| Bobby Harris, | |
|
1008 Azalea Dr, Waynesboro, MS 39367-2499 | |
| (601) 509-2584 | |
| Not Available |
| Full Name | Bobby Harris |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1008 Azalea Dr, Waynesboro, 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 |
|---|---|---|---|
| 1144862970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903407 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grenada Physician Services, Llc | 4284965773 | 15 |
| Natchez Hb Medical Services Llc | 8921461286 | 22 |
| United Emergency Services Of Mississippi | 9739188046 | 9 |
| Entity Name | Tallahatchie General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679733497 PECOS PAC ID: 1052208097 Enrollment ID: O20040303000646 |
| Entity Name | United Emergency Services Of Mississippi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801983309 PECOS PAC ID: 9739188046 Enrollment ID: O20061214000504 |
| Entity Name | Anderson Physician Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
| Entity Name | Hancock Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295142396 PECOS PAC ID: 8022237015 Enrollment ID: O20140924002285 |
| Entity Name | Comprehensive Hospitalists Of Ms, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467856385 PECOS PAC ID: 6709101322 Enrollment ID: O20150202001604 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Medical Services Of Meridian Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
| Entity Name | Grenada Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932762721 PECOS PAC ID: 4284965773 Enrollment ID: O20191015001194 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
| Entity Name | Natchez Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770264459 PECOS PAC ID: 8921461286 Enrollment ID: O20230905000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Bobby Harris, Po Box 1258, Waynesboro, TN 38485-1258 Ph: (931) 253-1110 | Bobby Harris, 1008 Azalea Dr, Waynesboro, MS 39367-2499 Ph: (601) 509-2584 |
Connor Elizabeth Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 Matthew Dr, Waynesboro, MS 39367 Phone: 601-735-5151 | |
Dava Holifield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 Azalea Dr, Waynesboro, MS 39367 Phone: 601-509-2584 | |
Whitney Hoskins, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 713 Lomax Ave, Waynesboro, MS 39367 Phone: 601-671-2400 | |
Mrs. Amanda L Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 Matthew Drive, Suite# A, Waynesboro, MS 39367 Phone: 601-371-2742 Fax: 601-735-7266 | |
Ms. Angela B Boyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Azalea Dr Ste F, Waynesboro, MS 39367 Phone: 601-735-3737 | |
Mandy Yvette Munn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 Azalea Dr, Waynesboro, MS 39367 Phone: 601-509-2584 |