| Covington County Hospital | |
|
301 Hospital Blvd Collins MS 39428-4225 | |
| (601) 765-3180 | |
| (601) 765-2808 |
| Full Name | Covington County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Hospital Blvd, Collins, Mississippi |
| Authorized Official Name and Position | Anissa L Evans (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6016980328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington County Hospital P.o. Box 2499 Collins MS 39428-2499 Ph: (601) 765-3180 | Covington County Hospital 301 Hospital Blvd Collins MS 39428-4225 Ph: (601) 765-3180 |
| NPI Number | 1598769044 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 4183517253 |
|---|---|
| Medicare Enrollment ID | O20080722000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598769044 | NPI | - | NPPES |
| 25D0864691 | Other | MS | CLIA |
| 09015963 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Mary S Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245323914 PECOS PAC ID: 3072610229 Enrollment ID: I20070522000691 |
| Provider Name | Chad D Caraway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205052164 PECOS PAC ID: 9436232170 Enrollment ID: I20080219000084 |
| Provider Name | Andrea M Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295739894 PECOS PAC ID: 8426113135 Enrollment ID: I20090212000523 |
| Provider Name | Monica Blakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982923942 PECOS PAC ID: 0446383384 Enrollment ID: I20100729000583 |
| Provider Name | Jennifer R Leggett-hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801100037 PECOS PAC ID: 3476748427 Enrollment ID: I20101116000588 |
| Provider Name | Karen R Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467729293 PECOS PAC ID: 7113193251 Enrollment ID: I20111220000631 |
| Provider Name | Paul I Pyles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568496560 PECOS PAC ID: 4880799410 Enrollment ID: I20120917000276 |
| Provider Name | Kenneth R Daughtrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902814361 PECOS PAC ID: 1153552963 Enrollment ID: I20140320000254 |
| Provider Name | Nicole Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861809402 PECOS PAC ID: 8628297959 Enrollment ID: I20140917002925 |
| Provider Name | Lacey Blakeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326457151 PECOS PAC ID: 7214254010 Enrollment ID: I20150316000467 |
| Provider Name | Katie Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891183208 PECOS PAC ID: 6204156821 Enrollment ID: I20150528000034 |
| Provider Name | Angela B Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659755676 PECOS PAC ID: 4789990284 Enrollment ID: I20150828001492 |
| Provider Name | Melissa Coulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235581513 PECOS PAC ID: 8729371737 Enrollment ID: I20160728002112 |
| Provider Name | Christie L Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184161457 PECOS PAC ID: 6901183094 Enrollment ID: I20170427000044 |
| Provider Name | Crystal P Mcnabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565763 PECOS PAC ID: 5193086403 Enrollment ID: I20180301001879 |
| Provider Name | Twylia M. Aultman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483405 PECOS PAC ID: 3072863000 Enrollment ID: I20180912001218 |
| Provider Name | Laura J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548756810 PECOS PAC ID: 1850644618 Enrollment ID: I20181024000654 |
| Provider Name | Felicia S Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477011161 PECOS PAC ID: 9830431444 Enrollment ID: I20190501001619 |
| Provider Name | Olivia Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247888 PECOS PAC ID: 7214363431 Enrollment ID: I20200207000151 |
| Provider Name | Ariale Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790319945 PECOS PAC ID: 8527481845 Enrollment ID: I20200706000808 |
| Provider Name | Destiny D Epting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710598230 PECOS PAC ID: 5193141539 Enrollment ID: I20200817002458 |
| Provider Name | Holly K Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790392850 PECOS PAC ID: 4082033626 Enrollment ID: I20200930002077 |
| Provider Name | Amanda Cooley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841723251 PECOS PAC ID: 6406120369 Enrollment ID: I20210625002693 |
| Provider Name | Weaton M Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467022939 PECOS PAC ID: 3678970571 Enrollment ID: I20210920002548 |
| Provider Name | Jonathan Sappington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437647278 PECOS PAC ID: 1153675269 Enrollment ID: I20211020003214 |
| Provider Name | Nadia S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345506 PECOS PAC ID: 3870987787 Enrollment ID: I20220218000291 |
| Provider Name | Shelby Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457116907 PECOS PAC ID: 2668813841 Enrollment ID: I20240520000588 |
| Provider Name | Terrie S Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073334975 PECOS PAC ID: 1052832730 Enrollment ID: I20250317001218 |
Covington County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3275 Hwy 49, Suite E, Collins, MS 39428 Phone: 601-765-6711 Fax: 601-765-2808 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Carver Drive, Collins, MS 39428 Phone: 601-545-8700 Fax: 601-450-2493 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 S Holly Ave, Collins, MS 39428 Phone: 601-765-6711 Fax: 601-698-0112 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 S Fir Ave, Collins, MS 39428 Phone: 601-419-7468 | |
Hattiesburg Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Fifth Street, Collins, MS 39428 Phone: 601-765-4414 Fax: 601-765-9141 | |
Covington County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 35, Collins, MS 39428 Phone: 601-837-7380 | |
Southeast Mississippi Rural Health Initiative, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Hopewell Rd, Collins, MS 39428 Phone: 601-545-8700 Fax: 601-450-2493 |