SHALISA GAINES (NPI# 1033659958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033659958 |
| Entity Type | Individual |
| Full Name | SHALISA GAINES |
| Practice Address |
608 Highway 80 E # C Clinton MS 39056-5104 |
| Practice Telephone | 7692180292 |
| Practice Fax Number | 6014732429 |
| Mailing Telephone | 7692180292 |
| Mailing Fax Number | 6014732429 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
608 HIGHWAY 80 E # C |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487103685 | John Butler | Contractor | 12321 Saint Helena St, Clinton, LA 70722-3100 | 2016-09-28 |
| 1669629713 | Molly Louvnia Gilmore | Contractor | 8103 Jenni Ave, Clinton, MD 20735-2218 | 2008-08-20 |
| 1912064395 | Marcus Hutto | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-03 |
| 1497062178 | Medical Practice Solutions, LLC | Contractor | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2010-09-02 |
| 1679721492 | Yevonnie Alvina Lowe | Contractor | 3102 Floral Park Rd, Clinton, MD 20735-9665 | 2008-09-04 |
| 1538216593 | Ginger Morgan | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-04 |
| 1881751279 | Laurie De Roque | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217733 | Lashannon Pinkston | Contractor | 514 Northwest St, Carthage, MS 39051-3636 | 2020-08-30 |
| 1255984795 | Morrison Dwight Moss | Contractor | 309 Lacoste Ct, Brandon, MS 39047-7104 | 2019-07-23 |
| 1316403173 | Brenda Thomas | Contractor | 1005 Laurel Dr, Flowood, MS 39232-8342 | 2019-02-18 |
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1568953115 | Raymond D Leech | Contractor | 618 22nd St S, Columbus, MS 39701-6606 | 2018-05-18 |
| 1710404553 | Chris Arthur | Contractor | 137 Kirkwood St, Picayune, MS 39466-3833 | 2017-08-23 |
| 1285183608 | Glass House Cleaning Services, LLC | Contractor | 2601 Franklin St, Vicksburg, MS 39180-4217 | 2016-09-27 |
| 1932589249 | Johnny Sadler | Contractor | 2847 Highway 178, Tupelo, MS 38804-9606 | 2015-06-02 |
| 1770970774 | Cassandra Malone | Contractor | 931 Highway 80 W Unit 218d, Jackson, MS 39204-3914 | 2015-04-17 |
| 1295120905 | Carlene Davis | Contractor | 2104 24th Ave, Meridian, MS 39301-2135 | 2015-03-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHALISA GAINES.
| 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.