| MD Billing, LLC | |
|
1855 Lakeland Dr Suite P231 Jackson MS 39216-4913 | |
| (601) 951-9863 | |
| (601) 487-8897 |
| Full Name | MD Billing, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1855 Lakeland Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Gary A. Roberson (OWNER) |
| Authorized Official Contact | 6019519863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MD Billing, LLC 1855 Lakeland Dr Ste P231 Jackson MS 39216-4990 Ph: (601) 951-9863 | MD Billing, LLC 1855 Lakeland Dr Suite P231 Jackson MS 39216-4913 Ph: (601) 951-9863 |
| NPI Number | 1548474042 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 11/14/2025 |
| Certification Date | 11/14/2025 |
| Medicare PECOS PAC ID | 0648210831 |
|---|---|
| Medicare Enrollment ID | O20050506000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548474042 | NPI | - | NPPES |
| C05127 | Other | MN | MEDICARE PTAN |
| 009530543 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15474 (Mississippi) | Primary |
| Provider Name | Arvinder Kaul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396792578 PECOS PAC ID: 4486680121 Enrollment ID: I20050713000845 |
| Provider Name | Richard W George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194768242 PECOS PAC ID: 8325064967 Enrollment ID: I20051021000785 |
| Provider Name | Ralph L Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760674949 PECOS PAC ID: 0143402420 Enrollment ID: I20110308000397 |
| Provider Name | Joann Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053630806 PECOS PAC ID: 5890966642 Enrollment ID: I20110927000694 |
| Provider Name | Wendy Lee Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154608222 PECOS PAC ID: 5799951786 Enrollment ID: I20111221000467 |
| Provider Name | Stella S Culliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821365511 PECOS PAC ID: 1658547815 Enrollment ID: I20120110000574 |
| Provider Name | Toni L. Ladner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922374057 PECOS PAC ID: 6507027588 Enrollment ID: I20120418000785 |
| Provider Name | Kimberly Dawn Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265505853 PECOS PAC ID: 5294996146 Enrollment ID: I20120419000649 |
| Provider Name | Kenneth R Daughtrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902814361 PECOS PAC ID: 1153552963 Enrollment ID: I20140320000254 |
| Provider Name | Noralyn C Blalock-perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568745966 PECOS PAC ID: 1052534294 Enrollment ID: I20140516000022 |
| Provider Name | Shonna P Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699177634 PECOS PAC ID: 5597089482 Enrollment ID: I20150126000125 |
| Provider Name | Amy W Easley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720485600 PECOS PAC ID: 6709106479 Enrollment ID: I20150520000920 |
| Provider Name | Stephanie Dearman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538544044 PECOS PAC ID: 3476869470 Enrollment ID: I20150908000970 |
| Provider Name | Kimberly B Rooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134546559 PECOS PAC ID: 8123328697 Enrollment ID: I20151205000231 |
| Provider Name | Wycondaroga Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184091894 PECOS PAC ID: 8820390339 Enrollment ID: I20151230000225 |
| Provider Name | Mazhar Salim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013075449 PECOS PAC ID: 4789775842 Enrollment ID: I20160413001187 |
| Provider Name | Deidra Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585286 PECOS PAC ID: 7618260647 Enrollment ID: I20160727002573 |
| Provider Name | John Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114379427 PECOS PAC ID: 8325332273 Enrollment ID: I20160816000711 |
| Provider Name | Dorothy D Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528410727 PECOS PAC ID: 0648567263 Enrollment ID: I20160926002291 |
| Provider Name | Anuj Marya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093155376 PECOS PAC ID: 3870817661 Enrollment ID: I20161108000910 |
| Provider Name | Donald Allan Dearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679084024 PECOS PAC ID: 9830457597 Enrollment ID: I20171229001789 |
| Provider Name | Linda Bone Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750857769 PECOS PAC ID: 0749525988 Enrollment ID: I20181217002473 |
| Provider Name | Tanga Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447642335 PECOS PAC ID: 7911217955 Enrollment ID: I20190211000340 |
| Provider Name | Shenika Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457828428 PECOS PAC ID: 5890035844 Enrollment ID: I20190329000215 |
| Provider Name | Roxane Theresa Moncure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202396 PECOS PAC ID: 8224949433 Enrollment ID: I20191018000052 |
| Provider Name | Latonya Jaton Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467018390 PECOS PAC ID: 7719219419 Enrollment ID: I20191030001144 |
| Provider Name | Paula G Perteet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164089322 PECOS PAC ID: 3375973555 Enrollment ID: I20200501000944 |
| Provider Name | Andrew D Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104586171 PECOS PAC ID: 9133511850 Enrollment ID: I20220110000446 |
| Provider Name | Tatum Lee Severino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033724349 PECOS PAC ID: 5890195986 Enrollment ID: I20230424001039 |
| Provider Name | Tomekia Yvette Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891553210 PECOS PAC ID: 2860830825 Enrollment ID: I20240410000333 |
| Provider Name | Cantrell Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780356212 PECOS PAC ID: 1052844164 Enrollment ID: I20241029000532 |
| Provider Name | Renae Morel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033448345 PECOS PAC ID: 6901936814 Enrollment ID: I20241119004473 |
| Provider Name | Leigh L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851177307 PECOS PAC ID: 8628590056 Enrollment ID: I20250314002226 |
| Provider Name | Emily Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700419199 PECOS PAC ID: 3274911532 Enrollment ID: I20250721000223 |
| Provider Name | Jessica Hope Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780321232 PECOS PAC ID: 4688175342 Enrollment ID: I20250903000812 |
| Provider Name | Jada Keivonne Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659057040 PECOS PAC ID: 0143638049 Enrollment ID: I20251212001260 |
Ben W. Seale, M.D., PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 |
Hni Medical Services of Mississippi, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 |
Mea Medical Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 |