MENARVIA NIXON GADDIS (NPI# 1407173453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407173453 |
| Entity Type | Individual |
| Full Name | MENARVIA NIXON GADDIS |
| Credential | MD |
| Practice Address |
1860 Chadwick Dr Ste 305 Jackson MS 39204-3467 |
| Mailing Address |
2550 Flowood Dr Ste 402 Flowood MS 39232-9307 |
| Practice Telephone | 6013762832 |
| Practice Fax Number | 6013761816 |
| Mailing Telephone | 6019361395 |
| Mailing Fax Number | 6019361260 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 25030 | MS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1860 CHADWICK DR STE 305 |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164815940 | Michael James Furlow | Registered Nurse | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2015-03-18 |
| 1609163062 | Danett Dillon | Psychiatry & Neurology | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| 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 |
|---|---|---|---|---|
| 1346485794 | Lon F Alexander Md Pllc | Neurological Surgery | 1860 Chadwick Dr Ste 205, Jackson, MS 39204-3466 | 2008-12-12 |
| 1174686182 | St. Dominic Medical Associates LLC | Neurological Surgery | 971 Lakeland Dr. Suite 1250, Jackson, MS 39216-0000 | 2006-12-19 |
| 1376625095 | Semmes Murphey Clinic | Neurological Surgery | 700 West Forrest Ave, Suite 200, Jackson, TN 38301 | 2006-10-20 |
| 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 |
| 1518062462 | Hugh Glenn Barnett II | Neurological Surgery | 700 W Forest Ave Ste 200, Jackson, TN 38301-3940 | 2006-09-14 |
| 1578591731 | John Wallace Neblett Jr. | Neurological Surgery | 700 West Forest, Ste 200, Jackson, TN 38301 | 2006-06-28 |
| 1366485682 | West Tennessee Neurosurgical Clinic | Neurological Surgery | 1040 Greystone Sq, Jackson, TN 38305-3580 | 2006-06-14 |
| 1396282356 | W.a. Foote Memorial Hospital, Inc | Neurological Surgery | 205 N. East Ave, Jackson, MI 49201 | 2017-01-27 |
| 1467908053 | Zachary Smalley | Neurological Surgery | 2500 N State St, Department of Neurosurgery, Jackson, MS 39216-4500 | 2016-09-01 |
| Find all providers in JACKSON | ||||
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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.