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1208 Guy Pickle Rd Amory MS 38821-8212 | |
(662) 256-3120 | |
(662) 256-7092 |
Full Name | |
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Speciality | Family Medicine |
Location | 1208 Guy Pickle Rd, Amory, Mississippi |
Authorized Official Name and Position | Zhear Al-godi (OWNER) |
Authorized Official Contact | 6622563120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1208 Guy Pickle Rd Amory MS 38821-8212 Ph: (662) 256-3120 | 1208 Guy Pickle Rd Amory MS 38821-8212 Ph: (662) 256-3120 |
NPI Number | 1174245609 |
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Provider Enumeration Date | 09/12/2022 |
Last Update Date | 03/01/2023 |
Medicare PECOS PAC ID | 8921484817 |
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Medicare Enrollment ID | O20221213001998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174245609 | NPI | - | NPPES |
200000160 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Zhear Al-godi |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447379300 PECOS PAC ID: 2769582436 Enrollment ID: I20070710000790 |
Provider Name | Katrina M Frields |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083920987 PECOS PAC ID: 4284829235 Enrollment ID: I20101116000601 |
Provider Name | Ashley Spann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215545967 PECOS PAC ID: 5799109575 Enrollment ID: I20200727002508 |
Provider Name | Katelyn B Herring |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386306975 PECOS PAC ID: 8729477914 Enrollment ID: I20211109001964 |
Provider Name | Kimberly Faye Goss |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720695190 PECOS PAC ID: 7618352634 Enrollment ID: I20220912002552 |
Provider Name | Danielle Diane Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326768854 PECOS PAC ID: 7113303801 Enrollment ID: I20221004001004 |
Provider Name | Bryon Andrew Sawyer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255975405 PECOS PAC ID: 2860861747 Enrollment ID: I20221229002365 |
Provider Name | Sarah Genell Fulton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629854112 PECOS PAC ID: 4789030008 Enrollment ID: I20231023003530 |
Provider Name | Jennifer Tania Batch |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1154827079 PECOS PAC ID: 9537417092 Enrollment ID: I20240326001883 |
Provider Name | Makayla Hathcock Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336981836 PECOS PAC ID: 7517498629 Enrollment ID: I20241001000167 |
Access Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 2nd Ave N, Amory, MS 38821 Phone: 662-256-5658 Fax: 662-651-4687 | |
Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Gilmore Dr, Amory, MS 38821 Phone: 662-256-3564 Fax: 662-256-3996 | |