Leah Smith (NPI# 1841630076, PAC ID# 1557590726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1841630076 |
| PAC ID by PECOS | 1557590726 |
| Professional Enrollment ID | I20140210001736 |
| Full Name | Leah Smith |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Address |
145 Raymond Rd Jackson MS 39204-3802 |
| Phone Number | 6013721800 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4183533235 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250072 | MERIT HEALTH CENTRAL |
| Address | Phone | Organization |
|---|---|---|
| 145 Raymond Rd, Jackson, MS 39204-3802 | 6013721800 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| 3502 W Northside Dr, Jackson, MS 39213-4454 | 6013625321 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Ericia Latrice Cannon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| Lashondra J Farmer-whitlock | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3472 |
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Willie J Lewis Sr. | Podiatry | Central Mississippi Civic Improvement Association, Inc | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Kevin Galloway | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Street Address |
145 RAYMOND RD |
| City | JACKSON |
| State | MS |
| Zip | 39204-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ericia Latrice Cannon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edith F Smith Rayford | Obstetrics/gynecology | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Robert Smith | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Tamara C Winfield | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Edgar Miller | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Eurekia D Samuel | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Obie M Mcnair | Internal Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Myra A Wheaton | Family Medicine | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Denetta D Ross | Nurse Practitioner | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Ruth A Walker | Clinical Social Worker | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Marcia J Hays | Registered Dietitian Or Nutrition Professional | Central Mississippi Health Services, Inc. | 5429 Robinson Rd Ext, Jackson, MS 39204 |
| Find all physicians in zip 39204 | |||
| City | JACKSON |
| Zip Code | 39204 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | JACKSON + OBSTETRICS/GYNECOLOGY |
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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.