| Anderson Physician Alliance, Inc. | |
|
2124 14th St Meridian MS 39301-4040 | |
| (601) 703-3480 | |
| (601) 703-0124 |
| Full Name | Anderson Physician Alliance, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2124 14th St, Meridian, Mississippi |
| Authorized Official Name and Position | Gregory M Duckett (SR VP / CLO) |
| Authorized Official Contact | 9012275233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Physician Alliance, Inc. Po Box 2839 Meridian MS 39302-2839 Ph: (601) 703-3480 | Anderson Physician Alliance, Inc. 2124 14th St Meridian MS 39301-4040 Ph: (601) 703-3480 |
| NPI Number | 1760798227 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 3274727318 |
|---|---|
| Medicare Enrollment ID | O20101102000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760798227 | NPI | - | NPPES |
| 127195 | Medicaid | AL | |
| 03604849 | Medicaid | MS |
| Provider Name | Randall Hicks |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982600060 PECOS PAC ID: 1850294661 Enrollment ID: I20040129000556 |
| Provider Name | Kelli R Chunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942287867 PECOS PAC ID: 7214830603 Enrollment ID: I20040202000282 |
| Provider Name | Gary Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376520924 PECOS PAC ID: 2062301336 Enrollment ID: I20040313000693 |
| Provider Name | Mohammad N Alfarawati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154582542 PECOS PAC ID: 9931193745 Enrollment ID: I20040414000151 |
| Provider Name | Cameron Huxford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972671626 PECOS PAC ID: 0840280020 Enrollment ID: I20040518000779 |
| Provider Name | Lisa B Elgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083655724 PECOS PAC ID: 3274514369 Enrollment ID: I20040525001459 |
| Provider Name | Ronnye D Purvis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851495295 PECOS PAC ID: 8628044344 Enrollment ID: I20040903000602 |
| Provider Name | Willie E Greer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922080522 PECOS PAC ID: 5799745881 Enrollment ID: I20041013000691 |
| Provider Name | John C Andy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336126911 PECOS PAC ID: 9830155944 Enrollment ID: I20041209000402 |
| Provider Name | Scott J Hanegan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407922867 PECOS PAC ID: 4183678022 Enrollment ID: I20050309000279 |
| Provider Name | Leigh White |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558437830 PECOS PAC ID: 0840244265 Enrollment ID: I20050309000327 |
| Provider Name | William A Billups |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598737215 PECOS PAC ID: 3173426368 Enrollment ID: I20050511000387 |
| Provider Name | Kary G Whitehead |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215933924 PECOS PAC ID: 8123060944 Enrollment ID: I20050523000707 |
| Provider Name | Otis Gowdy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992782544 PECOS PAC ID: 3678500592 Enrollment ID: I20050722000297 |
| Provider Name | William T Meyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164436044 PECOS PAC ID: 4688603418 Enrollment ID: I20050811000429 |
| Provider Name | Muzaffar Rahat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336145762 PECOS PAC ID: 2062433253 Enrollment ID: I20051215000524 |
| Provider Name | Richmond L Alexander Iii |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336145770 PECOS PAC ID: 5597786798 Enrollment ID: I20051215000544 |
| Provider Name | Ehsan-ullah Khan Durrani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144253626 PECOS PAC ID: 1658341755 Enrollment ID: I20060421000460 |
| Provider Name | William G Thaggard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114923547 PECOS PAC ID: 4082619697 Enrollment ID: I20061003000229 |
| Provider Name | Kent A Darsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851396337 PECOS PAC ID: 6305841925 Enrollment ID: I20061003000364 |
| Provider Name | Francis E Harman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245232495 PECOS PAC ID: 1759386378 Enrollment ID: I20061003000377 |
| Provider Name | Bridget Y Tah-clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700877537 PECOS PAC ID: 7315946449 Enrollment ID: I20061218000556 |
| Provider Name | Kurt F Bruckmeier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083610117 PECOS PAC ID: 1658371265 Enrollment ID: I20070105000488 |
| Provider Name | Lucy M Limaylla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730139775 PECOS PAC ID: 9133131790 Enrollment ID: I20080416000445 |
| Provider Name | Mary A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821278813 PECOS PAC ID: 8729157839 Enrollment ID: I20080515000290 |
| Provider Name | Douglas C Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396740882 PECOS PAC ID: 3577632496 Enrollment ID: I20080519000560 |
| Provider Name | Shawn Shawn Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003831397 PECOS PAC ID: 9335238898 Enrollment ID: I20080527000508 |
| Provider Name | Anthony L Thomas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639156235 PECOS PAC ID: 0941370951 Enrollment ID: I20080603000597 |
| Provider Name | William F Reid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760469340 PECOS PAC ID: 8123198132 Enrollment ID: I20080603000634 |
| Provider Name | Robert E Clark |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518944198 PECOS PAC ID: 9133299142 Enrollment ID: I20080604000046 |
| Provider Name | John A Dickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174691216 PECOS PAC ID: 2860566288 Enrollment ID: I20080804000219 |
| Provider Name | Naseem A Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912098781 PECOS PAC ID: 1456416817 Enrollment ID: I20090218000393 |
| Provider Name | Bruce Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841259413 PECOS PAC ID: 6709786411 Enrollment ID: I20091022000394 |
| Provider Name | Dustin S Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154531234 PECOS PAC ID: 2860530052 Enrollment ID: I20091109000392 |
| Provider Name | Terry M French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255336749 PECOS PAC ID: 5597809350 Enrollment ID: I20100217000071 |
| Provider Name | Zaineb Daud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568468908 PECOS PAC ID: 9234273756 Enrollment ID: I20100223000003 |
| Provider Name | Thomas Barry Calvit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427031731 PECOS PAC ID: 0042342966 Enrollment ID: I20100713000173 |
| Provider Name | Cynthia Marguerite Schuetz Boyd Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043541337 PECOS PAC ID: 6002949880 Enrollment ID: I20100730000095 |
| Provider Name | Hatem Mourad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730220070 PECOS PAC ID: 8123181146 Enrollment ID: I20100831000704 |
| Provider Name | Marshall Scott Tynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063509719 PECOS PAC ID: 9032297072 Enrollment ID: I20101004000758 |
| Provider Name | Laura E Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780881128 PECOS PAC ID: 6507058245 Enrollment ID: I20101013000255 |
| Provider Name | Mark Theodore Phillips |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821124728 PECOS PAC ID: 2163617531 Enrollment ID: I20101115000044 |
| Provider Name | Daniel J Mckiever |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174626303 PECOS PAC ID: 5294727335 Enrollment ID: I20101214000018 |
| Provider Name | Daniel Denison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871637264 PECOS PAC ID: 3779771290 Enrollment ID: I20101228000951 |
| Provider Name | Phillip K Mcdonald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285658278 PECOS PAC ID: 9335185487 Enrollment ID: I20110210000983 |
| Provider Name | Robert Eubanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356504872 PECOS PAC ID: 1850569013 Enrollment ID: I20110714000554 |
| Provider Name | Kenneth R Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891900569 PECOS PAC ID: 6406025865 Enrollment ID: I20110802000142 |
| Provider Name | Juantina M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285683342 PECOS PAC ID: 7618975871 Enrollment ID: I20110802000548 |
| Provider Name | Ashley Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154629178 PECOS PAC ID: 2062683949 Enrollment ID: I20110926000712 |
| Provider Name | Valerie N Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396980116 PECOS PAC ID: 7315104056 Enrollment ID: I20120207000710 |
| Provider Name | Heather Bunyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164794178 PECOS PAC ID: 0446411169 Enrollment ID: I20120405000303 |
| Provider Name | Lauren B Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679843544 PECOS PAC ID: 5890951073 Enrollment ID: I20120717000351 |
| Provider Name | Silvia Ada Bevilacqua Mcbride |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558411207 PECOS PAC ID: 6507015427 Enrollment ID: I20121009000155 |
| Provider Name | Lindsey J Prewitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770553448 PECOS PAC ID: 1052360781 Enrollment ID: I20130227000236 |
| Provider Name | Casey C Tillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710227905 PECOS PAC ID: 1052551363 Enrollment ID: I20130710000475 |
| Provider Name | Charletta S Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336183136 PECOS PAC ID: 1355582560 Enrollment ID: I20130815000504 |
| Provider Name | Cindy R Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366877268 PECOS PAC ID: 0941435523 Enrollment ID: I20131107000678 |
| Provider Name | Meagan N Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306270269 PECOS PAC ID: 2961639489 Enrollment ID: I20131209000289 |
| Provider Name | Sarah D Anderson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1912294224 PECOS PAC ID: 7517197403 Enrollment ID: I20140219001671 |
| Provider Name | Rahmath U Begum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508170853 PECOS PAC ID: 1355572603 Enrollment ID: I20140329000148 |
| Provider Name | Paula C Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326460627 PECOS PAC ID: 8527191113 Enrollment ID: I20140513002107 |
| Provider Name | Alan T Cease |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588929855 PECOS PAC ID: 2668695859 Enrollment ID: I20140515000491 |
| Provider Name | Christian Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790104297 PECOS PAC ID: 9436376068 Enrollment ID: I20140805002804 |
| Provider Name | Hans Hunt Tulip |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639309925 PECOS PAC ID: 5597984344 Enrollment ID: I20140910000952 |
| Provider Name | Hannah Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669889457 PECOS PAC ID: 3870712946 Enrollment ID: I20140923000719 |
| Provider Name | Lan Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881953693 PECOS PAC ID: 8426278441 Enrollment ID: I20140925000947 |
| Provider Name | Ericka C Vaughn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598870032 PECOS PAC ID: 3274514906 Enrollment ID: I20141222001684 |
| Provider Name | Andrew Frank Glass |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891135240 PECOS PAC ID: 9335465046 Enrollment ID: I20150626001410 |
| Provider Name | Sonia Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265806038 PECOS PAC ID: 3678873411 Enrollment ID: I20151130000775 |
| Provider Name | Jackson Scott Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982702155 PECOS PAC ID: 1658500665 Enrollment ID: I20160123000067 |
| Provider Name | Trenton J. Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356791982 PECOS PAC ID: 2466747506 Enrollment ID: I20160829000444 |
| Provider Name | Niraj James Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235495474 PECOS PAC ID: 3678861853 Enrollment ID: I20161004002893 |
| Provider Name | Amanda H Fowler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215224886 PECOS PAC ID: 7911286059 Enrollment ID: I20161114001721 |
| Provider Name | Jenna Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568911527 PECOS PAC ID: 5395024152 Enrollment ID: I20161118000113 |
| Provider Name | Marion Stacie Sammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720522535 PECOS PAC ID: 4385925551 Enrollment ID: I20161229002032 |
| Provider Name | Donald Jason Farrar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801294772 PECOS PAC ID: 6608159306 Enrollment ID: I20170202002299 |
| Provider Name | James Wallace |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881794162 PECOS PAC ID: 2961474507 Enrollment ID: I20170717003393 |
| Provider Name | Adam Nicholas Protos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1629383922 PECOS PAC ID: 8325277007 Enrollment ID: I20170802001574 |
| Provider Name | Felecia Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598902447 PECOS PAC ID: 2769754407 Enrollment ID: I20170816000316 |
| Provider Name | Erin A Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235689472 PECOS PAC ID: 7618240292 Enrollment ID: I20170901000852 |
| Provider Name | Veronica Tassin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144626946 PECOS PAC ID: 7113201799 Enrollment ID: I20170906001592 |
| Provider Name | Danni Upperman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913261 PECOS PAC ID: 0840564225 Enrollment ID: I20170923000067 |
| Provider Name | Sondra D Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073393 PECOS PAC ID: 2365709243 Enrollment ID: I20171130002784 |
| Provider Name | Brandi Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164941555 PECOS PAC ID: 6204194640 Enrollment ID: I20171213000708 |
| Provider Name | Marianna B Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871979856 PECOS PAC ID: 1456660851 Enrollment ID: I20180102001064 |
| Provider Name | Caleb Robert Dulaney |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1437592276 PECOS PAC ID: 0840433983 Enrollment ID: I20180517000757 |
| Provider Name | Stacy Blalock |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518325299 PECOS PAC ID: 8123373552 Enrollment ID: I20180626001393 |
| Provider Name | Erin Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730671538 PECOS PAC ID: 4688921133 Enrollment ID: I20180716001712 |
| Provider Name | Shelley Creighton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790207702 PECOS PAC ID: 6901156652 Enrollment ID: I20180830001912 |
| Provider Name | Joe Henry Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518285659 PECOS PAC ID: 4981833001 Enrollment ID: I20180924003252 |
| Provider Name | Ashley L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861988669 PECOS PAC ID: 4284985367 Enrollment ID: I20180928002518 |
| Provider Name | Lacy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790270874 PECOS PAC ID: 4183976111 Enrollment ID: I20181002003185 |
| Provider Name | Jacquelyn B Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326513920 PECOS PAC ID: 2365781689 Enrollment ID: I20190305001058 |
| Provider Name | Jessica C Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750846473 PECOS PAC ID: 0749520260 Enrollment ID: I20190320001793 |
| Provider Name | Charandle Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003258930 PECOS PAC ID: 7719271535 Enrollment ID: I20190326001953 |
| Provider Name | Matthew T Coker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295145118 PECOS PAC ID: 6709129000 Enrollment ID: I20190529001685 |
| Provider Name | Katherine Bolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750889416 PECOS PAC ID: 4284967092 Enrollment ID: I20190611001277 |
| Provider Name | Felecia Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598902447 PECOS PAC ID: 2769754407 Enrollment ID: I20190823000667 |
| Provider Name | Bobby Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144862970 PECOS PAC ID: 9739411182 Enrollment ID: I20191104002956 |
| Provider Name | Melissa Lynn Mcelhenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403429 PECOS PAC ID: 5092140509 Enrollment ID: I20200110000177 |
| Provider Name | Abdu Mohamed Abdallah Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851824171 PECOS PAC ID: 2668743535 Enrollment ID: I20200729000573 |
| Provider Name | Jasmine M Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841829777 PECOS PAC ID: 3173940871 Enrollment ID: I20200827002301 |
| Provider Name | Eric Edward Holt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013070424 PECOS PAC ID: 8325000854 Enrollment ID: I20201012001223 |
| Provider Name | Ashok Kumar Coimbatore Jeyakumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1982127437 PECOS PAC ID: 2163753989 Enrollment ID: I20201028002711 |
| Provider Name | Julia Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457972788 PECOS PAC ID: 4587076617 Enrollment ID: I20201215001434 |
| Provider Name | Julie Smythe Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720556319 PECOS PAC ID: 1355755018 Enrollment ID: I20210121000801 |
| Provider Name | Elaine B Rigdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437768272 PECOS PAC ID: 3779997606 Enrollment ID: I20210204000052 |
| Provider Name | Caroline Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831787662 PECOS PAC ID: 1456767946 Enrollment ID: I20210308002374 |
| Provider Name | Emily Anders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286237 PECOS PAC ID: 8224438205 Enrollment ID: I20210614000228 |
| Provider Name | Armie W Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780626762 PECOS PAC ID: 2466451828 Enrollment ID: I20210802000561 |
| Provider Name | Raeann Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346815016 PECOS PAC ID: 3577961127 Enrollment ID: I20211012001597 |
| Provider Name | Monica A Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134711245 PECOS PAC ID: 0547658833 Enrollment ID: I20211019000468 |
| Provider Name | Kristi Warren Durgin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306086541 PECOS PAC ID: 3375932536 Enrollment ID: I20211110001616 |
| Provider Name | Craig M Tilghman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174634448 PECOS PAC ID: 5294860631 Enrollment ID: I20220314001774 |
| Provider Name | Kevin Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936213 PECOS PAC ID: 0446638860 Enrollment ID: I20220525002303 |
| Provider Name | Jennifer Joy Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225690100 PECOS PAC ID: 8729468830 Enrollment ID: I20220707001482 |
| Provider Name | Athanasios Tsiouris |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1336370576 PECOS PAC ID: 8224260716 Enrollment ID: I20221017000720 |
| Provider Name | Margaret Doggett Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751678 PECOS PAC ID: 7517339534 Enrollment ID: I20230220002260 |
| Provider Name | David Lott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558859884 PECOS PAC ID: 2961751904 Enrollment ID: I20230509001402 |
| Provider Name | Chasity Cockerham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902506355 PECOS PAC ID: 5890156517 Enrollment ID: I20230727003403 |
| Provider Name | Stephanie Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629759410 PECOS PAC ID: 4082060454 Enrollment ID: I20231023001022 |
| Provider Name | Sarah Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770275380 PECOS PAC ID: 4587010731 Enrollment ID: I20231025001253 |
| Provider Name | Krystal Trussell Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417731548 PECOS PAC ID: 5698124352 Enrollment ID: I20231207000994 |
| Provider Name | Jamie M Thrash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861123739 PECOS PAC ID: 1254776792 Enrollment ID: I20240223003521 |
| Provider Name | Mark Jospeh Yockey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326239203 PECOS PAC ID: 7517137417 Enrollment ID: I20240423002052 |
| Provider Name | April K Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225891765 PECOS PAC ID: 2769822147 Enrollment ID: I20240502000732 |
| Provider Name | Thomas Hunter Mcmullen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053872580 PECOS PAC ID: 5799016721 Enrollment ID: I20240807002799 |
| Provider Name | Alexandria Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023859360 PECOS PAC ID: 2860932852 Enrollment ID: I20240905000200 |
| Provider Name | Robert Wood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932762598 PECOS PAC ID: 5395076087 Enrollment ID: I20241014000067 |
| Provider Name | Kelsey Bounds Wood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477014983 PECOS PAC ID: 6103258587 Enrollment ID: I20241019000194 |
| Provider Name | Miles Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356056873 PECOS PAC ID: 9931633724 Enrollment ID: I20241115002951 |
| Provider Name | Gina Elizabeth Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154077063 PECOS PAC ID: 3779019781 Enrollment ID: I20241212004006 |
| Provider Name | Dancy A Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508069535 PECOS PAC ID: 1355877267 Enrollment ID: I20241214000508 |
| Provider Name | Sabih Ur Rehman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932786373 PECOS PAC ID: 9436544012 Enrollment ID: I20241217002427 |
| Provider Name | Susan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212871 PECOS PAC ID: 3274754593 Enrollment ID: I20241223000806 |
| Provider Name | Sheila Louise Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689846644 PECOS PAC ID: 8325577687 Enrollment ID: I20250131000146 |
| Provider Name | Roland Leon Boyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306806070 PECOS PAC ID: 8628003191 Enrollment ID: I20250214000046 |
| Provider Name | Veronica Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881329100 PECOS PAC ID: 1951828912 Enrollment ID: I20250505000660 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Magnolia Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Laird Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Physician Alliance, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |