| Jamie Michelle Holloway, | |
|
1374 Cooke Road, Pontotoc, MS 38863 | |
| (662) 456-6921 | |
| Not Available |
| Full Name | Jamie Michelle Holloway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1374 Cooke Road, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699290460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902229 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Emergency Services Inc. | 5799697272 | 35 |
| Redmed Llc | 2961633656 | 54 |
| Southeastern Emergency Physicians Llc | 2466364997 | 776 |
| Grenada Emergency Group, Llc | 2163854225 | 37 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040903000729 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866 |
| Entity Name | Physicians Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316059405 PECOS PAC ID: 5991832081 Enrollment ID: O20100421000688 |
| Entity Name | Redmed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
| Entity Name | Relias Emergency Medicine Specialists of Tupelo LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841664661 PECOS PAC ID: 6608179734 Enrollment ID: O20160125001174 |
| Entity Name | Grenada Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
| Entity Name | Relias Emergency Medicine Specialists of Amory, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265074769 PECOS PAC ID: 4486088853 Enrollment ID: O20191218002639 |
| Entity Name | Relias Emergency Medicine Specialists of West Point, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275172736 PECOS PAC ID: 0042648594 Enrollment ID: O20200316000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Michelle Holloway, 30 Burton Hills Blvd, Ste 175, Nashville, TN 37215-6403 Ph: (615) 988-2014 | Jamie Michelle Holloway, 1374 Cooke Road, Pontotoc, MS 38863 Ph: (662) 456-6921 |
Timothy R Watson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Acute Care And Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 Phone: 662-489-2777 |
Mrs. Cynthia Nicole Tindall, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 Fax: 662-509-9935 |
Flora E Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Peoples Dr # A, Pontotoc, MS 38863 Phone: 662-489-7777 Fax: 662-489-0065 |
Shonve Ball, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 166 Rough Wood Dr, Pontotoc, MS 38863 Phone: 662-509-0180 |
Regan Watson Moore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 |
Teirra Wynn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 |
Mrs. Breanna Renee Bray, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brooks Xing, Pontotoc, MS 38863 Phone: 662-489-4044 Fax: 662-489-4041 |