MISS TESSIE RENEE HANDY (NPI# 1558895474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558895474 |
| Entity Type | Individual |
| Full Name | MISS TESSIE RENEE HANDY |
| Credential | PA-C |
| Practice Address |
6501 Dogwood View Pkwy Ste A Jackson MS 39213 |
| Mailing Address |
715 Rice Rd Apt 26d Ridgeland MS 39157-3019 |
| Practice Telephone | 6018993340 |
| Practice Fax Number | 6018993343 |
| Mailing Telephone | 6628098843 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00328 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9110327 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9110327 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 020748200 | 05 | |
| MS | MISSISSIPPI STATE DOH LICENSE | PA00328 | 01 |
| FL | FLORIDA STATE DOH LICENSE | PA9110327 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5934 Berryhill Medical Park Dr # 1, Milton, FL 32570 | 8506234771 | 8506233938 |
| 8880 Navarre Pkwy Ste 101, Navarre, FL 325663613 | 8508622385 | 8508620482 |
| 4304 Lancaster Dr, Niceville, FL 325784563 | 8508622385 | 8508620482 |
| 4583 Watkins St, Pace, FL 325712511 | 8508894152 | 8506233938 |
| 1619 Creighton Rd, Suite 1, Pensacola, FL 325047152 | 8504444700 | 8504348144 |
| 5149 N 9th Ave Ste G35, Pensacola, FL 325048733 | 8504444700 | 8504348144 |
| 2940 N Blue Angel Pkwy, Pensacola, FL 325062925 | 8504444700 | 8504348144 |
| 1717 N E St Ste 403, Pensacola, FL 325016334 | 8504444700 | 8504348144 |
| 14114 Alabama St, Jay, FL 325651219 | 8504444700 | 8504348144 |
| 6001 Industrial Blvd, Century, FL 325353312 | 8504444700 | 8504348144 |
| 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 325471170 | 8508622385 | 8508620482 |
| 36474a Emerald Coast Pkwy Ste 1102, Destin, FL 325413706 | 8508622385 | 8508620482 |
| 4415 Us Highway 331 S, Defuniak Springs, FL 324356307 | 8503986606 | 8503986424 |
| 221 E Redstone Ave, Crestview, FL 325395373 | 8503986606 | 8503986424 |
| 1118 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 325617806 | 8504444700 | 8504348144 |
| Street Address |
6501 DOGWOOD VIEW PKWY STE A |
| City | JACKSON |
| State | MS |
| Zip Code | 39213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232757 | Timika Roshaun Crockett | Nurse Practitioner | 6501 Dogwood View Pkwy Ste A, Jackson, MS 39213-7857 | 2017-01-30 |
| 1184258956 | Sharhonda Anderson | Nurse Practitioner | 6501 Dogwood View Pkwy Ste A, Jackson, MS 39213-7857 | 2020-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834494 | Emily Amburn | Physician Assistant | 2968 N Highland Ave, Jackson, TN 38305-3409 | 2020-02-24 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| 1306302328 | Chloe A Goldfarb | Physician Assistant | 21 Shoal Rd, Jackson, NJ 08527-4025 | 2019-02-14 |
| 1447722558 | Casey James Elliott | Physician Assistant | 747 Oakwood St, Jackson, MS 39202-1121 | 2018-12-31 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1982194551 | Samantha Lynn Denoville | Physician Assistant | 1 Kensington Ct, Jackson, NJ 08527-1292 | 2018-05-18 |
| 1104320308 | Dalton Glenn Weaver | Physician Assistant | 708 N Highland Ave, Jackson, TN 38301-4829 | 2018-03-21 |
| 1336669258 | Whitney J Peterson | Physician Assistant | 501 Marshall St Ste 301, Jackson, MS 39202-1687 | 2017-06-21 |
| 1922541093 | Jacob Carpenter | Physician Assistant | 2497 N West St, Jackson, MS 39216-4409 | 2016-11-22 |
| Find all providers in JACKSON | ||||
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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.