YAZOO EMERGENCY GROUP, LLC (NPI# 1447806914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447806914 |
| Entity Type | Organization |
| Organization Name | YAZOO EMERGENCY GROUP, LLC |
| Practice Address |
823 Grand Ave Yazoo City MS 39194-3233 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6627462261 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
823 GRAND AVE |
| City | YAZOO CITY |
| State | MS |
| Zip Code | 39194-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225099922 | David M Gilder | Family Medicine | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2006-03-31 |
| 1780141044 | Leah Harper Johnson | Nurse Practitioner | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2019-02-22 |
| 1215337746 | Kathy Graves | Nurse Practitioner | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2014-09-03 |
| 1578989430 | King's Daughters Hospital Pharmacy | Pharmacy | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2014-03-14 |
| 1295172229 | Noelle Shannon Knight | Social Worker | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2013-05-31 |
| 1982953402 | Jessica Renee Fordham | Nurse Practitioner | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2012-08-29 |
| 1518213230 | Kings Daughters Hospital Yazoo County Inc | Hospitalist | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2012-07-31 |
| 1699066746 | Baptist Medical Center - Yazoo, Inc | Specialist | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2011-04-25 |
| 1912219072 | Leslie Brooke Robinson | Nurse Practitioner | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2010-07-06 |
| 1437380961 | Sarah Margaret Tatum Smith | Nurse Practitioner | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2009-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584703 | Aslean Brown | Home Health | 522 Old Benton Rd, Yazoo City, MS 39194 | 2018-10-19 |
| 1326521048 | Hailey Parks Beckwith | Nurse Practitioner | 635 W Willie Morris Pkwy, Yazoo City, MS 39194 | 2018-09-09 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1285049593 | Baptist Medical Center - Yazoo, Inc. | Family Medicine | 307 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1033440268 | Medical Foundation of Central Mississippi | Internal Medicine | 828 Grand Avenue, Yazoo City, MS 39194 | 2010-01-28 |
| 1659537884 | Family Dental Clinic of Yazoo City, LLC | Dentist | 15415 Highway 49 South, Yazoo City, MS 39194 | 2008-08-07 |
| 1245403351 | Eyedeal Optical Yazoo City LLC | Optometrist | 728 East 15th Street, Yazoo City, MS 39194 | 2008-04-09 |
| 1245400423 | Stefanie Patterson Dendy | General Acute Care Hospital | 825 Grand Avenue, Yazoo City, MS 39194 | 2008-03-04 |
| 1144499245 | Martha Coker Home, Inc. | Skilled Nursing Facility | 2041 Grand Avenue, Yazoo City, MS 39194 | 2008-02-22 |
| Find all providers in zip 39194 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144394347 | Farhan Nafis | Emergency Medicine | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2006-11-20 |
| 1407948193 | John Christopher Chauvin | Emergency Medicine | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201145 | Sabrina Marie Azavedo | Emergency Medicine | 3283 Shadowood Ln, Corinth, MS 38834-6030 | 2020-07-01 |
| 1275172736 | Relias Emergency Medicine Specialists of West Point, LLC | Emergency Medicine | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-02 |
| 1790130151 | Patrick Bryant | Emergency Medicine | 5001 Hardy Street, Hattiesburg, MS 39402 | 2016-05-04 |
| 1679935381 | Rommel Asagwara | Emergency Medicine | 1060 E County Line Rd Ste 1a, Ridgeland, MS 39157-1937 | 2016-03-22 |
| 1588034227 | Srikar Karanam | Emergency Medicine | 114 Breckenridge Dr Apt 203, Hattiesburg, MS 39402-3709 | 2015-10-06 |
| 1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
| 1942612015 | Emergency Associates Pllc | Emergency Medicine | 2660 Ridgewood Rd, Suite 100, Jackson, MS 39216-4921 | 2014-05-23 |
| 1720362270 | David Kennedy Stone | Emergency Medicine | 102 Pine Ct, Brandon, MS 39047-8313 | 2011-10-03 |
| 1083995674 | Obhg Mississippi, P.C. | Emergency Medicine | 1225 N State St Ste B1, Jackson, MS 39202-2072 | 2011-09-09 |
| 1114238425 | Kevin Lee Beason | Emergency Medicine | 10151 Road 1343, Philadelphia, MS 39350-4101 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
| City | YAZOO CITY |
| Zip Code | 39194 |
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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.