CROSSGATES HMA MEDICAL GROUP, LLC (NPI# 1770682882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770682882 |
| Entity Type | Organization |
| Organization Name | CROSSGATES HMA MEDICAL GROUP, LLC |
| Other Organization Name | CARE PLUS FAMILY MEDICAL CLINIC |
| Practice Address |
6455 Highway 18 Puckett MS 39151 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 6018249490 |
| Practice Fax Number | 6018249533 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Care Plus Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386942357 | Crossgates Hma Medical Group, LLC | Pediatrics | 1020 Spillway Cir, Suite 6, Brandon, MS 39047-6035 | 2011-03-01 |
| 1942490826 | Crossgates Hma Medical Group, LLC | Surgery | 346 Crossgates Boulevard, Suite 101, Brandon, MS 39042-2608 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1467715854 | Crossgates Hma Medical Group, LLC | Anesthesiology | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2012-06-20 |
| 1184991440 | Crossgates Hma Medical Group, LLC | Surgery | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2011-11-30 |
| 1366726408 | Crossgates Hma Medical Group, LLC | Hospitalist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2011-10-07 |
| 1730461658 | Crossgates Hma Medical Group, LLC | Pediatrics | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-09-16 |
| 1972885093 | Crossgates Hma Medical Group, LLC | Family Medicine | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-09-14 |
| 1720396864 | Crossgates Hma Medical Group, LLC | Pediatrics | 348 Crossgates Blvd, Suite 1500, Brandon, MS 39042-2700 | 2010-09-23 |
| 1164612750 | Crossgates Hma Medical Group, LLC | Orthopaedic Surgery | 346 Crossgates Boulevard, Suite 102, Brandon, MS 39042-2608 | 2007-07-30 |
| Street Address |
6455 HIGHWAY 18 |
| City | PUCKETT |
| State | MS |
| Zip Code | 39151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649422130 | River Oaks Management Company, Inc | Nurse Practitioner | 6455 Hwy 18, Puckett, MS 39151 | 2008-10-16 |
| 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 |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CROSSGATES HMA MEDICAL GROUP, LLC.
| 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.