KIMBERLY C. COVINGTON TARVER


Address: 2500 North State Street, Department of Medicine/division of Geriatrics, Jackson, MS 39216-4500
Phone: 6019846426

KIMBERLY C. COVINGTON TARVER (NPI# 1013942895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013942895
Entity Type Individual
Full Name KIMBERLY C. COVINGTON TARVER
Credential MD
Practice Address 2500 North State Street
Department of Medicine/division of Geriatrics
Jackson
MS 39216-4500
Mailing Address 2500 North State Street
Division of Geriatrics
Jackson
MS 39216-4500
Practice Telephone 6019846426
Practice Fax Number 6019846439
Mailing Telephone 6019845610
Mailing Fax Number 6019845783
Enumeration Date 2006-07-11
Last Update Date 2014-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
14422 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS RAILROAD MEDICARE PTAN P00462331 01
MS RAILROAD RR 110159204 01
MS 07483295 05

Office Location

Street Address 2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376549816 John Joseph Sheehan Jr. Internal Medicine 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 2005-06-21
1912520370 Janna Leigh Williams Student in an Organized Health Care Education/Training Program 2500 North State Street, Dept of Emergency Medicine, Jackson, MS 39216 2020-05-20
1609498401 Chin-qune Oliver Yeung Lai Wah Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216 2020-05-14
1689293250 Karine Desouza Family Medicine 2500 North State Street, Attn: Department of Family Medicine, Jackson, MS 39216 2020-04-13
1225667249 Mallory Browning Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216-4505 2020-04-02
1912490400 Alberto Andres Arteaga Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc, Department of Otolaryngology - 5 East, Jackson, MS 39216 2018-06-11
1003309493 Britton Postlethwaite Beatrous Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 2018-06-11
1750874145 Joseph Alexander De Gruy Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 2018-06-11
1689161523 Joshua Phillip Rouhan Student in an Organized Health Care Education/Training Program 2500 North State Street, Department of Emergency Medicine, Jackson, MS 39216-4505 2018-04-17
1336660356 Iram Aman Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216 2017-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487657268 Subir Ghosh Internal Medicine 832 Hwy 15 North, Jackson, KY 41339-8601 2005-05-24
1740741362 Safa Osman Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2019-03-27
1962865162 Daniel Hester Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2016-04-04
1922469543 Ultra Health LLC Internal Medicine 36 Pemberton Cv, Jackson, TN 38305 2016-03-09
1891194635 Rola Abi Saleh Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2014-08-18
1528221009 Vicky C Pilkington Internal Medicine 1200 N State St, Suite 480, Jackson, MS 39202-2000 2008-07-06
1477621324 Beverly Gwen Windham Internal Medicine 2500 North State Street, Department of Medicine Division of Geriatrics, Jackson, MS 39216 2006-11-30
1396816989 Holland M Addison Internal Medicine 1200 N State St, Suite 500, Jackson, MS 39202-2000 2006-11-13
1457375909 William M. Meeks Internal Medicine 2500 North State Street, Department of Medicine/division of Geriatrics, Jackson, MS 39216-4500 2006-07-27
1659398352 Chere Hunter Peel Internal Medicine 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2006-07-17
Find all providers in JACKSON

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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