Johnny K Ingram (NPI# 1437100419, PAC ID# 3678585387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437100419 |
| PAC ID by PECOS | 3678585387 |
| Professional Enrollment ID | I20060621000168 |
| Full Name | Johnny K Ingram |
| Organization Legal Name | CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NO. 1 |
| Address |
1700 Ee Wallace Blvd Riverland Med Ctr Ferriday LA 71334-2239 |
| Phone Number | 3187576551 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 4587559935 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191318 | RIVERLAND MEDICAL CENTER |
| 250084 | MERIT HEALTH NATCHEZ |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Ee Wallace Blvd, Riverland Med Ctr, Ferriday, LA 71334-2239 | 3187576551 | CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NO. 1 |
| 1154 Logan Sewell Dr, Vidalia, LA 71373-3342 | 3183368166 | J KEVIN INGRAM MEDICAL, INC |
| Organization Legal Name | CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NO. 1 |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Barton King | Nurse Practitioner | Concordia Parish Hospital Service District No. 1 | 204 Serio Blvd, Ferriday, LA 71334-2015 |
| Lacey Danielle Keeth | Nurse Practitioner | Concordia Parish Hospital Service District No. 1 | 204 Serio Blvd, Ferriday, LA 71334-2015 |
| Street Address |
1700 EE WALLACE BLVD RIVERLAND MED CTR |
| City | FERRIDAY |
| State | LA |
| Zip | 71334-2239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica F Smith | Nurse Practitioner | Catahoula Parish Hospital District No 2 | 100 Serio Blvd, Ferriday Family Health Center, Ferriday, LA 71334-2013 |
| Huey H Moak | Family Medicine | 112 Serio Blvd, Ferriday, LA 71334-2013 | |
| Jessica Beard | Nurse Practitioner | Catahoula Parish Hospital District No 2 | 100 Serio Blvd, Ferriday Family Health Center, Ferriday, LA 71334-2013 |
| Ruby Iva Ward | Nurse Practitioner | Catahoula Parish Hospital District No 2 | 100 Serio Blvd, Ferriday Family Health Center, Ferriday, LA 71334-2013 |
| Joseph K Webber | Nurse Practitioner | Catahoula Parish Hospital District No 2 | 100 Serio Blvd, Ferriday Family Health Center, Ferriday, LA 71334-2013 |
| Lauren Barton King | Nurse Practitioner | Concordia Parish Hospital Service District No. 1 | 204 Serio Blvd, Ferriday, LA 71334-2015 |
| Dick Whitaker | Optometry | 210 Serio Blvd, Ferriday, LA 71334-2015 | |
| Lacey Danielle Keeth | Nurse Practitioner | Concordia Parish Hospital Service District No. 1 | 204 Serio Blvd, Ferriday, LA 71334-2015 |
| Sarah C Lee | Family Medicine | 100 Lincoln Ave, Ferriday, LA 71334-2046 | |
| Raymond L Brown | Diagnostic Radiology | Radiology Associates of Natchez, P.a. | 1700 N E E Wallace Blvd, Riverland Medical Center, Ferriday, LA 71334-2239 |
| Find all physicians in zip 71334 | |||
| City | FERRIDAY |
| Zip Code | 71334 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FERRIDAY + FAMILY MEDICINE |
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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.