North Mississippi Primary Health Care, Inc. | |
15921 Boundary Dr Ashland MS 38603-7740 | |
(662) 224-8951 | |
(662) 224-6801 |
Full Name | North Mississippi Primary Health Care, Inc. |
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Speciality | Clinic/Center |
Location | 15921 Boundary Dr, Ashland, Mississippi |
Authorized Official Name and Position | James D Nunnally (CEO) |
Authorized Official Contact | 6622248951 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Mississippi Primary Health Care, Inc. Po Box 92 Ashland MS 38603-0092 Ph: (662) 224-8951 | North Mississippi Primary Health Care, Inc. 15921 Boundary Dr Ashland MS 38603-7740 Ph: (662) 224-8951 |
NPI Number | 1821092552 |
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Provider Enumeration Date | 06/10/2005 |
Last Update Date | 04/02/2015 |
Medicare PECOS PAC ID | 3274513528 |
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Medicare Enrollment ID | O20100414000677 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821092552 | NPI | - | NPPES |
09011971 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 15021 (Mississippi) | Primary |
Provider Name | Jennifer Rose Pierce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396727590 PECOS PAC ID: 0042256984 Enrollment ID: I20050630001029 |
Provider Name | Irshad Hussain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922047729 PECOS PAC ID: 0840361598 Enrollment ID: I20080624000263 |
Provider Name | Arif A Somjee |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730129404 PECOS PAC ID: 8628138542 Enrollment ID: I20081124000038 |
Provider Name | Christina K Nunnally |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013167352 PECOS PAC ID: 8426110776 Enrollment ID: I20081219000259 |
Provider Name | Dwalia S South-bitter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588619621 PECOS PAC ID: 8527120625 Enrollment ID: I20081226000155 |
Provider Name | Neeli Cox Kirkendall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598984395 PECOS PAC ID: 5092872242 Enrollment ID: I20090316000402 |
Provider Name | Troy J Ostrander |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1437383718 PECOS PAC ID: 3072653153 Enrollment ID: I20091222000074 |
Provider Name | Lashundra B Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962795815 PECOS PAC ID: 6901077106 Enrollment ID: I20110920000412 |
Provider Name | Joann Haynes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053630806 PECOS PAC ID: 5890966642 Enrollment ID: I20110927000694 |
Provider Name | Samantha Joanne Justice |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013267152 PECOS PAC ID: 5092969501 Enrollment ID: I20130211000312 |
Provider Name | Tanya Linette Calhoun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053753194 PECOS PAC ID: 3577792597 Enrollment ID: I20140214000525 |
Provider Name | Shelia G Settlemires |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033531942 PECOS PAC ID: 6507098340 Enrollment ID: I20140410000662 |
Provider Name | Jana Paige Cline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083043681 PECOS PAC ID: 0941433155 Enrollment ID: I20140515000771 |
Provider Name | Ashley M Talley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548683790 PECOS PAC ID: 9931323276 Enrollment ID: I20140606001422 |
Provider Name | Whitney Lea Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245638642 PECOS PAC ID: 1456676485 Enrollment ID: I20150213000834 |
Provider Name | Amy W Easley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720485600 PECOS PAC ID: 6709106479 Enrollment ID: I20150520000920 |
Provider Name | Tonya Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265898282 PECOS PAC ID: 5294030128 Enrollment ID: I20160301001757 |
Provider Name | Crystal N Massey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144731985 PECOS PAC ID: 2062778152 Enrollment ID: I20171106001686 |
Provider Name | Alisha Mason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023529443 PECOS PAC ID: 3072870195 Enrollment ID: I20171128002427 |
Provider Name | James L. Delgadillo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619258019 PECOS PAC ID: 6305092263 Enrollment ID: I20180820000416 |
Provider Name | Leslie D Sheffield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20190418000535 |
Provider Name | Nakimia Agnew |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184976557 PECOS PAC ID: 0648504100 Enrollment ID: I20190703000743 |
Provider Name | Tiffany S Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134785769 PECOS PAC ID: 8022442813 Enrollment ID: I20200108002105 |
Provider Name | Brandon Wesley Hutchison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821628405 PECOS PAC ID: 5597193334 Enrollment ID: I20200310001321 |
Provider Name | Laura Nicole Kelleway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710522198 PECOS PAC ID: 9638583487 Enrollment ID: I20210205002470 |
Provider Name | Christy Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114232303 PECOS PAC ID: 3072921865 Enrollment ID: I20210415001470 |
Provider Name | Corinna Orange |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952653651 PECOS PAC ID: 4587052535 Enrollment ID: I20211025003293 |
Provider Name | Misty Leigh Glidewell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770243552 PECOS PAC ID: 2264826031 Enrollment ID: I20220222001760 |
Provider Name | Hannah Poff Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861151847 PECOS PAC ID: 9830584259 Enrollment ID: I20220322002845 |
Provider Name | Ankit Jayantibhai Bavariya |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1871801795 PECOS PAC ID: 1355738956 Enrollment ID: I20220429000902 |
Provider Name | Hart Katherine Wylie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053639088 PECOS PAC ID: 3375818206 Enrollment ID: I20230125000528 |
Provider Name | Staci Lowrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124796669 PECOS PAC ID: 9436592318 Enrollment ID: I20240207003086 |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15931 Boundary Drive, Ashland, MS 38603 Phone: 662-502-3149 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16025 Boundary Drive, Ashland, MS 38603 Phone: 662-502-3137 Fax: 662-224-6801 |