Scooba Family Medical Clinic - Medicare Primary Care in Scooba, MS

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Scooba Family Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Scooba, Mississippi. The current practice location for Scooba Family Medical Clinic is 927 Kemper St, Scooba, Mississippi. For appointments, you can reach them via phone at (662) 476-9595. The mailing address for Scooba Family Medical Clinic is 2701 Davis St, Meridian, Mississippi and phone number is (601) 693-0118.

Scooba Family Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962509208. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 476-9595.

Contact Information

Scooba Family Medical Clinic
927 Kemper St
Scooba
MS 39358-7478
(662) 476-9595
(844) 778-8922

Map and Direction


Primary Care Clinic Profile

Full NameScooba Family Medical Clinic
SpecialityClinic/Center
Location927 Kemper St, Scooba, Mississippi
Authorized Official Name and PositionWilbert L. Jones (CEO)
Authorized Official Contact6016930118
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Scooba Family Medical Clinic
2701 Davis St
Meridian
MS 39301-5708

Ph: (601) 693-0118		Scooba Family Medical Clinic
927 Kemper St
Scooba
MS 39358-7478

Ph: (662) 476-9595

NPI Details:

NPI Number1962509208
Provider Enumeration Date09/20/2006
Last Update Date05/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9032027834
Medicare Enrollment IDO20040217000471

Medical Identifiers

Medical identifiers for Scooba Family Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962509208NPI-NPPES
009015889MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Scooba Family Medical Clinic acts as a billing entity for following providers:
Provider NameRoger L Nunez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932132669
PECOS PAC ID: 4284692617
Enrollment ID: I20041230000547
Provider NameJonathan Bruno
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861421406
PECOS PAC ID: 7315944907
Enrollment ID: I20061024000248
Provider NameUrelaine R Simon Hart
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174603096
PECOS PAC ID: 6103826193
Enrollment ID: I20061221000275
Provider NameOlugboyega Ransome-kuti
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396833398
PECOS PAC ID: 9234255308
Enrollment ID: I20100927000143
Provider NameJoann Haynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053630806
PECOS PAC ID: 5890966642
Enrollment ID: I20110927000694
Provider NameErnest A Donkor
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1477829315
PECOS PAC ID: 4385880004
Enrollment ID: I20130424000723
Provider NameCandace B Pringle-welch
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1083869218
PECOS PAC ID: 6204989668
Enrollment ID: I20130723000898
Provider NameTanyaneka L Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104243831
PECOS PAC ID: 7719100890
Enrollment ID: I20140516001496
Provider NameLajaysha R Echoles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821455734
PECOS PAC ID: 1456650381
Enrollment ID: I20160428000085
Provider NameTeresa Ann Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043720071
PECOS PAC ID: 4284994799
Enrollment ID: I20180201000427
Provider NameBritney Deon Kersh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295230274
PECOS PAC ID: 5496019291
Enrollment ID: I20180502002418
Provider NameTiffany Alyssa Roulier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417517830
PECOS PAC ID: 1951734631
Enrollment ID: I20191211000575
Provider NameJalisha Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164038444
PECOS PAC ID: 2567882244
Enrollment ID: I20201019001664
Provider NameCrystal Brassfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124798392
PECOS PAC ID: 9931597150
Enrollment ID: I20211020002492
Provider NameLatorya Barron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225704976
PECOS PAC ID: 2860886637
Enrollment ID: I20220222001525
Provider NameSharon M Bush-coaxum
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1265674196
PECOS PAC ID: 7517191125
Enrollment ID: I20220315002650
Provider NameNacara S Grayson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386303964
PECOS PAC ID: 8426443623
Enrollment ID: I20220325001422
Provider NameSandra Denice Clark
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205142106
PECOS PAC ID: 5890134894
Enrollment ID: I20240423001806

Reviews and Comments


Clinic/Center in Scooba, MS

East Mississippi Community College
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1512 Kemper St, Scooba, MS 39358
Phone: 972-367-4845    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.