MEDICAL SPECIALTY CLINIC P.C. (NPI# 1104877703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104877703 |
| Entity Type | Organization |
| Organization Name | MEDICAL SPECIALTY CLINIC P.C. |
| Practice Address |
27 Medical Center Dr Jackson TN 38301-3949 |
| Practice Telephone | 7314241001 |
| Practice Fax Number | 7314240774 |
| Mailing Telephone | 7314241001 |
| Mailing Fax Number | 7314240774 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SANDY V MORRIS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7314241001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
TN | Allopathic & Osteopathic Physicians | |
| X | 207N00000X | Dermatology | TN | Allopathic & Osteopathic Physicians | |
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
TN | Allopathic & Osteopathic Physicians | |
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
TN | Allopathic & Osteopathic Physicians | |
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
TN | Allopathic & Osteopathic Physicians | |
| X | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
TN | Allopathic & Osteopathic Physicians | |
| X | 207Q00000X | Family Medicine | 29728 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3379521 | 05 |
| Street Address |
27 MEDICAL CENTER DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047146 | Kelley Lumley | Nurse Practitioner | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2019-01-17 |
| 1538431309 | Elizabeth S Davis | Nurse Practitioner | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2012-02-08 |
| 1649467218 | Mihir K. Patel | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2007-09-27 |
| 1053514141 | Brittain Douglas Little | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2007-06-07 |
| 1437373248 | Skyline Endoscopy Center, L.L.C. | Clinic/Center | 27 Medical Center Dr, Suite 2, Jackson, TN 38301-3949 | 2007-04-12 |
| 1427144997 | Andrea Tomasek Grimball | Physician Assistant | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-10-04 |
| 1629025697 | Daniel Kayal | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-27 |
| 1053365809 | Clyde E Smith | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-19 |
| 1356393078 | Robert Hollis | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760564660 | William Thomas Williams Jr. | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2006-10-19 |
| 1356392054 | George Vraney | Internal Medicine | 176 W University Pkwy, Suite C, Jackson, TN 38305-1618 | 2006-05-15 |
| 1972567683 | Robert George Monie | Internal Medicine | 100 Mission Blvd Ste 2200, Jackson, CA 95642-2536 | 2006-04-12 |
| 1922003953 | Barry Whites | Internal Medicine | 1151 N State St, Ste 617, Jackson, MS 39202-2407 | 2005-06-16 |
| 1356888218 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1578965240 | Portis Medical Solutions LLC | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2014-09-24 |
| 1275820847 | Brandon Pierce Garriga | Internal Medicine | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2011-07-05 |
| 1326335902 | Charles E. Evans IIi | Internal Medicine | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2011-07-05 |
| 1639478175 | Rajesh G Patel Md Pllc | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2011-03-23 |
| 1790916559 | William T Williams Jr Md | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2009-07-28 |
| 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.