Bridgett Green (NPI# 1548633761, PAC ID# 1355642802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548633761 |
| PAC ID by PECOS | 1355642802 |
| Professional Enrollment ID | I20151229000861 |
| Full Name | Bridgett Green |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF NORTH MS |
| Address |
1204 Office Park Dr Suite B Oxford MS 38655-3597 |
| Phone Number | 6622349888 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3274572672 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250034 | BAPTIST MEMORIAL HOSPITAL NORTH MS |
| 250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
| Address | Phone | Organization |
|---|---|---|
| 1204 Office Park Dr, Suite B, Oxford, MS 38655-3597 | 6622349888 | GASTROENTEROLOGY ASSOCIATES OF NORTH MS |
| 1208 Office Park Dr, Oxford, MS 38655-3597 | 6622349888 | GASTROENTEROLOGY ASSOCIATES OF NORTH MS |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF NORTH MS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penneye M Holder | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| David Irwin Bridgers Iii | Gastroenterology | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Stephen T Threadgill | Gastroenterology | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Lori L Blaylock | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Connie B Zinn | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Lea E Welborn | Certified Registered Nurse Anesthetist (crna) | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Henry Johnson Jr. | Gastroenterology | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Ernest Q Williams | Gastroenterology | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| John H Webb | Gastroenterology | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Carah L Walker | Nurse Practitioner | Gastroenterology Associates of North Ms | 1208 Office Park Dr, Oxford, MS 38655-3597 |
| Street Address |
1204 OFFICE PARK DR SUITE B |
| City | OXFORD |
| State | MS |
| Zip | 38655-3597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joli Wooldridge Nichols | Occupational Therapy | North Mississippi Hand Therapy | 1204 Office Park Dr, Suite C, Oxford, MS 38655-3597 |
| Leslie M Obryan | Occupational Therapy | North Mississippi Hand Therapy | 1204 Office Park Dr, Suite C, Oxford, MS 38655-3597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Hill Walker | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 204 Enterprise Dr Unit, 15 Drayer Physical Therapy Mississippi, Oxford, MS 38655-2761 |
| Dallis Glenn Forsythe | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 204 Enterprise Dr Unit, 15 Drayer Physical Therapy Mississippi, Oxford, MS 38655-2761 |
| Catherine Claire Hays | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 204 Enterprise Dr Unit, 15 Drayer Physical Therapy Mississippi, Oxford, MS 38655-2761 |
| Kenneth Charles Hill | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 |
| Matthew Peter Brennan | General Practice | Skilled Facility Health Care Solutions Inc | 302 Enterprise Dr, Suite A, Oxford, MS 38655-2762 |
| Courtney M Purvis | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 |
| Christophe J Lahr | General Surgery | Skilled Facility Health Care Solutions Inc | 302 Enterprise Dr, Suite A, Oxford, MS 38655-2762 |
| Katherine Swindoll Cochran | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 |
| Christine S Waldrop | Vascular Surgery | Oxford Vein Center Pllc | 300 Enterprise Dr, Oxford, MS 38655-2762 |
| Michael G Turner | Optometry | 1110 N Lamar Blvd, Oxford Family Vision Clinic, Oxford, MS 38655-2844 | |
| Find all physicians in zip 38655 | |||
| City | OXFORD |
| Zip Code | 38655 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OXFORD + 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.