FLOWOOD FAMILY MEDICINE, PLLC (NPI# 1891972022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891972022 |
Entity Type | Organization |
Organization Name | FLOWOOD FAMILY MEDICINE, PLLC |
Other Organization Name | MEDICAL WELLNESS AND NUTRITION CENTER OF MS |
Practice Address |
1 Layfair Dr Suite 100 Flowood MS 39232-9717 |
Practice Telephone | 6019394008 |
Practice Fax Number | 6019394010 |
Mailing Telephone | 6019394008 |
Mailing Fax Number | 6019394010 |
Enumeration Date | 2008-01-30 |
Last Update Date | 2009-08-20 |
Authorized Official Name | DR. KEVIN M YOUNG (OWNER) |
Authorized Official Telephone | 6019394008 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 19643 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 03136371 | 05 | |
MEDICARE RR | DO4168 | 01 |
Other Name | Type Code |
---|---|
Medical Wellness and Nutrition Center of MS | Doing Business As Name - Organization |
Street Address |
1 LAYFAIR DR SUITE 100 |
City | FLOWOOD |
State | MS |
Zip Code | 39232-9717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528094851 | Orhan Ilercil | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-06-26 |
1356671556 | Mississippi Brain and Spine, Pllc | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2010-01-11 |
1083841803 | Kathryn E Johnson | Dietitian, Registered | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2009-06-18 |
1407098536 | Methodist Pain Management, LLC | Anesthesiology | 1 Layfair Dr, Suite 400, Flowood, MS 39232-9717 | 2009-04-06 |
1245433879 | Kevin Michael Young | Family Medicine | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2007-06-10 |
1245389386 | Methodist Specialty Care Center | Nursing Facility/Intermediate Care Facility | 1 Layfair Dr, Suite 500, Flowood, MS 39232-9717 | 2007-01-09 |
1326116112 | Mississippi Neurosurgery and Spine Center,pllc | Neurological Surgery | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-12-01 |
1265528467 | Open Mri of Jackson, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
1255427464 | Central Ms Diagnostics, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
1790876811 | Leon M Grigoryev | Physical Medicine & Rehabilitation | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2006-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
Find all providers in zip 39232 |
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 |
---|---|---|---|---|
1770929713 | Reservoir Family Medical Clinic, Pa | Family Medicine | 1679 Old Fannin Rd Ste E, Flowood, MS 39232-8101 | 2013-05-17 |
1497990576 | Jjl Care Center of Mississippi, Inc. | Family Medicine | 4209 Lakeland Dr Ste 374, Flowood, MS 39232-9212 | 2008-12-03 |
1669663498 | Flowood River Oaks Hma Medical Group, LLC | Family Medicine | 1679 Old Fannin Rd, Suite E, Flowood, MS 39232-8101 | 2007-08-07 |
1669695714 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 151 E Metro Dr #103, Flowood, MS 39232 | 2007-04-10 |
1386721546 | Fillingane Medical Clinic, Pa | Family Medicine | 1021 N Flowood Drive, Flowood, MS 39232-9533 | 2006-11-01 |
1972694818 | Irma H. Welch | Family Medicine | 2466 Flowood Dr, Flowood, MS 39232-9019 | 2006-09-27 |
1790795276 | John B Madden | Family Medicine | 4290 Lakeland Dr Ste A, Flowood, MS 39232-9571 | 2006-08-08 |
1417976739 | Jennifer Joiner Bryan | Family Medicine | 205a Belle Meade Pt, Flowood, MS 39232-3311 | 2006-07-18 |
1841289279 | Adelaide Frances Henderson | Family Medicine | 2001 Airport Rd N, Suite 204, Flowood, MS 39232-8827 | 2005-10-18 |
1629698246 | James Courtney Wilson | Family Medicine | 2466 Flowood Dr, Flowood, MS 39232-9019 | 2020-04-23 |
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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.