Boa Vida Hospital Of Aberdeen, Ms, Llc - Medicare Mental Health Clinic in Aberdeen, MS

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Boa Vida Hospital Of Aberdeen, Ms, Llc is a medicare enrolled mental health clinic (Clinic/center - Multi-specialty) in Aberdeen, Mississippi. The current practice location for Boa Vida Hospital Of Aberdeen, Ms, Llc is 400 S Chestnut St, Aberdeen, Mississippi. For appointments, you can reach them via phone at (219) 395-0667. The mailing address for Boa Vida Hospital Of Aberdeen, Ms, Llc is 10996 Four Seasons Pl Ste 100c, Crown Point, Indiana and phone number is (219) 228-1021.

Boa Vida Hospital Of Aberdeen, Ms, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710405741. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (219) 395-0667.

Contact Information

Boa Vida Hospital Of Aberdeen, Ms, Llc
400 S Chestnut St
Aberdeen
MS 39730-3335
(219) 395-0667
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameBoa Vida Hospital Of Aberdeen, Ms, Llc
SpecialityClinic/Center
Location400 S Chestnut St, Aberdeen, Mississippi
Authorized Official Name and PositionKirnjot Singh (PRESIDENT)
Authorized Official Contact2192284355
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boa Vida Hospital Of Aberdeen, Ms, Llc
10996 Four Seasons Pl Ste 100c
Crown Point
IN 46307-7762

Ph: (219) 228-1021		Boa Vida Hospital Of Aberdeen, Ms, Llc
400 S Chestnut St
Aberdeen
MS 39730-3335

Ph: (219) 395-0667

NPI Details:

NPI Number1710405741
Provider Enumeration Date08/30/2017
Last Update Date07/03/2025
Certification Date07/03/2025

Medicare PECOS Information:

Medicare PECOS PAC ID0244505840
Medicare Enrollment IDO20171128003460

Medical Identifiers

Medical identifiers for Boa Vida Hospital Of Aberdeen, Ms, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710405741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
273R00000XPsychiatric Unit (* (Not Available))Secondary
275N00000XMedicare Defined Swing Bed Unit (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Boa Vida Hospital Of Aberdeen, Ms, Llc acts as a billing entity for following providers:
Provider NameSelika M Sweet
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922045475
PECOS PAC ID: 8325949597
Enrollment ID: I20040120000437
Provider NameFloyd L Horn
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811933948
PECOS PAC ID: 8123929379
Enrollment ID: I20040123000219
Provider NameJohn B Atkins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164520425
PECOS PAC ID: 5890688683
Enrollment ID: I20040205000426
Provider NameEric W Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609951193
PECOS PAC ID: 3971496605
Enrollment ID: I20040205000674
Provider NameGary Chandler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386732154
PECOS PAC ID: 6406749159
Enrollment ID: I20040205000838
Provider NameWilliam E Brohawn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164480109
PECOS PAC ID: 4587559752
Enrollment ID: I20040217000546
Provider NameStanko Vuk
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003850009
PECOS PAC ID: 1557353430
Enrollment ID: I20040331001275
Provider NameWilliam C Henson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437198454
PECOS PAC ID: 8325037617
Enrollment ID: I20040511001035
Provider NameCameron Huxford
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1972671626
PECOS PAC ID: 0840280020
Enrollment ID: I20040518000779
Provider NameColeman A Boyd
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679598783
PECOS PAC ID: 6204827801
Enrollment ID: I20040521000806
Provider NameKeith A Kersten
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861445108
PECOS PAC ID: 7719960848
Enrollment ID: I20040610000501
Provider NameBrett C Lampton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295828614
PECOS PAC ID: 9032193446
Enrollment ID: I20040615000197
Provider NameHarold R Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811953888
PECOS PAC ID: 3173509205
Enrollment ID: I20040628001517
Provider NameCharles L Mccullouch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710964754
PECOS PAC ID: 8729066923
Enrollment ID: I20040713001089
Provider NameEdward L Giaroli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831131671
PECOS PAC ID: 5890693220
Enrollment ID: I20040730000723
Provider NameFelton Combest
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1356399513
PECOS PAC ID: 7012981970
Enrollment ID: I20040825000825
Provider NameJeffrey Carlton Howard
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821037177
PECOS PAC ID: 6901871151
Enrollment ID: I20040831000798
Provider NameGena A Vail
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649204629
PECOS PAC ID: 4385556398
Enrollment ID: I20040903000368
Provider NameSamuel Mansour
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306894555
PECOS PAC ID: 7517926603
Enrollment ID: I20041005000700
Provider NameSherry Callahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669552642
PECOS PAC ID: 2365410917
Enrollment ID: I20041025000671
Provider NameSarah D Koehler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710068358
PECOS PAC ID: 4688630577
Enrollment ID: I20041202000436
Provider NameThomas J Aycock
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548203946
PECOS PAC ID: 8426014366
Enrollment ID: I20041202000868
Provider NameRichard K Cole
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982646725
PECOS PAC ID: 8628034246
Enrollment ID: I20041206000859
Provider NameRichard Michael Arriola
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1639111479
PECOS PAC ID: 2567428196
Enrollment ID: I20041206000921
Provider NameVernon W. Barrow
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548202385
PECOS PAC ID: 1153382411
Enrollment ID: I20041206000970
Provider NameRobert Conrad Becker
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033157672
PECOS PAC ID: 0345201604
Enrollment ID: I20041206001014
Provider NameMarshall Gray Edmondson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720026255
PECOS PAC ID: 5991766248
Enrollment ID: I20041207001069
Provider NamePhyllis Elaine Mason
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1881636645
PECOS PAC ID: 6507822640
Enrollment ID: I20041209000615
Provider NameMark V Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740222587
PECOS PAC ID: 6709847056
Enrollment ID: I20041209000656
Provider NameLisa A Dement
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619918521
PECOS PAC ID: 9931167772
Enrollment ID: I20041228000278
Provider NameRoger L Nunez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932132669
PECOS PAC ID: 4284692617
Enrollment ID: I20041230000547
Provider NameGail Miller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023037629
PECOS PAC ID: 7113975319
Enrollment ID: I20050104001032
Provider NameDennis W Aust
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1306881875
PECOS PAC ID: 0143283366
Enrollment ID: I20050106000448
Provider NameFrancisco J Sierra
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922118173
PECOS PAC ID: 9234184052
Enrollment ID: I20050315000442
Provider NameRebecca Henry Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265445472
PECOS PAC ID: 2961459656
Enrollment ID: I20050405000818
Provider NameApril E Robbins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669464863
PECOS PAC ID: 6305888033
Enrollment ID: I20050524000232
Provider NameWilliam Truly
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780893602
PECOS PAC ID: 3072556133
Enrollment ID: I20050609000226
Provider NameRita M Hargett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154351864
PECOS PAC ID: 4688615370
Enrollment ID: I20050622001135
Provider NameSaleem A Ali
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801989124
PECOS PAC ID: 2860422003
Enrollment ID: I20050817000203
Provider NameJeffrey Seale
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023113735
PECOS PAC ID: 7416917356
Enrollment ID: I20050825000794
Provider NameMark A Friloux
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679562748
PECOS PAC ID: 9537193891
Enrollment ID: I20050927000425
Provider NameMatthew T Verucchi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841391315
PECOS PAC ID: 5597790097
Enrollment ID: I20051004000454
Provider NameKevin Curtis Hayes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154364636
PECOS PAC ID: 9335169200
Enrollment ID: I20051207000212
Provider NameClinton L Washington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437163763
PECOS PAC ID: 3173530698
Enrollment ID: I20060308000518
Provider NameLaura L Washington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093721151
PECOS PAC ID: 1254348774
Enrollment ID: I20060308000537
Provider NameZandra D Frans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699781765
PECOS PAC ID: 8527075928
Enrollment ID: I20060309000367
Provider NameMargaret E Seaman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780672808
PECOS PAC ID: 0143237545
Enrollment ID: I20060309000385
Provider NameNina P Jurney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043225576
PECOS PAC ID: 6305853706
Enrollment ID: I20060309000401
Provider NameRhonda Potter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215957758
PECOS PAC ID: 1557367422
Enrollment ID: I20061017000239
Provider NameJoseph W Johnsey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962440297
PECOS PAC ID: 3274569835
Enrollment ID: I20061120000629
Provider NameHerbert Floyd
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457345365
PECOS PAC ID: 8426154923
Enrollment ID: I20070430000363
Provider NameManda S Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386781151
PECOS PAC ID: 1557393949
Enrollment ID: I20070622000308
Provider NameMichelle Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508995499
PECOS PAC ID: 5698875938
Enrollment ID: I20070716000275
Provider NameDiego Velasco
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891992434
PECOS PAC ID: 9739275082
Enrollment ID: I20071017000743
Provider NameVerena T Valley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679508097
PECOS PAC ID: 3577652130
Enrollment ID: I20071204000693
Provider NameGina V Bray
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255338984
PECOS PAC ID: 9739279886
Enrollment ID: I20071213000402
Provider NameAnita J Falls
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205881307
PECOS PAC ID: 3678667037
Enrollment ID: I20071227000046
Provider NameThomas F Fleischhauer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1902943764
PECOS PAC ID: 7911810064
Enrollment ID: I20080117000457
Provider NamePenny L Finch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467639211
PECOS PAC ID: 7012082191
Enrollment ID: I20080826000353
Provider NameAugustus P Soriano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649348129
PECOS PAC ID: 3173699865
Enrollment ID: I20080903000488
Provider NameAndrew C Justice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568610806
PECOS PAC ID: 0547320145
Enrollment ID: I20081126000335
Provider NameRobert E Gramling
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891950283
PECOS PAC ID: 7012073349
Enrollment ID: I20090311000412
Provider NameNora C Gough-davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740410661
PECOS PAC ID: 0749322345
Enrollment ID: I20100120000411
Provider NameAamir Hashmat
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1710983150
PECOS PAC ID: 7618011628
Enrollment ID: I20100215000252
Provider NameJonathan C Sledge
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982868782
PECOS PAC ID: 9638214042
Enrollment ID: I20100309000597
Provider NameMary L Moss
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649286600
PECOS PAC ID: 9436289998
Enrollment ID: I20100609000479
Provider NameMichael Don King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699099911
PECOS PAC ID: 1951433382
Enrollment ID: I20100720000524
Provider NameWoodrow W Brand
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053492645
PECOS PAC ID: 6901939727
Enrollment ID: I20100730000642
Provider NameJulian Arthur Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073578043
PECOS PAC ID: 9335263078
Enrollment ID: I20100901000392
Provider NameHarold J Grissom
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578740205
PECOS PAC ID: 1658568407
Enrollment ID: I20101207000252
Provider NameRaymond G Overstreet
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1447350541
PECOS PAC ID: 3779771688
Enrollment ID: I20101220000470
Provider NameDonald W Ratliff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871597385
PECOS PAC ID: 0446144570
Enrollment ID: I20110119001339
Provider NameAdelaide Frances Henderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841289279
PECOS PAC ID: 1254510175
Enrollment ID: I20110125000563
Provider NameShellie Moffett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902116064
PECOS PAC ID: 7810178704
Enrollment ID: I20110225000136
Provider NameCarricka Cartrica D Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538469689
PECOS PAC ID: 5294919064
Enrollment ID: I20110404000369
Provider NameSamuel K Box
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396973863
PECOS PAC ID: 9032389457
Enrollment ID: I20110823000260
Provider NameShannon L Ballard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275836991
PECOS PAC ID: 3779750948
Enrollment ID: I20120111000978
Provider NamePhilip S Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770594368
PECOS PAC ID: 7214826221
Enrollment ID: I20120213000370
Provider NameElisabeth Faith Hale
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568766327
PECOS PAC ID: 3274717111
Enrollment ID: I20120618000029
Provider NameRodney B Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871875831
PECOS PAC ID: 6103079124
Enrollment ID: I20121226000193
Provider NameBeatrice L Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750638037
PECOS PAC ID: 6204076474
Enrollment ID: I20130711000344
Provider NameKendrix Evans
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831325356
PECOS PAC ID: 3678704871
Enrollment ID: I20140402000462
Provider NameLaura N Billingsley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245646314
PECOS PAC ID: 4789806555
Enrollment ID: I20141111000937
Provider NameMitchell R Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316346992
PECOS PAC ID: 2365764214
Enrollment ID: I20141203001138
Provider NameTeresa Darlene Kendrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437406485
PECOS PAC ID: 4880849801
Enrollment ID: I20150423000113
Provider NameDavid J Mulvaney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578509659
PECOS PAC ID: 0446294565
Enrollment ID: I20150501001415
Provider NameWilliam R Johnson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245469576
PECOS PAC ID: 0244462430
Enrollment ID: I20150522002274
Provider NameJohn Roberts
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417110990
PECOS PAC ID: 9032340062
Enrollment ID: I20150601001284
Provider NameAaron Amos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003059874
PECOS PAC ID: 7214085729
Enrollment ID: I20150825004101
Provider NameShonve L. Ball
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104200682
PECOS PAC ID: 7113237025
Enrollment ID: I20151105000357
Provider NameAshli D Kovalick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912374174
PECOS PAC ID: 1658681481
Enrollment ID: I20151107000019
Provider NameSarah M Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235508276
PECOS PAC ID: 4587974068
Enrollment ID: I20151112002613
Provider NameVenetta D Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316338833
PECOS PAC ID: 3870811672
Enrollment ID: I20151210001701
Provider NameMelissa Nolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194075416
PECOS PAC ID: 7315265113
Enrollment ID: I20151211000770
Provider NameJames L Baker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568804755
PECOS PAC ID: 6507089554
Enrollment ID: I20160122001110
Provider NameLauren M Barrier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235506668
PECOS PAC ID: 7012211337
Enrollment ID: I20160208000800
Provider NameRobert Aubrey Duke
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649220120
PECOS PAC ID: 6709801228
Enrollment ID: I20160315001799
Provider NameEdmund M Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689089203
PECOS PAC ID: 0042517666
Enrollment ID: I20160328000378
Provider NameJoseph Eckhardt Ruder
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1982707337
PECOS PAC ID: 9335438233
Enrollment ID: I20160517000682
Provider NameMary Horn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093165805
PECOS PAC ID: 1850684630
Enrollment ID: I20160802000046
Provider NameDana Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750740965
PECOS PAC ID: 5193004000
Enrollment ID: I20161117000734
Provider NameRobert I Vail
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326593336
PECOS PAC ID: 0749192755
Enrollment ID: I20161130000176
Provider NameAmanda K Everett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467809962
PECOS PAC ID: 7416237284
Enrollment ID: I20161213002515
Provider NameJessica A Lauderdale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093095523
PECOS PAC ID: 4082901228
Enrollment ID: I20170111000566
Provider NameJoseph Kyle Wells
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447702584
PECOS PAC ID: 5698057057
Enrollment ID: I20170119000343
Provider NameKymberleigh E James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134672462
PECOS PAC ID: 8123302056
Enrollment ID: I20170221001858
Provider NameVictoria Jo Sturdivant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861934184
PECOS PAC ID: 3072898824
Enrollment ID: I20170320000344
Provider NameJordan Webster Steele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568843332
PECOS PAC ID: 0143517946
Enrollment ID: I20170327000878
Provider NameAngel Isabelle Justice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487104675
PECOS PAC ID: 0042596892
Enrollment ID: I20170411001389
Provider NameKeith Russell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326335886
PECOS PAC ID: 6709106958
Enrollment ID: I20170524000494
Provider NameJoanna Sadowska
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1396050381
PECOS PAC ID: 1850662107
Enrollment ID: I20170803003430
Provider NameHagop Keleshian
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326381468
PECOS PAC ID: 4486923570
Enrollment ID: I20170913002189
Provider NameMatthew J Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093234411
PECOS PAC ID: 7911263520
Enrollment ID: I20171115002094
Provider NameHeather Larue Edmondson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093225070
PECOS PAC ID: 1557621091
Enrollment ID: I20180319000340
Provider NameCarly M Mahon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215456074
PECOS PAC ID: 6507129665
Enrollment ID: I20180424002445
Provider NameJoyce A Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639556731
PECOS PAC ID: 3971824061
Enrollment ID: I20180510001228
Provider NameKristin L Mitchell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659721736
PECOS PAC ID: 0244525103
Enrollment ID: I20180524001736
Provider NameBrentley Frossard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508218504
PECOS PAC ID: 9436414000
Enrollment ID: I20180531002419
Provider NameDonald C Livingston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467864207
PECOS PAC ID: 2668797507
Enrollment ID: I20180705000928
Provider NameSarah Deraney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790077113
PECOS PAC ID: 0446562946
Enrollment ID: I20180928000457
Provider NameCassie L. Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316429434
PECOS PAC ID: 4688926553
Enrollment ID: I20181004002065
Provider NameMargaret Sloan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801371679
PECOS PAC ID: 9133465693
Enrollment ID: I20190104001034
Provider NameDilip Thakker
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225120298
PECOS PAC ID: 5193870699
Enrollment ID: I20190109000101
Provider NameStephanie B Lange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023516986
PECOS PAC ID: 7618215062
Enrollment ID: I20190211002531
Provider NameAmy B Joslin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285102798
PECOS PAC ID: 0143569061
Enrollment ID: I20190311001814
Provider NameAmanda Beth Johnson
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1942511456
PECOS PAC ID: 3779701669
Enrollment ID: I20190405000846
Provider NameErnestine Ivy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992273072
PECOS PAC ID: 7618201963
Enrollment ID: I20190620002310
Provider NameJames Alan Easter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467797977
PECOS PAC ID: 5395752927
Enrollment ID: I20190827001346
Provider NameCharlaysha Symone Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225685381
PECOS PAC ID: 0345571246
Enrollment ID: I20191008000140
Provider NameKristen Loden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528522588
PECOS PAC ID: 4486985710
Enrollment ID: I20191017000441
Provider NameJenifer Justice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043713167
PECOS PAC ID: 3870844228
Enrollment ID: I20191018001486
Provider NameLydia Rice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497389902
PECOS PAC ID: 0143641712
Enrollment ID: I20200608000749
Provider NameKelsey A Womack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679037279
PECOS PAC ID: 3072935642
Enrollment ID: I20200629000572
Provider NameLeslie Smothers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851706477
PECOS PAC ID: 6103113162
Enrollment ID: I20200805003109
Provider NameCynthia Ann Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679114821
PECOS PAC ID: 0941626865
Enrollment ID: I20200821001505
Provider NameElaina Ponder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235783127
PECOS PAC ID: 2062839814
Enrollment ID: I20200825003861
Provider NameJerry Mcknight
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356311005
PECOS PAC ID: 6901920388
Enrollment ID: I20200918001719
Provider NameHillary Earnest
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659984862
PECOS PAC ID: 4284054289
Enrollment ID: I20201013001550
Provider NameRita Estep
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942236468
PECOS PAC ID: 0244490274
Enrollment ID: I20201020000858
Provider NameGarth H Horn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033710272
PECOS PAC ID: 0648681528
Enrollment ID: I20201125000491
Provider NameBethany Anna Free
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235736778
PECOS PAC ID: 6002228269
Enrollment ID: I20201211000178
Provider NameSarah Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760096127
PECOS PAC ID: 4486069663
Enrollment ID: I20210222000469
Provider NameAmy Lynn Floyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700340908
PECOS PAC ID: 6204167588
Enrollment ID: I20210303002077
Provider NameHannah Reeves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932737202
PECOS PAC ID: 9830508076
Enrollment ID: I20210429001361
Provider NameMari C Blaylock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962043406
PECOS PAC ID: 0244638377
Enrollment ID: I20211004003397
Provider NameRidgeland Clay Dabbs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104440544
PECOS PAC ID: 5890110357
Enrollment ID: I20211011001276
Provider NameJessica Faye Skinner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952071227
PECOS PAC ID: 6608274063
Enrollment ID: I20211015000333
Provider NameTyrena N Burroughs
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215445762
PECOS PAC ID: 5890042642
Enrollment ID: I20220106001351
Provider NameSelena N Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265183057
PECOS PAC ID: 1951794296
Enrollment ID: I20220208002715
Provider NameBrent Lee Hallmark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093313397
PECOS PAC ID: 0446643308
Enrollment ID: I20220217000989
Provider NameMisty Leigh Glidewell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770243552
PECOS PAC ID: 2264826031
Enrollment ID: I20220222001760
Provider NameErin Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407594443
PECOS PAC ID: 2466830971
Enrollment ID: I20220610002251
Provider NameKelsey Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922628213
PECOS PAC ID: 2365804945
Enrollment ID: I20230814002619
Provider NameLee Vester Calvert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831857374
PECOS PAC ID: 0244688133
Enrollment ID: I20231204001133
Provider NameCatherine L Vance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952943672
PECOS PAC ID: 8325496219
Enrollment ID: I20231204001174
Provider NameSarah L Bergman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114505666
PECOS PAC ID: 6103229695
Enrollment ID: I20240306000217
Provider NameMorgan C Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508642273
PECOS PAC ID: 2466891395
Enrollment ID: I20240411003032
Provider NameEvan Todd Blair
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518455476
PECOS PAC ID: 0941559033
Enrollment ID: I20240517001925
Provider NameLaquania Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063912046
PECOS PAC ID: 1850733247
Enrollment ID: I20240530003505
Provider NameKathryn Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760250088
PECOS PAC ID: 4385086784
Enrollment ID: I20240603002144
Provider NameSteven Hole
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306108386
PECOS PAC ID: 9032549456
Enrollment ID: I20240719003270
Provider NameLaney E Brock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508639907
PECOS PAC ID: 5092253450
Enrollment ID: I20240815003568
Provider NameSteve Nelson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952725178
PECOS PAC ID: 2062745920
Enrollment ID: I20240827002257
Provider NameBrandi Louise Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699504233
PECOS PAC ID: 4688113293
Enrollment ID: I20240827003945
Provider NameTimothy Russell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073937132
PECOS PAC ID: 1759710874
Enrollment ID: I20240910000433
Provider NameTommy Wood
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1710008651
PECOS PAC ID: 1153422852
Enrollment ID: I20240917002813

Reviews and Comments

Clinic/Center in Aberdeen, MS

Creative Healing Counseling Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 530 Highway 145 N Ste A, Aberdeen, MS 39730
Phone: 662-319-1876    Fax: 662-369-1739
Pioneer Health Services Of Monroe County, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 400 S Chestnut St, Aberdeen, MS 39730
Phone: 662-369-2455    Fax: 662-319-2125
Boa Vida Hospital Of Aberdeen, Ms, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 400 S Chestnut St, Aberdeen, MS 39730
Phone: 219-395-0667    
Child & Family Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 50006 Short St, Aberdeen, MS 39730
Phone: 662-436-7224    
Lifebrite Hospital Group Of Aberdeen Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 400 S Chestnut St, Aberdeen, MS 39730
Phone: 662-369-2455    
Hope Faith Love Counseling Services, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 E Commerce St, Aberdeen, MS 39730
Phone: 662-352-1638    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.