| Minor Med Care, P.a. | |
|
2860 Mcdowell Road Ext Jackson MS 39204-4238 | |
| (601) 372-1117 | |
| (601) 373-3004 |
| Full Name | Minor Med Care, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2860 Mcdowell Road Ext, Jackson, Mississippi |
| Authorized Official Name and Position | Timothy Duncan Estes (PRESIDENT) |
| Authorized Official Contact | 6013721117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minor Med Care, P.a. 2860 Mcdowell Road Ext Jackson MS 39204-4238 Ph: (601) 372-1117 | Minor Med Care, P.a. 2860 Mcdowell Road Ext Jackson MS 39204-4238 Ph: (601) 372-1117 |
| NPI Number | 1407968738 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 7618866021 |
|---|---|
| Medicare Enrollment ID | O20040313000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407968738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 09740 (Mississippi) | Primary |
| Provider Name | Laurie B Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053355024 PECOS PAC ID: 7911976352 Enrollment ID: I20041001000163 |
| Provider Name | Timothy Duncan Estes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285746511 PECOS PAC ID: 5698664019 Enrollment ID: I20110322000064 |
| Provider Name | Daphne Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750691465 PECOS PAC ID: 8921277799 Enrollment ID: I20110812000556 |
| Provider Name | Ayana Hilliard Red |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548566441 PECOS PAC ID: 0244402543 Enrollment ID: I20120420000642 |
| Provider Name | Shelby P Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568836815 PECOS PAC ID: 6608157979 Enrollment ID: I20161228000287 |
| Provider Name | Flora Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982057345 PECOS PAC ID: 4587932868 Enrollment ID: I20170608002126 |
| Provider Name | Paula G Perteet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164089322 PECOS PAC ID: 3375973555 Enrollment ID: I20200501000944 |
| Provider Name | Britiani M Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868357 PECOS PAC ID: 7214343177 Enrollment ID: I20210302000231 |
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 |