DR. JENNIE THOMAS STANFORD (NPI# 1588028153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588028153 |
| Entity Type | Individual |
| Full Name | DR. JENNIE THOMAS STANFORD |
| Credential | M.D. |
| Practice Address |
1440 Jefferson St Laurel MS 39440 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014280577 |
| Mailing Telephone | 6013996367 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 26586 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 19th St S, Birmingham, AL 352331900 | 2565514631 |
| Street Address |
1440 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801835087 | South Central Clinics, Inc | Internal Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-06-05 |
| 1619346863 | South Central Clinics, Inc. | Physiological Laboratory | 1440 Jefferson St, Suite B, Laurel, MS 39440-4243 | 2015-09-17 |
| 1740675487 | Alan Bryson | Physician Assistant | 1440 Jefferson St, Laurel, MS 39440-4243 | 2015-03-31 |
| 1508125576 | Kelly Nicole Tullos | Family Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2012-05-11 |
| 1215222179 | Debbie S Flowers | Nurse Practitioner | 1440 Jefferson St, Laurel, MS 39440-4243 | 2011-06-17 |
| 1770597882 | Thomas E Dobbs | Internal Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-07-27 |
| 1235178997 | John Hassell | Family Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-06-06 |
| 1396784187 | Jack C Evans | Family Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-06-06 |
| 1699714311 | Terry Pitts | Family Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| 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 |
|---|---|---|---|---|
| 1407499452 | Julius Atemafac | Family Medicine | 13944 Baltimore Ave Ste 102, Laurel, MD 20707-5000 | 2019-10-22 |
| 1679050462 | Nicole K Dennis | Family Medicine | 9260 Canterbury Riding, Laurel, MD 20723-1425 | 2018-07-24 |
| 1073051892 | Carol Richardson | Family Medicine | 103 S 12th Ave, Laurel, MS 39440-4322 | 2017-02-01 |
| 1558713511 | Calhoun Medical Clinic, LLC | Family Medicine | 5135 Hwy 84w, Laurel, MS 39443 | 2016-07-01 |
| 1700215399 | Komal A Malik, Md, PC | Family Medicine | 8315 Cherry Ln, Laurel, MD 20707-4830 | 2013-11-05 |
| 1982998209 | Sarah Zaheer | Family Medicine | Centennial Medical Group, 10981 Johns Hopkins Road, Laurel, MD 20723 | 2011-06-03 |
| 1073832044 | Kaveh Sadeghi | Family Medicine | 14113 Baltimore Ave Ste A, Laurel, MD 20707 | 2010-05-28 |
| 1730339995 | Komal A. Malik | Family Medicine | 8315 Cherry Lane, Laurel, MD 20707 | 2008-09-24 |
| 1427218577 | Samuel J. Recob | Family Medicine | 218 E 2nd St, Laurel, NE 68745-1989 | 2008-06-12 |
| 1730204256 | Joyce E. Stout, Md, Pa | Family Medicine | 116 E Front St Ste C, Laurel, DE 19956-1722 | 2007-03-21 |
| Find all providers in LAUREL | ||||
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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.