PODIATRY ASSOCIATES OF CENTRAL MISSISSIPPI (NPI# 1114243151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114243151 |
Entity Type | Organization |
Organization Name | PODIATRY ASSOCIATES OF CENTRAL MISSISSIPPI |
Practice Address |
1860 Chadwick Dr Suite 106 Jackson MS 39204-3463 |
Practice Telephone | 6013762963 |
Practice Fax Number | 6013762967 |
Mailing Telephone | 6013762963 |
Mailing Fax Number | 6013762967 |
Enumeration Date | 2010-04-15 |
Last Update Date | 2010-04-15 |
Authorized Official Name | MR. STANLEY D MCLEMORE (SENIOR VICE PRESIDENT) |
Authorized Official Telephone | 2395983131 |
Is Organization Subpart | Y |
Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
Street Address |
1860 CHADWICK DR SUITE 106 |
City | JACKSON |
State | MS |
Zip Code | 39204-3463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891792842 | Eric L Rushing | Radiology | 1860 Chadwick Dr, Suite B, Jackson, MS 39204-3463 | 2005-07-06 |
1750735452 | Connie Williams | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2016-04-19 |
1346634888 | Dawn Taylor Joiner | Nurse Practitioner | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2015-03-23 |
1295125813 | Jennifer Easley | Nurse Practitioner | 1860 Chadwick Dr, Suite 205, Jackson, MS 39204-3463 | 2015-02-03 |
1689077919 | Anna Cline | Counselor | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2014-10-01 |
1659618106 | Central Mississippi Civic Improvement Association, Inc. | Community Health Worker | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2013-01-03 |
1902140635 | Cardiovascular Institute of Mississippi, LLC | Internal Medicine | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-11-19 |
1811244593 | Megan Egbert Slade | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-08-13 |
1437416351 | Vicksburg Hma Physician Management LLC | Family Medicine | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2012-04-17 |
1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
Find all providers in zip 39204 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
1124344478 | Darryl J Martins | Podiatrist | 100 S Cooper St, Jackson, MI 49201-1598 | 2010-04-12 |
1174742530 | Mobile Physicians LLC | Podiatrist | 7 Colts Ct, Jackson, NJ 08527-4492 | 2007-04-24 |
1033286307 | Lowery H Huff | Podiatrist | 500 0 Woodrow Wilson Ave, Jackson, MS 39216 | 2006-11-29 |
1164592044 | Bryan Tipton Sullivan | Podiatrist | 1915 Dunbarton Drive, Jackson, MS 39216 | 2006-11-08 |
1649364860 | Farzad Faryabi | Podiatrist | 2475 Lakeland Drive, Suite B, Jackson, MS 39232 | 2006-10-03 |
1700977378 | Family Foot Care Center | Podiatrist | 2033 Greystone Office Park, Jackson, TN 38305 | 2006-09-27 |
1700989118 | David Lee Dutra | Podiatrist | 613 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-09-07 |
1851339899 | Center for Diabetes Foot Care | Podiatrist | 820 Cooper Rd, Suite I, Jackson, MS 39212-4099 | 2006-06-03 |
1689636169 | Jackson Foot and Ankle Clinic | Podiatrist | 345 E Main St, Suite C, Jackson, OH 45640-1779 | 2006-04-03 |
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.