ANDREA JEMAE COLLINS (NPI# 1093002743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093002743 |
| Entity Type | Individual |
| Full Name | ANDREA JEMAE COLLINS |
| Credential | M.D. |
| Practice Address |
960 Avent Dr Grenada MS 38901-5230 |
| Practice Telephone | 6622277008 |
| Mailing Telephone | 6622277008 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | T-2417 | MS | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 22307 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE PTAN | P01764009 | 01 |
| MS | 00028386 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114301454 | Andrea Elaine Collins | Occupational Therapist | 956 Mathias Drive, Springdale, AR 72762-0985 | 2015-07-16 |
| 1285931956 | Andrea C Collins | Physical Therapist | 266 River St, Springfield, VT 05156-2306 | 2011-02-16 |
| 1497983993 | Andrea Lynnette Collins | Registered Nurse | 1928 Hemlock St, Columbus, OH 43217-1019 | 2009-06-24 |
| 1750536975 | Andrea White Collins | Nurse Practitioner | 1020 26th St S Ste 100, Birmingham, AL 35205-2412 | 2008-12-02 |
| 1487299244 | Andrea Rose Collins | Massage Therapist | 9477 Greenback Ln Ste 520, Folsom, CA 95630-2087 | 2019-11-15 |
| 1346897675 | Andrea Kaye Collins | Nurse Practitioner | 313 S Cherry St, Pineville, KY 40977-1724 | 2019-08-21 |
| 1114588118 | Andrea Collins | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2019-06-21 |
| 1275010514 | Andrea Elizabeth Lea Collins | Dentist | 13831 Nw Cornell Rd, Portland, OR 97229-5485 | 2018-07-19 |
| 1356709315 | Andrea Long Collins | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2016-02-05 |
| 1861734410 | Andrea Collins | Case Manager/Care Coordinator | 11 Chesley St, Concord, NH 03301-3760 | 2013-03-21 |
| Street Address |
960 AVENT DR |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644789 | Grenada Lake Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2005-07-28 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1356961320 | Angelina Guilambo | Physical Therapist | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-04-20 |
| 1841822152 | Shelby Helen Phelon Jackson | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-02-05 |
| 1194388082 | Grenada Emergency Group, LLC | Physician Assistant | 960 Avent Dr, Grenada, MS 38901-5230 | 2019-04-17 |
| 1932762721 | Grenada Physician Services, LLC | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2019-04-17 |
| 1013489319 | Kelsey Marter Moncrief | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2018-12-26 |
| 1760908321 | Linda Gail Carter | Nurse Practitioner | 960 Avent Dr, Grenada, MS 38901-5230 | 2017-08-16 |
| 1528463486 | Marionette Yarbrough | Physical Therapist | 960 Avent Dr, Grenada, MS 38901-5230 | 2014-11-04 |
| 1720419583 | State of Mississippi-university of Mississippi Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282788 | Select Speciatly Hospital - Gulf Coast, Inc. | Hospitalist | 1520 Broad Avenue, Guflport, MS 39500 | 2016-09-01 |
| 1235329038 | River Oaks Management Company, LLC | Hospitalist | 1850 Chadwick Drive, Jackson, MS 39204-3404 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1407946122 | River Oaks Management Co. Inc. | Hospitalist | 2500 Flowood Drive, Suite 402, Flowood, MS 39232-1196 | 2006-10-13 |
| 1386684199 | Natchez Hma Physician Management LLC | Hospitalist | 150 Jefferson Davis Blvd, Suite 140, Natchez, MS 39120-5107 | 2006-06-08 |
| 1821638578 | Relias Hospitalist Medicine Specialists of West Point LLC | Hospitalist | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-10 |
| 1205470796 | Relias Hospitalist Medicine Specialists of Amory LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-10-29 |
| 1669028130 | Leake Emergency Group, LLC | Hospitalist | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2019-08-12 |
| 1205499639 | Dobbs Emergency Group, LLC | Hospitalist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2019-04-22 |
| 1528560281 | Venture Hospitalist, LLC | Hospitalist | 301 8th Ave Sw, Magee, MS 39111-3967 | 2018-03-08 |
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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.