446397756 Enrollment ID: I20200331002333 |
| Provider Name | Anna L Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447807805 PECOS PAC ID: 7517297013 Enrollment ID: I20200413001900 |
| Provider Name | Christa Hosey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972150860 PECOS PAC ID: 0446688949 Enrollment ID: I20200508000022 |
| Provider Name | Andrew Dunn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750709028 PECOS PAC ID: 2466778972 Enrollment ID: I20200514002397 |
| Provider Name | Rebecca Browning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558893933 PECOS PAC ID: 5890069686 Enrollment ID: I20200527003412 |
| Provider Name | Adam Harless |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851653315 PECOS PAC ID: 0941429963 Enrollment ID: I20200709002502 |
| Provider Name | Adam Franklin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1942595871 PECOS PAC ID: 1850513441 Enrollment ID: I20200710002499 |
| Provider Name | Kristen Nicole Ramey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578095238 PECOS PAC ID: 3779907258 Enrollment ID: I20200716001741 |
| Provider Name | Andrew M Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679125140 PECOS PAC ID: 7911322490 Enrollment ID: I20200730002599 |
| Provider Name | Anutida Charoentong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013442904 PECOS PAC ID: 2264857754 Enrollment ID: I20200730002725 |
| Provider Name | Bruce William Grissom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720513617 PECOS PAC ID: 5496170987 Enrollment ID: I20200730002968 |
| Provider Name | Brittney Joelle Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891155867 PECOS PAC ID: 2961828868 Enrollment ID: I20200821000724 |
| Provider Name | Holly K Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790392850 PECOS PAC ID: 4082033626 Enrollment ID: I20200930002077 |
| Provider Name | Manal Abdur Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073049805 PECOS PAC ID: 4688918659 Enrollment ID: I20201008001620 |
| Provider Name | Miles Dunbar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447665146 PECOS PAC ID: 3870831845 Enrollment ID: I20201023002884 |
| Provider Name | Katie Scianna Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821697210 PECOS PAC ID: 6901217207 Enrollment ID: I20201117002051 |
| Provider Name | Nathan Samuel Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114522828 PECOS PAC ID: 1254743107 Enrollment ID: I20201217000271 |
| Provider Name | Kristen Yelverton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710580204 PECOS PAC ID: 5294149902 Enrollment ID: I20210120002307 |
| Provider Name | Tyler Griffin Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457950842 PECOS PAC ID: 6204240930 Enrollment ID: I20210120002699 |
| Provider Name | Michael Kaleb Cockrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255929303 PECOS PAC ID: 5294149845 Enrollment ID: I20210122001438 |
| Provider Name | Lindsey Sparks Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770173114 PECOS PAC ID: 3779998646 Enrollment ID: I20210226002376 |
| Provider Name | Jeffrey Hooker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073909271 PECOS PAC ID: 0648587048 Enrollment ID: I20210408001996 |
| Provider Name | Chaka Jackson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922683580 PECOS PAC ID: 0547678120 Enrollment ID: I20210420001874 |
| Provider Name | Shawn Le Doux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922367978 PECOS PAC ID: 5395061030 Enrollment ID: I20210504000429 |
| Provider Name | Terry Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598269920 PECOS PAC ID: 5799031712 Enrollment ID: I20210507002037 |
| Provider Name | Jennifer Lynn Stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538753215 PECOS PAC ID: 3577963743 Enrollment ID: I20210609001138 |
| Provider Name | Amanda Lynn Gay |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831491687 PECOS PAC ID: 7315347523 Enrollment ID: I20210609002857 |
| Provider Name | Mildred Catherine Franklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619542040 PECOS PAC ID: 8921409384 Enrollment ID: I20210623002715 |
| Provider Name | Victoria Scott Sivils |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265896229 PECOS PAC ID: 1759678667 Enrollment ID: I20210712002792 |
| Provider Name | Jasmine Teshae Washington |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326402066 PECOS PAC ID: 9133412513 Enrollment ID: I20210712003766 |
| Provider Name | Corey Sivils |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841679636 PECOS PAC ID: 2961719695 Enrollment ID: I20210715003445 |
| Provider Name | Gaylen Patterson Sanders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679078703 PECOS PAC ID: 2365791555 Enrollment ID: I20210716001112 |
| Provider Name | Patrick Dauphin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962866004 PECOS PAC ID: 0941596654 Enrollment ID: I20210720002316 |
| Provider Name | Michael G Vanderloo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891291308 PECOS PAC ID: 6608125745 Enrollment ID: I20210721000599 |
| Provider Name | Justin Pipkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073044749 PECOS PAC ID: 0244504116 Enrollment ID: I20210721001734 |
| Provider Name | James S Presgraves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972009835 PECOS PAC ID: 2163779034 Enrollment ID: I20210726000956 |
| Provider Name | Amber W Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174029888 PECOS PAC ID: 4183971062 Enrollment ID: I20210728004134 |
| Provider Name | Leah Burch Rock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215434261 PECOS PAC ID: 4183028616 Enrollment ID: I20210805002756 |
| Provider Name | Gregory Szych |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20210826000090 |
| Provider Name | Lindsay Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912676313 PECOS PAC ID: 2264839794 Enrollment ID: I20210924002082 |
| Provider Name | Jose Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285981332 PECOS PAC ID: 1254635444 Enrollment ID: I20211004003374 |
| Provider Name | Jeremy Clark Screws |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376744151 PECOS PAC ID: 8224129838 Enrollment ID: I20211006000644 |
| Provider Name | Melissa Ann Ezelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851924013 PECOS PAC ID: 9234528514 Enrollment ID: I20211106000154 |
| Provider Name | Kiersten Farrar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952063422 PECOS PAC ID: 3870982127 Enrollment ID: I20211108002588 |
| Provider Name | Jessie F Marshall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871091967 PECOS PAC ID: 2961764469 Enrollment ID: I20211215000046 |
| Provider Name | Russell Wayne Gray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215697388 PECOS PAC ID: 3375935034 Enrollment ID: I20220110001908 |
| Provider Name | Christopher Lamar Bond |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225794415 PECOS PAC ID: 1456744226 Enrollment ID: I20220201000219 |
| Provider Name | Matthew Byrnes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063545317 PECOS PAC ID: 9739280603 Enrollment ID: I20220223002495 |
| Provider Name | Matthew Dean Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528590460 PECOS PAC ID: 5395130215 Enrollment ID: I20220311000351 |
| Provider Name | Andrew Michael Wishy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619389939 PECOS PAC ID: 8527332337 Enrollment ID: I20220321000037 |
| Provider Name | Jonathan Pollock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558785782 PECOS PAC ID: 7012137516 Enrollment ID: I20220419000601 |
| Provider Name | Lauren Hensleigh Warren |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114668902 PECOS PAC ID: 4385031681 Enrollment ID: I20220504002035 |
| Provider Name | Kaitlin Granberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093457988 PECOS PAC ID: 2466830310 Enrollment ID: I20220604000398 |
| Provider Name | Joseph Hurston |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114285145 PECOS PAC ID: 8022380450 Enrollment ID: I20220607001918 |
| Provider Name | Mary Oglesbee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982262424 PECOS PAC ID: 0941538805 Enrollment ID: I20220711000659 |
| Provider Name | Leigh Hannah Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508598376 PECOS PAC ID: 1456732098 Enrollment ID: I20220714000114 |
| Provider Name | Carter Kd Guice |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891285896 PECOS PAC ID: 2062763915 Enrollment ID: I20220728002712 |
| Provider Name | Christopher R Rawls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114488095 PECOS PAC ID: 6800121468 Enrollment ID: I20220729001677 |
| Provider Name | John L Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114489507 PECOS PAC ID: 2567797129 Enrollment ID: I20220730000148 |
| Provider Name | Helen Rachael Gandy Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114581923 PECOS PAC ID: 0840525432 Enrollment ID: I20220731000001 |
| Provider Name | Nathanael Dennis Strimbu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881153864 PECOS PAC ID: 0446632947 Enrollment ID: I20220731000099 |
| Provider Name | Terra Leigh Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356802235 PECOS PAC ID: 6800122490 Enrollment ID: I20220802003638 |
| Provider Name | Shomari D Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194286252 PECOS PAC ID: 7113253741 Enrollment ID: I20220807000116 |
| Provider Name | Kacey Breaux Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629712310 PECOS PAC ID: 6800279555 Enrollment ID: I20220813000668 |
| Provider Name | Sarah Saternos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235765405 PECOS PAC ID: 7315321213 Enrollment ID: I20220825004129 |
| Provider Name | Megumi D Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750843710 PECOS PAC ID: 3577893494 Enrollment ID: I20220831002774 |
| Provider Name | Anthony L Fortin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437680899 PECOS PAC ID: 8325318801 Enrollment ID: I20220908002149 |
| Provider Name | Tiffany Yvette King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033845771 PECOS PAC ID: 3375928351 Enrollment ID: I20220912001173 |
| Provider Name | Adam T Purvis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740740778 PECOS PAC ID: 9335474964 Enrollment ID: I20220912002143 |
| Provider Name | Jennifer Reeder Mascagni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861578635 PECOS PAC ID: 0648655035 Enrollment ID: I20220921002593 |
| Provider Name | Kimberly Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450773 PECOS PAC ID: 6709284755 Enrollment ID: I20220929003615 |
| Provider Name | Adrienne C Whittington |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861932436 PECOS PAC ID: 3870979701 Enrollment ID: I20220929004012 |
| Provider Name | Senate Oluwakemi Amusu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700309432 PECOS PAC ID: 8628494408 Enrollment ID: I20221108000504 |
| Provider Name | Robert Walley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588047567 PECOS PAC ID: 3274944632 Enrollment ID: I20221117002206 |
| Provider Name | Emily Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255070538 PECOS PAC ID: 0941679146 Enrollment ID: I20221209002338 |
| Provider Name | Francis G Bell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912437310 PECOS PAC ID: 5799055711 Enrollment ID: I20221212000715 |
| Provider Name | Jaya Naran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316394448 PECOS PAC ID: 8022489624 Enrollment ID: I20230118001915 |
| Provider Name | Brian Alan Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245940337 PECOS PAC ID: 0840661146 Enrollment ID: I20230124003611 |
| Provider Name | Anthony Cort Newsom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568172658 PECOS PAC ID: 9436520566 Enrollment ID: I20230126003419 |
| Provider Name | Kara Box |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417426958 PECOS PAC ID: 4183964588 Enrollment ID: I20230215003095 |
| Provider Name | Brooke Nicole Degheb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164132221 PECOS PAC ID: 2466825245 Enrollment ID: I20230224002426 |
| Provider Name | Georges El Khoury Antoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265621130 PECOS PAC ID: 3971735275 Enrollment ID: I20230309002802 |
| Provider Name | Heather Smith Hession |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730772617 PECOS PAC ID: 4082088091 Enrollment ID: I20230314002318 |
| Provider Name | Zoe Ortega |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770963258 PECOS PAC ID: 2860742210 Enrollment ID: I20230316000001 |
| Provider Name | Heather Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679299127 PECOS PAC ID: 0042685026 Enrollment ID: I20230404002528 |
| Provider Name | Marshall J Hutchison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447783717 PECOS PAC ID: 4981958501 Enrollment ID: I20230516000568 |
| Provider Name | Mary Noel Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790377018 PECOS PAC ID: 3971960741 Enrollment ID: I20230609001173 |
| Provider Name | Kevin Kinloch |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952834350 PECOS PAC ID: 0547535619 Enrollment ID: I20230717002683 |
| Provider Name | Randolph Jackson Ross |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295267680 PECOS PAC ID: 3577836147 Enrollment ID: I20230717003177 |
| Provider Name | Anna Elizabeth Case |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831659416 PECOS PAC ID: 8729319058 Enrollment ID: I20230731001159 |
| Provider Name | William P Fortenberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235521923 PECOS PAC ID: 9436573433 Enrollment ID: I20230807003191 |
| Provider Name | Matthew Valentine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780117879 PECOS PAC ID: 5890182729 Enrollment ID: I20230807003749 |
| Provider Name | Preston Pitfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538856638 PECOS PAC ID: 5193186161 Enrollment ID: I20230807003756 |
| Provider Name | Brooklee Tynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255783056 PECOS PAC ID: 3375942352 Enrollment ID: I20230816002674 |
| Provider Name | Rachael Kuehn Thornton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548889355 PECOS PAC ID: 2567892177 Enrollment ID: I20230901003004 |
| Provider Name | Marcos Rosado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902326846 PECOS PAC ID: 4789068065 Enrollment ID: I20230901003159 |
| Provider Name | William Ross |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1194388454 PECOS PAC ID: 8527494129 Enrollment ID: I20230907003225 |
| Provider Name | Aaliyah Demi' Cole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871221390 PECOS PAC ID: 2062896913 Enrollment ID: I20230911002734 |
| Provider Name | Elizabeth Catherine Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878360 PECOS PAC ID: 4688094113 Enrollment ID: I20230913000913 |
| Provider Name | Rachel Rosado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184164998 PECOS PAC ID: 0143609545 Enrollment ID: I20230925002791 |
| Provider Name | Robert Walters |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548482482 PECOS PAC ID: 2466553987 Enrollment ID: I20230926002676 |
| Provider Name | Blake Daly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568148336 PECOS PAC ID: 6002279809 Enrollment ID: I20231017000430 |
| Provider Name | Erin Leigh Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750064689 PECOS PAC ID: 4082060850 Enrollment ID: I20231031000812 |
| Provider Name | Julie Danielle Gibbons |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477232809 PECOS PAC ID: 1951757574 Enrollment ID: I20231102000055 |
| Provider Name | Daniel Sanford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801839808 PECOS PAC ID: 6608814959 Enrollment ID: I20231106003577 |
| Provider Name | Jennifer Olivier |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1659699726 PECOS PAC ID: 1557676020 Enrollment ID: I20231209000611 |
| Provider Name | Warren Adrian Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245662246 PECOS PAC ID: 5092165985 Enrollment ID: I20231218004362 |
| Provider Name | Joshua Richard Hamm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548425341 PECOS PAC ID: 3870943301 Enrollment ID: I20231227000041 |
| Provider Name | Serag Fares |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841753084 PECOS PAC ID: 4385097534 Enrollment ID: I20240124002823 |
| Provider Name | Christina Goodridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033195375 PECOS PAC ID: 7810916186 Enrollment ID: I20240131003026 |
| Provider Name | Blythe B Mccance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003121955 PECOS PAC ID: 7517300742 Enrollment ID: I20240205003241 |
| Provider Name | Roland Colburn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487420105 PECOS PAC ID: 5698118743 Enrollment ID: I20240206003027 |
| Provider Name | Daniel Attaway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093581712 PECOS PAC ID: 2769826924 Enrollment ID: I20240215004297 |
| Provider Name | Jessica Ashley Parsons |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811767452 PECOS PAC ID: 5597109017 Enrollment ID: I20240222003385 |
| Provider Name | Angela Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568224673 PECOS PAC ID: 6103262373 Enrollment ID: I20240311000724 |
| Provider Name | Ashley Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912602004 PECOS PAC ID: 1355799073 Enrollment ID: I20240311001580 |
| Provider Name | William Anthony Adcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225894264 PECOS PAC ID: 3971941287 Enrollment ID: I20240405001507 |
| Provider Name | Yussuf Jaffar Ismail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841796745 PECOS PAC ID: 9638577604 Enrollment ID: I20240411000045 |
| Provider Name | Colton Lott |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063943884 PECOS PAC ID: 9931463312 Enrollment ID: I20240412004353 |
| Provider Name | Hamza Muhammad Tola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154818342 PECOS PAC ID: 6406259373 Enrollment ID: I20240502003855 |
| Provider Name | Taylor Joseph Mabry |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154819415 PECOS PAC ID: 3274973540 Enrollment ID: I20240503000450 |
| Provider Name | Alexander Yuan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497287189 PECOS PAC ID: 4789925769 Enrollment ID: I20240604001112 |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-705-2896 Fax: 601-579-5240 | |
Thames Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Jamestown Rd, Hattiesburg, MS 39402 Phone: 601-545-8700 Fax: 601-582-5461 | |
Hattiesburg Public School And Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503 | |
Inland Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Hardy St Ste 10, Hattiesburg, MS 39402 Phone: 601-602-2014 Fax: 601-544-7013 | |
Lincoln Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402 Phone: 601-296-7848 Fax: 601-296-7828 | |
Parkway Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Glendale Ave, Hattiesburg, MS 39401 Phone: 601-582-5805 Fax: 601-582-5806 | |
Southern Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 U S Highway 98, Suite B, Hattiesburg, MS 39402 Phone: 601-261-2727 Fax: 601-261-9847 |