GREENWOOD LEFLORE HOSPITAL (NPI# 1336109578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336109578 |
| Entity Type | Organization |
| Organization Name | GREENWOOD LEFLORE HOSPITAL |
| Other Organization Name | NORTH CENTRAL MS NEUROLOGICAL SURGERY CLINIC |
| Practice Address |
405 River Rd Greenwood MS 38930 |
| Mailing Address |
Po Box 1410 Greenwood MS 38935-1410 |
| Practice Telephone | 6624517812 |
| Mailing Telephone | 6624597189 |
| Mailing Fax Number | 6624517812 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | DAWNE HOLMES (CFO) |
| Authorized Official Telephone | 6624597119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RAILROAD | DE4415 | 01 |
| MS | 05683064 | 05 |
| Other Name | Type Code |
|---|---|
| North Central MS Neurological Surgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1861794778 | Greenwood Leflore Hospital | Clinic/Center | 706 Highway 82 W Ste B, Greenwood, MS 38930-5028 | 2010-11-29 |
| 1124088299 | Greenwood Leflore Hospital | Clinic/Center | 400 Lamar Ave, Kilmichael, MS 39747 | 2006-03-24 |
| 1750341855 | Greenwood Leflore Hospital | Clinic/Center | 100 N Court St, Sumner, MS 38957-9710 | 2006-03-24 |
| 1598725889 | Greenwood Leflore Hospital | Orthopaedic Surgery | 204 8th St, Greenwood, MS 38930-4012 | 2006-03-23 |
| 1003875394 | Greenwood Leflore Hospital | Clinic/Center | 103 Basket St, Itta Bena, MS 38941-2801 | 2006-03-23 |
| 1841250172 | Greenwood Leflore Hospital | Clinic/Center | 110 Tchula St, Lexington, MS 39095-3111 | 2006-03-23 |
| 1083674204 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1317 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1447210554 | Greenwood Leflore Hospital | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930 | 2006-03-23 |
| 1689633950 | Greenwood Leflore Hospital | Internal Medicine | 201 E Washington St, Greenwood, MS 38930-4407 | 2006-03-23 |
| Street Address |
405 RIVER RD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174078711 | Cynthia Willingham, Md, Pllc | Physical Medicine & Rehabilitation | 405 River Rd, Greenwood, MS 38930-4212 | 2016-08-24 |
| 1659388585 | John Phenis Hey IIi | Family Medicine | 405 River Rd, Greenwood, MS 38930-4212 | 2006-08-02 |
| 1134171895 | Cynthia A Willingham | Physical Medicine & Rehabilitation | 405 River Rd, Greenwood, MS 38930-4212 | 2006-05-17 |
| 1871553370 | Jimmy Miller | Neurological Surgery | 405 River Rd, Greenwood, MS 38930-4212 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861659450 | Jamie Lee Bradbury | Neurological Surgery | 1051 Greenwood Springs Blvd, Suite 201, Greenwood, IN 46143-6479 | 2008-05-21 |
| 1205810371 | Steven James | Neurological Surgery | 1051 S Greenwood Springs Blvd, Suite 201, Greenwood, IN 46143-6479 | 2005-12-02 |
| 1861624751 | Gregory Stuart Mcloughlin | Neurological Surgery | 115 Academy Ave, Greenwood, SC 29646-3869 | 2009-08-11 |
| 1588743330 | Sumeer Lal | Neurological Surgery | 115 Academy Ave, Greenwood, SC 29646-3869 | 2006-11-03 |
| 1992884753 | Michael P.b. Kilburn | Neurological Surgery | 115 Academy Ave, Greenwood, SC 29646-3869 | 2006-11-03 |
| 1871553370 | Jimmy Miller | Neurological Surgery | 405 River Rd, Greenwood, MS 38930-4212 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407173453 | Menarvia Nixon Gaddis | Neurological Surgery | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2010-04-30 |
| 1346485794 | Lon F Alexander Md Pllc | Neurological Surgery | 1860 Chadwick Dr Ste 205, Jackson, MS 39204-3466 | 2008-12-12 |
| 1144349168 | Delta Physician Practices | Neurological Surgery | 1703 Hospital St, Greenville, MS 38703-3225 | 2007-03-29 |
| 1497872212 | Timothy M. Wiebe | Neurological Surgery | 103 Aldersgate Cir, Hattiesburg, MS 39402-1301 | 2007-03-25 |
| 1174686182 | St. Dominic Medical Associates LLC | Neurological Surgery | 971 Lakeland Dr. Suite 1250, Jackson, MS 39216-0000 | 2006-12-19 |
| 1194895854 | Lowry Neurosurgical Clinic, P.a. | Neurological Surgery | 1007 Jefferson St, Laurel, MS 39440-4350 | 2006-11-09 |
| 1831270560 | Axon | Neurological Surgery | 1860 Chadwick Dr Ste 258, Ste 258, Jackson, MS 39204-3486 | 2006-10-18 |
| 1013008242 | John Adrian Lancon | Neurological Surgery | 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 | 2006-09-26 |
| 1649378191 | Robert Scott Davis | Neurological Surgery | 14209 Cook Rd., Suite 200, Memorial Physician Clinics-st Martin Neuro & Spine, Biloxi, MS 39532 | 2006-09-20 |
| 1710997135 | Edward Thomas Cullom IIi | Neurological Surgery | 1029 River Oaks Dr, Flowood, MS 39232-9554 | 2006-08-08 |
| Find all providers with the same taxonomy | ||||
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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.