Julie A Ross (NPI# 1154477651, PAC ID# 1658307251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154477651 |
| PAC ID by PECOS | 1658307251 |
| Professional Enrollment ID | I20050714000909 |
| Full Name | Julie A Ross |
| Organization Legal Name | SERENITY PSYCHIATRIC OUTPATIENT, LLC |
| Address |
1312 C Harrison Ave Mccomb MS 39648-2830 |
| Phone Number | 6016848284 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911181805 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250097 | SOUTHWEST MS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1312 C Harrison Ave, Mccomb, MS 39648-2830 | 6016848284 | SERENITY PSYCHIATRIC OUTPATIENT, LLC |
| Organization Legal Name | SERENITY PSYCHIATRIC OUTPATIENT, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard Oswald | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 11 Pecan Dr, Columbia, MS 39429-2600 |
| Cheri L Nyegaard-holbrook | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1000 Mckeen Pl, Monroe, LA 71201-4406 |
| Thomas A Gonsalves | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 415 Marion Ave, Mccomb, MS 39648-2709 |
| Sylvia S Stogner | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Mary Jan Treadwell | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 415 Marion Ave, Mccomb, MS 39648-2709 |
| Lacey Holmes | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Kristi M Stogner | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 415 Marion Ave, Mccomb, MS 39648-2709 |
| Bridget M Smith | Psychiatry | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Wilma S Pittman | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Street Address |
1312 C HARRISON AVE |
| City | MCCOMB |
| State | MS |
| Zip | 39648-2830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia S Stogner | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Lacey Holmes | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Bridget M Smith | Psychiatry | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Wilma S Pittman | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 1312 C Harrison Ave, Mccomb, MS 39648-2830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Scott Snow | Family Medicine | 1121 Hwy 98/51, Summit, MS 39648 | |
| Damon S Spears | Nurse Practitioner | Maxem Health Urgent Care Mccomb | 101 Edgewood Dr, Mccomb, MS 39648-2043 |
| Tonya Brister | Nurse Practitioner | Maxem Health Urgent Care Mccomb | 101 Edgewood Dr, Mccomb, MS 39648-2043 |
| James Stephen Moore | Optometry | 1722 Veterans Blvd, C2, Mccomb, MS 39648-2052 | |
| Kimberly F Harrell | Optometry | 1608 Veterans Blvd, Mccomb, MS 39648-2064 | |
| Kappi F Rushing | Nurse Practitioner | Mccomb Og-gyn Associated | 205 Marion Ave, Mccomb, MS 39648-2705 |
| Ashraf E Riad | Anesthesiology | Mccomb Anesthesia Associates, LLP | 215 Marion Ave, Mccomb, MS 39648-2705 |
| Carl R Feind | Interventional Cardiology | Southwest Mississippi Regional Medical Center | 215 Marion Ave, Mccomb, MS 39648-2705 |
| Warren J Anderson | Certified Registered Nurse Anesthetist (crna) | Mccomb Anesthesia Associates, LLP | 215 Marion Ave, Mccomb, MS 39648-2705 |
| Dany Haddad | Internal Medicine | Southwest Mississippi Regional Medical Center | 215 Marion Ave, Mccomb, MS 39648-2705 |
| Find all physicians in zip 39648 | |||
| City | MCCOMB |
| Zip Code | 39648 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MCCOMB + 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.