CALEB W. HERNDON, M.D., PH.D., P.A. (NPI# 1518037175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518037175 |
| Entity Type | Organization |
| Organization Name | CALEB W. HERNDON, M.D., PH.D., P.A. |
| Practice Address |
347 W Cherokee St Brookhaven MS 39601-3219 |
| Practice Telephone | 6018331946 |
| Practice Fax Number | 6018333938 |
| Mailing Telephone | 6018331946 |
| Mailing Fax Number | 6018333938 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. NATALIE B. HERNDON (SECRETARY) |
| Authorized Official Telephone | 6018331946 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 06643 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00015595 | 05 | |
| LA | 1629804 | 05 | |
| MS | BCBS OF MISSISSIPPI | 462669093 | 01 |
| Street Address |
347 W CHEROKEE ST |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080250 | Brookhaven Optical Inc | Eyewear Supplier (Equipment, not the service) | 347 W Cherokee St, Brookhaven, MS 39601-3219 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144786567 | Treisha Pearson | Specialist | 3833 Peachtree Rd Ne Apt 507, Brookhaven, GA 30319-5221 | 2019-02-11 |
| 1881043875 | Danielle Cordaro | Specialist | 12 Bellview Ave, Brookhaven, NY 11719-9786 | 2016-06-09 |
| 1982967881 | Rebecca Lynn Kirshak | Specialist | 11 Astor Ave, Brookhaven, NY 11719-9760 | 2012-06-17 |
| 1811100878 | Melissa Zimmerman | Specialist | 101 Bradbury Rd, Brookhaven, PA 19015-1406 | 2007-05-07 |
| 1043326929 | Leigh Cher Gray | Specialist | 1012 D A Biglane Drive, Brookhaven, MS 39601 | 2006-08-22 |
| 1326153867 | Stephen J Mills | Specialist | 1012 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2006-08-21 |
| 1952853970 | Sensawee Play | Specialist | 1816 Briarwood Industrial Ct Ne Ste A, Brookhaven, GA 30329-1642 | 2016-10-25 |
| 1124306774 | Mississippi Staff Healing Pllc | Specialist | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2011-08-01 |
| 1447563499 | Anointed Nephrology & Htn Pllc | Specialist | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | 2010-07-20 |
| 1356519227 | James E Roberts Md Pa | Specialist | 439 N Jackson St, Suite D, Brookhaven, MS 39601-2952 | 2008-02-13 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on CALEB W. HERNDON, M.D., PH.D., P.A..
| 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.