Amanda B. Greene (NPI# 1083040562, PAC ID# 0547277980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083040562 |
| PAC ID by PECOS | 0547277980 |
| Professional Enrollment ID | I20140617002012 |
| Full Name | Amanda B. Greene |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Address |
350 W Woodrow Wilson Dr Cancer Institute Jackson MS 39213 |
| Phone Number | 6018152005 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850293036 |
| Number of Group Practice Members | 811 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| Address | Phone | Organization |
|---|---|---|
| 1010 Lakeland Pl, Flowood, MS 39232-6678 | 6018152005 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213 | 6018152005 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Physicians | 939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Turner | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 |
| Nawal Shaikh | Neurology | State of Mississippi-university of Mississippi Medical Center | 2500 N State St, Jackson, MS 39216-4500 |
| Stacey Kitchens | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 331 Sunnybrook Rd, Ridgeland, MS 39157-1802 |
| Michal Senitko | Pulmonary Disease | State of Mississippi-university of Mississippi Medical Center | 1900 Grandview Dr, Grenada, MS 38901-5066 |
| Wayne S Orr | General Surgery | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| John C Simmons | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 5 Medical Blvd C, Hattiesburg, MS 39401-7231 |
| Christophor Reed | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Antonio A Gamble | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 960 Avent Dr, Grenada, MS 38901-5230 |
| Cynthia O Field | Pediatric Medicine | State of Mississippi-university of Mississippi Medical Center | 4400 Old Canton Rd, Suite 3, Jackson, MS 39211-5982 |
| Leticia Otchere-darko | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
| Street Address |
350 W WOODROW WILSON DR CANCER INSTITUTE |
| City | JACKSON |
| State | MS |
| Zip | 39213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Iesha Renee Williams | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Nobel D Attipoe | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Keila L Brown | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Tritresher Sizer | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Willye A Bell | Certified Nurse Midwife (cnm) | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Jan M Hausmann | Internal Medicine | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Sonia L Walker | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Barbara L Tapps | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Mary L Hilliard | Nurse Practitioner | 4612 Medgar Evers Blvd, Suite 10, Jackson, MS 39213-5205 | |
| Find all physicians in zip 39213 | |||
| City | JACKSON |
| Zip Code | 39213 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + 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.