| River Oaks Management Company Llc | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (601) 376-1000 | |
| (601) 376-2005 |
| Full Name | River Oaks Management Company Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 1850 Chadwick Dr, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922029040 | NPI | - | NPPES |
| Provider Name | Selika M Sweet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922045475 PECOS PAC ID: 8325949597 Enrollment ID: I20040120000437 |
| Provider Name | Aja A Abai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760492037 PECOS PAC ID: 1355234386 Enrollment ID: I20040204000559 |
| Provider Name | Robert A Sheely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104895028 PECOS PAC ID: 3678468360 Enrollment ID: I20040220000523 |
| Provider Name | Jeanne Nizigiye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598833253 PECOS PAC ID: 1658268768 Enrollment ID: I20040303000422 |
| Provider Name | Saloum Cisse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780610444 PECOS PAC ID: 1254220700 Enrollment ID: I20040312000390 |
| Provider Name | Linda Nell Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376555045 PECOS PAC ID: 2163400094 Enrollment ID: I20040708000745 |
| Provider Name | Stephen A Coachys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669420915 PECOS PAC ID: 7517931652 Enrollment ID: I20040824000565 |
| Provider Name | John Payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760451991 PECOS PAC ID: 1052388782 Enrollment ID: I20040913001074 |
| Provider Name | Gregory Oden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033129440 PECOS PAC ID: 9537129234 Enrollment ID: I20041018000266 |
| Provider Name | Carter L Watters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437169844 PECOS PAC ID: 4880655117 Enrollment ID: I20041020001056 |
| Provider Name | William D. Whitton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790754307 PECOS PAC ID: 8325027063 Enrollment ID: I20041110000268 |
| Provider Name | Abdul G Bahro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447286612 PECOS PAC ID: 7810940145 Enrollment ID: I20050228000371 |
| Provider Name | Louie G Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801933031 PECOS PAC ID: 3971541517 Enrollment ID: I20050422000880 |
| Provider Name | John W Fisk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790708097 PECOS PAC ID: 8527007509 Enrollment ID: I20050428000868 |
| Provider Name | John B Madden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790795276 PECOS PAC ID: 6406880533 Enrollment ID: I20050919000908 |
| Provider Name | Margaret O Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114010295 PECOS PAC ID: 2264457449 Enrollment ID: I20051006000560 |
| Provider Name | Galen W Poole |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679583157 PECOS PAC ID: 0941225585 Enrollment ID: I20051012000622 |
| Provider Name | Denzil G Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679517411 PECOS PAC ID: 7719903343 Enrollment ID: I20051021000689 |
| Provider Name | David L Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023045572 PECOS PAC ID: 4082618616 Enrollment ID: I20060912000636 |
| Provider Name | Louis J Saddler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497765705 PECOS PAC ID: 5294716015 Enrollment ID: I20060915000558 |
| Provider Name | Erica L Bertschler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588752810 PECOS PAC ID: 6002817319 Enrollment ID: I20070129000403 |
| Provider Name | Stevan Webster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184603011 PECOS PAC ID: 1658393178 Enrollment ID: I20070511000605 |
| Provider Name | Joanna Mccollum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649390782 PECOS PAC ID: 7214021799 Enrollment ID: I20070913000897 |
| Provider Name | Annette K Low |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063445575 PECOS PAC ID: 4486742251 Enrollment ID: I20071112000368 |
| Provider Name | Olatunji J Oluwatade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477677458 PECOS PAC ID: 8628158326 Enrollment ID: I20080115000320 |
| Provider Name | Peter Casano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134239171 PECOS PAC ID: 1052493996 Enrollment ID: I20080130000585 |
| Provider Name | Charles R Cannon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437269479 PECOS PAC ID: 8527143668 Enrollment ID: I20080313000019 |
| Provider Name | Todd H Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649470097 PECOS PAC ID: 5799855086 Enrollment ID: I20080529000190 |
| Provider Name | Alfredo H Figueroa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134236128 PECOS PAC ID: 0840367405 Enrollment ID: I20080923000680 |
| Provider Name | Kelly D Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891943692 PECOS PAC ID: 6800964644 Enrollment ID: I20081007000703 |
| Provider Name | Gerhard H Mundinger |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316098833 PECOS PAC ID: 7416019047 Enrollment ID: I20081216000497 |
| Provider Name | Byron Colley |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679665640 PECOS PAC ID: 2668407578 Enrollment ID: I20090810000308 |
| Provider Name | Ronald N Eller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851537153 PECOS PAC ID: 8123172392 Enrollment ID: I20090822000001 |
| Provider Name | Bethany B Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649434754 PECOS PAC ID: 3870639388 Enrollment ID: I20091013000641 |
| Provider Name | Rosalind Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598982993 PECOS PAC ID: 4789721812 Enrollment ID: I20091022000332 |
| Provider Name | Kurt D Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598754913 PECOS PAC ID: 7315082872 Enrollment ID: I20100309000002 |
| Provider Name | Phillip Blaine Ley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790890499 PECOS PAC ID: 8426182544 Enrollment ID: I20100811000683 |
| Provider Name | Malcolm P Taylor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720092414 PECOS PAC ID: 4880617562 Enrollment ID: I20100903000697 |
| Provider Name | Richard Rayford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760496467 PECOS PAC ID: 9830297902 Enrollment ID: I20100908000267 |
| Provider Name | Michelle Vinchwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417133083 PECOS PAC ID: 9739369158 Enrollment ID: I20110202000150 |
| Provider Name | Gary M Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922254531 PECOS PAC ID: 4284804196 Enrollment ID: I20110901000673 |
| Provider Name | Aaron S Katzenmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538454236 PECOS PAC ID: 1658541305 Enrollment ID: I20110907001027 |
| Provider Name | Richard Rainey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063624948 PECOS PAC ID: 2668666942 Enrollment ID: I20111012000358 |
| Provider Name | Jennifer E Tuccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871872820 PECOS PAC ID: 3173787967 Enrollment ID: I20120606000665 |
| Provider Name | Mandy N Windham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689958902 PECOS PAC ID: 0648436816 Enrollment ID: I20120720000288 |
| Provider Name | Paul Pyles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568496560 PECOS PAC ID: 4880799410 Enrollment ID: I20120917000276 |
| Provider Name | David J Sinclair |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235391046 PECOS PAC ID: 9032368048 Enrollment ID: I20121008000610 |
| Provider Name | Jessica Fordham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982953402 PECOS PAC ID: 8426295866 Enrollment ID: I20130502000468 |
| Provider Name | Megan E Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811244593 PECOS PAC ID: 4183859507 Enrollment ID: I20131021000238 |
| Provider Name | Erin K Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952742736 PECOS PAC ID: 3779712799 Enrollment ID: I20140214000449 |
| Provider Name | Jennifer H Russum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951921 PECOS PAC ID: 1355560756 Enrollment ID: I20140917001736 |
| Provider Name | Holly M Kinget |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336376953 PECOS PAC ID: 6901026889 Enrollment ID: I20140926001175 |
| Provider Name | Qasim M Cheema |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376750372 PECOS PAC ID: 4284813908 Enrollment ID: I20141021000439 |
| Provider Name | Donald Earl Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457513202 PECOS PAC ID: 5092956607 Enrollment ID: I20141202001257 |
| Provider Name | Latasha M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780089649 PECOS PAC ID: 2961725056 Enrollment ID: I20141222000886 |
| Provider Name | Terica Lomax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992111462 PECOS PAC ID: 1052634052 Enrollment ID: I20141224000633 |
| Provider Name | Connie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750735452 PECOS PAC ID: 2365730645 Enrollment ID: I20161019003098 |
| Provider Name | Julia A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417397837 PECOS PAC ID: 0244556207 Enrollment ID: I20161212001848 |
| Provider Name | Mary Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356489272 PECOS PAC ID: 4688627631 Enrollment ID: I20170106000350 |
| Provider Name | Kristen Degelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437694320 PECOS PAC ID: 5698050458 Enrollment ID: I20170320000435 |
| Provider Name | Erin Hamilton Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046585 PECOS PAC ID: 1355689365 Enrollment ID: I20190218002489 |
| Provider Name | Kimberly Johnson Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801368741 PECOS PAC ID: 1456690999 Enrollment ID: I20190228001435 |
| Provider Name | Rose Maria Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952874851 PECOS PAC ID: 9830439850 Enrollment ID: I20190328002172 |
| Provider Name | Rebekah Celeste Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337093 PECOS PAC ID: 0345672689 Enrollment ID: I20191107001373 |
| Provider Name | Sherrie Ann Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467046581 PECOS PAC ID: 9335557297 Enrollment ID: I20210414002578 |
| Provider Name | Mallory Rae Vandevender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578218616 PECOS PAC ID: 5092192062 Enrollment ID: I20220512000567 |
| Provider Name | Grace Fairley Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639634751 PECOS PAC ID: 1456735463 Enrollment ID: I20220824003508 |
| Provider Name | Chandry Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588236913 PECOS PAC ID: 2163893397 Enrollment ID: I20230125001804 |
| Provider Name | Olivia Schrouf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700591245 PECOS PAC ID: 8628442563 Enrollment ID: I20230316001301 |
| Provider Name | Reagan Hardin Vaughn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922713270 PECOS PAC ID: 0840658415 Enrollment ID: I20230614002873 |
| Provider Name | Jennifer Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790487718 PECOS PAC ID: 7719331685 Enrollment ID: I20230926002490 |
| Provider Name | Brittany Lauren Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013695659 PECOS PAC ID: 0345694022 Enrollment ID: I20230928003396 |
| Provider Name | Taylor Renee Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750099305 PECOS PAC ID: 5890215859 Enrollment ID: I20250220001180 |
| Provider Name | Addison Hillhouse Passman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861255614 PECOS PAC ID: 1658858766 Enrollment ID: I20260120003606 |
| Provider Name | Stephen Ball |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1477556371 PECOS PAC ID: 1951409051 Enrollment ID: I20260518000139 |
| Mailing Address | Practice Location Address |
|---|---|
| River Oaks Management Company Llc Po Box 689022, Franklin, TN 37068-9022 Ph: (615) 465-7000 | River Oaks Management Company Llc 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (601) 376-1000 |