Panola Physician Group, Llc | |
223 E Main St Senatobia MS 38668-2123 | |
(662) 562-4166 | |
(662) 562-4355 |
Full Name | Panola Physician Group, Llc |
---|---|
Speciality | Family Medicine |
Location | 223 E Main St, Senatobia, Mississippi |
Authorized Official Name and Position | Robert Q Whitwell (CEO) |
Authorized Official Contact | 6627019346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Panola Physician Group, Llc 303 Medical Center Dr Batesville MS 38606-8608 Ph: (662) 563-5611 | Panola Physician Group, Llc 223 E Main St Senatobia MS 38668-2123 Ph: (662) 562-4166 |
NPI Number | 1528528874 |
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Provider Enumeration Date | 03/22/2019 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 2668715624 |
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Medicare Enrollment ID | O20190515002618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528528874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tarence E Wade |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043246259 PECOS PAC ID: 9234036856 Enrollment ID: I20031212000681 |
Provider Name | Maan Joudeh |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366490302 PECOS PAC ID: 9638078694 Enrollment ID: I20040108000254 |
Provider Name | Timothy Lamb |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1952357378 PECOS PAC ID: 4385630896 Enrollment ID: I20040422000250 |
Provider Name | Jonathan H Massey |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699745133 PECOS PAC ID: 8921094236 Enrollment ID: I20040422000604 |
Provider Name | Marilyn Rhoads Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023092533 PECOS PAC ID: 1557348000 Enrollment ID: I20040701001327 |
Provider Name | Felton Combest |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356399513 PECOS PAC ID: 7012981970 Enrollment ID: I20040825000825 |
Provider Name | William J Bell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164470720 PECOS PAC ID: 0042279135 Enrollment ID: I20041005000716 |
Provider Name | Tejinder S Saini |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487708079 PECOS PAC ID: 5294621199 Enrollment ID: I20041006000693 |
Provider Name | Clide S Sherrod |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942212543 PECOS PAC ID: 8628034220 Enrollment ID: I20041206000659 |
Provider Name | Maxie Lerone Gordon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427018613 PECOS PAC ID: 2466406798 Enrollment ID: I20050309000456 |
Provider Name | Molly Hester-conway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851331805 PECOS PAC ID: 6800808320 Enrollment ID: I20060628000193 |
Provider Name | Katherine Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326079047 PECOS PAC ID: 4385640994 Enrollment ID: I20061004000461 |
Provider Name | Yashwant M Chowdhary |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164583001 PECOS PAC ID: 5991725277 Enrollment ID: I20070326000534 |
Provider Name | Michael R Havens |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316928955 PECOS PAC ID: 6103925441 Enrollment ID: I20070627000174 |
Provider Name | Malcolm M Roland |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033325022 PECOS PAC ID: 3870686397 Enrollment ID: I20070829000559 |
Provider Name | Brian K Wall |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1326060070 PECOS PAC ID: 2163410234 Enrollment ID: I20080606000469 |
Provider Name | Jodi H Russell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144416504 PECOS PAC ID: 2062583024 Enrollment ID: I20080618000514 |
Provider Name | Kymberly R Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437242724 PECOS PAC ID: 9032212576 Enrollment ID: I20081007000385 |
Provider Name | Leslie M Leslie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124272893 PECOS PAC ID: 9931264108 Enrollment ID: I20090223000417 |
Provider Name | Tippini K Lott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275789935 PECOS PAC ID: 6305902537 Enrollment ID: I20090312000606 |
Provider Name | Scott Patrick Baymiller |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164436184 PECOS PAC ID: 3971406406 Enrollment ID: I20100519000024 |
Provider Name | Amanda B Beckwith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699972596 PECOS PAC ID: 1759429137 Enrollment ID: I20101027001227 |
Provider Name | Katrina Bays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760782981 PECOS PAC ID: 5799967444 Enrollment ID: I20110316000938 |
Provider Name | Sarah K Gantz Pannel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013110857 PECOS PAC ID: 1052583085 Enrollment ID: I20111017000247 |
Provider Name | Jerry K Martin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831184332 PECOS PAC ID: 0244301760 Enrollment ID: I20120208000931 |
Provider Name | Nancy D Hooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174896245 PECOS PAC ID: 6901066836 Enrollment ID: I20120329000488 |
Provider Name | Charles E Swanson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407127327 PECOS PAC ID: 6507015518 Enrollment ID: I20121008000597 |
Provider Name | Tyrongilia Q Walton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710242458 PECOS PAC ID: 5799920385 Enrollment ID: I20130403000064 |
Provider Name | Donald H Parnell |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1548259245 PECOS PAC ID: 3173610490 Enrollment ID: I20131210001683 |
Provider Name | Matthew T Tipton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992060669 PECOS PAC ID: 1456576289 Enrollment ID: I20140710000607 |
Provider Name | William Mcarthur |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770552259 PECOS PAC ID: 5991762676 Enrollment ID: I20150205001668 |
Provider Name | Joseph Tubbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659769065 PECOS PAC ID: 3476878679 Enrollment ID: I20150210002444 |
Provider Name | Natalie Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902055197 PECOS PAC ID: 7618274655 Enrollment ID: I20160318000947 |
Provider Name | Jessica Wallace Shelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316391055 PECOS PAC ID: 9739463761 Enrollment ID: I20170310001239 |
Provider Name | Holly Poland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346754793 PECOS PAC ID: 0446511455 Enrollment ID: I20180307000824 |
Provider Name | George M Anderson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447645411 PECOS PAC ID: 9830482579 Enrollment ID: I20180411000306 |
Provider Name | Jayce Miskel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265819825 PECOS PAC ID: 6901115146 Enrollment ID: I20180703000949 |
Provider Name | Victoria H Wilbanks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609369586 PECOS PAC ID: 0446507180 Enrollment ID: I20180726000057 |
Provider Name | Amanda Nicola Jackson Woodall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073092185 PECOS PAC ID: 4789929076 Enrollment ID: I20181213003039 |
Provider Name | Mohammed Taher Al-taher |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1235107368 PECOS PAC ID: 3779568068 Enrollment ID: I20190812000797 |
Provider Name | Jessica Mann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336793751 PECOS PAC ID: 8022441484 Enrollment ID: I20191126001069 |
Provider Name | Rebecca J Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902369457 PECOS PAC ID: 9234563156 Enrollment ID: I20200102000347 |
Provider Name | Carolyn Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669975587 PECOS PAC ID: 1456244524 Enrollment ID: I20200212000315 |
Provider Name | Ryginna Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245871417 PECOS PAC ID: 6507292323 Enrollment ID: I20200213002671 |
Provider Name | Timmy Mccoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427694231 PECOS PAC ID: 7517396708 Enrollment ID: I20200409002108 |
Provider Name | Robert G. Barnes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720577380 PECOS PAC ID: 3476955840 Enrollment ID: I20210707002691 |
Provider Name | Chelsea Obiedzinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275294100 PECOS PAC ID: 6507243920 Enrollment ID: I20220524001283 |
Provider Name | Sandra Kay Davis-young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457991051 PECOS PAC ID: 2365871845 Enrollment ID: I20230421000873 |
Provider Name | Tatum Lee Severino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033724349 PECOS PAC ID: 5890195986 Enrollment ID: I20230424001039 |
Provider Name | Rachel Mccoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639884968 PECOS PAC ID: 3375909419 Enrollment ID: I20230516002840 |
Provider Name | Adam Carson Cummins |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669050928 PECOS PAC ID: 0042608317 Enrollment ID: I20231207002150 |
Delta Health-senatobia Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Getwell Dr, Senatobia, MS 38668 Phone: 601-278-4104 | |
Clinic 221, Family Health Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Northwest Plz, Senatobia, MS 38668 Phone: 662-301-8330 | |
Grant Eye Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5219 Highway 51 N, Senatobia, MS 38668 Phone: 662-612-6016 Fax: 662-612-6031 | |
Tate County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Getwell Dr, Senatobia, MS 38668 Phone: 662-612-0311 | |
Tp Family Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4364 Highway 51 S, Senatobia, MS 38668 Phone: 662-562-7503 Fax: 662-562-0026 | |
J. Larry Black Md Phd Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4364 Hwy 51 South, Senatobia, MS 38668 Phone: 662-562-6026 Fax: 662-562-8037 | |
Redmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Quality Ln Ste A, Senatobia, MS 38668 Phone: 662-298-2144 |