| MS Express Health | |
|
203 Calhoun Station Parkway Building 200, Suite H Madison MS 39110 | |
| (601) 612-0510 | |
| (601) 612-0509 |
| Full Name | MS Express Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 Calhoun Station Parkway, Madison, Mississippi |
| Authorized Official Name and Position | Jeremy David Hudson (OWNER/PROVIDER) |
| Authorized Official Contact | 6014100261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MS Express Health 1888 Main St Ste C295 Madison MS 39110-6337 Ph: (601) 668-3825 | MS Express Health 203 Calhoun Station Parkway Building 200, Suite H Madison MS 39110 Ph: (601) 612-0510 |
| NPI Number | 1538933742 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 0941653927 |
|---|---|
| Medicare Enrollment ID | O20240125003014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538933742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Erica L Bertschler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588752810 PECOS PAC ID: 6002817319 Enrollment ID: I20070129000403 |
| Provider Name | Jeremy D Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437740 PECOS PAC ID: 1759609902 Enrollment ID: I20150420000425 |
| Provider Name | Hunter Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740842426 PECOS PAC ID: 1355670647 Enrollment ID: I20190911003737 |
| Provider Name | Joseph Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811547532 PECOS PAC ID: 1759613003 Enrollment ID: I20191106000430 |
| Provider Name | Allison a Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073131074 PECOS PAC ID: 1557786142 Enrollment ID: I20200729003174 |
| Provider Name | Miranda Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154935104 PECOS PAC ID: 4486069143 Enrollment ID: I20210211000626 |
| Provider Name | Ashley Elizabeth Peden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104597947 PECOS PAC ID: 3870991441 Enrollment ID: I20211012002449 |
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