| Inland Family Practice Center Llc | |
|
3700 Hardy St Ste 10 Hattiesburg MS 39402-1614 | |
| (601) 602-2014 | |
| (601) 544-7013 |
| Full Name | Inland Family Practice Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3700 Hardy St Ste 10, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Ikechukwu Hyginus Okorie (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6015447012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Family Practice Center Llc 3700 Hardy St Ste 10 Hattiesburg MS 39402-1614 Ph: (601) 602-2014 | Inland Family Practice Center Llc 3700 Hardy St Ste 10 Hattiesburg MS 39402-1614 Ph: (601) 602-2014 |
| NPI Number | 1023276946 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 4587739750 |
|---|---|
| Medicare Enrollment ID | O20080822000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023276946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19875 (Mississippi) | Primary |
| Provider Name | Sherri A Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790894335 PECOS PAC ID: 8921042318 Enrollment ID: I20050616000410 |
| Provider Name | Ikechukwu Hyginus Okorie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265631907 PECOS PAC ID: 6709979982 Enrollment ID: I20070904000427 |
| Provider Name | Cynthia Dianne Spruill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013103415 PECOS PAC ID: 2567551096 Enrollment ID: I20071205000426 |
| Provider Name | Kaylora Louise Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568867455 PECOS PAC ID: 4587987417 Enrollment ID: I20141230001534 |
| Provider Name | Tarah Vakili Chatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811355605 PECOS PAC ID: 9537464946 Enrollment ID: I20160223001970 |
| Provider Name | Tammie R Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356853139 PECOS PAC ID: 9133483985 Enrollment ID: I20180503001207 |
| Provider Name | Lakeshia Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588121461 PECOS PAC ID: 4385987247 Enrollment ID: I20190515003175 |
| Provider Name | Latesha R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295343028 PECOS PAC ID: 9537579875 Enrollment ID: I20201028000260 |
| Provider Name | Pilar Lyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346990520 PECOS PAC ID: 8022496462 Enrollment ID: I20220526000043 |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-705-2896 Fax: 601-579-5240 | |
Thames Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Jamestown Rd, Hattiesburg, MS 39402 Phone: 601-545-8700 Fax: 601-582-5461 | |
Hattiesburg Public School And Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503 | |
Lincoln Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402 Phone: 601-296-7848 Fax: 601-296-7828 | |
Parkway Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Glendale Ave, Hattiesburg, MS 39401 Phone: 601-582-5805 Fax: 601-582-5806 | |
Southern Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 U S Highway 98, Suite B, Hattiesburg, MS 39402 Phone: 601-261-2727 Fax: 601-261-9847 |