DR. CLARENCE A JUSTICE (NPI# 1184614620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184614620 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE A JUSTICE |
| Credential | MD |
| Practice Address |
589 Garfield St Suite 201 Tupelo MS 38801-6301 |
| Mailing Address |
Po Box 21 Tupelo MS 38802-0021 |
| Practice Telephone | 6626805565 |
| Practice Fax Number | 6626805654 |
| Mailing Telephone | 6626805565 |
| Mailing Fax Number | 6626805654 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2010-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 40004 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
20969 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05186329 | 05 | |
| TN | 3334430 | 05 |
| Street Address |
589 GARFIELD ST SUITE 201 |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184147431 | Dhs Anesthesia, LLC | Anesthesiology | 589 Garfield St, Tupelo, MS 38801-6301 | 2017-07-19 |
| 1407280183 | Cara L Harris | Nurse Practitioner | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2013-08-29 |
| 1609185859 | Ashley L Vaughn | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2010-10-05 |
| 1205161080 | Nicholas R Barron | Nurse Anesthetist, Certified Registered | 589 Garfield St, Tupelo, MS 38801-6301 | 2009-10-12 |
| 1154563005 | Vicki A Fitzgerald | Nurse Practitioner | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2009-03-24 |
| 1821250978 | Robert Brasfield Smith | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2008-06-30 |
| 1679734933 | Christopher Hale Decker | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2008-06-19 |
| 1881816619 | William G Ogg | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2007-05-02 |
| 1235240813 | North Mississippi Ambulatory Surgery Center LLC | Clinic/Center | 589 Garfield St, Tupelo, MS 38801-6301 | 2006-08-31 |
| 1881603538 | Noel K Hunt | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1346530599 | William Ross Stone | Internal Medicine | 589 Garfield St Ste 201, Tupelo, MS 38801-6301 | 2011-04-08 |
| 1609185859 | Ashley L Vaughn | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2010-10-05 |
| 1821250978 | Robert Brasfield Smith | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2008-06-30 |
| 1679734933 | Christopher Hale Decker | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2008-06-19 |
| 1366477390 | John Brooks Averette | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-07-11 |
| 1962461673 | Barney Guyton | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-03-21 |
| 1780643494 | Roger L Huey | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-03-21 |
| 1679532386 | Samuel C Pace | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-03-21 |
| 1023077732 | John O Phillips | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-03-21 |
| 1063471761 | Stephen T Amann | Internal Medicine | 589 Garfield St, Tupelo, MS 38801-6301 | 2006-03-21 |
| Find all providers in TUPELO | ||||
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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.