THOMAS P FORKS (NPI# 1164499190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164499190 |
| Entity Type | Individual |
| Full Name | THOMAS P FORKS |
| Credential | DO |
| Practice Address |
7275 S Siwell Rd Jackson MS 39272-9776 |
| Mailing Address |
1151 N State St Suite 408 Jackson MS 39202-2407 |
| Practice Telephone | 6013737722 |
| Practice Fax Number | 6013737378 |
| Mailing Telephone | 6012924261 |
| Mailing Fax Number | 6012924262 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12215 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | AETNA | 4253992 | 01 |
| MS | RAILROAD MEDICARE | P00138501 | 01 |
| MS | 00119587 | 05 | |
| MS | MS HEALTH PARTNERS | 753068151 | 01 |
| MS | MS PHYSICIANS CARE NETWOR | 753068151 | 01 |
| MS | 1ST CHOICE | 753068151 | 01 |
| MS | TRICARE | 753068151008 | 01 |
| MS | DEPARTMENT OF LABOR | 168390702 | 01 |
| Street Address |
7275 S SIWELL RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39272-9776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588632467 | Douglas L Yeager | Family Medicine | 7275 S Siwell Rd, Jackson, MS 39272-9776 | 2006-03-08 |
| 1093172157 | Sarah Joanna Mason | Physician Assistant | 7275 S Siwell Rd, Jackson, MS 39272-9776 | 2016-01-20 |
| 1134249253 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 7275 S Siwell Rd, Jackson, MS 39272-9776 | 2007-03-30 |
| 1407825987 | Robert Judson Williams | Nurse Practitioner | 7275 S Siwell Rd, Jackson, MS 39272-9776 | 2006-03-16 |
| 1902874571 | William Keith Harris | Family Medicine | 7275 S Siwell Rd, Jackson, MS 39272-9776 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1093204158 | Primary Family Medical Clinic | Nurse Practitioner | 100 Marker Place Dr. Ste D, Byram, MS 39272 | 2018-05-04 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1134649395 | Helping Hands Service LLC | Home Health | 1402 Siwell Rd Suite 110, Byram, MS 39272 | 2017-06-20 |
| 1760916050 | Delivery Me, LLC | Non-emergency Medical Transport (VAN) | 5210 Brookleigh Drive, Byram, MS 39272 | 2017-04-13 |
| 1962893396 | Rebecca Holley | Speech-Language Pathologist | 7213 S Siwell Road, Byram, MS 39272 | 2015-02-06 |
| 1144665738 | Providence Healthcare of Ms | Nursing Care | 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 | 2013-05-08 |
| 1568742146 | Deandre Monique Carr | Optometrist | 131 Handley Boulevard, Byram, MS 39272 | 2011-08-26 |
| 1063690022 | Physical Rehabilitation Management | Physical Therapist | 128 Byram Center Drive, Jackson, MS 39272 | 2008-02-01 |
| Find all providers in zip 39272 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| 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.