MIDSOUTH TRANSITIONS MEDICAL GROUP (NPI# 1790262681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790262681 |
| Entity Type | Organization |
| Organization Name | MIDSOUTH TRANSITIONS MEDICAL GROUP |
| Other Organization Name | MIDSOUTH TRANSITIONS MEDICAL GROUP |
| Practice Address |
3002 Moores Ln Texarkana TX 75503-2204 |
| Mailing Address |
9001 Danube Ave Texarkana TX 75503-9305 |
| Practice Telephone | 4302004350 |
| Practice Fax Number | 8334912722 |
| Mailing Telephone | 9037333729 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | COY WILLIAMSON (PRESIDENT) |
| Authorized Official Telephone | 9037333729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251F00000X | Home Infusion | Agencies | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP115441 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MIDSOUTH TRANSITIONS MEDICAL GROUP | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 138 Carnation Ln, Caddo, OK 747293608 | 4302004350 | 8334912722 |
| 1747 Highway 24, Horatio, AR 718428860 | 4302004350 | 8334912722 |
| Street Address |
3002 MOORES LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215475546 | Whitney Lindsey | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2017-02-07 |
| 1952901340 | Kimberly Sims | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2020-10-27 |
| 1902406309 | Amber Furlow | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2020-10-27 |
| 1912507419 | Shannon Smith | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2020-10-26 |
| 1861020216 | Joshua S Attaway | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2020-03-31 |
| 1225664097 | Shawn Hillhouse | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2020-03-12 |
| 1871128157 | Ayako Sugiyama | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2020-03-07 |
| 1376186882 | Jamie Brantley | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2019-10-28 |
| 1801437538 | Shelby T Nowlin | Dietitian, Registered | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2019-10-03 |
| 1942856562 | Lay'c Kathleen Young | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1679135420 | Pai Participant 9 Pa | Internal Medicine | 1550 Waters Ridge Dr, Lewisville, TX 75057-6011 | 2019-07-02 |
| 1972067718 | Primary & Palliative Home Care, Pllc | Internal Medicine | 8901 Emmett Lowry Expwy Suite A, Texas City, TX 77591 | 2019-01-25 |
| 1063986701 | Siddique Medical Associates Pllc | Internal Medicine | 2609 Webster Dr, Plano, TX 75075-6666 | 2019-01-16 |
| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
| 1669994570 | Mina Health Services, LLC | Internal Medicine | 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 | 2017-07-12 |
| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
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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.