James D Polk (NPI# 1083601348, PAC ID# 4486780483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083601348 |
| PAC ID by PECOS | 4486780483 |
| Professional Enrollment ID | I20100330000021 |
| Full Name | James D Polk |
| Organization Legal Name | RICHLAND PRIMARY CARE CENTER |
| Address |
1201 Hwy 49 S 4 Richland MS 39218-9438 |
| Phone Number | 6019326400 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880629625 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250138 | MERIT HEALTH RIVER OAKS |
| Address | Phone | Organization |
|---|---|---|
| 1201 Hwy 49 S 4, Richland, MS 39218-9438 | 6019326400 | RICHLAND PRIMARY CARE CENTER |
| Organization Legal Name | RICHLAND PRIMARY CARE CENTER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne C Johnson Jr. | Family Medicine | Richland Primary Care Center | 1201 Hwy 49 S 4, Richland, MS 39218-9438 |
| Street Address |
1201 HWY 49 S 4 |
| City | RICHLAND |
| State | MS |
| Zip | 39218-9438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne C Johnson Jr. | Family Medicine | Richland Primary Care Center | 1201 Hwy 49 S 4, Richland, MS 39218-9438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Wiley | Optometry | 200 Market Pl, Richland, MS 39218-4429 | |
| Karen H Bedells | Nurse Practitioner | Medical Systems Management, LLC | 129 Ctr St, Suite B, Richland, MS 39218-4800 |
| Laura L Keys | Nurse Practitioner | Medical Systems Management, LLC | 129 Ctr St, Suite B, Richland, MS 39218-4800 |
| Roy A West | Nurse Practitioner | Medical Systems Management, LLC | 129 Ctr St, Suite B, Richland, MS 39218-4800 |
| Michael H Albert | Family Medicine | Medical Systems Management, LLC | 129 Ctr St, Suite B, Richland, MS 39218-4800 |
| James N Sharp | Physical Therapy | 655 Hwy 49 S, Suite K, Richland, MS 39218-8430 | |
| Nettie R Hines | Optometry | Optical 2000 of Richland | 655 Hwy 49 S, Suite M, Richland, MS 39218-8431 |
| Devon R Dixit | Optometry | Optical 2000 of Richland | 655 Hwy 49 S, Suite M, Richland, MS 39218-8431 |
| Don A Gibson | Family Medicine | 811 Hwy 49 S, Richland, MS 39218-9408 | |
| Laurin S Folmar | Occupational Therapy | Drayer Physical Therapy Institute LLC | 1201 Hwy 49 S, Suite 2 Performance Rehab, Richland, MS 39218-9425 |
| Find all physicians in zip 39218 | |||
| City | RICHLAND |
| Zip Code | 39218 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RICHLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James D Polk.
| 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.