Jessica A Lauderdale (NPI# 1093095523, PAC ID# 4082901228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093095523 |
| PAC ID by PECOS | 4082901228 |
| Professional Enrollment ID | I20170111000566 |
| Full Name | Jessica A Lauderdale |
| Organization Legal Name | PONTOTOC HEALTH SERVICES, INC. |
| Address |
345 Hwy 15 N Pontotoc Medical Pontotoc MS 38863-3311 |
| Phone Number | 6624897430 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6002895356 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251308 | PONTOTOC HEALTH SERVICE INC CAH |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 345 Hwy 15 N, Pontotoc Medical, Pontotoc, MS 38863-3311 | 6624897430 | PONTOTOC HEALTH SERVICES, INC. |
| Organization Legal Name | PONTOTOC HEALTH SERVICES, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Christine Middleton | Nurse Practitioner | Pontotoc Health Services, Inc. | 176 S Main St, Pontotoc, MS 38863-3311 |
| Timothy Watson | Nurse Practitioner | Pontotoc Health Services, Inc. | 202 Main St, Ecru, MS 38841-9604 |
| Kara N Rushing | Nurse Practitioner | Pontotoc Health Services, Inc. | 400 Doctors Dr, New Albany, MS 38652-3109 |
| Amin A Bandealy | Emergency Medicine | Pontotoc Health Services, Inc. | 176 S Main St, Pontotoc, MS 38863-3311 |
| Bradley J Bowlin | Family Medicine | Pontotoc Health Services, Inc. | 176 S Main St, Pontotoc, MS 38863-3311 |
| Jennifer D Lowery | Family Medicine | Pontotoc Health Services, Inc. | 176 S Main St, Pontotoc, MS 38863-3311 |
| Corey N Brown | Osteopathic Manipulative Medicine | Pontotoc Health Services, Inc. | 176 S Main St, Pontotoc, MS 38863-3311 |
| Eydie Pullman | Clinical Social Worker | Pontotoc Health Services, Inc. | 400 Doctors Dr, New Albany, MS 38652-3109 |
| Kiley P Shafer | Emergency Medicine | Pontotoc Health Services, Inc. | 176 S Main St, Pontotoc, MS 38863-3311 |
| Curtis Glidewell | General Practice | Pontotoc Health Services, Inc. | 400 Doctors Dr, New Albany, MS 38652-3109 |
| Street Address |
345 HWY 15 N PONTOTOC MEDICAL |
| City | PONTOTOC |
| State | MS |
| Zip | 38863-3311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea J Warren | Family Medicine | Pontotoc Health Services, Inc. | 345 Hwy 15 N, Pontotoc Medical, Pontotoc, MS 38863-3311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth White | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Dollie J Cadden | Nurse Practitioner | Redmed, LLC | 12 Brookes Crossing, Pontotoc, MS 38863-1009 |
| Lisa Clark | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Loretta J Smith | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Katese Rutherford | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Jessica J Lawrence | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Lajaysha R Echoles | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Jamie Fortner | Nurse Practitioner | Redmed, LLC | 12 Brookes Xing, Pontotoc, MS 38863-1009 |
| Terri Jo Teague | Family Medicine | Arcare | 353 Hwy 15 N, Mississippicare 113, Pontotoc, MS 38863-1103 |
| Randel C Gibson | Family Medicine | Arcare | 353 Hwy 15 N, Mississippicare 113, Pontotoc, MS 38863-1103 |
| Find all physicians in zip 38863 | |||
| City | PONTOTOC |
| Zip Code | 38863 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PONTOTOC + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jessica A Lauderdale.
| 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.