SUNJA TATE (NPI# 1124411004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124411004 |
| Entity Type | Individual |
| Full Name | SUNJA TATE |
| Credential | NP-C |
| Practice Address |
300 Rawls Drive Suite 100 Mccomb MS 39649-2877 |
| Mailing Address |
300 Rawls Dr Suite 100 Mccomb MS 39648-2877 |
| Practice Telephone | 6016847623 |
| Practice Fax Number | 8777959891 |
| Mailing Telephone | 6016847623 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R878941 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 RAWLS DRIVE SUITE 100 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39649-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551079 | E J Price Jr. | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
| 1609242056 | Amite County Medical Services, Inc. | Clinic/Center | 300 Rawls Drive, Suite 1300, Mccomb, MS 39648 | 2015-08-19 |
| 1174632889 | Southwest Clinic for Women Pllc | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811102320 | Amanda Garrett IIi | Occupational Therapist | 206 Maryland Avenue, Mccomb, MS 39649 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628102 | Betsy Wicker Lindsey | Pharmacist | 1608 Smithdale Rd, Mccomb, MS 39648-2064 | 2020-10-28 |
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1467070334 | Language Lounge LLC | Speech-Language Pathologist | 2053 Barto Leggett Rd, Mccomb, MS 39648-9327 | 2020-07-08 |
| 1023635166 | Alisa Britney Kelley | Nurse Practitioner | 1023 Chesterfield Dr, Mccomb, MS 39648-9560 | 2020-07-04 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1386272094 | Mississippi Behavioral Health Care, LLC | Community/Behavioral Health | 1312 Harrison Ave Ste C, Mccomb, MS 39648-2805 | 2020-03-29 |
| 1770127847 | Nesia Johnson | In Home Supportive Care | 529 S Broadway St Ste 105, Mccomb, MS 39648-5168 | 2019-11-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1821647348 | Tanalsha Williams | Technician | 5030 Tanglewood Rd, Mccomb, MS 39648-9434 | 2019-09-06 |
| Find all providers in MCCOMB | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635166 | Alisa Britney Kelley | Nurse Practitioner | 1023 Chesterfield Dr, Mccomb, MS 39648-9560 | 2020-07-04 |
| 1619530425 | Latoya R Cameron | Nurse Practitioner | 1080 Great Point Rd, Mccomb, MS 39648-4753 | 2019-04-17 |
| 1548763980 | Coeva Barnes Gatlin | Nurse Practitioner | 220 W Georgia Ave, Mccomb, MS 39648-3222 | 2018-03-12 |
| 1821505769 | Tonya Brister | Nurse Practitioner | 521 Marion Ave, Mccomb, MS 39648-2009 | 2017-12-31 |
| 1982012548 | John Harvey | Nurse Practitioner | 1015 Delaware Ave # C, Mccomb, MS 39648-3827 | 2014-07-28 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1942384607 | Helen Chao Whittington | Nurse Practitioner | 908 Delaware Ave, Suite B, Mccomb, MS 39648-3826 | 2006-10-25 |
| 1881797330 | Terrilyn Lewis | Nurse Practitioner | 405 Marion Ave, Mccomb, MS 39648-2709 | 2006-09-07 |
| 1962451302 | Llewellyn Coon | Nurse Practitioner | 1015 Delaware Ave Ste C, Mccomb, MS 39648-3827 | 2006-05-10 |
| 1831799022 | Carrie Lee Fernald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-10-28 |
| Find all providers in MCCOMB | ||||
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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.