GREENVILLE FAMILY MEDICAL CENTER, INC. (NPI# 1932197779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932197779 |
| Entity Type | Organization |
| Organization Name | GREENVILLE FAMILY MEDICAL CENTER, INC. |
| Practice Address |
1467 Highway 1 S Greenville MS 38701-7141 |
| Practice Telephone | 6623351621 |
| Practice Fax Number | 6623358128 |
| Mailing Telephone | 6623351621 |
| Mailing Fax Number | 6623358128 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOE S PULLIAM (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 6623351621 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MS | Managed Care Organizations |
| Street Address |
1467 HIGHWAY 1 S |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001568 | Wendy Turner Travis | Nurse Practitioner | 1467 Highway 1 S, Greenville, MS 38701-7141 | 2014-07-15 |
| 1538313556 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1467 Highway 1 S, Greenville, MS 38701-7141 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982096509 | Loving Hands of Sc | Preferred Provider Organization | 918 Poinsett Hwy Ste D, Greenville, SC 29609-4400 | 2015-02-19 |
| 1790954592 | Heavenly Palace Adult Center, Inc. | Preferred Provider Organization | 1654 Highway 1 N, Greenville, MS 38701-0000 | 2008-02-26 |
| 1750667606 | Leslie Christine Carr | Preferred Provider Organization | 850 E Butler Rd, Greenville, SC 29607-5842 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609581 | Reconnect Wellnes Pascagoula LLC | Preferred Provider Organization | 4211 Hospital St Ste 114, Pascagoula, MS 39581-5320 | 2018-05-10 |
| 1912436981 | Reconnect Wellness Winona LLC | Preferred Provider Organization | 100 N Front St Ste A, Winona, MS 38967-2220 | 2017-06-05 |
| 1396286456 | Reconnect Wellness Bruce LLC | Preferred Provider Organization | 131 Public Square, Bruce, MS 38915 | 2017-03-09 |
| 1932648367 | Reconnect Wellness Laurel, LLC | Preferred Provider Organization | 910 Sawmill Rd Ste D29, Laurel, MS 39440-3961 | 2017-02-17 |
| 1598219511 | Love and Patience | Preferred Provider Organization | 14199 Ballentine Rd, Sardis, MS 38666-5416 | 2016-08-08 |
| 1790158293 | Jbchiro1 LLC | Preferred Provider Organization | 11516 Lamey Bridge Rd, Suite E, Diberville, MS 39540-2725 | 2015-11-05 |
| 1750725297 | New Covenant Daycare | Preferred Provider Organization | 960 Highway 4 E, Holly Springs, MS 38635-2145 | 2013-04-27 |
| 1033454459 | Precious Hands Personal Care LLC | Preferred Provider Organization | 169 Rankin Rd, Columbia, MS 39429-3715 | 2012-12-11 |
| 1558613505 | Doddsville Adult Day Care | Preferred Provider Organization | 133 Miller, Doddsville, MS 38736-8736 | 2012-10-15 |
| 1184941676 | Oncall Medical Clinic, Pllc | Preferred Provider Organization | 3091 Bienville Blvd, Ocean Springs, MS 39564-4308 | 2010-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 38701 |
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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.