KELLY S SEGARS MD PC (NPI# 1073566550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073566550 |
| Entity Type | Organization |
| Organization Name | KELLY S SEGARS MD PC |
| Other Organization Name | THE SEGARS CLINIC |
| Practice Address |
1507 W Quitman St Iuka MS 38852-1132 |
| Practice Telephone | 6624231000 |
| Practice Fax Number | 6624231316 |
| Mailing Telephone | 6624231000 |
| Mailing Fax Number | 6624231316 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-09-10 |
| Authorized Official Name | MONA A MCWILLIAMS (BILLING MANAGER) |
| Authorized Official Telephone | 6624231000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 12314 | MS | Other Service Providers |
| Y | 174400000X | Specialist | 10016 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | 011800024 | 01 |
| MS | NPI | 1124298849 | 01 |
| MS | BCBS | 420866905 | 01 |
| MS | NPI | 1649429481 | 01 |
| MS | PTAN | 5121500528 | 01 |
| MS | 03171239 | 05 | |
| MS | 04426008 | 05 | |
| MS | PTAN | 5121500341 | 01 |
| MS | BCBS | 587286250 | 01 |
| MS | BCBS | 587922966 | 01 |
| MS | 00017574 | 05 | |
| MS | NPI | 1609871607 | 01 |
| MS | 05989006 | 05 | |
| MS | BCBS | 487623030 | 01 |
| MS | PTAN | 500001207 | 01 |
| MS | BLUE CROSS BLUE SHIELD | 428559600 | 01 |
| MS | RAILROAD MEDICARE | P00123795 | 01 |
| MS | 00013060 | 05 | |
| MS | 00835093 | 05 | |
| MS | RAILROAD MEDICARE | 080117421 | 01 |
| MS | NPI | 1750387890 | 01 |
| MS | BCBS | 418807663 | 01 |
| MS | NPI | 1750386488 | 01 |
| Other Name | Type Code |
|---|---|
| THE SEGARS CLINIC | Doing Business As Name - Organization |
| Street Address |
1507 W QUITMAN ST |
| City | IUKA |
| State | MS |
| Zip Code | 38852-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871607 | Kelly S Segars Jr. | Family Medicine | 1507 W Quitman St, Iuka, MS 38852-1132 | 2005-06-16 |
| 1114530342 | Andrew Blake Mccaulley | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1133 | 2020-08-27 |
| 1427565076 | Jessica Kate Glover | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2018-01-04 |
| 1164891438 | Sara Cooley | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2015-09-17 |
| 1215367230 | Hilary Ashton Glover | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2013-11-13 |
| 1831466291 | Amanda Kaye Pryce-jones | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2011-11-29 |
| 1649429481 | Teresa M South | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2008-09-17 |
| 1013189927 | Elizabeth Senn Dawson | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2008-03-31 |
| 1750387890 | Diane L Davis | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2005-06-23 |
| 1437155918 | Randy L Mcduffy | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2005-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
| 1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
| 1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
| 1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
| 1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
| 1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
| 1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
| 1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
| 1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
| 1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
| Find all providers in zip 38852 | ||||
| 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 |
|---|---|---|---|---|
| 1689888737 | Mary W. Williams | Specialist | 106 W Front St Ste A, Iuka, MS 38852-2325 | 2007-05-09 |
| 1609913466 | Larry Keith Vuncannon | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-01-31 |
| 1528317450 | Anna Kristine Ford | Specialist | 502 Battleground Drive, Iuka, MS 38852-1311 | 2012-09-06 |
| 1568500932 | Tunesha Ijuan Banks | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-02-01 |
| 1376681742 | Hope Ross Johnson | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-02-01 |
| 1265579684 | April W Mallette | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-02-01 |
| 1144367806 | Valerie Vernice Sims | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-01-31 |
| 1598802159 | Rhonda Vaught Mitchell | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-01-31 |
| 1396882965 | Kelley Davis Aday | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-01-31 |
| 1801933478 | Anthony Craig Coghlan | Specialist | 503 Constitution Dr, Iuka, MS 38852-8201 | 2007-01-31 |
| Find all providers in IUKA | ||||
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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.