| Mr Ryan Chanler Smith, NP | |
|
2510 Lakeland Dr, Flowood, MS 39232-9513 | |
| (601) 355-1234 | |
| Not Available |
| Full Name | Mr Ryan Chanler Smith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 2510 Lakeland Dr, Flowood, 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 |
|---|---|---|---|
| 1386535557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 907560 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 907560 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Mississippi Pllc | 3678832029 | 192 |
| 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 | Upperline Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20250515002154 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Chanler Smith, NP 1621 W Peace St, Canton, MS 39046-9041 Ph: (601) 391-2716 | Mr Ryan Chanler Smith, NP 2510 Lakeland Dr, Flowood, MS 39232-9513 Ph: (601) 355-1234 |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 |
Dakota Kilpatrick, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 778 Liberty Rd, Flowood, MS 39232 Phone: 251-493-1000 |
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-932-4391 |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141 |
Jane Denton Desper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 |