MR. HAROLD ADRIAN THOMAS JR. (NPI# 1821480146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821480146 |
| Entity Type | Individual |
| Full Name | MR. HAROLD ADRIAN THOMAS JR. |
| Credential | CPSS |
| Practice Address |
3407 Shamrock Ct Gautier MS 39553-5337 |
| Practice Telephone | 2284970690 |
| Practice Fax Number | 2284971363 |
| Mailing Telephone | 2284970690 |
| Mailing Fax Number | 2284971363 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018214 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861735037 | Harold David Thomas Jr. | Family Medicine | 104 Brookhaven Dr, Aliquippa, PA 15001-1565 | 2013-04-05 |
| 1306981600 | Harold Kevin Thomas | Technician, Other | Comdt Cg-1122 U S Coastguard 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2007-02-21 |
| 1396721072 | Harold C Thomas | Emergency Medicine | 301 Hospital Drve, Glen Burnie, MD 21061 | 2005-12-15 |
| 1639173339 | Harold Thomas | Emergency Medicine | 734 Carrera Ln, Lake Oswego, OR 97034-1668 | 2005-06-09 |
| 1790231991 | Harold Thomas | Counselor | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2016-08-28 |
| 1033525126 | Harold Edward Thomas II | Counselor | 1801 Vicente St, San Francisco, CA 94116-2923 | 2014-07-09 |
| 1194818641 | Harold F. Thomas | Psychiatry & Neurology | 832 Princeton Ave Sw, Birmingham, AL 35211-1320 | 2006-10-02 |
| 1811953888 | Harold R Thomas Jr. | Internal Medicine | 900 Earl Frye Blvd, Suite A, Amory, MS 38821-5507 | 2006-04-26 |
| 1790757763 | Harold Thomas IIi | Internal Medicine | 201 Dale Earnhardt Blvd, Ste 200, Kannapolis, NC 28081-0308 | 2006-02-03 |
| Street Address |
3407 SHAMROCK CT |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626905 | Julie T Trice | Nurse Practitioner | 3407 Shamrock Ct, Gautier, MS 39553 | 2005-08-11 |
| 1144820689 | Erica Lynn Holden | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-10-26 |
| 1588271100 | Kayla Mitchell | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-09-28 |
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1336751916 | Courtney Dale Trull | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-17 |
| 1073138509 | Thomas Gregory Hicks | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-06-10 |
| 1588287148 | Kaitlyn Hinton | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-18 |
| 1043832140 | Brenda Gail Miller | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-12 |
| 1639716517 | Chiquita Walker | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
| 1629615505 | Alexusia Jones | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
| 1376185009 | Richard Pottle Aycock | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-10-15 |
| 1073080222 | Joannie Michelle Bartlett | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-10-25 |
| 1083180939 | Yolanda Elizabeth Flint | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-10-18 |
| 1144724824 | Brittany Alexis Pinkney | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2018-03-19 |
| 1356721708 | Charles Wright | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387641 | Redimere Recovery Resources LLC | Peer Specialist | 4646 Meadow Lake Dr, Tupelo, MS 38801-7928 | 2020-02-05 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1760082580 | Kimberly Eve Spence | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-30 |
| 1508470121 | Hannah Olivia Booker | Peer Specialist | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2020-09-01 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1316555329 | Madeline Nicklas | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-15 |
| 1962031468 | Frank Pace | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-04-06 |
| 1982230058 | Hannah Jade Mixon | Peer Specialist | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-03-20 |
| 1902430887 | Telena T Harmon | Peer Specialist | 3452 Pascagoula St Ste 3, Pascagoula, MS 39567-3203 | 2020-02-28 |
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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.