RANKIN PRIMARY CARE CLINIC, PA (NPI# 1467625665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467625665 |
| Entity Type | Organization |
| Organization Name | RANKIN PRIMARY CARE CLINIC, PA |
| Practice Address |
103 Service Dr Brandon MS 39042-2401 |
| Mailing Address |
Po Box 1959 Brandon MS 39043-1959 |
| Practice Telephone | 6018241491 |
| Practice Fax Number | 6018259504 |
| Mailing Telephone | 6018241491 |
| Mailing Fax Number | 6018259504 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | THOMAS L ELLINGSON (OWNER) |
| Authorized Official Telephone | 6018241491 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 16492 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015199 | 05 |
| Street Address |
103 SERVICE DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083689277 | Lawrence Edward Tamburino | Podiatrist | 103 Service Dr, Brandon, MS 39042-2401 | 2006-02-21 |
| 1588104657 | Aaa Hearing Health of Ms, Inc. | Hearing Aid Equipment | 103 Service Dr, Brandon, MS 39042-2401 | 2017-03-08 |
| 1407052319 | Central Mississippi Foot Specialist, Pllc | Podiatrist | 103 Service Dr, Brandon, MS 39042-2401 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043723752 | Advanced Adult Medicine, Inc | Internal Medicine | 1127 Nikki View Dr, Brandon, FL 33511-4879 | 2017-11-16 |
| 1235411000 | Brandon-riverview Medical | Internal Medicine | 519 E Bloomingdale Ave Ste A, Brandon, FL 33511-8180 | 2011-09-16 |
| 1518119726 | James A Plemmons | Internal Medicine | 615 Vonderburg Dr., Brandon, FL 33511 | 2008-10-21 |
| 1326203977 | Meditech Medical Centers, LLC | Internal Medicine | 1783 S. Kings Ave., Brandon, FL 33511-6220 | 2008-07-23 |
| 1093978918 | Shanna B Pettie | Internal Medicine | 106 Lake Vista Pl, Brandon, MS 39047-6384 | 2008-07-10 |
| 1326207382 | Ron Mathew | Internal Medicine | 500 Vonderburg Dr Ste 215w, Brandon, FL 33511-5977 | 2008-06-05 |
| 1780888248 | Parsons Medical Center Inc | Internal Medicine | 908 S Parsons Ave, Suite A, Brandon, FL 33511-6064 | 2007-06-11 |
| 1639397904 | Todd Lee Gracen | Internal Medicine | 1209 Lakeside Dr, Brandon, FL 33510-4109 | 2007-04-23 |
| 1518011386 | Express Care of Tampa Bay, Inc | Internal Medicine | 107 W Robertson St, Brandon, FL 33511-5111 | 2007-01-22 |
| 1932250131 | Care Plus Walk In Clinics | Internal Medicine | 519a E Bloomingdale Ave, Brandon, FL 33511-8105 | 2007-01-15 |
| Find all providers in BRANDON | ||||
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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.