| Pioneer Health Care , Llc | |
|
9 Willow Bend Dr Hattiesburg MS 39402-8552 | |
| (601) 296-2552 | |
| Not Available |
| Full Name | Pioneer Health Care , Llc |
|---|---|
| Speciality | General Practice |
| Location | 9 Willow Bend Dr, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Brad H Massey (OWNER) |
| Authorized Official Contact | 6012962552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Health Care , Llc 9 Willow Bend Dr Hattiesburg MS 39402-8552 Ph: (601) 296-2552 | Pioneer Health Care , Llc 9 Willow Bend Dr Hattiesburg MS 39402-8552 Ph: (601) 296-2552 |
| NPI Number | 1336384742 |
|---|---|
| Provider Enumeration Date | 12/14/2008 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 4789740044 |
|---|---|
| Medicare Enrollment ID | O20090311000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336384742 | NPI | - | NPPES |
| 00124846 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | R814032 (Mississippi) | Primary |
| Provider Name | Roy D Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952465619 PECOS PAC ID: 5698769784 Enrollment ID: I20040412001393 |
| Provider Name | Lisa D Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487631461 PECOS PAC ID: 5991777195 Enrollment ID: I20040809000911 |
| Provider Name | Melinda B Delancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548201403 PECOS PAC ID: 7315946415 Enrollment ID: I20061219000505 |
| Provider Name | Charles R Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205891975 PECOS PAC ID: 9436150513 Enrollment ID: I20080219000493 |
| Provider Name | Brad H Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164537445 PECOS PAC ID: 1254497514 Enrollment ID: I20090311000650 |
| Provider Name | Lisa B Gatwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881846681 PECOS PAC ID: 9133270200 Enrollment ID: I20090701000089 |
| Provider Name | Judy P Skaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467688986 PECOS PAC ID: 3274672530 Enrollment ID: I20091125000409 |
| Provider Name | Jessica C Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932407947 PECOS PAC ID: 0244415404 Enrollment ID: I20110503000591 |
| Provider Name | Patricia A Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679862817 PECOS PAC ID: 1557530128 Enrollment ID: I20110816000741 |
| Provider Name | Caron C Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316253115 PECOS PAC ID: 2466612825 Enrollment ID: I20120322000576 |
| Provider Name | Ashley K Kirby Ware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912258450 PECOS PAC ID: 8426295148 Enrollment ID: I20130516000162 |
| Provider Name | Andrea Riels- Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205184447 PECOS PAC ID: 2860620523 Enrollment ID: I20140102001154 |
| Provider Name | Lee Rueben Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073811717 PECOS PAC ID: 1759524135 Enrollment ID: I20141203002430 |
| Provider Name | Kayla L Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751107 PECOS PAC ID: 1557687217 Enrollment ID: I20150224001931 |
| Provider Name | Shawnta Gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366851321 PECOS PAC ID: 3577889252 Enrollment ID: I20150225000653 |
| Provider Name | Pamela Jane Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417372400 PECOS PAC ID: 9638393580 Enrollment ID: I20150303001552 |
| Provider Name | Robin Elizabeth Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689066151 PECOS PAC ID: 5294052908 Enrollment ID: I20150317002245 |
| Provider Name | Katie Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891183208 PECOS PAC ID: 6204156821 Enrollment ID: I20150528000034 |
| Provider Name | April Vancleve Frierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033506837 PECOS PAC ID: 6305157439 Enrollment ID: I20150616002367 |
| Provider Name | Garrett L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760865216 PECOS PAC ID: 9638485923 Enrollment ID: I20150901002293 |
| Provider Name | Kristen Reeves Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689055089 PECOS PAC ID: 4880901792 Enrollment ID: I20150909002304 |
| Provider Name | Lee H Rigdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497124432 PECOS PAC ID: 6406166396 Enrollment ID: I20151104003078 |
| Provider Name | Greg Mccloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306215298 PECOS PAC ID: 6901195882 Enrollment ID: I20160516002283 |
| Provider Name | Jonathan B Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720430572 PECOS PAC ID: 1052604188 Enrollment ID: I20160726002813 |
| Provider Name | Kelly E Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386196277 PECOS PAC ID: 7315221272 Enrollment ID: I20170221002735 |
| Provider Name | Micah A Ladner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285187930 PECOS PAC ID: 0749566511 Enrollment ID: I20170410001168 |
| Provider Name | Jennifer James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578084703 PECOS PAC ID: 9739459967 Enrollment ID: I20170721000191 |
| Provider Name | Richard C Calderone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215340286 PECOS PAC ID: 3870818537 Enrollment ID: I20170818001931 |
| Provider Name | Rasheeda C Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114280591 PECOS PAC ID: 0345483004 Enrollment ID: I20171005001983 |
| Provider Name | Natalie Kate Tolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427520048 PECOS PAC ID: 8628317187 Enrollment ID: I20190227000962 |
| Provider Name | Martha K Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518445642 PECOS PAC ID: 9537493846 Enrollment ID: I20190620000280 |
| Provider Name | Joshua D Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225671456 PECOS PAC ID: 2668806191 Enrollment ID: I20191216002627 |
| Provider Name | Aimmee R Chestang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437797602 PECOS PAC ID: 0446686299 Enrollment ID: I20200214000915 |
| Provider Name | Jessica Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508406802 PECOS PAC ID: 0648694604 Enrollment ID: I20200723000453 |
| Provider Name | Courtney Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891312948 PECOS PAC ID: 5698199479 Enrollment ID: I20200727002195 |
| Provider Name | Michael Schepemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993743 PECOS PAC ID: 1850708983 Enrollment ID: I20210407002058 |
| Provider Name | Tatum Mayfield Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124632187 PECOS PAC ID: 5799181806 Enrollment ID: I20210914003116 |
| Provider Name | Sherry D Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720664741 PECOS PAC ID: 0547650194 Enrollment ID: I20211214001423 |
| Provider Name | Faith Anne Pearson Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043977507 PECOS PAC ID: 8325439755 Enrollment ID: I20211220001342 |
| Provider Name | Nadia S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689345506 PECOS PAC ID: 3870987787 Enrollment ID: I20220218000291 |
| Provider Name | Erika D Redd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902471006 PECOS PAC ID: 8426438433 Enrollment ID: I20220708000849 |
| Provider Name | Patricia K Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700586948 PECOS PAC ID: 6406220003 Enrollment ID: I20230322001566 |
| Provider Name | Rechendia Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740972033 PECOS PAC ID: 0244698009 Enrollment ID: I20230627000542 |
| Provider Name | Teresa S Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881388684 PECOS PAC ID: 9931568110 Enrollment ID: I20230706001434 |
| Provider Name | Ekeista Keaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478584 PECOS PAC ID: 8224482245 Enrollment ID: I20230925003682 |
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 | |
Inland Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Hardy St Ste 10, Hattiesburg, MS 39402 Phone: 601-602-2014 Fax: 601-544-7013 | |
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 |