Mrs Sydney Mccary Ponder, | |
401 Baptist Dr Ste 301, Madison, MS 39110-2012 | |
(601) 973-1571 | |
(601) 973-1577 |
Full Name | Mrs Sydney Mccary Ponder |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 401 Baptist Dr Ste 301, Madison, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033824297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 905764 (Mississippi) | Primary |
207Q00000X | Family Medicine | 905764 (Mississippi) | Secondary |
Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sydney Mccary Ponder, 350 N Humphreys Blvd, Memphis, TN 38120-2177 Ph: (901) 226-4003 | Mrs Sydney Mccary Ponder, 401 Baptist Dr Ste 301, Madison, MS 39110-2012 Ph: (601) 973-1571 |
Mallory Elizabeth Boggs, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-859-8200 | |
Mary Hamilton Harkins, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 | |
Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Woodland Dr, Madison, MS 39110 Phone: 601-503-0335 | |
Allison Ayers Cochran, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Lexington Dr Ste 100, Madison, MS 39110 Phone: 601-973-1688 Fax: 601-973-1690 | |
Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400 | |
Dean E Whitley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 794 Highway 51, Suite D, Madison, MS 39110 Phone: 601-853-8814 Fax: 601-853-8816 |