| Internal Medicine Clinic, Pllc | |
|
1600 22nd Ave Medical Towers Iii Meridian MS 39301-3223 | |
| (601) 483-5322 | |
| (601) 693-8081 |
| Full Name | Internal Medicine Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 22nd Ave, Meridian, Mississippi |
| Authorized Official Name and Position | James A Allen (ADMINISTRATOR) |
| Authorized Official Contact | 6015812295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Clinic, Pllc 1600 22nd Ave Medical Towers Iii Meridian MS 39301-3223 Ph: (601) 483-5322 | Internal Medicine Clinic, Pllc 1600 22nd Ave Medical Towers Iii Meridian MS 39301-3223 Ph: (601) 483-5322 |
| NPI Number | 1932248853 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 12/14/2011 |
| Medicare PECOS PAC ID | 0143390146 |
|---|---|
| Medicare Enrollment ID | O20080603000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932248853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376520924 PECOS PAC ID: 2062301336 Enrollment ID: I20040313000693 |
| Provider Name | John C Andy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336126911 PECOS PAC ID: 9830155944 Enrollment ID: I20041209000402 |
| Provider Name | Scott J Hanegan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407922867 PECOS PAC ID: 4183678022 Enrollment ID: I20050309000279 |
| Provider Name | Leigh White |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558437830 PECOS PAC ID: 0840244265 Enrollment ID: I20050309000327 |
| Provider Name | Otis Gowdy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992782544 PECOS PAC ID: 3678500592 Enrollment ID: I20050722000297 |
| Provider Name | Mary A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821278813 PECOS PAC ID: 8729157839 Enrollment ID: I20080515000290 |
| Provider Name | Anthony L Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639156235 PECOS PAC ID: 0941370951 Enrollment ID: I20080603000597 |
| Provider Name | William F Reid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760469340 PECOS PAC ID: 8123198132 Enrollment ID: I20080603000634 |
| Provider Name | Robert E Clark |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518944198 PECOS PAC ID: 9133299142 Enrollment ID: I20080604000046 |
| Provider Name | Thomas Barry Calvit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427031731 PECOS PAC ID: 0042342966 Enrollment ID: I20100713000173 |
| Provider Name | Marshall Scott Tynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063509719 PECOS PAC ID: 9032297072 Enrollment ID: I20101004000758 |
| Provider Name | Valerie N Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396980116 PECOS PAC ID: 7315104056 Enrollment ID: I20120207000710 |
| Provider Name | Casey C Tillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710227905 PECOS PAC ID: 1052551363 Enrollment ID: I20130710000475 |
| Provider Name | Stacy Blalock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518325299 PECOS PAC ID: 8123373552 Enrollment ID: I20180626001393 |
| Provider Name | Erin Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730671538 PECOS PAC ID: 4688921133 Enrollment ID: I20180716001712 |
| Provider Name | Eric Edward Holt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013070424 PECOS PAC ID: 8325000854 Enrollment ID: I20201012001223 |
| Provider Name | Kevin Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936213 PECOS PAC ID: 0446638860 Enrollment ID: I20220525002303 |
| Provider Name | Krystal Chantal Trussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417731548 PECOS PAC ID: 5698124352 Enrollment ID: I20231207000994 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Ochsner Health Center- Hwy 19 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |