Tracy Blair Pittman (NPI# 1942207014, PAC ID# 4183790496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1942207014 |
| PAC ID by PECOS | 4183790496 |
| Professional Enrollment ID | I20101011000233 |
| Full Name | Tracy Blair Pittman |
| Organization Legal Name | KIDNEY DISEASE AND HYPERTENSION CENTERS, P.A. |
| Address |
12 Marks Rd Ocean Springs MS 39564-4350 |
| Phone Number | 2288726329 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 5395811608 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250040 | SINGING RIVER HOSPITAL |
| 250036 | GEORGE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 12 Marks Rd, Ocean Springs, MS 39564-4350 | 2288726329 | KIDNEY DISEASE AND HYPERTENSION CENTERS, P.A. |
| 2712 Criswell Ave, Pascagoula, MS 39567-1143 | 2287620713 | KIDNEY DISEASE AND HYPERTENSION CENTERS, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 95% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 16% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 49% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 15% |
| Organization Legal Name | KIDNEY DISEASE AND HYPERTENSION CENTERS, P.A. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olusola Isikalu | Nephrology | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Lisa Kelley Hoehn | Nurse Practitioner | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Hristo S Shivarov | Nephrology | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Joel Roy Brunt | Nephrology | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Street Address |
12 MARKS RD |
| City | OCEAN SPRINGS |
| State | MS |
| Zip | 39564-4350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olusola Isikalu | Nephrology | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Lisa Kelley Hoehn | Nurse Practitioner | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Hristo S Shivarov | Nephrology | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Joel Roy Brunt | Nephrology | Kidney Disease and Hypertension Centers, P.a. | 12 Marks Rd, Ocean Springs, MS 39564-4350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Enger Cross | Physician Assistant | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
| Ashley L Bourgeois | Physician Assistant | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
| Michele H Hughes | Dermatology | Premier Dermatology and Skin Cancer Center Pllc | 5935 Washington Ave, A, Ocean Springs, MS 39564-2642 |
| David P Hoffman | Chiropractic | 1200 Washington Ave B, Hoffman Chiropractic, Ocean Springs, MS 39564-2859 | |
| Stephanie D Smith | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Hang M Nguyen | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Amber L Touchstone | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Michael W Fairbanks | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| William B Gibboney | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Angela Haigler | Nurse Practitioner | Ocean Springs Urgent Care | 1514 Bienville Blvd, Ocean Springs, MS 39564-3006 |
| Find all physicians in zip 39564 | |||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | OCEAN SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tracy Blair Pittman.
| 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.