| Warrington Clinic | |
|
551 Medical Dr Clarksdale MS 38614-6733 | |
| (662) 624-2531 | |
| (662) 627-9091 |
| Full Name | Warrington Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 551 Medical Dr, Clarksdale, Mississippi |
| Authorized Official Name and Position | Lonnie Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6623263500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warrington Clinic Po Box 289 Marks MS 38646-0289 Ph: (662) 398-5111 | Warrington Clinic 551 Medical Dr Clarksdale MS 38614-6733 Ph: (662) 624-2531 |
| NPI Number | 1508363060 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 2163777046 |
|---|---|
| Medicare Enrollment ID | O20180618001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508363060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Linda C Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134163512 PECOS PAC ID: 7618942525 Enrollment ID: I20040901001199 |
| Provider Name | Richard Waller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821001041 PECOS PAC ID: 5698745420 Enrollment ID: I20041129000760 |
| Provider Name | James Warrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306858436 PECOS PAC ID: 9234109067 Enrollment ID: I20041129000848 |
| Provider Name | Vernon Thomas Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427073170 PECOS PAC ID: 5890713416 Enrollment ID: I20051102000811 |
| Provider Name | Mccarley E Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639551583 PECOS PAC ID: 9739486077 Enrollment ID: I20160331000328 |
| Provider Name | Lonnie L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962852988 PECOS PAC ID: 8820386451 Enrollment ID: I20161013001187 |
| Provider Name | Jessica Downs Tubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124574231 PECOS PAC ID: 4587943873 Enrollment ID: I20161109000265 |
| Provider Name | Megan G Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157727 PECOS PAC ID: 5193066454 Enrollment ID: I20190415000988 |
| Provider Name | Courtney Renee Fortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841951928 PECOS PAC ID: 9436543501 Enrollment ID: I20220307001516 |
| Provider Name | Ashley Megan Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902542848 PECOS PAC ID: 3870979727 Enrollment ID: I20220930000760 |
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