| Mea Medical Clinics | |
|
5606 Old Canton Rd Jackson MS 39211-4217 | |
| (601) 957-3333 | |
| (601) 957-3334 |
| Full Name | Mea Medical Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 5606 Old Canton Rd, Jackson, Mississippi |
| Authorized Official Name and Position | Sam Scott (PHYSICIAN SERVICES COORDINATOR) |
| Authorized Official Contact | 6018987525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mea Medical Clinics 5606 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 957-3333 | Mea Medical Clinics 5606 Old Canton Rd Jackson MS 39211-4217 Ph: (601) 957-3333 |
| NPI Number | 1669406658 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/30/2011 |
| Medicare PECOS PAC ID | 5294629895 |
|---|---|
| Medicare Enrollment ID | O20040213000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669406658 | NPI | - | NPPES |
| CH0373 | Other | MS | RAILROAD MEDICARE |
| CH9760 | Other | MS | RAILROAD MEDICARE |
| CH7890 | Other | MS | RAILROAD MEDICARE |
| CH7897 | Other | MS | RAILROAD MEDICARE |
| 09015301 | Medicaid | MS | |
| CH7894 | Other | MS | RAILROAD MEDICARE |
| CH7896 | Other | MS | RAILROAD MEDICARE |
| CH0704 | Other | MS | RAILROAD MEDICARE |
| CH7891 | Other | MS | RAILROAD MEDICARE |
| CH7892 | Other | MS | RAILROAD MEDICARE |
| CH7895 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Mississippi) | Primary |
| Provider Name | Thomas Forks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164499190 PECOS PAC ID: 2365331840 Enrollment ID: I20040312000591 |
| Provider Name | Sylvia Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548278385 PECOS PAC ID: 1052396124 Enrollment ID: I20040622001385 |
| Provider Name | Stephen A Coachys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669420915 PECOS PAC ID: 7517931652 Enrollment ID: I20040824000565 |
| Provider Name | Lisa D Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699703389 PECOS PAC ID: 7810962107 Enrollment ID: I20040831000306 |
| Provider Name | Rambod A Rouhbakhsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285680264 PECOS PAC ID: 7214906643 Enrollment ID: I20041001000134 |
| Provider Name | Nathan A Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679585673 PECOS PAC ID: 3870552458 Enrollment ID: I20041008000376 |
| Provider Name | Patrick S Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437179967 PECOS PAC ID: 4486610151 Enrollment ID: I20041203000870 |
| Provider Name | David S. Joe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093722688 PECOS PAC ID: 2668451303 Enrollment ID: I20041210000342 |
| Provider Name | Jeffrey S Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164449740 PECOS PAC ID: 7517935943 Enrollment ID: I20051004001116 |
| Provider Name | Carole Lynne Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134210693 PECOS PAC ID: 9638191869 Enrollment ID: I20051230000430 |
| Provider Name | Jerry W Welch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558373530 PECOS PAC ID: 9931113115 Enrollment ID: I20060126000497 |
| Provider Name | Amy G Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689896763 PECOS PAC ID: 5597866228 Enrollment ID: I20070725000768 |
| Provider Name | James M Dew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134243702 PECOS PAC ID: 5698869170 Enrollment ID: I20070913000880 |
| Provider Name | Scott A Carlton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972510287 PECOS PAC ID: 6901907310 Enrollment ID: I20080123000639 |
| Provider Name | Angela M Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619177086 PECOS PAC ID: 2365515574 Enrollment ID: I20080722000270 |
| Provider Name | Robert L Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528151610 PECOS PAC ID: 9335217348 Enrollment ID: I20081003000666 |
| Provider Name | John Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023046711 PECOS PAC ID: 3476603184 Enrollment ID: I20090617000669 |
| Provider Name | Bobby Proctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801006960 PECOS PAC ID: 7315018579 Enrollment ID: I20091116000037 |
| Provider Name | Oscar Barrett Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902964877 PECOS PAC ID: 4082759667 Enrollment ID: I20100308000150 |
| Provider Name | Patrick D Whipple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457513350 PECOS PAC ID: 8123151875 Enrollment ID: I20100802000094 |
| Provider Name | Harpreet Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336398510 PECOS PAC ID: 6002932191 Enrollment ID: I20100927000395 |
| Provider Name | Frank Koe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366459976 PECOS PAC ID: 1456330190 Enrollment ID: I20101118000720 |
| Provider Name | Diana Lynn Entrekin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073536785 PECOS PAC ID: 8628057353 Enrollment ID: I20101129000528 |
| Provider Name | Amy Jennifer Hollman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366451387 PECOS PAC ID: 7315926052 Enrollment ID: I20101129000670 |
| Provider Name | Larry Wayne Sivils |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609885284 PECOS PAC ID: 4587643226 Enrollment ID: I20101209000091 |
| Provider Name | Amos Dean Belknap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972527372 PECOS PAC ID: 0648259374 Enrollment ID: I20110104000713 |
| Provider Name | Kenneth Brent Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306869102 PECOS PAC ID: 0345229076 Enrollment ID: I20110110000070 |
| Provider Name | Joe Walter Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376555334 PECOS PAC ID: 6002895737 Enrollment ID: I20110110000672 |
| Provider Name | William Eugene Loper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881601409 PECOS PAC ID: 8729067459 Enrollment ID: I20110124000999 |
| Provider Name | Patrise Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407878747 PECOS PAC ID: 6507045002 Enrollment ID: I20110131000498 |
| Provider Name | William P Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164439758 PECOS PAC ID: 7911186358 Enrollment ID: I20110201000052 |
| Provider Name | Kelley Michel Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679596613 PECOS PAC ID: 4789865205 Enrollment ID: I20110216000863 |
| Provider Name | William Grantham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225048291 PECOS PAC ID: 2365421096 Enrollment ID: I20110221000286 |
| Provider Name | Bradley Suggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487883088 PECOS PAC ID: 2163607201 Enrollment ID: I20110504000716 |
| Provider Name | Robert Shows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902815566 PECOS PAC ID: 6002895745 Enrollment ID: I20110505000444 |
| Provider Name | Susan Mcallister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801090568 PECOS PAC ID: 7810168309 Enrollment ID: I20110913000490 |
| Provider Name | Michael Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417964081 PECOS PAC ID: 5092794727 Enrollment ID: I20111102000698 |
| Provider Name | Bobbie West |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346285491 PECOS PAC ID: 2264691336 Enrollment ID: I20120308000487 |
| Provider Name | Nicholas Sells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266349 PECOS PAC ID: 2163670910 Enrollment ID: I20120919000746 |
| Provider Name | Jeremy B Wells |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144517822 PECOS PAC ID: 4688817232 Enrollment ID: I20130829000160 |
| Provider Name | Kristin Monsour Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619366200 PECOS PAC ID: 8426374562 Enrollment ID: I20150306001686 |
| Provider Name | Elizabeth B Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326434564 PECOS PAC ID: 7416276530 Enrollment ID: I20150512000420 |
| Provider Name | Bethany Sumerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508236415 PECOS PAC ID: 1557662517 Enrollment ID: I20151216000615 |
| Provider Name | Mandeep Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891083978 PECOS PAC ID: 5395994735 Enrollment ID: I20160526000838 |
| Provider Name | Michael Bookhardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881034254 PECOS PAC ID: 3870817778 Enrollment ID: I20160929000145 |
| Provider Name | Anuj Marya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093155376 PECOS PAC ID: 3870817661 Enrollment ID: I20161108000910 |
| Provider Name | Telitha K Grant-spencer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851570006 PECOS PAC ID: 1658447891 Enrollment ID: I20161111000595 |
| Provider Name | Rebecca Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578019808 PECOS PAC ID: 2567748122 Enrollment ID: I20170413001526 |
| Provider Name | Racolesha R Denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770028441 PECOS PAC ID: 1355628785 Enrollment ID: I20170511001883 |
| Provider Name | Hanna W Degroat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326570789 PECOS PAC ID: 5597032698 Enrollment ID: I20170520000083 |
| Provider Name | Jonathan G Flowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649659731 PECOS PAC ID: 1254647571 Enrollment ID: I20180822001263 |
| Provider Name | Ardarian Darice Gilliam-pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104241660 PECOS PAC ID: 2860717550 Enrollment ID: I20181003003378 |
| Provider Name | Jonathan D. Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174904361 PECOS PAC ID: 2365758372 Enrollment ID: I20181004002901 |
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 |