| Panola Physician Group, Llc | |
|
223 E Main St Senatobia MS 38668-2123 | |
| (662) 562-4166 | |
| (662) 562-4355 |
| Full Name | Panola Physician Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 223 E Main St, Senatobia, Mississippi |
| Authorized Official Name and Position | Robert Q Whitwell (CEO) |
| Authorized Official Contact | 6627019346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panola Physician Group, Llc 303 Medical Center Dr Batesville MS 38606-8608 Ph: (662) 563-5611 | Panola Physician Group, Llc 223 E Main St Senatobia MS 38668-2123 Ph: (662) 562-4166 |
| NPI Number | 1528528874 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 2668715624 |
|---|---|
| Medicare Enrollment ID | O20190515002618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528528874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tarence E Wade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043246259 PECOS PAC ID: 9234036856 Enrollment ID: I20031212000681 |
| Provider Name | Maan Joudeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366490302 PECOS PAC ID: 9638078694 Enrollment ID: I20040108000254 |
| Provider Name | Timothy Lamb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952357378 PECOS PAC ID: 4385630896 Enrollment ID: I20040422000250 |
| Provider Name | Marilyn Rhoads Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023092533 PECOS PAC ID: 1557348000 Enrollment ID: I20040701001327 |
| Provider Name | Felton Combest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356399513 PECOS PAC ID: 7012981970 Enrollment ID: I20040825000825 |
| Provider Name | Lillian L Dubard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558382358 PECOS PAC ID: 2668435413 Enrollment ID: I20041111000741 |
| Provider Name | Malcolm M Roland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033325022 PECOS PAC ID: 3870686397 Enrollment ID: I20070829000559 |
| Provider Name | Thomas F Fleischhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902943764 PECOS PAC ID: 7911810064 Enrollment ID: I20080117000457 |
| Provider Name | Brian K Wall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326060070 PECOS PAC ID: 2163410234 Enrollment ID: I20080606000469 |
| Provider Name | Jodi H Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144416504 PECOS PAC ID: 2062583024 Enrollment ID: I20080618000514 |
| Provider Name | Katrina Bays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760782981 PECOS PAC ID: 5799967444 Enrollment ID: I20110316000938 |
| Provider Name | Teresa Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649550708 PECOS PAC ID: 8123188315 Enrollment ID: I20111026000766 |
| Provider Name | Cedric Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215224563 PECOS PAC ID: 1153597935 Enrollment ID: I20111228000404 |
| Provider Name | Donald H Parnell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548259245 PECOS PAC ID: 3173610490 Enrollment ID: I20131210001683 |
| Provider Name | James Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275946964 PECOS PAC ID: 6608190913 Enrollment ID: I20150115000144 |
| Provider Name | William Mcarthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770552259 PECOS PAC ID: 5991762676 Enrollment ID: I20150205001668 |
| Provider Name | Joseph Tubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659769065 PECOS PAC ID: 3476878679 Enrollment ID: I20150210002444 |
| Provider Name | Natalie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902055197 PECOS PAC ID: 7618274655 Enrollment ID: I20160318000947 |
| Provider Name | Jayce Miskel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265819825 PECOS PAC ID: 6901115146 Enrollment ID: I20180703000949 |
| Provider Name | Timmy Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427694231 PECOS PAC ID: 7517396708 Enrollment ID: I20200409002108 |
| Provider Name | Robert G. Barnes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720577380 PECOS PAC ID: 3476955840 Enrollment ID: I20210707002691 |
| Provider Name | Chelsea Colby Obiedzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275294100 PECOS PAC ID: 6507243920 Enrollment ID: I20220524001283 |
| Provider Name | Rachel Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639884968 PECOS PAC ID: 3375909419 Enrollment ID: I20230516002840 |
| Provider Name | Adam Carson Cummins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669050928 PECOS PAC ID: 0042608317 Enrollment ID: I20231207002150 |
Clinic 221, Family Health Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Northwest Plz, Senatobia, MS 38668 Phone: 662-301-8330 | |
Grant Eye Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5219 Highway 51 N, Senatobia, MS 38668 Phone: 662-612-6016 Fax: 662-612-6031 | |
Tp Family Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4364 Highway 51 S, Senatobia, MS 38668 Phone: 662-562-7503 Fax: 662-562-0026 | |
J. Larry Black Md Phd Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4364 Hwy 51 South, Senatobia, MS 38668 Phone: 662-562-6026 Fax: 662-562-8037 | |
Redmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Quality Ln Ste A, Senatobia, MS 38668 Phone: 662-298-2144 | |
Cockrell Family Medical Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Norfleet Dr, Senatobia, MS 38668 Phone: 662-301-1128 Fax: 662-301-4430 | |
Lm Burnett Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 E Main St Ste K, Senatobia, MS 38668 Phone: 662-572-7172 |