DR. KELECHI NNAMDI EMEREONYE


Address: 4100 Mamie St, Hattiesburg, MS 39402-1735
Phone: 6015821111

DR. KELECHI NNAMDI EMEREONYE (NPI# 1023363173) 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) 1023363173
Entity Type Individual
Full Name DR. KELECHI NNAMDI EMEREONYE
Credential M.D.
Practice Address 4100 Mamie St
Hattiesburg
MS 39402-1735
Mailing Address 3970 Valley Ct
Apt A
Winston Salem
NC 27106-4338
Practice Telephone 6015821111
Practice Fax Number 6014500765
Mailing Telephone 9085145693
Enumeration Date 2012-07-16
Last Update Date 2017-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
24801 MS Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 182922 NC Student, Health Care

Office Location

Street Address 4100 MAMIE ST
City HATTIESBURG
State MS
Zip Code 39402-1735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831321686 Kimberly A Dykes Social Worker 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-12
1427666882 Judy Thornton Registered Nurse 4100 Mamie St, Hattiesburg, MS 39402-1735 2020-07-21
1043615313 Marian Allen Social Worker 4100 Mamie St, Hattiesburg, MS 39402-1735 2014-10-29
1831321124 Linell Henderson Counselor 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-20
1205068590 Michael Digulimio Counselor 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-20
1891927562 Jillian N Evans Counselor 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-14
1003048778 Frances L Miller Counselor 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-14
1538391123 Connie Regan Social Worker 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-14
1073745741 Tiffani N Jones Counselor 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-14
1801028584 Doris A Minor Counselor 4100 Mamie St, Hattiesburg, MS 39402-1735 2009-08-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649466954 Nazmul Talukdar Psychiatry & Neurology 110 Patton Ave, Hattiesburg, MS 39401-6155 2007-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932321742 Otis Anderson IIi Psychiatry & Neurology 5185 Getwell Rd, Southaven, MS 38671-9691 2007-05-02
1770609364 Gerri L Hill Chance Psychiatry & Neurology 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 2007-03-22
1841337656 Cynthia Lufkin Undesser Psychiatry & Neurology 402 Wesley Ave, Jackson, MS 39202-1000 2007-01-31
1932290392 Millcreek Epsdt Psychiatry & Neurology 900 First Ave., N.e., Magee, MS 39111 2006-09-28
1639620560 North Plantation Psychiatry & Neurology 1613 23rd Avenue, Gulfport, MS 39501 2016-10-15
1710175260 Clinical Neuroscience Group, Pllc Psychiatry & Neurology 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 2007-10-10
1992906598 Maecenas Inc Psychiatry & Neurology 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 2007-05-30
1154477453 Anthony Wade Jackson Sr. Psychiatry & Neurology 152 Highway 7 S, Oxford, MS 38655-5392 2007-01-27
1073684940 Timothy Summers Psychiatry & Neurology 1818 College Drive, Meridian, MS 39307-5429 2006-11-13
1548357643 Scott Rodgers Psychiatry & Neurology 2500 N State St, Jackson, MS 39216-4500 2006-10-09
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Competitor

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City HATTIESBURG
Zip Code 39402

Improve Information

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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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