Melissa J Davis (NPI# 1609396076, PAC ID# 4284994856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609396076 |
| PAC ID by PECOS | 4284994856 |
| Professional Enrollment ID | I20180131001427 |
| Full Name | Melissa J Davis |
| Organization Legal Name | SOUTHERN PRIMARY CARE PLLC |
| Address |
327 N Jackson St Brookhaven MS 39601-3041 |
| Phone Number | 6018333800 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870765258 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| Address | Phone | Organization |
|---|---|---|
| 327 N Jackson St, Brookhaven, MS 39601-3041 | 6018333800 | SOUTHERN PRIMARY CARE PLLC |
| Organization Legal Name | SOUTHERN PRIMARY CARE PLLC |
| Physicians | 1 |
| Street Address |
327 N JACKSON ST |
| City | BROOKHAVEN |
| State | MS |
| Zip | 39601-3041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Stewart | General Surgery | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| James B Hall | Nephrology | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| Jani L Purvis | Diagnostic Radiology | 108 Lance Alworth Dr, Brookhaven, MS 39601-2300 | |
| Katherine Ross Flynn | Nurse Practitioner | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Richard E. Miller | Nephrology | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Holly Alicia Kimbrell | Nurse Practitioner | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Braxter P Irby Jr. | Internal Medicine | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Timothy R Shann | Pediatric Medicine | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Charles Asa Reynolds | General Surgery | Brookhaven Surgery Clinic P.a. | 1036 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Briana Hall Price | Nurse Practitioner | Brookhaven Anesthesia and Pain Management | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Find all physicians in zip 39601 | |||
| City | BROOKHAVEN |
| Zip Code | 39601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROOKHAVEN + NURSE PRACTITIONER |
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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.