| Neshoba Medical Associates | |
|
213 Hospital Rd W Philadelphia MS 39350-2211 | |
| (601) 663-1210 | |
| (601) 663-1211 |
| Full Name | Neshoba Medical Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 Hospital Rd W, Philadelphia, Mississippi |
| Authorized Official Name and Position | Gary Lee Mccall (CEO) |
| Authorized Official Contact | 6016631360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neshoba Medical Associates 213 Hospital Rd W Philadelphia MS 39350-2211 Ph: (601) 663-1210 | Neshoba Medical Associates 213 Hospital Rd W Philadelphia MS 39350-2211 Ph: (601) 663-1210 |
| NPI Number | 1003834979 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/05/2016 |
| Medicare PECOS PAC ID | 9234143074 |
|---|---|
| Medicare Enrollment ID | O20060131000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003834979 | NPI | - | NPPES |
| 06322054 | Medicaid | MS | |
| 07089504 | Medicaid | MS | |
| 25-8559 | Other | MS | MEDICARE PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 258559 (Mississippi) | Primary |
| Provider Name | Bobby H Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619933744 PECOS PAC ID: 9537138060 Enrollment ID: I20040930000574 |
| Provider Name | Patrick H Eakes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194739656 PECOS PAC ID: 4082628722 Enrollment ID: I20060201000525 |
| Provider Name | Angela K Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225220239 PECOS PAC ID: 7911094636 Enrollment ID: I20071029000026 |
| Provider Name | Sunil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881991743 PECOS PAC ID: 8628249166 Enrollment ID: I20110914000245 |
Philadelphia School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Stribling St, Philadelphia, MS 39350 Phone: 601-656-2672 | |
Neshoba Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Ave, Suite 102, Philadelphia, MS 39350 Phone: 601-663-1423 Fax: 601-663-1474 | |
Airpark Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1056 Holland Ave, Philadelphia, MS 39350 Phone: 601-656-8545 Fax: 601-656-3985 | |
J. Todd Willis, Md Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350 Phone: 601-656-0010 Fax: 601-656-0313 | |
Bogue Chitto Satellite Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Big Creek Cir, Philadelphia, MS 39350 Phone: 601-656-2211 Fax: 601-663-7721 | |
Neshoba Medical Arts Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Holland Ave, Philadelphia, MS 39350 Phone: 601-663-1200 Fax: 601-663-1497 |