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).
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 |
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 |
Street Address |
4100 MAMIE ST |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-1735 |
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 |
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 |
Find all providers in zip 39402 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
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 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39402 |
Please comment or provide details below to improve the information on DR. KELECHI NNAMDI EMEREONYE.
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.