DR. MARY GRACE HANCOCK (NPI# 1508253295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508253295 |
| Entity Type | Individual |
| Full Name | DR. MARY GRACE HANCOCK |
| Credential | M.D. |
| Practice Address |
202 N 1st St Ste B Booneville MS 38829 |
| Mailing Address |
202 N 1st St Ste B Booneville MS 38829-2718 |
| Practice Telephone | 6623401138 |
| Mailing Telephone | 6623401138 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25681 | MS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 381630001 | 9014485814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154443687 | Mary Katherine Hancock | Counselor | 1200 N Telegraph Rd Bldg 32-e, Pontiac, MI 48341-1032 | 2007-04-04 |
| 1619078250 | Mary Beth Hancock | Occupational Therapist | 9343 Kirby Dr, Houston, TX 77054-2516 | 2006-09-26 |
| 1699807693 | Mary E Hancock | Pharmacist | 902 N 7th St, Cordele, GA 31015-3234 | 2007-03-12 |
| 1417028903 | Mary Jane Hancock | Nurse Practitioner | 2451 Fillingim St, Mastin 102, Mobile, AL 36617-2238 | 2006-11-13 |
| 1679681373 | Mary Ellen Hancock | Emergency Medicine | 225 Elyria St, Lodi, OH 44254-1031 | 2006-08-25 |
| Street Address |
202 N 1ST ST STE B |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154878106 | Trina Health of Booneville, Inc. | Clinic/Center | 202 N 1st St Ste B, Booneville, MS 38829-2718 | 2016-09-07 |
| 1134572357 | Amber Allison Choate | Nurse Practitioner | 202 N 1st St Ste B, Booneville, MS 38829-2718 | 2016-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| 1184844466 | Kellye Garrett | Nurse Practitioner | 2100 East Chambers Drive, Booneville, MS 38829 | 2007-04-27 |
| Find all providers in zip 38829 | ||||
| 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 |
|---|---|---|---|---|
| 1104236504 | Michael Hancock | Internal Medicine | 202 N 1st St Ste A, Booneville, MS 38829-2718 | 2014-05-07 |
| 1659449361 | David N Greenhaw | Internal Medicine | 100 Hospital St Ste 200, Booneville, MS 38829-3354 | 2006-12-01 |
| 1598023285 | Eccles Medical, P.a. | Internal Medicine | 67 W Main St, Suite 3, Booneville, AR 72927-3642 | 2012-05-01 |
| 1942439518 | Booneville Internal Medicine PC | Internal Medicine | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | 2009-07-04 |
| 1235279688 | Nathan Ward Baldwin | Internal Medicine | 100 Hospital St, Suite 100, Booneville, MS 38829-3354 | 2007-02-07 |
| 1093883795 | Thomas J Putnam | Internal Medicine | 100 Hospital St Ste 200, Booneville, MS 38829-3354 | 2006-12-01 |
| 1407831928 | Northeast Ms Internal Medicine PC | Internal Medicine | 202 N 1st St, Suite A, Booneville, MS 38829-2718 | 2005-12-07 |
| 1760466262 | Laurence L Dennis | Internal Medicine | 202 N 1st St, Ste A, Booneville, MS 38829-2718 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
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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.