Minor Med Care, LLC - Medicare Primary Care in Jackson, MS

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Minor Med Care, LLC is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Jackson, Mississippi. The current practice location for Minor Med Care, LLC is 2860 Mcdowell Road Ext, Jackson, Mississippi. For appointments, you can reach them via phone at (601) 372-1117. The mailing address for Minor Med Care, LLC is 215 Katherine Dr Ste A, Flowood, Mississippi and phone number is (601) 665-4162.

Minor Med Care, LLC is licensed to practice in Mississippi (license number 09740). The clinic also participates in the medicare program and its NPI number is 1407968738. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 372-1117.

Contact Information

Minor Med Care, LLC
2860 Mcdowell Road Ext
Jackson
MS 39204-4238
(601) 372-1117
(601) 373-3004

Map and Direction


Primary Care Clinic Profile

Full NameMinor Med Care, LLC
SpecialityClinic/Center
Location2860 Mcdowell Road Ext, Jackson, Mississippi
Authorized Official Name and PositionJohn Duke (COO)
Authorized Official Contact6016654162
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Minor Med Care, LLC
215 Katherine Dr Ste A
Flowood
MS 39232-9588

Ph: (601) 665-4162		Minor Med Care, LLC
2860 Mcdowell Road Ext
Jackson
MS 39204-4238

Ph: (601) 372-1117

NPI Details:

NPI Number1407968738
Provider Enumeration Date08/31/2006
Last Update Date04/10/2026
Certification Date04/10/2026

Medicare PECOS Information:

Medicare PECOS PAC ID7618866021
Medicare Enrollment IDO20040313000147

Medical Identifiers

Medical identifiers for Minor Med Care, LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407968738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 09740 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Minor Med Care, LLC acts as a billing entity for following providers:
Provider NameBethany B Case
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508009382
PECOS PAC ID: 3870482144
Enrollment ID: I20040313000694
Provider NameLaurie B Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053355024
PECOS PAC ID: 7911976352
Enrollment ID: I20041001000163
Provider NameRichard W George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194768242
PECOS PAC ID: 8325064967
Enrollment ID: I20051021000785
Provider NameKatherine Hughes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326079047
PECOS PAC ID: 4385640994
Enrollment ID: I20061004000461
Provider NameTeresa Woodward Hagwood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114931664
PECOS PAC ID: 9234238957
Enrollment ID: I20070621000251
Provider NameJames M Dew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134243702
PECOS PAC ID: 5698869170
Enrollment ID: I20070913000880
Provider NameKarla T Pellizzer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356562532
PECOS PAC ID: 5698729473
Enrollment ID: I20081103000441
Provider NameRava Pittman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255571980
PECOS PAC ID: 2062578321
Enrollment ID: I20090311000657
Provider NameLesia D Martin-thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649419334
PECOS PAC ID: 7315003530
Enrollment ID: I20090312000504
Provider NameAlice T Cohea
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942309638
PECOS PAC ID: 7214079334
Enrollment ID: I20100127000476
Provider NameMary a Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184806150
PECOS PAC ID: 2466362439
Enrollment ID: I20100226000232
Provider NameVicki Mcneal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750618468
PECOS PAC ID: 3577694512
Enrollment ID: I20100708000308
Provider NameLanise C Lacey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982833091
PECOS PAC ID: 4587850615
Enrollment ID: I20101201000214
Provider NameTimothy Duncan Estes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285746511
PECOS PAC ID: 5698664019
Enrollment ID: I20110322000064
Provider NameKristi Lynn Shurden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902132764
PECOS PAC ID: 7719163765
Enrollment ID: I20110510000004
Provider NameBrenda K Thrash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881909125
PECOS PAC ID: 8022286947
Enrollment ID: I20110720000635
Provider NameDaphne Todd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750691465
PECOS PAC ID: 8921277799
Enrollment ID: I20110812000556
Provider NameJoann Haynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053630806
PECOS PAC ID: 5890966642
Enrollment ID: I20110927000694
Provider NameKristina D Vaughn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174770168
PECOS PAC ID: 3577735802
Enrollment ID: I20111011000367
Provider NameBonny a Saucier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306126271
PECOS PAC ID: 2668644824
Enrollment ID: I20111012000108
Provider NameApril M Sylvia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194013078
PECOS PAC ID: 0941473847
Enrollment ID: I20111108000847
Provider NameWendy Lee Bales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154608222
PECOS PAC ID: 5799951786
Enrollment ID: I20111221000467
Provider NameStella S Culliver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821365511
PECOS PAC ID: 1658547815
Enrollment ID: I20120110000574
Provider NameKimberly Dawn Harrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265505853
PECOS PAC ID: 5294996146
Enrollment ID: I20120419000649
Provider NameAyana Hilliard Red
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548566441
PECOS PAC ID: 0244402543
Enrollment ID: I20120420000642
Provider NameKatrina Cotton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780935841
PECOS PAC ID: 1850531815
Enrollment ID: I20130716000131
Provider NameAmanda Carson-griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124456850
PECOS PAC ID: 8022247527
Enrollment ID: I20140203001154
Provider NameNoralyn C Blalock-perkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568745966
PECOS PAC ID: 1052534294
Enrollment ID: I20140516000022
Provider NameJames Lee Hawley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275946162
PECOS PAC ID: 5193047405
Enrollment ID: I20141121002166
Provider NameLori Wroten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558764738
PECOS PAC ID: 6800110073
Enrollment ID: I20150116000182
Provider NameShonna P Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699177634
PECOS PAC ID: 5597089482
Enrollment ID: I20150126000125
Provider NameShawnta Gandy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366851321
PECOS PAC ID: 3577889252
Enrollment ID: I20150225000653
Provider NameAmy W Easley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720485600
PECOS PAC ID: 6709106479
Enrollment ID: I20150520000920
Provider NameAjay R Vongala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194089508
PECOS PAC ID: 9133429764
Enrollment ID: I20151203000378
Provider NameWycondaroga Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184091894
PECOS PAC ID: 8820390339
Enrollment ID: I20151230000225
Provider NameAlexis Cross-montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730552787
PECOS PAC ID: 8224334420
Enrollment ID: I20160315001177
Provider NameNicholas Irons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134571458
PECOS PAC ID: 4880988195
Enrollment ID: I20160810000240
Provider NameJohn Farr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114379427
PECOS PAC ID: 8325332273
Enrollment ID: I20160816000711
Provider NameDorothy D Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528410727
PECOS PAC ID: 0648567263
Enrollment ID: I20160926002291
Provider NameMelissa Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245788504
PECOS PAC ID: 9739477373
Enrollment ID: I20161013001578
Provider NameAnuj Marya
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093155376
PECOS PAC ID: 3870817661
Enrollment ID: I20161108000910
Provider NameShelby P Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568836815
PECOS PAC ID: 6608157979
Enrollment ID: I20161228000287
Provider NameMarion Stacie Sammons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720522535
PECOS PAC ID: 4385925551
Enrollment ID: I20161229002032
Provider NameBeverly C Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952853731
PECOS PAC ID: 1759666829
Enrollment ID: I20170403000929
Provider NameFlora Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982057345
PECOS PAC ID: 4587932868
Enrollment ID: I20170608002126
Provider NameBrandi D Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497271415
PECOS PAC ID: 9739455460
Enrollment ID: I20171025002226
Provider NameSharon Mcmillin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558872663
PECOS PAC ID: 5092071456
Enrollment ID: I20171117002070
Provider NameYolanda Yvette Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841719903
PECOS PAC ID: 6608132071
Enrollment ID: I20171117002733
Provider NameJoy Stevens Vaughn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205341849
PECOS PAC ID: 9638437478
Enrollment ID: I20171227001380
Provider NameJeffrey Allen Kitchens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194225581
PECOS PAC ID: 2264793777
Enrollment ID: I20180226001045
Provider NameAndrea Watts
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447359757
PECOS PAC ID: 9739440140
Enrollment ID: I20180228000184
Provider NameAngela Latriece Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396245056
PECOS PAC ID: 8123380649
Enrollment ID: I20180321002454
Provider NameMeagan M Dear
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346765526
PECOS PAC ID: 5092077529
Enrollment ID: I20180322000266
Provider NameCassandra Amos Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356856561
PECOS PAC ID: 0446513642
Enrollment ID: I20180423002197
Provider NameHailey Ott Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104327667
PECOS PAC ID: 1759636434
Enrollment ID: I20180620002890
Provider NameKimberly Jean Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831681345
PECOS PAC ID: 1456608926
Enrollment ID: I20180716002890
Provider NameJanet Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396252011
PECOS PAC ID: 3678821972
Enrollment ID: I20180802002120
Provider NameCathryn Alicia Salvo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477039121
PECOS PAC ID: 0244580033
Enrollment ID: I20180828003204
Provider NameChristopher Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740767920
PECOS PAC ID: 1456601145
Enrollment ID: I20180829003739
Provider NameMary Allison Heath Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316336993
PECOS PAC ID: 5890011308
Enrollment ID: I20180910002648
Provider NameSharon Faith Dugger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083191340
PECOS PAC ID: 3274883103
Enrollment ID: I20180913001905
Provider NamePatricia Gleason Barrios
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861798233
PECOS PAC ID: 1951652486
Enrollment ID: I20180924000550
Provider NameTanisha L Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649753161
PECOS PAC ID: 9032462437
Enrollment ID: I20181101001967
Provider NameTammarin S Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184129306
PECOS PAC ID: 8820342280
Enrollment ID: I20181121001571
Provider NameChermal Rondell Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649745241
PECOS PAC ID: 0446504773
Enrollment ID: I20181126001487
Provider NameHailey Parks Beckwith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326521048
PECOS PAC ID: 1951645589
Enrollment ID: I20181207001035
Provider NameLinda Bone Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750857769
PECOS PAC ID: 0749525988
Enrollment ID: I20181217002473
Provider NameTimika R Crockett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891232757
PECOS PAC ID: 1153667613
Enrollment ID: I20190104001353
Provider NameTanga Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447642335
PECOS PAC ID: 7911217955
Enrollment ID: I20190211000340
Provider NameGrenisha Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023503554
PECOS PAC ID: 9931447877
Enrollment ID: I20190219001043
Provider NameShenika Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457828428
PECOS PAC ID: 5890035844
Enrollment ID: I20190329000215
Provider NameDerrick Pringle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518481480
PECOS PAC ID: 0840532719
Enrollment ID: I20190424001198
Provider NameLori Tate
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477921468
PECOS PAC ID: 5597098038
Enrollment ID: I20190614001704
Provider NameLachanda M Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588141725
PECOS PAC ID: 7911230354
Enrollment ID: I20190617003228
Provider NameJacquelyne Brown Little
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578020459
PECOS PAC ID: 1850625088
Enrollment ID: I20190621002298
Provider NameVineeth-joseph John Sankoorikal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396199840
PECOS PAC ID: 6800184102
Enrollment ID: I20190924000444
Provider NameChakilia S Moody
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861049447
PECOS PAC ID: 8628309523
Enrollment ID: I20191008000092
Provider NameJenifer Justice
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043713167
PECOS PAC ID: 3870844228
Enrollment ID: I20191018001486
Provider NameLatonya Jaton Mcgowan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467018390
PECOS PAC ID: 7719219419
Enrollment ID: I20191030001144
Provider NameTamatha Nicole Owen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467095927
PECOS PAC ID: 4082046917
Enrollment ID: I20191115000095
Provider NameRosalin Landrews
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043421167
PECOS PAC ID: 1850726258
Enrollment ID: I20200113001803
Provider NamePaula G Perteet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164089322
PECOS PAC ID: 3375973555
Enrollment ID: I20200501000944
Provider NameLameka Q Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720631161
PECOS PAC ID: 2668750472
Enrollment ID: I20200506000843
Provider NameKayla Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114545464
PECOS PAC ID: 5597189399
Enrollment ID: I20200727002945
Provider NameEdward Scott Callihan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033723325
PECOS PAC ID: 1658790456
Enrollment ID: I20200928003223
Provider NameCourtney Jeffus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073112066
PECOS PAC ID: 4385054691
Enrollment ID: I20201027002698
Provider NameTerry Catchings Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548741374
PECOS PAC ID: 4789095928
Enrollment ID: I20201119002040
Provider NameBrian Robert Kuhn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619578176
PECOS PAC ID: 9537570411
Enrollment ID: I20201125000562
Provider NameAmanda Allred
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366459943
PECOS PAC ID: 7618389685
Enrollment ID: I20201216000020
Provider NameAlexis Christian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699372169
PECOS PAC ID: 8527479393
Enrollment ID: I20210126000312
Provider NameCristy Lane Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346852118
PECOS PAC ID: 0648684423
Enrollment ID: I20210208001145
Provider NameBritiani M Keen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649868357
PECOS PAC ID: 7214343177
Enrollment ID: I20210302000231
Provider NameKenya Gatlin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912592429
PECOS PAC ID: 2668889387
Enrollment ID: I20210325000582
Provider NameSally R Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487244356
PECOS PAC ID: 2062821192
Enrollment ID: I20210503000261
Provider NameChiquita Loving
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215503941
PECOS PAC ID: 9234534900
Enrollment ID: I20210818000907
Provider NameKatrina Baxter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972181006
PECOS PAC ID: 0345645842
Enrollment ID: I20210821000282
Provider NameEmily Burroughs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538770409
PECOS PAC ID: 8123424793
Enrollment ID: I20210907002072
Provider NameRaven M Campbell-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235544339
PECOS PAC ID: 5193946671
Enrollment ID: I20211124000740
Provider NameShekela K Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306511225
PECOS PAC ID: 1254721145
Enrollment ID: I20211208002409
Provider NameGladys R Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508234584
PECOS PAC ID: 0042601080
Enrollment ID: I20211229001386
Provider NameAndrew D Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104586171
PECOS PAC ID: 9133511850
Enrollment ID: I20220110000446
Provider NameKathleen Chappelear
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033872635
PECOS PAC ID: 7214321918
Enrollment ID: I20220223000563
Provider NameKristen E Boggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831841725
PECOS PAC ID: 6305230434
Enrollment ID: I20220307000119
Provider NameMacy Renee Upton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992464648
PECOS PAC ID: 2668868290
Enrollment ID: I20220408000160
Provider NameErica Thurman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699423939
PECOS PAC ID: 4688061534
Enrollment ID: I20220425001604
Provider NameTribia Frye Lockhart
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467712463
PECOS PAC ID: 2466833736
Enrollment ID: I20220718001959
Provider NameCarrington Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164155297
PECOS PAC ID: 0840672192
Enrollment ID: I20220802003984
Provider NameIngram Baylark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639842644
PECOS PAC ID: 7315323441
Enrollment ID: I20220927003339
Provider NameMary Coppola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386361871
PECOS PAC ID: 7618348749
Enrollment ID: I20230126003401
Provider NameTatum Lee Severino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033724349
PECOS PAC ID: 5890195986
Enrollment ID: I20230424001039
Provider NameStephanie Kay Roe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629667340
PECOS PAC ID: 5698130664
Enrollment ID: I20230426000865
Provider NameRebecca Ann Rayborn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710674155
PECOS PAC ID: 6204292444
Enrollment ID: I20230515001107
Provider NameBrenilla Vaughn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669937611
PECOS PAC ID: 7911289103
Enrollment ID: I20230920000386
Provider NameTeres Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477017754
PECOS PAC ID: 3870916612
Enrollment ID: I20231009002731
Provider NameAmanda Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356023675
PECOS PAC ID: 1456700541
Enrollment ID: I20231214002621
Provider NameAngelique Moneka Hunter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083390967
PECOS PAC ID: 7214386168
Enrollment ID: I20231218001608
Provider NameYolanda M Bush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528833712
PECOS PAC ID: 6002266434
Enrollment ID: I20231228000679
Provider NameLakeitha Hamberlin Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396297453
PECOS PAC ID: 6204273493
Enrollment ID: I20240322004333
Provider NameEllen Peters Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639745904
PECOS PAC ID: 9830538925
Enrollment ID: I20240423001147
Provider NameCarey Martin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396487112
PECOS PAC ID: 9234579004
Enrollment ID: I20240426000352
Provider NameLavera G Mccaskill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316272834
PECOS PAC ID: 2567802341
Enrollment ID: I20240426000990
Provider NameLakesha L Robinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578264776
PECOS PAC ID: 0345680153
Enrollment ID: I20240426002069
Provider NameLapatrick D Stephens
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184380156
PECOS PAC ID: 6901246511
Enrollment ID: I20240430002419
Provider NameJennifer L Borum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538622089
PECOS PAC ID: 9638519093
Enrollment ID: I20240502000125
Provider NameKayla L Moriarty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033830641
PECOS PAC ID: 7113367327
Enrollment ID: I20240503002331
Provider NameMiriam G Bond
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366864134
PECOS PAC ID: 1153762612
Enrollment ID: I20240515000754
Provider NameJennifer T Porter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144957408
PECOS PAC ID: 1658712971
Enrollment ID: I20240516003197
Provider NameChristy Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598385130
PECOS PAC ID: 7618318825
Enrollment ID: I20240517002491
Provider NameRose M Favre
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699556068
PECOS PAC ID: 1557703741
Enrollment ID: I20240520001597
Provider NameAshlie L Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720437817
PECOS PAC ID: 9234571209
Enrollment ID: I20240522000564
Provider NameSajani Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174221899
PECOS PAC ID: 7517330012
Enrollment ID: I20240705001632
Provider NameSalina M Loggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053191338
PECOS PAC ID: 0648717934
Enrollment ID: I20240805001452
Provider NameKela Spikes-bickham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578953139
PECOS PAC ID: 7113247925
Enrollment ID: I20240806003395
Provider NameRachel Head
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669136990
PECOS PAC ID: 1052790326
Enrollment ID: I20241015003658
Provider NameSharon L Newton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548007933
PECOS PAC ID: 6305379462
Enrollment ID: I20241028002189
Provider NameCantrell Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780356212
PECOS PAC ID: 1052844164
Enrollment ID: I20241029000532
Provider NameRenae Morel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033448345
PECOS PAC ID: 6901936814
Enrollment ID: I20241119004473
Provider NameRushie Antwanette Clayton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669290474
PECOS PAC ID: 7618403858
Enrollment ID: I20241211000353
Provider NameAubree Middleton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992532543
PECOS PAC ID: 2062940406
Enrollment ID: I20250113001617
Provider NameGloria Green-morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255920245
PECOS PAC ID: 6406386606
Enrollment ID: I20250203002740
Provider NameAngela Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871068395
PECOS PAC ID: 0840710281
Enrollment ID: I20250228000150
Provider NameJasmine Y Wynn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740091040
PECOS PAC ID: 9234651787
Enrollment ID: I20250313003432
Provider NameLeigh L Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851177307
PECOS PAC ID: 8628590056
Enrollment ID: I20250314002226
Provider NameTracey Nicole Skelton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114769726
PECOS PAC ID: 1557883923
Enrollment ID: I20250314003414
Provider NameSamimah Shetta Reese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003629692
PECOS PAC ID: 5092231803
Enrollment ID: I20250424002186
Provider NameLaquana Daniels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033816392
PECOS PAC ID: 6608213970
Enrollment ID: I20250512003091
Provider NameJennifer Darlene Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063260172
PECOS PAC ID: 6002334620
Enrollment ID: I20250519000394
Provider NameTeirra Sharda Wynn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184441321
PECOS PAC ID: 9931613700
Enrollment ID: I20250705000121
Provider NameWendalyn Davis Bostic
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023891603
PECOS PAC ID: 4284140278
Enrollment ID: I20250717002789
Provider NameJessica Hope Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780321232
PECOS PAC ID: 4688175342
Enrollment ID: I20250903000812
Provider NameLauri Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063082279
PECOS PAC ID: 7517362163
Enrollment ID: I20250910000517
Provider NameBrandy Montgomery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740016773
PECOS PAC ID: 1951804145
Enrollment ID: I20250912002201
Provider NameKariean Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669067518
PECOS PAC ID: 9537665161
Enrollment ID: I20251002002909
Provider NameBeverly M Young
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518838341
PECOS PAC ID: 7810484912
Enrollment ID: I20251014000266
Provider NameTasha Nicole Dampier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811866825
PECOS PAC ID: 6709377971
Enrollment ID: I20251114003774
Provider NameMya Sha'kira Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184297715
PECOS PAC ID: 6002309648
Enrollment ID: I20251203000859
Provider NameDevetta Fayette Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235975152
PECOS PAC ID: 2163916818
Enrollment ID: I20251210003427
Provider NameJada Keivonne Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659057040
PECOS PAC ID: 0143638049
Enrollment ID: I20251212001260
Provider NameJerri Lew Strickland
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053599142
PECOS PAC ID: 9032603378
Enrollment ID: I20251213000139
Provider NameJohn Rice
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013375179
PECOS PAC ID: 1153807482
Enrollment ID: I20260107001809
Provider NameLindsey Marie Cosgrove
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285415497
PECOS PAC ID: 1759867468
Enrollment ID: I20260113001373
Provider NameDominique Monche Clark
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871345892
PECOS PAC ID: 8426577636
Enrollment ID: I20260114003595
Provider NameLachary Ann Teague
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689533622
PECOS PAC ID: 7810475373
Enrollment ID: I20260128000211
Provider NameJimmy Frazier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518168228
PECOS PAC ID: 3577045194
Enrollment ID: I20260303004252
Provider NameAngela Short
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063047496
PECOS PAC ID: 9537643697
Enrollment ID: I20260317004748
Provider NameAshton Miller
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174037907
PECOS PAC ID: 2961986989
Enrollment ID: I20260318001497

Reviews and Comments

Other Primary Care Clinics in Jackson, MS

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.