INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A. (NPI# 1205858263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205858263 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A. |
| Practice Address |
914 Sumrall Rd Columbia MS 39429-2652 |
| Practice Telephone | 6017311470 |
| Practice Fax Number | 6017311474 |
| Mailing Telephone | 6017311470 |
| Mailing Fax Number | 6017311474 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | BRYAN F MCCRAW (PRESIDENT) |
| Authorized Official Telephone | 6017311470 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014377 | 05 |
| Street Address |
914 SUMRALL RD |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376187799 | David Carroll Albritton | Nurse Practitioner | 914 Sumrall Rd, Columbia, MS 39429-2652 | 2019-10-29 |
| 1336543305 | Alicia Brister | Nurse Practitioner | 914 Sumrall Rd, Columbia, MS 39429-2652 | 2014-10-20 |
| 1568486124 | Nancy F Easterling | Nurse Practitioner | 914 Sumrall Rd, Columbia, MS 39429-2652 | 2006-07-27 |
| 1689698318 | Jeffrey Neal Johnson | Internal Medicine | 914 Sumrall Rd, Columbia, MS 39429-2652 | 2006-07-26 |
| 1174547954 | Bryan F Mccraw | Internal Medicine | 914 Sumrall Rd, Columbia, MS 39429-2652 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1356651772 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Drive, Columbia, MS 39429 | 2010-10-19 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235595653 | T J Health Columbia Inc | Clinic/Center | 902 Westlake Dr Ste 101, Columbia, KY 42728-1149 | 2016-01-14 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1477583102 | Tyrrell County Rural Health Association, Inc. | Clinic/Center | 208 North Broad Street, Columbia, NC 27925 | 2006-07-05 |
| 1689676850 | Dr. Phil Aaron Medical Center, Pllc | Clinic/Center | 805 Burkesville St, Columbia, KY 42728-1655 | 2005-06-01 |
| 1770103863 | Maury Regional Hospital Marshall Medical Center | Clinic/Center | 1222 Trotwood Ave Ste 603, Columbia, TN 38401-6410 | 2020-04-20 |
| 1700406881 | Maury Regional Hospital Marshall Medical Center | Clinic/Center | 1218 Trotwood Ave, Columbia, TN 38401-6406 | 2020-04-20 |
| 1881214963 | Maury Regional Hospital Marshall Medical Center | Clinic/Center | 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 | 2020-04-20 |
| 1720607021 | Maury Regional Hospital Marshall Medical Center | Clinic/Center | 1114 W 7th St, Columbia, TN 38401-1810 | 2020-04-16 |
| 1942666466 | T J Health Columbia Inc | Clinic/Center | 810 Jamestown St, Columbia, KY 42728-1010 | 2016-01-13 |
| 1538457965 | Family First Health Care, Pllc | Clinic/Center | 363 Office Park Dr, Columbia, KY 42728-1270 | 2011-07-19 |
| Find all providers in COLUMBIA | ||||
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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.