Jackie Stuckey (NPI# 1689696627, PAC ID# 0042248387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689696627 |
| PAC ID by PECOS | 0042248387 |
| Professional Enrollment ID | I20050728000852 |
| Full Name | Jackie Stuckey |
| Organization Legal Name | FORREST COUNTY GENERAL HOSPITAL |
| Address |
1560 Sumrall Rd Columbia MS 39429-2654 |
| Phone Number | 6017366303 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052397767 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250085 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1560 Sumrall Rd, Columbia, MS 39429-2654 | 6017366303 | FORREST COUNTY GENERAL HOSPITAL |
| Organization Legal Name | FORREST COUNTY GENERAL HOSPITAL |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Duncan | Nurse Practitioner | Forrest County General Hospital | 200 Country Club Rd, Highland Internal Medicine Clinic, Carriere, MS 39426 |
| German A Almonte Hidalgo | General Surgery | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Ronald P. Tynes Jr. | Nurse Practitioner | Forrest County General Hospital | 6051 Us Hwy 49, Hattiesburg, MS 39401-7243 |
| Pennie L Allen | Nurse Practitioner | Forrest County General Hospital | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 |
| Ashley H Holford | Clinical Social Worker | Forrest County General Hospital | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3261 |
| Michele B Mahaffey | Nurse Practitioner | Forrest County General Hospital | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 |
| Roopsi Bassi | Psychiatry | Forrest County General Hospital | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3261 |
| Bassam K Mechleb | Cardiovascular Disease (cardiology) | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jefferson R Buntin | Nurse Practitioner | Forrest County General Hospital | 146 Highland Pkwy, Picayune, MS 39466-5575 |
| Charles R Griffith | Family Medicine | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Street Address |
1560 SUMRALL RD |
| City | COLUMBIA |
| State | MS |
| Zip | 39429-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Taiwo | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Oladipo Kusemiju | Family Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Ronda M Vanderheiden | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Lemuel D Oliver | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Jeffrey N Johnson | Internal Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Peter J Jensen | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakita D Rawls | Nurse Practitioner | Quality Medical Clinic, Inc. | 315 Lafayette St, Columbia, MS 39429-2059 |
| Vickie L Robbins | Psychologist, Clinical | Meditelecare of Mississippi LLC | 1506 N Main St, Columbia, MS 39429-2070 |
| Leonard Oswald | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 11 Pecan Dr, Columbia, MS 39429-2600 |
| Alicia Brister | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
| Nancy F Easterling | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
| Oscar A Smith | Optometry | 317 Church St, Columbia, MS 39429-2725 | |
| Jerry L Kimble | Chiropractic | 262 S High School Ave, Suite 5, Columbia, MS 39429-3418 | |
| Holly R Fink | Chiropractic | 230 S High School Ave, Columbia, MS 39429-3421 | |
| Shantele H Bolton | Obstetrics/gynecology | Womens Pavilion of South Mississippi Pllc | 551 Eagle Day Ave, Columbia, MS 39429-3605 |
| Myles Devin Rodgers | Physical Therapy | Encore Rehabilitation Inc | 1215 Hwy 98 E, Columbia, MS 39429-3702 |
| Find all physicians in zip 39429 | |||
| City | COLUMBIA |
| Zip Code | 39429 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBIA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.