Mea Primary Care Plus Llc | |
323 Highway 51 Ridgeland MS 39157-3428 | |
(601) 898-9150 | |
Not Available |
Full Name | Mea Primary Care Plus Llc |
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Speciality | Family Medicine |
Location | 323 Highway 51, Ridgeland, Mississippi |
Authorized Official Name and Position | Wayne Whitley (CEO) |
Authorized Official Contact | 6018987500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mea Primary Care Plus Llc 308 Corporate Dr Ridgeland MS 39157-8803 Ph: () - | Mea Primary Care Plus Llc 323 Highway 51 Ridgeland MS 39157-3428 Ph: (601) 898-9150 |
NPI Number | 1750826210 |
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Provider Enumeration Date | 12/19/2016 |
Last Update Date | 12/20/2016 |
Medicare PECOS PAC ID | 0941583728 |
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Medicare Enrollment ID | O20170202001116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750826210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Chadley Thomas Vega |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033196605 PECOS PAC ID: 7113902578 Enrollment ID: I20040621000617 |
Provider Name | Sylvia Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548278385 PECOS PAC ID: 1052396124 Enrollment ID: I20040622001385 |
Provider Name | Stephen A Coachys |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669420915 PECOS PAC ID: 7517931652 Enrollment ID: I20040824000565 |
Provider Name | Lisa D Anderson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699703389 PECOS PAC ID: 7810962107 Enrollment ID: I20040831000306 |
Provider Name | Patrick S Bynum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437179967 PECOS PAC ID: 4486610151 Enrollment ID: I20041203000870 |
Provider Name | Farhan Nafis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144394347 PECOS PAC ID: 2567487598 Enrollment ID: I20051010000446 |
Provider Name | David L Jameson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982669636 PECOS PAC ID: 8628096401 Enrollment ID: I20051110000174 |
Provider Name | Carole Lynne Singleton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134210693 PECOS PAC ID: 9638191869 Enrollment ID: I20051230000430 |
Provider Name | Earl L Mahaffey |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1689692972 PECOS PAC ID: 5799790978 Enrollment ID: I20060208000758 |
Provider Name | Kirby J Orme |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659456762 PECOS PAC ID: 5092715748 Enrollment ID: I20070105000480 |
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 | John D Belknap |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124180567 PECOS PAC ID: 5597851972 Enrollment ID: I20071017000043 |
Provider Name | Scott A Carlton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972510287 PECOS PAC ID: 6901907310 Enrollment ID: I20080123000639 |
Provider Name | Kimberly B Fuller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083860324 PECOS PAC ID: 6103994348 Enrollment ID: I20081001000441 |
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 |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023046711 PECOS PAC ID: 3476603184 Enrollment ID: I20090617000669 |
Provider Name | Kobi L Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275769796 PECOS PAC ID: 6901942481 Enrollment ID: I20091014000429 |
Provider Name | Eric M Bell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1508077587 PECOS PAC ID: 3678612934 Enrollment ID: I20091125000383 |
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 | 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 | 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 | 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 | Rachel N Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346652377 PECOS PAC ID: 8022235118 Enrollment ID: I20140813002307 |
Provider Name | Kristin Monsour Cowan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619366200 PECOS PAC ID: 8426374562 Enrollment ID: I20150306001686 |
Provider Name | Bethany Sumerford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508236415 PECOS PAC ID: 1557662517 Enrollment ID: I20151216000615 |
Provider Name | Rebecca Little |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578019808 PECOS PAC ID: 2567748122 Enrollment ID: I20170413001526 |
Provider Name | Lauren Heather O'malley |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184035651 PECOS PAC ID: 5890098495 Enrollment ID: I20180912001145 |
Provider Name | Jonathan D. Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174904361 PECOS PAC ID: 2365758372 Enrollment ID: I20181004002901 |
Provider Name | Kimberly Diane Gabriel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699054700 PECOS PAC ID: 6507154242 Enrollment ID: I20190903000403 |
Provider Name | Charles D Pearson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508398983 PECOS PAC ID: 2668742776 Enrollment ID: I20200608002136 |
Provider Name | Kayla B Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114545464 PECOS PAC ID: 5597189399 Enrollment ID: I20200727002945 |
Provider Name | Edward Scott Callihan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033723325 PECOS PAC ID: 1658790456 Enrollment ID: I20200928003223 |
Provider Name | Manivanh A Prudhomme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144831140 PECOS PAC ID: 0648690842 Enrollment ID: I20201008002132 |
Provider Name | Rebecca Mcwhirter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902421746 PECOS PAC ID: 1951713684 Enrollment ID: I20201222000132 |
Provider Name | Chelsea Moorhead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679103139 PECOS PAC ID: 8426455247 Enrollment ID: I20210921004043 |
Provider Name | Sara Elizabeth Courtney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669133104 PECOS PAC ID: 9234522277 Enrollment ID: I20220215001436 |
Provider Name | Ashley Alphonse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205368982 PECOS PAC ID: 8820362478 Enrollment ID: I20220221000102 |
Provider Name | Jessica J Jenkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083231229 PECOS PAC ID: 8224485164 Enrollment ID: I20231114002112 |
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