Wound Management Specialists, Llc | |
1190 N State St Ste 2a Jackson MS 39202-2413 | |
(769) 243-6141 | |
(601) 510-1665 |
Full Name | Wound Management Specialists, Llc |
---|---|
Speciality | Clinic/Center |
Location | 1190 N State St Ste 2a, Jackson, Mississippi |
Authorized Official Name and Position | Thomas Mcmahon (OWNER) |
Authorized Official Contact | 7692436141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wound Management Specialists, Llc 778 Liberty Rd Flowood MS 39232-9321 Ph: (769) 243-6141 | Wound Management Specialists, Llc 1190 N State St Ste 2a Jackson MS 39202-2413 Ph: (769) 243-6141 |
NPI Number | 1972150084 |
---|---|
Provider Enumeration Date | 08/22/2019 |
Last Update Date | 10/08/2024 |
Medicare PECOS PAC ID | 5193056364 |
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Medicare Enrollment ID | O20191021000339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972150084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Raymond Girnys |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1578522934 PECOS PAC ID: 8527027861 Enrollment ID: I20051114000618 |
Provider Name | Jeffrey Samuel Doolittle |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1932252954 PECOS PAC ID: 7416096748 Enrollment ID: I20091130000348 |
Provider Name | Ashley Thomas Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588991731 PECOS PAC ID: 8325180755 Enrollment ID: I20100125000006 |
Provider Name | Brandi C Burr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962737551 PECOS PAC ID: 9032252358 Enrollment ID: I20100208000647 |
Provider Name | Juliet W Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053554808 PECOS PAC ID: 2466585310 Enrollment ID: I20100729000679 |
Provider Name | Michelle Vinchwater |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417133083 PECOS PAC ID: 9739369158 Enrollment ID: I20110202000150 |
Provider Name | Elizabeth Baird Dawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033404538 PECOS PAC ID: 9032380720 Enrollment ID: I20110929000645 |
Provider Name | Charles Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306126263 PECOS PAC ID: 8628235744 Enrollment ID: I20120201000504 |
Provider Name | Scott Martin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437388055 PECOS PAC ID: 3476700212 Enrollment ID: I20120829000566 |
Provider Name | Gabrielle Boone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568801108 PECOS PAC ID: 8820231996 Enrollment ID: I20130821000914 |
Provider Name | Lepercival Griffin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558688416 PECOS PAC ID: 2365677762 Enrollment ID: I20131018001731 |
Provider Name | Shannon C Weathers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871927343 PECOS PAC ID: 0749418192 Enrollment ID: I20140111000012 |
Provider Name | Rachel Ratliff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255753059 PECOS PAC ID: 2961635768 Enrollment ID: I20140501001524 |
Provider Name | Angela Boyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134510100 PECOS PAC ID: 9931426350 Enrollment ID: I20150324001886 |
Provider Name | Timothy Alexander Abston |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255658589 PECOS PAC ID: 0345557120 Enrollment ID: I20150910001502 |
Provider Name | Emily Gordon Skelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265818033 PECOS PAC ID: 0547577801 Enrollment ID: I20150918000438 |
Provider Name | Lindsey L Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821474867 PECOS PAC ID: 4880903830 Enrollment ID: I20151014002333 |
Provider Name | Brandi L Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114399375 PECOS PAC ID: 5799085254 Enrollment ID: I20151205000038 |
Provider Name | Molly Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265983316 PECOS PAC ID: 7719268317 Enrollment ID: I20161219001672 |
Provider Name | Cynthia S Haynes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366986549 PECOS PAC ID: 7517248206 Enrollment ID: I20170112000441 |
Provider Name | Mary Pounders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356712525 PECOS PAC ID: 3274810122 Enrollment ID: I20170503000997 |
Provider Name | Kysha R Saleem-matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245643246 PECOS PAC ID: 8527288067 Enrollment ID: I20170511002585 |
Provider Name | Abbey Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083085260 PECOS PAC ID: 9638479660 Enrollment ID: I20170608000340 |
Provider Name | Jennifer Ann King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659829521 PECOS PAC ID: 1355620584 Enrollment ID: I20170726003622 |
Provider Name | Gillian P Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982150322 PECOS PAC ID: 9830461995 Enrollment ID: I20170824000343 |
Provider Name | Lindsay Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619407558 PECOS PAC ID: 6204102056 Enrollment ID: I20171023000529 |
Provider Name | Yolonda Kinzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134678808 PECOS PAC ID: 1759648389 Enrollment ID: I20171206001940 |
Provider Name | Lori Mcmahan Stepp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801397096 PECOS PAC ID: 5193087146 Enrollment ID: I20180403000479 |
Provider Name | Kimberly Jean Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831681345 PECOS PAC ID: 1456608926 Enrollment ID: I20180716002890 |
Provider Name | Margaret Chandler Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013433127 PECOS PAC ID: 2567715717 Enrollment ID: I20181105003066 |
Provider Name | Mary Ellen Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346724598 PECOS PAC ID: 6002160421 Enrollment ID: I20181121000133 |
Provider Name | Hope Patrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407311798 PECOS PAC ID: 8325380470 Enrollment ID: I20190422001372 |
Provider Name | Roxane T Moncure |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396202396 PECOS PAC ID: 8224949433 Enrollment ID: I20191018000052 |
Provider Name | Sumner B Douglas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548821333 PECOS PAC ID: 4183058639 Enrollment ID: I20191217000530 |
Provider Name | Lauren P Blakeney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780229641 PECOS PAC ID: 4284069444 Enrollment ID: I20200115003016 |
Provider Name | Morgan Danielle Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619516911 PECOS PAC ID: 8224464318 Enrollment ID: I20200210000557 |
Provider Name | Kayla Robertson Lindsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790315638 PECOS PAC ID: 2365879111 Enrollment ID: I20200218000041 |
Provider Name | Chelsea Cockrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447804463 PECOS PAC ID: 5496189508 Enrollment ID: I20200311001959 |
Provider Name | Sharon Ezell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063799583 PECOS PAC ID: 8729228580 Enrollment ID: I20200401003619 |
Provider Name | Leah Lamb Rybolt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407487069 PECOS PAC ID: 8729418736 Enrollment ID: I20200415000462 |
Provider Name | Lydia Rice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497389902 PECOS PAC ID: 0143641712 Enrollment ID: I20200608000749 |
Provider Name | Nathaniel Bump |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003449398 PECOS PAC ID: 9335562644 Enrollment ID: I20200706000482 |
Provider Name | Sharhonda Michelle Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184258956 PECOS PAC ID: 7618393802 Enrollment ID: I20200819000156 |
Provider Name | Lindsey Burney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619583143 PECOS PAC ID: 7719307693 Enrollment ID: I20201014001969 |
Provider Name | Trisha Beth Weymers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952911059 PECOS PAC ID: 5395157192 Enrollment ID: I20210111000765 |
Provider Name | Casey Banahan Baine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245835263 PECOS PAC ID: 6709290950 Enrollment ID: I20210128002401 |
Provider Name | Brenda Stallion Pate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386246569 PECOS PAC ID: 7719391929 Enrollment ID: I20210129001877 |
Provider Name | Tanya Mcgee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255978367 PECOS PAC ID: 1153736855 Enrollment ID: I20210210001128 |
Provider Name | Katherine C Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285243022 PECOS PAC ID: 8729493655 Enrollment ID: I20210226000480 |
Provider Name | Marlana Lee Mcfarland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730796376 PECOS PAC ID: 3971910076 Enrollment ID: I20210407000381 |
Provider Name | Jessica Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033725775 PECOS PAC ID: 5496167769 Enrollment ID: I20210421000374 |
Provider Name | Brianna Michelle Pendergrass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518522283 PECOS PAC ID: 5496084113 Enrollment ID: I20210512001005 |
Provider Name | Casey B Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477137065 PECOS PAC ID: 7012316227 Enrollment ID: I20210520000454 |
Provider Name | Adraine Marie Cox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992346076 PECOS PAC ID: 0143620377 Enrollment ID: I20210610000115 |
Provider Name | Melanie Bernita Eiland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265015028 PECOS PAC ID: 2466857859 Enrollment ID: I20210824000227 |
Provider Name | Lindsay Luke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912676313 PECOS PAC ID: 2264839794 Enrollment ID: I20210924002082 |
Provider Name | Tonya M Crawford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568138832 PECOS PAC ID: 0244638112 Enrollment ID: I20211006002598 |
Provider Name | Nathan William Goss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285307363 PECOS PAC ID: 2264830793 Enrollment ID: I20211013001401 |
Provider Name | Erica Chancey Elkin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154097152 PECOS PAC ID: 3577951748 Enrollment ID: I20211021001438 |
Provider Name | Audrey Kathryn Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053088922 PECOS PAC ID: 9133517733 Enrollment ID: I20211101003152 |
Provider Name | Allison Rey Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710369954 PECOS PAC ID: 5092029512 Enrollment ID: I20211222001756 |
Provider Name | Nikolaus P King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780279448 PECOS PAC ID: 0446521538 Enrollment ID: I20220107000276 |
Provider Name | Elizabeth Campbell Lishman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679237432 PECOS PAC ID: 1153713144 Enrollment ID: I20220125002436 |
Provider Name | Katlyn Amason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144854498 PECOS PAC ID: 4789076589 Enrollment ID: I20220127001175 |
Provider Name | Lori Martin Case |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568113983 PECOS PAC ID: 4688067416 Enrollment ID: I20220131001415 |
Provider Name | Kelsey Elyse Creel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801540869 PECOS PAC ID: 6002201969 Enrollment ID: I20220312000006 |
Provider Name | Britney Sandifer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578195293 PECOS PAC ID: 7517370737 Enrollment ID: I20220505000661 |
Provider Name | Carrington Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164155297 PECOS PAC ID: 0840672192 Enrollment ID: I20220802003984 |
Provider Name | Anna Crow Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124765656 PECOS PAC ID: 9436534948 Enrollment ID: I20220920002580 |
Provider Name | Keila Mayfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235709494 PECOS PAC ID: 2163808106 Enrollment ID: I20220929000201 |
Provider Name | Jessica Carol Mikell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942924006 PECOS PAC ID: 3577939016 Enrollment ID: I20221025000662 |
Provider Name | Raegan Mobley Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144940172 PECOS PAC ID: 3577932425 Enrollment ID: I20221215001272 |
Provider Name | Madison Virginia Barrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972219947 PECOS PAC ID: 5991178360 Enrollment ID: I20230306001477 |
Provider Name | Marissa Rae White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851098362 PECOS PAC ID: 7719342153 Enrollment ID: I20230508001796 |
Provider Name | Brittney My'esha Brumfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629772892 PECOS PAC ID: 1759740566 Enrollment ID: I20230711001770 |
Provider Name | Elsa Renee Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720779846 PECOS PAC ID: 9436503299 Enrollment ID: I20230927002114 |
Provider Name | Jade Alexandra Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134719743 PECOS PAC ID: 3375990542 Enrollment ID: I20231109000331 |
Provider Name | Brittany Lee Bowen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043096308 PECOS PAC ID: 9335596196 Enrollment ID: I20231115003850 |
Provider Name | Caroline Saylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154184372 PECOS PAC ID: 5799122107 Enrollment ID: I20240321000642 |
Provider Name | Timothy Joel Trammell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912763616 PECOS PAC ID: 4385081165 Enrollment ID: I20240328002622 |
Provider Name | Maegan Cook Bridges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952900581 PECOS PAC ID: 0840732350 Enrollment ID: I20240611003418 |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |