Jackson Hinds Comprehensiv Health Center | |
3502 W Northside Dr Jackson MS 39213-4454 | |
(601) 362-5321 | |
Not Available |
Full Name | Jackson Hinds Comprehensiv Health Center |
---|---|
Speciality | Clinic/Center |
Location | 3502 W Northside Dr, Jackson, Mississippi |
Authorized Official Name and Position | Jasmin Chapman (CEO) |
Authorized Official Contact | 6013625321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jackson Hinds Comprehensiv Health Center 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 362-5321 | Jackson Hinds Comprehensiv Health Center 3502 W Northside Dr Jackson MS 39213-4454 Ph: (601) 362-5321 |
NPI Number | 1134151442 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 11/05/2018 |
Medicare PECOS PAC ID | 4183533235 |
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Medicare Enrollment ID | O20040128000125 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134151442 | NPI | - | NPPES |
1548342611 | Other | MS | NSC |
09010015 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Robert Woodruff |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1336220177 PECOS PAC ID: 9436129327 Enrollment ID: I20040728000993 |
Provider Name | Willie J Lewis |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1972537041 PECOS PAC ID: 5890765796 Enrollment ID: I20040728001070 |
Provider Name | Joel Flynt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1376516849 PECOS PAC ID: 8022092873 Enrollment ID: I20040730000819 |
Provider Name | Kim Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750316881 PECOS PAC ID: 2062489370 Enrollment ID: I20040915001023 |
Provider Name | Joy Jackson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811931454 PECOS PAC ID: 0345218632 Enrollment ID: I20040923001096 |
Provider Name | Ritha G Bookert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558559823 PECOS PAC ID: 2264492420 Enrollment ID: I20041013000426 |
Provider Name | Rosie L Walker-mcnair |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124109871 PECOS PAC ID: 3072564947 Enrollment ID: I20050208000780 |
Provider Name | Paul M Rice |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497888341 PECOS PAC ID: 9234174079 Enrollment ID: I20050622001137 |
Provider Name | Michael A Reddix |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437163854 PECOS PAC ID: 3577599869 Enrollment ID: I20050711000596 |
Provider Name | Rita Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235243569 PECOS PAC ID: 0446280713 Enrollment ID: I20050816000925 |
Provider Name | Tesia Shani Hall-hill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003036252 PECOS PAC ID: 6608807367 Enrollment ID: I20050823000669 |
Provider Name | Debra Rice |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770519142 PECOS PAC ID: 7719980218 Enrollment ID: I20060823000583 |
Provider Name | Kanisha L Meaders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376611087 PECOS PAC ID: 9133121627 Enrollment ID: I20070213000412 |
Provider Name | Donna A Thomas Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760550990 PECOS PAC ID: 3779682380 Enrollment ID: I20070622000214 |
Provider Name | Lashondra J Farmer-whitlock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215134010 PECOS PAC ID: 3476647207 Enrollment ID: I20070924000478 |
Provider Name | Nobel D Attipoe |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1497864169 PECOS PAC ID: 0244297778 Enrollment ID: I20071219000120 |
Provider Name | Felicia M Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356498422 PECOS PAC ID: 0547343204 Enrollment ID: I20080221000505 |
Provider Name | Elaine Hargrove |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346429214 PECOS PAC ID: 2769567841 Enrollment ID: I20080313000339 |
Provider Name | Linda D Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417991985 PECOS PAC ID: 1951488022 Enrollment ID: I20080414000589 |
Provider Name | Eva M Henderson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033146725 PECOS PAC ID: 5890867741 Enrollment ID: I20080709000418 |
Provider Name | Pamelia Watson Mcgee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922042407 PECOS PAC ID: 5395812911 Enrollment ID: I20080924000324 |
Provider Name | Lynda F Jackson-assad |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1790729119 PECOS PAC ID: 9638202567 Enrollment ID: I20100729000425 |
Provider Name | Richard Rayford |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1760496467 PECOS PAC ID: 9830297902 Enrollment ID: I20100908000267 |
Provider Name | Maurice Mcshan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770597163 PECOS PAC ID: 4880887983 Enrollment ID: I20101021000719 |
Provider Name | Aqfa Sultana |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700076940 PECOS PAC ID: 9234311440 Enrollment ID: I20110309000757 |
Provider Name | Amanda L Downard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467758573 PECOS PAC ID: 6709069776 Enrollment ID: I20110329000513 |
Provider Name | Sonia L Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922386218 PECOS PAC ID: 3870766132 Enrollment ID: I20111101000654 |
Provider Name | Kesha M Flantroy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164630349 PECOS PAC ID: 9234222076 Enrollment ID: I20111108000815 |
Provider Name | Ava Christian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902100654 PECOS PAC ID: 7315112919 Enrollment ID: I20111209000437 |
Provider Name | Stanitia W Davis |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942463567 PECOS PAC ID: 4981879525 Enrollment ID: I20111209000775 |
Provider Name | Marie E Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174803829 PECOS PAC ID: 4587826821 Enrollment ID: I20120502000201 |
Provider Name | Zenotha D Larry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659615557 PECOS PAC ID: 0143475798 Enrollment ID: I20130305000125 |
Provider Name | Leah Smith |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841630076 PECOS PAC ID: 1557590726 Enrollment ID: I20140210001736 |
Provider Name | Rashandra F Laws |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639467921 PECOS PAC ID: 4981834868 Enrollment ID: I20140221000513 |
Provider Name | Lakendria Zollicoffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154669786 PECOS PAC ID: 1850523291 Enrollment ID: I20140619000314 |
Provider Name | Valiparambil B Praveen Kumar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1609141811 PECOS PAC ID: 1557524766 Enrollment ID: I20150205000484 |
Provider Name | Shari Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790003044 PECOS PAC ID: 8426376542 Enrollment ID: I20150421001173 |
Provider Name | Tammie Tillman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528445624 PECOS PAC ID: 8628388543 Enrollment ID: I20151105000946 |
Provider Name | Benita J Myles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790129021 PECOS PAC ID: 8123324522 Enrollment ID: I20161216002202 |
Provider Name | Kishina S Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619424330 PECOS PAC ID: 5890070569 Enrollment ID: I20170320001247 |
Provider Name | Sherquita Johnson-banks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366991101 PECOS PAC ID: 8628344231 Enrollment ID: I20171026002458 |
Provider Name | Candice L Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073912366 PECOS PAC ID: 1557613114 Enrollment ID: I20181009002219 |
Provider Name | Candace Nicole Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427556349 PECOS PAC ID: 9830443548 Enrollment ID: I20181115002868 |
Provider Name | Tritresher Sizer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700390184 PECOS PAC ID: 7911245733 Enrollment ID: I20190220001501 |
Provider Name | April Dawn Randle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699336628 PECOS PAC ID: 1759617699 Enrollment ID: I20190730002377 |
Provider Name | Jaleen D Sims |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073995098 PECOS PAC ID: 3870809114 Enrollment ID: I20190830000191 |
Provider Name | April Terrain Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275189938 PECOS PAC ID: 3870824238 Enrollment ID: I20191016001212 |
Provider Name | Jennifer N Henley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578037172 PECOS PAC ID: 4880025683 Enrollment ID: I20200512000428 |
Provider Name | Kiara D Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255999595 PECOS PAC ID: 3577988062 Enrollment ID: I20200730002985 |
Provider Name | Sonya M Brown-gibson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093294407 PECOS PAC ID: 7719303064 Enrollment ID: I20200817002904 |
Provider Name | Patrecia Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992315212 PECOS PAC ID: 2668892134 Enrollment ID: I20201022000187 |
Provider Name | Melissa Bradley |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1619350915 PECOS PAC ID: 0345652319 Enrollment ID: I20210504002670 |
Provider Name | April Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790295400 PECOS PAC ID: 1456750462 Enrollment ID: I20210525000691 |
Provider Name | Felica Denise Banks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437720430 PECOS PAC ID: 2961807599 Enrollment ID: I20210819003825 |
Provider Name | Annisha Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851940951 PECOS PAC ID: 2668863937 Enrollment ID: I20211221000432 |
Provider Name | Denisa Broome Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134871007 PECOS PAC ID: 7719374255 Enrollment ID: I20220502000012 |
Provider Name | Britney Sandifer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578195293 PECOS PAC ID: 7517370737 Enrollment ID: I20220505000661 |
Provider Name | John Patterson |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1710921135 PECOS PAC ID: 4587043278 Enrollment ID: I20220627002876 |
Provider Name | Rose Straughter |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1578599601 PECOS PAC ID: 2668855370 Enrollment ID: I20220812001940 |
Provider Name | Melanie Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942928999 PECOS PAC ID: 6507241601 Enrollment ID: I20220909001113 |
Provider Name | Evelyn Winford Collier |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1407979107 PECOS PAC ID: 5698139988 Enrollment ID: I20230920000780 |
Provider Name | Tracey Grayer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336868371 PECOS PAC ID: 1951787290 Enrollment ID: I20230929000680 |
Provider Name | Daniel Marth |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1326569286 PECOS PAC ID: 6709292527 Enrollment ID: I20231014000403 |
Provider Name | Willie Thompson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760892830 PECOS PAC ID: 7012247976 Enrollment ID: I20231018000182 |
Provider Name | Deidra Janiece Snell |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1811150766 PECOS PAC ID: 9830545151 Enrollment ID: I20231023003256 |
Provider Name | Merri Ellison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780987032 PECOS PAC ID: 0547445462 Enrollment ID: I20231103002308 |
Provider Name | Jequetta Shureka Ilion Mclaurin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013698513 PECOS PAC ID: 9537517040 Enrollment ID: I20231122000335 |
Provider Name | La'tonya Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144582099 PECOS PAC ID: 1759760499 Enrollment ID: I20231212001349 |
Provider Name | Karishma Amin Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487218806 PECOS PAC ID: 6406187293 Enrollment ID: I20231218004013 |
Provider Name | Erika Lynn Coleman-goodloe |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1063427961 PECOS PAC ID: 7517302821 Enrollment ID: I20240227000696 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |