| Jennifer Lashay Atkins, MD | |
|
92 Ratliff St, Lucedale, MS 39452-6537 | |
| (601) 947-8181 | |
| Not Available |
| Full Name | Jennifer Lashay Atkins |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 92 Ratliff St, Lucedale, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457679300 | NPI | - | NPPES |
| 00407762 | Medicaid | MS | |
| 170606 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 070420 (Georgia) | Secondary |
| 208000000X | Pediatrics | 32527 (Alabama) | Secondary |
| 208000000X | Pediatrics | 25924 (Mississippi) | Primary |
| Entity Name | Community Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194734913 PECOS PAC ID: 8921072588 Enrollment ID: O20040820000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lashay Atkins, MD Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 947-1330 | Jennifer Lashay Atkins, MD 92 Ratliff St, Lucedale, MS 39452-6537 Ph: (601) 947-8181 |
Dr. Natoya Barnett-grindley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 | |
Dr. Tara S. Mallett, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 92 W. Ratliff Street, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 |