| Holly Springs Family Medical Llc | |
|
130 W Van Dorn Ave Holly Springs MS 38635-2902 | |
| (662) 274-3212 | |
| (662) 274-3213 |
| Full Name | Holly Springs Family Medical Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 130 W Van Dorn Ave, Holly Springs, Mississippi |
| Authorized Official Name and Position | Jerry D Williams (OWNER) |
| Authorized Official Contact | 6622743212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Springs Family Medical Llc 130 W Van Dorn Ave Holly Springs MS 38635-2902 Ph: (662) 274-3212 | Holly Springs Family Medical Llc 130 W Van Dorn Ave Holly Springs MS 38635-2902 Ph: (662) 274-3212 |
| NPI Number | 1518692342 |
|---|---|
| Provider Enumeration Date | 07/17/2022 |
| Last Update Date | 09/01/2022 |
| Medicare PECOS PAC ID | 2668848581 |
|---|---|
| Medicare Enrollment ID | O20221018002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518692342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Jerry D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073035168 PECOS PAC ID: 7618239682 Enrollment ID: I20200331003062 |
| Provider Name | Brittney N Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144741059 PECOS PAC ID: 4486928694 Enrollment ID: I20211207001147 |
Brame And Wright Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 153a South Market Street, Holly Springs, MS 38635 Phone: 662-252-9987 Fax: 662-252-7517 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Crescent Meadow Drive, Holly Springs, MS 38635 Phone: 662-502-3149 | |
Hawkins Family Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 491a Craft St, Holly Springs, MS 38635 Phone: 662-252-6416 Fax: 662-252-3355 | |
Williams Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1938 Crescent Meadows Dr, Holly Springs, MS 38635 Phone: 662-252-1599 Fax: 662-252-1986 |