Carole Anne D Haire (NPI# 1922074228, PAC ID# 3375672454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922074228 |
| PAC ID by PECOS | 3375672454 |
| Professional Enrollment ID | I20100527000790 |
| Full Name | Carole Anne D Haire |
| Organization Legal Name | ELITE MEDICAL, PLLC |
| Address |
2633 Traceland Dr Tupelo MS 38801-4238 |
| Phone Number | 6622054652 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204004476 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2633 Traceland Dr, Tupelo, MS 38801-4238 | 6622054652 | ELITE MEDICAL, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 5% |
| Organization Legal Name | ELITE MEDICAL, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Wiygul | Nurse Practitioner | Elite Medical, Pllc | 2633 Traceland Dr, Tupelo, MS 38801-4238 |
| Malinda M Ingram | Nurse Practitioner | Elite Medical, Pllc | 2633 Traceland Dr, Tupelo, MS 38801-4238 |
| Street Address |
2633 TRACELAND DR |
| City | TUPELO |
| State | MS |
| Zip | 38801-4238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Wiygul | Nurse Practitioner | Elite Medical, Pllc | 2633 Traceland Dr, Tupelo, MS 38801-4238 |
| Malinda M Ingram | Nurse Practitioner | Elite Medical, Pllc | 2633 Traceland Dr, Tupelo, MS 38801-4238 |
| Aaron J Ford | Physical Therapy | 2633 Traceland Dr, Tupelo, MS 38801-4238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TUPELO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carole Anne D Haire.
| 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.