James Glenn Peters (NPI# 1114912680, PAC ID# 2668476011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114912680 |
| PAC ID by PECOS | 2668476011 |
| Professional Enrollment ID | I20100908000009 |
| Full Name | James Glenn Peters |
| Organization Legal Name | CHOCTAW REGIONAL MEDICAL CENTER |
| Address |
320 Hwy 15 N Louisville Medical Clinic Louisville MS 39339-6434 |
| Phone Number | 6627737500 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567682206 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251334 | CHOCTAW REGIONAL MEDICAL CENTER |
| 250027 | WINSTON MEDICAL CENTER & SWINGBED |
| 250050 | OCH REGIONAL MEDICAL CENTER |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 | 6627737500 | CHOCTAW REGIONAL MEDICAL CENTER |
| Organization Legal Name | CHOCTAW REGIONAL MEDICAL CENTER |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harmon S Prosser | Family Medicine | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Sylvia C Crutchfield | Nurse Practitioner | Choctaw Regional Medical Center | 8613 Ms Hwy 12, Ackerman, MS 39735-8917 |
| Jan Sullivan Randle | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Cynthia Harrington | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Samuel K Suttle | Family Medicine | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Yoshie S Lilley | Nurse Practitioner | Choctaw Regional Medical Center | 8613 Ms Hwy 12, Ackerman, MS 39735-8917 |
| Rushaunda L Nash | Nurse Practitioner | Choctaw Regional Medical Center | 8613 Ms Hwy 12, Ackerman, MS 39735-8917 |
| Casey D Fleming | Nurse Practitioner | Choctaw Regional Medical Center | 8613 Ms Hwy 12, Ackerman, MS 39735-8917 |
| Valerie O Sullivan | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Brittany D. Dickerson | Nurse Practitioner | Choctaw Regional Medical Center | 8613 Ms Hwy 12, Ackerman, MS 39735-8917 |
| Street Address |
320 HWY 15 N LOUISVILLE MEDICAL CLINIC |
| City | LOUISVILLE |
| State | MS |
| Zip | 39339-6434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harmon S Prosser | Family Medicine | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Jan Sullivan Randle | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Cynthia Harrington | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Samuel K Suttle | Family Medicine | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Valerie O Sullivan | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Pamela D Metts | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Stephanie W Hubbard | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Brianna D Lundy | Nurse Practitioner | Choctaw Regional Medical Center | 320 Hwy 15 N, Louisville Medical Clinic, Louisville, MS 39339-6434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica C Mills | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hayden Stokes Kilgore | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Jenkins Stidham | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| James Dustin Gentry | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Ashley Thomas Davis | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Jennifer Palmer | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Davis Perkins | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Kali Dempsey Rogers | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Michael L Ard | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hannah Stewart | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Find all physicians in zip 39339 | |||
| City | LOUISVILLE |
| Zip Code | 39339 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOUISVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James Glenn Peters.
| 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.