| Quad Intermed Company Llc | |
|
1515 Jefferson St Laurel MS 39440-4244 | |
| (601) 425-4893 | |
| Not Available |
| Full Name | Quad Intermed Company Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 Jefferson St, Laurel, Mississippi |
| Authorized Official Name and Position | Ashley Buie (DIRECTOR) |
| Authorized Official Contact | 6018987530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quad Intermed Company Llc 308 Corporate Dr Ridgeland MS 39157-8803 Ph: (601) 898-7530 | Quad Intermed Company Llc 1515 Jefferson St Laurel MS 39440-4244 Ph: (601) 425-4893 |
| NPI Number | 1952099913 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 06/02/2023 |
| Medicare PECOS PAC ID | 6709245954 |
|---|---|
| Medicare Enrollment ID | O20230706000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952099913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Chadley Thomas Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033196605 PECOS PAC ID: 7113902578 Enrollment ID: I20040621000617 |
| Provider Name | Sylvia Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548278385 PECOS PAC ID: 1052396124 Enrollment ID: I20040622001385 |
| Provider Name | Stephen A Coachys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669420915 PECOS PAC ID: 7517931652 Enrollment ID: I20040824000565 |
| Provider Name | Lisa D Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699703389 PECOS PAC ID: 7810962107 Enrollment ID: I20040831000306 |
| Provider Name | Patrick S Bynum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437179967 PECOS PAC ID: 4486610151 Enrollment ID: I20041203000870 |
| Provider Name | Farhan Nafis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144394347 PECOS PAC ID: 2567487598 Enrollment ID: I20051010000446 |
| Provider Name | David L Jameson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982669636 PECOS PAC ID: 8628096401 Enrollment ID: I20051110000174 |
| Provider Name | Carole Lynne Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134210693 PECOS PAC ID: 9638191869 Enrollment ID: I20051230000430 |
| Provider Name | Earl L Mahaffey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689692972 PECOS PAC ID: 5799790978 Enrollment ID: I20060208000758 |
| Provider Name | Kirby J Orme |
|---|---|
| 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 |
|---|---|
| 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 | 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 | Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184946170 PECOS PAC ID: 2567647365 Enrollment ID: I20110420000686 |
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619366200 PECOS PAC ID: 8426374562 Enrollment ID: I20150306001686 |
| Provider Name | Bethany Sumerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508236415 PECOS PAC ID: 1557662517 Enrollment ID: I20151216000615 |
| Provider Name | Rebecca Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578019808 PECOS PAC ID: 2567748122 Enrollment ID: I20170413001526 |
| Provider Name | Jonathan D. Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174904361 PECOS PAC ID: 2365758372 Enrollment ID: I20181004002901 |
| Provider Name | Kimberly Diane Gabriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699054700 PECOS PAC ID: 6507154242 Enrollment ID: I20190903000403 |
| Provider Name | Charles D Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508398983 PECOS PAC ID: 2668742776 Enrollment ID: I20200608002136 |
| Provider Name | Kayla B Harris |
|---|---|
| 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 | 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 |
| Provider Name | Latiah Smith Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215615943 PECOS PAC ID: 9830533181 Enrollment ID: I20240215000175 |
Sc Wound Care & Hyperbaric Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-426-4739 | |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 | |
Family Health Center Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Immediate Care - Laurel Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2313 Highway 15 N, Laurel, MS 39440 Phone: 601-649-2775 Fax: 601-649-2686 | |
South Central Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
South Central Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |