MEDICAL CARE ASSOCIATES P A (NPI# 1043278203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043278203 |
| Entity Type | Organization |
| Organization Name | MEDICAL CARE ASSOCIATES P A |
| Practice Address |
3855 Azalea Dr Jackson MS 39206-5105 |
| Mailing Address |
Po Box 2121 Memphis TN 38159-0001 |
| Practice Telephone | 6013669447 |
| Practice Fax Number | 6013669790 |
| Mailing Telephone | 6013669447 |
| Mailing Fax Number | 6013669790 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | DAVID CHRISTIAN WILLIAMS (PHYSICIAN INTERNAL MEDICINE) |
| Authorized Official Telephone | 6013669447 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03881361 | 05 | |
| MS | 03675550 | 05 |
| Street Address |
3855 AZALEA DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922386218 | Sonia Leslie Walker | Nurse Practitioner | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2011-08-03 |
| 1013171198 | Medical Care Associates Mobile Unit | Internal Medicine | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2008-07-17 |
| 1083882385 | Dr Robert Woodruff Dpm Pa | Podiatrist | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2008-02-20 |
| 1245329341 | David Christian Williams | Internal Medicine | 3855 Azalea Dr, Jackson, MS 39206-5105 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1396271565 | Karlisha Britton | Specialist | 7 Lakeland Circle, Suite 300, Jackson, MS 39216 | 2017-05-10 |
| 1922545896 | Paul Edward Ruttle | Specialist | 2640 Trader Rd, Jackson, WY 83001-8321 | 2017-01-30 |
| 1780121483 | Andrew Callis | Specialist | 5303 Old Cape Rd E, Jackson, MO 63755-3850 | 2017-01-19 |
| 1538617055 | Jonathan Parker | Specialist | 95 Riverport Dr, Jackson, TN 38301-5748 | 2016-09-13 |
| 1386096600 | Miriam Bick | Specialist | 4 Florida Pl, Jackson, NJ 08527-1816 | 2016-07-11 |
| 1326429572 | Alonzo Roberts | Specialist | 6110 Highway 18 W, Jackson, MS 39209-9322 | 2015-06-13 |
| 1407289275 | Andrew Francis Charland | Specialist | N168w22224 Main St Ste E, Jackson, WI 53037-9321 | 2013-08-15 |
| 1265872501 | Robyn Abbott Roberts | Specialist | 1904 Lakeland Dr, Suite D, Jackson, MS 39216-5038 | 2013-07-01 |
| 1053754580 | Massage Revolution | Specialist | 210 E Capitol St, Ste M-142, Jackson, MS 39201-2306 | 2013-04-15 |
| Find all providers in JACKSON | ||||
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| 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.