INDEPENDENT HEALTHCARE MANAGEMENT, INC (NPI# 1316557986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316557986 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT HEALTHCARE MANAGEMENT, INC |
| Practice Address |
376 Simpson Highway 149 Ste 600 Magee MS 39111-3572 |
| Mailing Address |
100 Pioneer Way Magee MS 39111-5501 |
| Practice Telephone | 6018496440 |
| Practice Fax Number | 6018491332 |
| Mailing Telephone | 6018496440 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | JOHN P LEE (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 6018496440 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| 149 Pediatric and Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649761685 | Independent Healthcare Management, Inc | Family Medicine | 1 Medical Ln Ste B, Forest, MS 39074-4039 | 2018-05-25 |
| 1891735692 | Independent Healthcare Management, Inc | General Acute Care Hospital | 330 N Broad St, Forest, MS 39074-3508 | 2006-06-08 |
| 1275130601 | Independent Healthcare Management, Inc | Clinic/Center | 9425 Eastside Drive Ext Ste B, Newton, MS 39345-8069 | 2020-10-08 |
| 1952326241 | Independent Healthcare Management, Inc | Medicare Defined Swing Bed Unit | 330 N Broad St, Forest, MS 39074-3508 | 2006-07-13 |
| 1407872773 | Independent Healthcare Management, Inc | Psychiatric Unit | 330 N Broad St, Forest, MS 39074-3508 | 2006-07-13 |
| Street Address |
376 SIMPSON HIGHWAY 149 STE 600 |
| City | MAGEE |
| State | MS |
| Zip Code | 39111-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669136 | Maxem Health Urgent Care Magee | Clinic/Center | 1529 Highway 49 S, Suite A, Magee, MS 39111 | 2017-06-14 |
| 1427409200 | Ashley Bounds | Specialist/Technologist | 499 Pinewood Dr., Magee, MS 39111 | 2016-06-23 |
| 1053707083 | Dental Group of Magee Pllc | Dentist | 1667 Highway 49s Ste 6, Magee, MS 39111 | 2015-04-07 |
| 1528387859 | Brandi's Hope Community Services | In Home Supportive Care | 720b 3rd Ave Sw, Magee, MS 39111 | 2010-05-26 |
| 1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
| 1033342688 | Family Health Care Clinic, Inc. | Clinic/Center | 820 Johnson Lockhart Drive North East, Magee, MS 39111 | 2009-08-31 |
| 1043403124 | Charlene William Jones-smith | Speech-Language Pathologist | 193 Colonial Circle, Magee, MS 39111 | 2007-08-22 |
| 1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
| 1487878054 | Jack R Magee Jr. | Dentist | 1425 Simpson Highway 49, Magee, MS 39111 | 2007-04-12 |
| 1104945096 | Magee Benevolent Association | Pediatrics | 310 2nd Se St, Magee, MS 39111 | 2007-03-29 |
| Find all providers in zip 39111 | ||||
| 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 |
|---|---|---|---|---|
| 1104303502 | Ascentium Healthcare Resources I Inc | Family Medicine | 100 Pioneer Way, Magee, MS 39111-5501 | 2018-07-27 |
| 1093201980 | Molly Grubbs Mayhugh | Family Medicine | 360 Simpson Highway 149 Ste 370, Magee, MS 39111-3843 | 2018-07-03 |
| 1831619253 | Miller Family Care, Pllc | Family Medicine | 360 Simpson Highway 149 Ste 310, Magee, MS 39111-3849 | 2017-06-27 |
| 1376861757 | Thomas R. Blackledge, Jr., Md, Pa | Family Medicine | 800 3rd St Sw, Magee, MS 39111-3951 | 2010-05-11 |
| 1730272931 | Hattiesburg Clinic Pa | Family Medicine | 801 Main Ave S, Magee, MS 39111-4102 | 2006-10-02 |
| 1629177712 | Dm and C | Family Medicine | 376a Simpson Highway 149, Magee, MS 39111-3409 | 2006-09-22 |
| 1497798615 | Thomas Rayford Blackledge Jr. | Family Medicine | 800 Third St Sw, Magee, MS 39111 | 2006-06-14 |
| 1619934940 | Frank C Wade Jr. | Family Medicine | 360 Simpson Highway 149, Suite 370, Magee, MS 39111-3841 | 2006-04-28 |
| 1881651131 | Rudolph S Runnels Sr. | Family Medicine | 360 Simpson Highway 149 Ste 170, Magee, MS 39111-3840 | 2006-04-28 |
| 1780778928 | Karen M Bruce Md Pllc | Family Medicine | 360 Simpson Highway 149, Suite 350, Magee, MS 39111-3841 | 2006-10-03 |
| Find all providers in MAGEE | ||||
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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.