PATHWAY HEALTHCARE- COLUMBUS, MS LLC (NPI# 1245755990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245755990 |
| Entity Type | Organization |
| Organization Name | PATHWAY HEALTHCARE- COLUMBUS, MS LLC |
| Practice Address |
3600 Bluecutt Rd Ste 200 Columbus MS 39705-1303 |
| Mailing Address |
37 Sandstone Cir Ste 92 Jackson TN 38305-3168 |
| Practice Telephone | 7312656025 |
| Practice Fax Number | 7312656028 |
| Mailing Telephone | 7312656025 |
| Mailing Fax Number | 7312656028 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | KRYSTAL SPENCER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 7312656025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Plaza Dr, Vicksburg, MS 391805187 | 6018830264 | 6018830266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336656628 | Pathway Healthcare- Columbus, Ms LLC | Family Medicine | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2018-01-08 |
| Street Address |
3600 BLUECUTT RD STE 200 |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851894737 | Jeanette Manning | Counselor | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2018-03-16 |
| 1336656628 | Pathway Healthcare- Columbus, Ms LLC | Family Medicine | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2018-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1598071334 | Medsave Healthcare Clinics Inc | Family Medicine | 246 E Campus View Blvd, Columbus, OH 43235 | 2010-08-30 |
| 1700056033 | Latonya Janett Carroll | Family Medicine | 655 N Cassady Ave Ste 7, Columbus, OH 43219-2720 | 2008-03-03 |
| 1942484167 | Medical and Natural Nutritional Alternatives Inc | Family Medicine | 730 Mount Airyshire Blvd A, Columbus, OH 43235-1328 | 2007-12-24 |
| 1366655656 | Roger Garcia | Family Medicine | 4889 Sinclair Rd Ste 112, Columbus, OH 43229-5433 | 2007-05-07 |
| 1144275181 | Larry S Everhart | Family Medicine | 730 Mount Airyshire Blvd, A, Columbus, OH 43235-1328 | 2006-05-24 |
| 1447884077 | First Care Integrated Health LLC | Family Medicine | 5150 E Main St Ste 105, Columbus, OH 43213-2441 | 2020-02-21 |
| 1649733445 | Ohio Addiction Management | Family Medicine | 2525 Oakstone Dr Ste B, Columbus, OH 43231-8626 | 2019-04-09 |
| 1790279131 | Ohio Addiction Management, LLC | Family Medicine | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2018-06-19 |
| 1336656628 | Pathway Healthcare- Columbus, Ms LLC | Family Medicine | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2018-01-08 |
| Find all providers in COLUMBUS | ||||
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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.