NORA CECELIA GOUGH-DAVIS (NPI# 1740410661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740410661 |
| Entity Type | Individual |
| Full Name | NORA CECELIA GOUGH-DAVIS |
| Credential | FNP |
| Practice Address |
112 W Peeler Ave Shaw MS 38773-8710 |
| Mailing Address |
112 W Peeler Ave P.o. Box 299 Shaw MS 38773-8710 |
| Practice Telephone | 6627543301 |
| Practice Fax Number | 6627543304 |
| Mailing Telephone | 6627543301 |
| Mailing Fax Number | 6627543304 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R872155 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09801514 | 05 |
| Street Address |
112 W PEELER AVE |
| City | SHAW |
| State | MS |
| Zip Code | 38773-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774310 | Tiffany Sherell Newell | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2020-09-09 |
| 1700417961 | Vanessa Haywood | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2020-01-27 |
| 1609416544 | Regina Jonelle Evans | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2020-01-08 |
| 1518428283 | Willie Mary Bolden | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2019-03-26 |
| 1912480328 | Clifton Dewayne Reed | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2018-09-11 |
| 1023507456 | Teresa Wilson | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2018-05-01 |
| 1144748898 | Cassandra Latasha Shepard | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2017-09-01 |
| 1750642633 | Shaw Family Medical, LLC | Clinic/Center | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884266 | Making Moves In The Delta | Family Medicine | 112 East Peeler Ave, Shaw, MS 38773 | 2018-06-11 |
| 1942616446 | Victoria Curry | Clinic/Center | 221 Bayou Street, Shaw, MS 38773 | 2014-07-03 |
| 1053751529 | Preservers of Life Hospice | Hospice Care, Community Based | 210 A Hwy 61 South, Shaw, MS 38773 | 2013-06-28 |
| 1629124516 | Ronnie Lane Poe | Pharmacist | 118 E Peeler Ave, Shaw, MS 38773 | 2007-01-25 |
| 1659471894 | Shaw Community Care Clinic | Clinic/Center | 112 Peeler Ave, Shaw, MS 38773 | 2006-09-25 |
| 1194854208 | Shaw Community Care Clinic | Family Medicine | 112 Peeler Ave, Shaw, MS 38773 | 2007-03-05 |
| 1255768362 | Joseph Glenn Peeler Jr. | Family Medicine | 311 Dean Blvd., Shaw, MS 38773-0470 | 2013-10-03 |
| 1669018008 | Maximum Care After Hours Clinic, LLC | Clinic/Center | 212 Highway 61, Shaw, MS 38773-3877 | 2019-11-20 |
| 1982218566 | Naala Latrice Davis | Nurse Practitioner | 415 Highway 61, Shaw, MS 38773-9425 | 2020-09-01 |
| 1174744932 | Bradley Alan Cooper | Occupational Therapist | 12 Carmelita Cv, Shaw, MS 38773-9619 | 2007-05-01 |
| Find all providers in zip 38773 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218566 | Naala Latrice Davis | Nurse Practitioner | 415 Highway 61, Shaw, MS 38773-9425 | 2020-09-01 |
| 1538774310 | Tiffany Sherell Newell | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2020-09-09 |
| 1700417961 | Vanessa Haywood | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2020-01-27 |
| 1609416544 | Regina Jonelle Evans | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2020-01-08 |
| 1518428283 | Willie Mary Bolden | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2019-03-26 |
| 1912480328 | Clifton Dewayne Reed | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2018-09-11 |
| 1144748898 | Cassandra Latasha Shepard | Nurse Practitioner | 112 W Peeler Ave, Shaw, MS 38773-8710 | 2017-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.