JAMES M BROCK (NPI# 1164071734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164071734 |
| Entity Type | Individual |
| Full Name | JAMES M BROCK |
| Credential | CPSS |
| Practice Address |
2803 Old North Hills St Meridian MS 39305-1630 |
| Practice Telephone | 6014532919 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912036823 | James Murray Brock Jr. | Dermatology | 136 Marion Ave, Mccomb, MS 39648-3620 | 2007-03-05 |
| 1316034754 | James Lee Brock | Technician/Technologist | 108 W George St, Arcanum, OH 45304-1109 | 2006-10-06 |
| 1750485850 | James Vaughn Brock Jr. | Psychologist | Dougherty Counseling Center, 1919 State St., Ste. #2, New Albany, IN 47150 | 2006-09-11 |
| 1790711711 | James Brock | Obstetrics & Gynecology | 3686 Grandview Pkwy Ste 320, Birmingham, AL 35243-3404 | 2006-06-23 |
| 1871133660 | James Brock | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2020-01-09 |
| 1427613520 | James Brock | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2019-05-03 |
| 1427520493 | James Albert Brock IIi | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-01-01 |
| 1801306022 | James Richard Brock | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2017-10-02 |
| 1871859611 | James Philip Brock | Pediatrics | 2801 Atlantic Ave, Peds Pulmonary, Long Beach, CA 90806 | 2012-04-05 |
| 1073742607 | James Benjamin Brock | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-02 |
| Street Address |
2803 OLD NORTH HILLS ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845014 | Camesha Mckinnis | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-08-01 |
| 1992346274 | Jacquelynne Teauna Lockett | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-10-08 |
| 1669025557 | Pamela Drummond | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-07-19 |
| 1669942827 | Ashley Rue | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-11-30 |
| 1134694862 | Brierra Keyonna Smith | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1245705987 | Tyrikia Nicholle Porter | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1356821391 | Porchia Powe | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-08-20 |
| 1427566504 | Phyllis Felishaona Dean | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-01-11 |
| 1992216329 | Tyreeka Randolph | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-10-12 |
| 1164931556 | Annitnette Mcgill | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034437 | Inroads, Inc | Peer Specialist | 3288 E Pine Ave, Meridian, ID 83642-5922 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387641 | Redimere Recovery Resources LLC | Peer Specialist | 4646 Meadow Lake Dr, Tupelo, MS 38801-7928 | 2020-02-05 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1760082580 | Kimberly Eve Spence | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-30 |
| 1508470121 | Hannah Olivia Booker | Peer Specialist | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2020-09-01 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1316555329 | Madeline Nicklas | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-15 |
| 1962031468 | Frank Pace | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-04-06 |
| 1982230058 | Hannah Jade Mixon | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
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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.