DR. AMY ADAMS (NPI# 1396993663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396993663 |
| Entity Type | Individual |
| Full Name | DR. AMY ADAMS |
| Credential | D.O. |
| Practice Address |
1410 Jefferson St Laurel MS 39440-4243 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014254860 |
| Practice Fax Number | 6014264993 |
| Mailing Telephone | 6014254860 |
| Mailing Fax Number | 6014264993 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2014-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 5094 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
21609 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414941 | Amy Christine Adams | Music Therapist | 449 Knobcone Dr Unit 304, Loveland, CO 80538-5745 | 2018-07-25 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1871033134 | Amy Lynn Adams | Counselor | 780 Clarendon Ct, Naples, FL 34109-1644 | 2017-03-06 |
| 1851718183 | Amy Beth Adams | Counselor | 21578 E County Road 1175, Keota, OK 74941-6632 | 2014-03-25 |
| 1619219920 | Amy Adams | Counselor | 399 1st St, Ely, NV 89301-1988 | 2013-03-25 |
| 1073897534 | Amy Elizabeth Adams | Marriage & Family Therapist | 3180 Imjin Rd Ste 149, Marina, CA 93933-5111 | 2011-10-03 |
| 1013290501 | Amy L Adams | Assisted Living Facility | 3932 Palisades Park Dr, Billings, MT 59102-0134 | 2011-09-21 |
| 1871821306 | Amy Lynne Adams | Social Worker | 1020 Cypress Way E, Palm Springs, FL 33406-7598 | 2009-11-20 |
| 1205067444 | Amy Adams | Social Worker | 430 N Larch St Ste 1, Lansing, MI 48912 | 2009-08-06 |
| 1184859621 | Amy May Adams | Social Worker | 740 36th Street Sw, Wyoming, MI 49509 | 2009-05-28 |
| Street Address |
1410 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003006602 | Hossein Nasajpour | Plastic Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2007-07-30 |
| 1710502661 | Laurel Plastic Surgery LLC | Ophthalmology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2020-06-16 |
| 1316480320 | Kristina Molnar | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2016-11-22 |
| 1093180531 | Kimberly Kennedy | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-12-09 |
| 1639547425 | Brandi Tynes | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-09-10 |
| 1619345402 | Ashlynn Bennett | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-09-10 |
| 1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
| 1821362385 | Lauren S Aycock | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2012-03-01 |
| 1841581352 | South Central Cinics, Inc | Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2011-05-02 |
| 1073828455 | South Central Clinics, Inc | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073828455 | South Central Clinics, Inc | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2010-08-10 |
| 1891976908 | Cylburn Earl Soden Jr. | Dermatology | 13920 Baltimore Ave, Laurel, MD 20707-5009 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583514 | Terry Westmoreland | Dermatology | 2110 5th St N, Columbus, MS 39705-2210 | 2006-07-20 |
| 1497159453 | Pine Belt Dermatology and Skin Cancer Center | Dermatology | 201 S Main St, Petal, MS 39465-2362 | 2014-10-20 |
| 1194124834 | David B Roy Do Pa | Dermatology | 201 S Main St, Petal, MS 39465-2362 | 2014-08-19 |
| 1912166703 | William H Black | Dermatology | 2500 N State St, Jackson, MS 39216-4500 | 2008-06-05 |
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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.