| The Greenville Clinic | |
|
1502 S Colorado St Greenville MS 38703-7219 | |
| (662) 332-9872 | |
| (662) 332-9878 |
| Full Name | The Greenville Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1502 S Colorado St, Greenville, Mississippi |
| Authorized Official Name and Position | Vanessa Perkins (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 6623798141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Greenville Clinic 1502 S Colorado St Greenville MS 38703-7219 Ph: (662) 332-9872 | The Greenville Clinic 1502 S Colorado St Greenville MS 38703-7219 Ph: (662) 332-9872 |
| NPI Number | 1003844978 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 02/11/2008 |
| Medicare PECOS PAC ID | 4082694641 |
|---|---|
| Medicare Enrollment ID | O20040723000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003844978 | NPI | - | NPPES |
| 2500316731 | Other | MS | CLIA |
| 9014413 | Medicaid | MS | |
| CD3504 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | J Barry Gillespie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093751232 PECOS PAC ID: 9830165356 Enrollment ID: I20040907000851 |
| Provider Name | Donna Brasier Pinion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669669446 PECOS PAC ID: 6901984582 Enrollment ID: I20080422000915 |
| Provider Name | Allan H Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518901255 PECOS PAC ID: 0042245656 Enrollment ID: I20100211000217 |
| Provider Name | Benjamin Perry Folk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629010012 PECOS PAC ID: 4880629492 Enrollment ID: I20100211000297 |
| Provider Name | Sandra E Eubank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871529743 PECOS PAC ID: 3476696519 Enrollment ID: I20100211000315 |
| Provider Name | Melinda Balducci Upshur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349950 PECOS PAC ID: 2264748482 Enrollment ID: I20180912001820 |
| Provider Name | Camry D Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891363081 PECOS PAC ID: 3870994635 Enrollment ID: I20210630002473 |
| Provider Name | Alexandra Noel Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154824803 PECOS PAC ID: 3274888003 Enrollment ID: I20211111000397 |
| Provider Name | Anne Marie Towles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942991963 PECOS PAC ID: 0547629628 Enrollment ID: I20230707001115 |
Magnolia Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Colorado St, Greenville, MS 38703 Phone: 662-332-2077 Fax: 662-332-0790 | |
Infusions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1313 E Union St, Greenville, MS 38703 Phone: 662-332-1153 Fax: 662-332-1157 | |
Dominick Trinca, M.d. Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Highway 1 S, Greenville, MS 38701 Phone: 662-820-4363 | |
Np Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 559a Highway 1 N, Greenville, MS 38701 Phone: 662-702-5159 Fax: 662-702-5164 | |
Delta Health Provider Based Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 E Union St, Greenville, MS 38703 Phone: 662-378-3783 Fax: 662-725-2289 | |
F H Faith Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Hospital St, Greenville, MS 38703 Phone: 662-332-8848 Fax: 662-332-8854 |