| Segue Health Of Mississippi Llc | |
|
232 Market St Flowood MS 39232-3339 | |
| (888) 551-2538 | |
| (844) 364-2629 |
| Full Name | Segue Health Of Mississippi Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 232 Market St, Flowood, Mississippi |
| Authorized Official Name and Position | Camille Clark (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 9016263515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segue Health Of Mississippi Llc 765 Woodland Trace Ln Cordova TN 38018-6609 Ph: (901) 626-3515 | Segue Health Of Mississippi Llc 232 Market St Flowood MS 39232-3339 Ph: (888) 551-2538 |
| NPI Number | 1467989954 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 05/03/2021 |
| Medicare PECOS PAC ID | 2769757897 |
|---|---|
| Medicare Enrollment ID | O20170929000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467989954 | NPI | - | NPPES |
| 02923052 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Debra Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811079544 PECOS PAC ID: 4486616497 Enrollment ID: I20041102000450 |
| Provider Name | Deanna Nabors |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619939204 PECOS PAC ID: 2264423664 Enrollment ID: I20041123000416 |
| Provider Name | Regina Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124298849 PECOS PAC ID: 5193895845 Enrollment ID: I20080606000196 |
| Provider Name | Leslie M Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124272893 PECOS PAC ID: 9931264108 Enrollment ID: I20090223000417 |
| Provider Name | Donna Karen Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750619292 PECOS PAC ID: 7618165192 Enrollment ID: I20101228000485 |
| Provider Name | Kristi Lynn Shurden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902132764 PECOS PAC ID: 7719163765 Enrollment ID: I20110510000004 |
| Provider Name | Mary A Marcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861452401 PECOS PAC ID: 3072742618 Enrollment ID: I20140131001050 |
| Provider Name | Chanel O Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912897 PECOS PAC ID: 1153541214 Enrollment ID: I20141013002139 |
| Provider Name | Kristen P Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588037972 PECOS PAC ID: 9133418791 Enrollment ID: I20160520001076 |
| Provider Name | Kimberly Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720573595 PECOS PAC ID: 0143571299 Enrollment ID: I20180928001526 |
| Provider Name | Megan Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598253387 PECOS PAC ID: 7911333844 Enrollment ID: I20200212000964 |
| Provider Name | Jessica N Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285178822 PECOS PAC ID: 8729416128 Enrollment ID: I20200318001634 |
| Provider Name | Brian C Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154953107 PECOS PAC ID: 3173717352 Enrollment ID: I20200722000356 |
| Provider Name | Angela M Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811503097 PECOS PAC ID: 7618380148 Enrollment ID: I20201230001495 |
| Provider Name | Victoria Faucheux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194261008 PECOS PAC ID: 2668757097 Enrollment ID: I20210216003276 |
| Provider Name | Julina Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548872526 PECOS PAC ID: 1557780848 Enrollment ID: I20210503000079 |
| Provider Name | Hannah Parks Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177612 PECOS PAC ID: 4284033796 Enrollment ID: I20210602002624 |
| Provider Name | Amanda Jill Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740864446 PECOS PAC ID: 4981003423 Enrollment ID: I20210603000323 |
| Provider Name | Ethel B Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447261797 PECOS PAC ID: 1658391222 Enrollment ID: I20211123000187 |
| Provider Name | Ashley Megan Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902542848 PECOS PAC ID: 3870979727 Enrollment ID: I20220930000760 |
| Provider Name | Miranda Hutchins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194449702 PECOS PAC ID: 1153707443 Enrollment ID: I20221011001050 |
| Provider Name | Jacob B Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578290557 PECOS PAC ID: 7214312917 Enrollment ID: I20230407001767 |
| Provider Name | Lenora Diane Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790437895 PECOS PAC ID: 8325431406 Enrollment ID: I20231019002442 |
Baptist Medical Clinic - Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5341 Lakeland Dr, Flowood, MS 39232 Phone: 601-919-2173 Fax: 601-919-9723 | |
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