Laura Lavee Burris (NPI# 1144789801, PAC ID# 2567797772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1144789801 |
| PAC ID by PECOS | 2567797772 |
| Professional Enrollment ID | I20190710002757 |
| Full Name | Laura Lavee Burris |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Address |
21 S 4th St B Merit Health Rr Specialist Rolling Fork MS 39159-5146 |
| Phone Number | 6018836071 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890696330 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250031 | MERIT HEALTH RIVER REGION |
| Address | Phone | Organization |
|---|---|---|
| 21 S 4th St B, Merit Health Rr Specialist, Rolling Fork, MS 39159-5146 | 6018836071 | VICKSBURG CLINIC LLC |
| 47 S 4th St, Sharkey Issaquena Community Hospital, Rolling Fork, MS 39159-5146 | 6018836071 | VICKSBURG CLINIC LLC |
| 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 6016387271 | VICKSBURG CLINIC LLC |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Willis Eure | Physician Assistant | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Gwendolyn J Stewart | Nurse Practitioner | Vicksburg Clinic LLC | 1907 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Daniel J Silvio | Physician Assistant | Vicksburg Clinic LLC | 1111 N Frontage Rd, Vmc Adolescent Psy Unit Ip, Vicksburg, MS 39180-5102 |
| Alfred G Windham | Otolaryngology | Vicksburg Clinic LLC | 2200 Hwy 61 N 2100, Vicksburg Street Clinic Pediatrics, Vicksburg, MS 39183-8246 |
| Murray P Whitaker | Internal Medicine | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Kerrie Kashaun Sanders | Nurse Practitioner | Vicksburg Clinic LLC | 1 Medical Plaza Dr, Vicksburg, MS 39180-5187 |
| Eugene B Ferris | General Surgery | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Joyce Wanjugu Muruthi | Obstetrics/gynecology | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Henry M Jarmon | General Surgery | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Kent Ian Kossoy | General Surgery | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Street Address |
21 S 4TH ST B MERIT HEALTH RR SPECIALIST |
| City | ROLLING FORK |
| State | MS |
| Zip | 39159-5146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Baker | Family Practice | Delta Health Center, Inc. | 20400 Hwy 61, Rolling Fork, MS 39159-5014 |
| Patsy P Johnson | Nurse Practitioner | Dr. Danny W Jackson D.o. Pa | 29 S 4th St, Rolling Fork, MS 39159-5146 |
| Andrew George | Family Medicine | 25 S 4th St, Rolling Fork, MS 39159-5146 | |
| Starkey Hudson | General Practice | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Robert P Oliver | Diagnostic Radiology | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Jennifer L Scott | Nurse Practitioner | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Thomas V Scott Jr. | Nurse Practitioner | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| City | ROLLING FORK |
| Zip Code | 39159 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROLLING FORK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura Lavee Burris.
| 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.