TAMMI FULGHAM LAWRENCE (NPI# 1851889976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851889976 |
Entity Type | Individual |
Full Name | TAMMI FULGHAM LAWRENCE |
Credential | P.A. |
Practice Address |
100 Baptist Memorial Cir Ste 202 Oxford MS 38655-4476 |
Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
Practice Telephone | 6626362451 |
Practice Fax Number | 6626362290 |
Mailing Fax Number | 9012278591 |
Enumeration Date | 2018-04-24 |
Last Update Date | 2020-09-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00435 | MS | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
3541 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 BAPTIST MEMORIAL CIR STE 202 |
City | OXFORD |
State | MS |
Zip Code | 38655-4476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609856269 | Robert Quinn Ingraham | Neurological Surgery | 100 Baptist Memorial Cir Ste 202, Oxford, MS 38655-4476 | 2006-01-19 |
1811404775 | Kimberly Jo Redden | Nurse Practitioner | 100 Baptist Memorial Cir Ste 202, Oxford, MS 38655-4476 | 2018-01-01 |
1184080640 | Joshua Minga | Nurse Practitioner | 100 Baptist Memorial Cir Ste 202, Oxford, MS 38655-4476 | 2016-01-13 |
1568881530 | Devin Wells | Physical Medicine & Rehabilitation | 100 Baptist Memorial Cir Ste 202, Oxford, MS 38655 | 2014-04-07 |
1982968525 | Joshua D Hughes | Neurological Surgery | 100 Baptist Memorial Cir Ste 202, Oxford, MS 38655-4476 | 2012-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
Find all providers in zip 38655 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679031488 | Katie J Winfrey | Physician Assistant | 1419 Hamric Dr E Ste 101, Oxford, AL 36203-2174 | 2019-03-11 |
1669543203 | Teresa Boutwell | Physician Assistant | 70 Ashford Dr, Oxford, GA 30054-4648 | 2006-11-13 |
1730313990 | Michele Lynn Schwegman | Physician Assistant | 10 N Locust St, Suite D, Oxford, OH 45056-1192 | 2009-05-03 |
1952340275 | Curtis E Jones | Physician Assistant | 811 Howell St, Oxford, NE 68967 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
1962804211 | Miranda Street Sudduth | Physician Assistant | 1607 Doctors Drive, Madison, MS 39110 | 2014-09-18 |
1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
1710316880 | Vani Naraharisetty | Physician Assistant | 101 Asbury Circle, Hattiesburg, MS 39402-1150 | 2013-11-08 |
1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
1083878243 | Garrett Miller | Physician Assistant | 81 Mdg (aetc), 301 Fisher St, Keelser Afb, MS 39534 | 2008-07-16 |
1891979597 | Franklin Mcgrew | Physician Assistant | 22689 Highway 63 North, Leakesville, MS 39451 | 2007-12-18 |
1851421192 | Angela Marie Dauro | Physician Assistant | 147 Reynoir St Ste 200, Biloxi, MS 39530-4121 | 2007-03-06 |
1952441941 | Donald E Stanford | Physician Assistant | 142 County Road 1548, Saltillo, MS 38866-9006 | 2007-02-07 |
1144301458 | Ashley J Larsen | Physician Assistant | 2a Doctors Dr, Ocean Springs, MS 39564-5721 | 2006-10-17 |
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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.