James W Lock (NPI# 1063499002, PAC ID# 3577542406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063499002 |
| PAC ID by PECOS | 3577542406 |
| Professional Enrollment ID | I20040715000296 |
| Full Name | James W Lock |
| Organization Legal Name | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| Address |
199 Rimmer St Walnut Grove MS 39189-6586 |
| Phone Number | 6012532733 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0941103717 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251326 | JEFFERSON DAVIS GENERAL HOSPITAL |
| 251322 | LAIRD HOSPITAL INC |
| 251300 | LACKEY MEMORIAL HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1102 Rose St, Prentiss, MS 39474-5200 | 6017924276 | KEYSTONE MEDICAL SERVICES OF MS INC |
| 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 | 6016257403 | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| 199 Rimmer St, Walnut Grove, MS 39189-6586 | 6012532733 | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| Organization Legal Name | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaydon Nowell | Nurse Practitioner | East Central Mississippi Health Care Inc | 10330 Rd, Suite 375, Philadelphia, MS 39350-3249 |
| Rhonda P Davis | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Heather T Taylor | Nurse Practitioner | East Central Mississippi Health Care Inc | 199 Rimmer St, Walnut Grove, MS 39189-6586 |
| Claudia Bowman | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Karen Reece | Nurse Practitioner | East Central Mississippi Health Care Inc | 10330 Rd, Suite 375, Philadelphia, MS 39350-3249 |
| Kayti Powell | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Benita J Myles | Family Medicine | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Amber S Riley | Nurse Practitioner | East Central Mississippi Health Care Inc | 10330 Rd, Suite 375, Philadelphia, MS 39350-3249 |
| Telitha K Grant-spencer | Pediatric Medicine | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopol, MS 39359-0150 |
| Street Address |
199 RIMMER ST |
| City | WALNUT GROVE |
| State | MS |
| Zip | 39189-6586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather T Taylor | Nurse Practitioner | East Central Mississippi Health Care Inc | 199 Rimmer St, Walnut Grove, MS 39189-6586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlie M Hardin | Nurse Practitioner | Baptist Medical Center-leake Inc | 110 Park St, Walnut Grove, MS 39189-6526 |
| James L Henderson | Emergency Medicine | Baptist Medical Center-leake Inc | 110 Park St, Walnut Grove, MS 39189-6526 |
| City | WALNUT GROVE |
| Zip Code | 39189 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WALNUT GROVE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on James W Lock.
| 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.