| Roderick A Shields, MD | |
|
128 Earl Clark Dr, Florence, MS 39073-6604 | |
| (601) 891-8465 | |
| (601) 891-8468 |
| Full Name | Roderick A Shields |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 128 Earl Clark Dr, Florence, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760436570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12884 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Merit Health Women's Hospital | Flowood, MS | Hospital |
| Entity Name | South Rankin Family Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629143334 PECOS PAC ID: 2567463862 Enrollment ID: O20070130000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick A Shields, MD Po Box 1188, Florence, MS 39073-1188 Ph: (601) 891-8465 | Roderick A Shields, MD 128 Earl Clark Dr, Florence, MS 39073-6604 Ph: (601) 891-8465 |
Robert Vancleave Coleman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3091 Highway 49 S, Suite B, Florence, MS 39073 Phone: 601-891-8134 Fax: 601-891-8364 | |
Sonya Whatley, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3091 Highway 49 S Ste F, Florence, MS 39073 Phone: 601-782-7067 |