Jack C Evans (NPI# 1396784187, PAC ID# 3678588993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396784187 |
| PAC ID by PECOS | 3678588993 |
| Professional Enrollment ID | I20060208000213 |
| Full Name | Jack C Evans |
| Organization Legal Name | SOUTH CENTRAL CLINICS, INC |
| Address |
1203 Ave B Ellisville MS 39437-2080 |
| Phone Number | 6014778553 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385876655 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250058 | SOUTH CENTRAL REG MED CTR |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1203 Ave B, Ellisville, MS 39437-2080 | 6014778553 | SOUTH CENTRAL CLINICS, INC |
| 1203 Ave B, Suite 300, Ellisville, MS 39437-2080 | 6014772226 | SOUTH CENTRAL CLINICS, INC |
| 1410 Jefferson St, Laurel, MS 39440-4243 | SOUTH CENTRAL CLINICS, INC | |
| 1430 Jefferson St, Laurel, MS 39440-4243 | 6014252273 | SOUTH CENTRAL CLINICS, INC |
| 1440 Jefferson St, Laurel, MS 39440-4243 | 6014280577 | SOUTH CENTRAL CLINICS, INC |
| 1440 Jefferson St, Suite B, Laurel, MS 39440-4243 | 6016496213 | SOUTH CENTRAL CLINICS, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 89% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 49% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 94% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 4% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 49% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 6% |
| Organization Legal Name | SOUTH CENTRAL CLINICS, INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Rivers | Nurse Practitioner | South Central Clinics, Inc | 1007 Jefferson St, Laurel, MS 39440-4350 |
| Oscar Kwaku Okyere | Hospitalist | South Central Clinics, Inc | 1203 Jefferson St, Laurel, MS 39440-4354 |
| Carrie A Foxworth | Nurse Practitioner | South Central Clinics, Inc | 2002 Hwy 15 N D, South Central Pain Center, Laurel, MS 39440-1983 |
| Amandeep Singh | Psychiatry | South Central Clinics, Inc | 5 Dunnbarr, Suite 1, Laurel, MS 39440-1041 |
| Charles H Black Iv | Orthopedic Surgery | South Central Clinics, Inc | 424 S 13th Ave, Laurel, MS 39440-4345 |
| Amy Delane Adams | Dermatology | South Central Clinics, Inc | 1410 Jefferson St, Laurel, MS 39440-4243 |
| Hossein Nasajpour | Plastic and Reconstructive Surgery | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Chad D Caraway | Nurse Practitioner | South Central Clinics, Inc | 1430 Jefferson St, Laurel, MS 39440-4243 |
| John F Hassell | Family Medicine | South Central Clinics, Inc | 1440 Jefferson St, Laurel, MS 39440-4243 |
| Robert A Desantis | Obstetrics/gynecology | South Central Clinics, Inc | 319 S 11th Ave, Obgyn Group of Laurel, Laurel, MS 39440-4316 |
| Street Address |
1203 AVE B |
| City | ELLISVILLE |
| State | MS |
| Zip | 39437-2080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hossein Nasajpour | Plastic and Reconstructive Surgery | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Charles E Saul | General Surgery | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Cynthia Dianne Spruill | Nurse Practitioner | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Nikhil Mukhi | Hematology/oncology | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Rachel W Cudworth | Obstetrics/gynecology | South Central Clinics, Inc | 1203 Ave B, Suite 300, Ellisville, MS 39437-2080 |
| Debbie S Flowers | Nurse Practitioner | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Jeffrey D Miller | Nurse Practitioner | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Laura M Whittington | Nurse Practitioner | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Teresa R Camp-rogers | Emergency Medicine | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Steven D Nowicki | Orthopedic Surgery | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald T Scoggin | Nurse Practitioner | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Richard M Okeeffe Jr. | Orthopedic Surgery | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Jeremy C Mauldin | Certified Registered Nurse Anesthetist (crna) | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Gloria Alridge | Nurse Practitioner | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Marvin R Dunbar Jr. | Emergency Medicine | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Micah R Welborn | Certified Registered Nurse Anesthetist (crna) | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Thomas Bailey | Emergency Medicine | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Nick A Deniakos | Certified Registered Nurse Anesthetist (crna) | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Woo S Kim | Internal Medicine | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Rhonda G. Smith | Clinical Social Worker | South Central Clinics, Inc | 1203 Ave B, Ellisville, MS 39437-2080 |
| Find all physicians in zip 39437 | |||
| City | ELLISVILLE |
| Zip Code | 39437 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELLISVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack C Evans.
| 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.