DR. JEREMY WAYNE OWENS (NPI# 1639246739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639246739 |
| Entity Type | Individual |
| Full Name | DR. JEREMY WAYNE OWENS |
| Credential | M.D. |
| Practice Address |
4502 Vega St Pascagoula MS 39581-5305 |
| Mailing Address |
2230 Cowan Hwy Winchester TN 37398-2627 |
| Practice Telephone | 2286969224 |
| Practice Fax Number | 2286969228 |
| Mailing Telephone | 9319623500 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
42755 | TN | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20354 | MS | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
40512 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922171792 | Jeremy Micheal Owens | Technician, Other | 508 Roundtree Dr, Elizabeth City, NC 27909-7711 | 2006-11-17 |
| 1639798895 | Jeremy Owens | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-04-08 |
| 1740743053 | Jeremy Owens | Student in an Organized Health Care Education/Training Program | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2019-04-12 |
| 1043770076 | Jeremy Owens | Nurse Practitioner | 1200 Everett Dr Fl 7, Oklahoma City, OK 73104-5047 | 2019-03-25 |
| 1700390119 | Jeremy Michael Owens | Counselor | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2017-11-21 |
| 1316021496 | Jeremy Layne Owens | Physical Therapist | 3414 Golden Road, Tyler, TX 75701-8336 | 2006-10-25 |
| Street Address |
4502 VEGA ST |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487012043 | Lacondra Malcom | Nurse Practitioner | 4502 Vega St, Pascagoula, MS 39581-5305 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477869055 | Else Tracy, M.d., Inc. | Psychiatry & Neurology | 5009 Telephone Rd, Pascagoula, MS 39567-1832 | 2010-08-20 |
| 1093759722 | William Warren Smith | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2006-06-15 |
| 1427219799 | Roger Dale Ridgeway Jr. | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2008-06-19 |
| 1578746384 | William Shelton Pearson | Psychiatry & Neurology | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2007-12-14 |
| 1720277445 | Gulf Coast Psychiatric Care | Psychiatry & Neurology | 421 Delmas Ave, Pascagoula, MS 39567-4136 | 2007-10-18 |
| 1245338441 | Jennifer Anitra Thomas-taylor | Psychiatry & Neurology | 4105 Hospital St, Suite 104, Pascagoula, MS 39581-5312 | 2006-09-20 |
| 1821027368 | John Harold Montgomery | Psychiatry & Neurology | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1235755257 | Integrated Behavioral Health, Pllc | Psychiatry & Neurology | 759 Howard Ave, Biloxi, MS 39530-4305 | 2020-06-25 |
| 1811558802 | K & V Enterprise, Inc | Psychiatry & Neurology | 190 Battery Heights Dr, Columbus, MS 39705-0338 | 2019-06-21 |
| 1245726256 | Amanda Lynn Yount | Psychiatry & Neurology | 5915 Getwell Rd Bldg B, Southaven, MS 38672-6452 | 2018-07-03 |
| 1548754211 | Crystal Willson | Psychiatry & Neurology | 436 N Jackson St, Brookhaven, MS 39601-2938 | 2018-06-18 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1497123343 | Erin Harrell | Psychiatry & Neurology | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2015-09-09 |
| 1871932194 | Saurabh Bipin Bhardwaj | Psychiatry & Neurology | 2500 N State St # H814, Jackson, MS 39216-4500 | 2013-06-19 |
| 1174883821 | Catherine Koontz Rogers | Psychiatry & Neurology | 1716 Government St Ste E, Ocean Springs, MS 39564 | 2012-05-29 |
| 1053625012 | Frankie Edward Stanley | Psychiatry & Neurology | 2497 Wendover Dr, Belden, MS 38826-8629 | 2010-08-02 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.