JOHN WAYNE CHEATHAM (NPI# 1497728778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497728778 |
| Entity Type | Individual |
| Full Name | JOHN WAYNE CHEATHAM |
| Credential | D.O. |
| Practice Address |
1600 22nd Ave Meridian MS 39301-3223 |
| Mailing Address |
703 Alcorn Dr Ste 109 Corinth MS 38834-9302 |
| Practice Telephone | 6014835322 |
| Practice Fax Number | 6015812289 |
| Mailing Telephone | 6622931175 |
| Mailing Fax Number | 6622934323 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18926 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04720872 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992809032 | John Brian Cheatham | Optometrist | 4433 South Harvard, Tulsa, OK 74135-2604 | 2006-09-11 |
| 1114926680 | John Patrick Cheatham | Internal Medicine | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-07-18 |
| Street Address |
1600 22ND AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1730671538 | Erin Cooley | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2018-06-06 |
| 1043662851 | Sarah Neely Ivey | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2016-07-05 |
| 1114399375 | Brandi L Robinson | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2015-10-28 |
| 1710227905 | Casey Tillery | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2013-02-25 |
| 1760627111 | Jessica T Meyer | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2008-12-12 |
| 1396980116 | Valerie Nicole Evans | Family Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2008-12-08 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1346466596 | Eric Vincent Plott | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1023506466 | Vast Durable Medical Equipment Inc | Family Medicine | 2985 S Meridian Rd Ste 140, Meridian, ID 83642-7961 | 2018-04-30 |
| 1235651498 | Carmeshia M Cain | Family Medicine | 1312 22nd Ave Ste A, Meridian, MS 39301-4015 | 2017-07-10 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1619397064 | Sara Jane Aney | Family Medicine | 4949 S Hillsdale Ave, Meridian, ID 83642-7586 | 2014-04-24 |
| 1033534276 | Alliance Medical Group, LLC | Family Medicine | 1623 South Wells Avenue, Meridian, ID 83642 | 2014-02-25 |
| 1275979346 | Matthew Robert Sara | Family Medicine | 1648 Nw 1st St, Meridian, ID 83642-2212 | 2013-05-16 |
| 1093074577 | Marisa A Battaglia | Family Medicine | 1623 Wells Ave, Meridian, ID 83642-5040 | 2012-05-03 |
| 1891051942 | Louise Xian Ye-liew | Family Medicine | 2965 East Tarpon, Suite 150, Meridian, ID 83642 | 2012-04-03 |
| 1912221318 | Unity Health Center Pllc | Family Medicine | 1130 E Fairview Ave, Meridian, ID 83642-1813 | 2010-03-15 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on JOHN WAYNE CHEATHAM.
| 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.