GEORGE ELDER STUART JR. (NPI# 1962970616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962970616 |
| Entity Type | Individual |
| Full Name | GEORGE ELDER STUART JR. |
| Credential | PT, DPT |
| Practice Address |
105 Lexington Dr Ste H Madison MS 39110-6646 |
| Practice Telephone | 6019107300 |
| Practice Fax Number | 6019107071 |
| Mailing Telephone | 6019107300 |
| Mailing Fax Number | 6019107071 |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5769 | MS | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 276 Nissan Pkwy Ste 400, Canton, MS 390467006 | 6018593776 | 6018593778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710100813 | George J Stuart Jr. | Dentist | 1335 Elizabeth Ave, Cpcc Department of Dental Hygiene, Charlotte, NC 28204 | 2007-04-10 |
| Street Address |
105 LEXINGTON DR STE H |
| City | MADISON |
| State | MS |
| Zip Code | 39110-6646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740638808 | Elizabeth Kinney | Speech-Language Pathologist | 105 Lexington Dr Ste H, Madison, MS 39110-6646 | 2016-05-31 |
| 1558922005 | Bethany Brownlee Truhett | Physical Therapist | 105 Lexington Dr Ste H, Madison, MS 39110-6646 | 2019-06-25 |
| 1740846849 | Kersee Burkett | Physical Therapist | 105 Lexington Dr Ste H, Madison, MS 39110-6646 | 2019-05-14 |
| 1790266690 | Leigh Farron Buckner | Occupational Therapist | 105 Lexington Dr Ste H, Madison, MS 39110-6646 | 2018-08-28 |
| 1467951228 | Latoya Miller | Speech-Language Pathologist | 105 Lexington Dr Ste H, Madison, MS 39110-6646 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078780 | Streamline Physical Therapy | Clinic/Center | 5806 Crabapple Ln, Madison, WI 53711-3437 | 2020-09-22 |
| 1427605146 | Peak Endurance | Clinic/Center | 15 N Butler St, Madison, WI 53703-4237 | 2019-08-19 |
| 1508327289 | Body Moksha Physical Therapy | Clinic/Center | 42 Main St Apt 2, Madison, NJ 07940-1887 | 2019-03-26 |
| 1043787294 | Madison Orthopedic Rehab | Clinic/Center | 219 Clifty Dr, Madison, IN 47250-1603 | 2018-10-25 |
| 1831681410 | Legacy Physical Therapy, Inc | Clinic/Center | 3825 Sullivan Street, Suite 2, Madison, AL 35747-3147 | 2018-05-31 |
| 1033630199 | Deliver Therapy and Rehabilitation, LLC | Clinic/Center | 6666 Odana Rd # 261, Madison, WI 53719-1012 | 2017-06-29 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1558752949 | My 180 Health, LLC | Clinic/Center | 1618 Slaughter Road, Madison, Madison, AL 35758 | 2015-02-07 |
| 1871767913 | Taylor Creek Physical Therapy LLC | Clinic/Center | 119 Saddle Ln, Madison, NE 68748-6346 | 2008-04-19 |
| 1316121601 | Arc Therapy Services LLC | Clinic/Center | 413 S Yellowstone Dr, Madison, WI 53719-1042 | 2007-12-21 |
| Find all providers in MADISON | ||||
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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.