DR. JANICE BACON (NPI# 1750438446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750438446 |
| Entity Type | Individual |
| Full Name | DR. JANICE BACON |
| Credential | MD |
| Practice Address |
1668 W Peace St Canton MS 39046-5332 |
| Mailing Address |
Po Box 588 Canton MS 39046-0588 |
| Practice Telephone | 6018595213 |
| Practice Fax Number | 6018598771 |
| Mailing Telephone | 6018595213 |
| Mailing Fax Number | 6018598771 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 10239 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00015416 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935413 | Janice Bacon | Occupational Therapist | 7819 Conser Pl, Overland Park, KS 66204-2820 | 2016-11-30 |
| 1194789735 | Janice Lynne Bacon | Obstetrics & Gynecology | 222 E Medical Ln Ste 300, West Columbia, SC 29169-4848 | 2006-04-12 |
| Street Address |
1668 W PEACE ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046-5332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564656 | Wesley F Prater | Obstetrics & Gynecology | 1668 W Peace St, Canton, MS 39046-5332 | 2006-03-31 |
| 1295344224 | Keneisha Dean | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2020-07-27 |
| 1205456910 | Falasha Reed | Licensed Practical Nurse | 1668 W Peace St, Canton, MS 39046-5332 | 2020-04-22 |
| 1669010732 | G A Carmichael Family Health Center | Pharmacy | 1668 W Peace St, Canton, MS 39046-5332 | 2019-12-19 |
| 1013569847 | G A Carmichael Family Health Center, Inc. | Clinic/Center | 1668 W Peace St, Canton, MS 39046-5332 | 2019-07-11 |
| 1972167278 | Jessica Carson | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2019-04-23 |
| 1992269088 | Tressa Ann Matthews | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2019-01-23 |
| 1134606700 | Chris Fields | Clinical Exercise Physiologist | 1668 W Peace St, Canton, MS 39046-5332 | 2018-07-25 |
| 1639693823 | Logan Barlow | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-07-28 |
| 1659891257 | Yvette Rochelle Mclaurin | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801264098 | Dhanalakshmi Senniappan | Pediatrics | Henry Ford Canton Medical Center, 6100 N Haggerty Rd, Canton, MI 48187-2169 | 2015-09-04 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1194037150 | Pediatric Center of Canton, LLC | Pediatrics | 1445 Harrison Ave. Nw, Suite 300 & 306, Canton, OH 44708 | 2010-07-07 |
| 1194046318 | Megan Ann Olson | Pediatrics | 1051 North Canton Rd, Canton, MI 48187-5097 | 2010-06-22 |
| 1992026140 | Jordan H Weitzner | Pediatrics | 2020 Cumming Hwy Ste 102, Canton, GA 30115-8071 | 2010-06-22 |
| 1639407679 | Augusto Rafael Martinez | Pediatrics | 1208 Davenport Ave, Canton, MA 02021-1012 | 2009-12-03 |
| 1295989002 | E. A. Malacaman M. D. LLC | Pediatrics | 3120 Parkway St Nw Ste C, Canton, OH 44708 | 2008-11-06 |
| 1922261106 | Jonathan A. Cheek, M.d. | Pediatrics | 134 Riverstone Ter, Suite 103, Canton, GA 30114-1706 | 2008-07-08 |
| 1598923294 | Hayley Griffin Teich | Pediatrics | 49650 Cherry Hill Rd Suite 210, Canton, MI 48187-1920 | 2008-05-29 |
| 1699832519 | G A Carmichael Family Health Center Inc | Pediatrics | 644 Finney Road, Canton, MS 39046 | 2007-01-02 |
| Find all providers in CANTON | ||||
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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.