| North Mississippi Gilmore Clinics, Llc | |
| 
					1107 Earl Frye Blvd Ste 6 Amory MS 38821-5519  | |
| (662) 256-9327 | |
| Not Available | 
| Full Name | North Mississippi Gilmore Clinics, Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 1107 Earl Frye Blvd Ste 6, Amory, Mississippi | 
| Authorized Official Name and Position | Bruce Toppin (SECRETARY) | 
| Authorized Official Contact | 6623774229 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| North Mississippi Gilmore Clinics, Llc 808 Varsity Dr Tupelo MS 38801-4613 Ph: () -  | North Mississippi Gilmore Clinics, Llc 1107 Earl Frye Blvd Ste 6 Amory MS 38821-5519 Ph: (662) 256-9327  | 
| NPI Number | 1225502370 | 
|---|---|
| Provider Enumeration Date | 01/11/2019 | 
| Last Update Date | 01/31/2019 | 
| Medicare PECOS PAC ID | 2961745195 | 
|---|---|
| Medicare Enrollment ID | O20190510000063 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225502370 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | William Mc Comb | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1043235047 PECOS PAC ID: 7911977095 Enrollment ID: I20040727001088  | 
| Provider Name | Michael Joseph Boland | 
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) | 
| Provider Identifiers | NPI Number: 1104867936 PECOS PAC ID: 4284602905 Enrollment ID: I20040921000576  | 
| Provider Name | Gerald L Parker | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1780690842 PECOS PAC ID: 1052328432 Enrollment ID: I20060309000227  | 
| Provider Name | Teresa Stanford | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1245246099 PECOS PAC ID: 7911914338 Enrollment ID: I20060309000521  | 
| Provider Name | Zhear Al-godi | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1447379300 PECOS PAC ID: 2769582436 Enrollment ID: I20070710000790  | 
| Provider Name | Keicia T Lynn | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1548578719 PECOS PAC ID: 9133316870 Enrollment ID: I20101208000039  | 
| Provider Name | Timothy B Watson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992802367 PECOS PAC ID: 5193993806 Enrollment ID: I20110725000584  | 
| Provider Name | Sharla E Saylors | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518231067 PECOS PAC ID: 1658531553 Enrollment ID: I20120330000395  | 
| Provider Name | Susan M Hines | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942255260 PECOS PAC ID: 9234217407 Enrollment ID: I20130723000871  | 
| Provider Name | Benjamin Thomas Boatright | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1417110982 PECOS PAC ID: 3779700026 Enrollment ID: I20140808001807  | 
| Provider Name | Brenda Elain Worthey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1740651819 PECOS PAC ID: 0840570131 Enrollment ID: I20161202000265  | 
| Provider Name | Kirk Allan Caddell | 
|---|---|
| Provider Type | Practitioner - General Surgery | 
| Provider Identifiers | NPI Number: 1952690224 PECOS PAC ID: 4385862416 Enrollment ID: I20170222002410  | 
| Provider Name | Lacy Diane Estes | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1275148967 PECOS PAC ID: 5092133199 Enrollment ID: I20200921003168  | 
| Provider Name | Marlana Lee Mcfarland | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1730796376 PECOS PAC ID: 3971910076 Enrollment ID: I20210407000381  | 
| Provider Name | Laken Aliah Morrison | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790392389 PECOS PAC ID: 0648673749 Enrollment ID: I20210727003411  | 
| Provider Name | Lori Harris Conn | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750955282 PECOS PAC ID: 8325430358 Enrollment ID: I20220124002470  | 
| Provider Name | Akira Keyana Baker | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1972110963 PECOS PAC ID: 6002208915 Enrollment ID: I20220126000497  | 
| Provider Name | Amanda Jeanette Hulsey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1447922364 PECOS PAC ID: 0749673580 Enrollment ID: I20220131001582  | 
| Provider Name | Brent Lee Hallmark | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1093313397 PECOS PAC ID: 0446643308 Enrollment ID: I20220217000989  | 
| Provider Name | Danielle Diane Lewis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326768854 PECOS PAC ID: 7113303801 Enrollment ID: I20221004001004  | 
| Provider Name | Ethan W Collier | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1598389702 PECOS PAC ID: 7810312329 Enrollment ID: I20230905002135  | 
| Provider Name | Kathryn Robertson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760250088 PECOS PAC ID: 4385086784 Enrollment ID: I20240603002144  | 
Access Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 2nd Ave N, Amory, MS 38821 Phone: 662-256-5658 Fax: 662-651-4687  | |
Access Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60286 Hatley Rd, Amory, MS 38821 Phone: 662-256-8808 Fax: 662-256-5626  | |
Boa Vida Hospital Of Aberdeen, Ms Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-8479  | |
Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Gilmore Dr, Amory, MS 38821 Phone: 662-256-3564 Fax: 662-256-3996  | |
P&s Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Earl Frye Blvd Ste A, Amory, MS 38821 Phone: 662-256-9331  | |
Gilmore Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Earl Frye Blvd Ste C, Amory, MS 38821 Phone: 662-256-6227  |