Valencia Patrice Martin (NPI# 1215028287, PAC ID# 5395930515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215028287 |
| PAC ID by PECOS | 5395930515 |
| Professional Enrollment ID | I20101220000040 |
| Full Name | Valencia Patrice Martin |
| Organization Legal Name | GREENWOOD COMPREHENSIVE MEDICAL CLINIC |
| Address |
517 Hwy 82 W Greenwood MS 38930-5030 |
| Phone Number | 6624556767 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911192133 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250099 | GREENWOOD LEFLORE HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 517 Hwy 82 W, Greenwood, MS 38930-5030 | 6624556767 | GREENWOOD COMPREHENSIVE MEDICAL CLINIC |
| Organization Legal Name | GREENWOOD COMPREHENSIVE MEDICAL CLINIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold John Wheeler | Internal Medicine | Greenwood Comprehensive Medical Clinic | 517 Hwy 82 W, Greenwood, MS 38930-5030 |
| Street Address |
517 HWY 82 W |
| City | GREENWOOD |
| State | MS |
| Zip | 38930-5030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harold John Wheeler | Internal Medicine | Greenwood Comprehensive Medical Clinic | 517 Hwy 82 W, Greenwood, MS 38930-5030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chandra A Boston | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Joyce C Vaughn | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Roxie Hogan | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Chester W Jenkins | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Shonda Jacqueline R Phelon | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Martha Catlette | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Maxie Lerone Gordon | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| April L Mitchell | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Carolyn V Tingle | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| William F Reid Sr. | Certified Registered Nurse Anesthetist (crna) | 2005 Hwy 82 W, Greenwood, MS 38930 | |
| Find all physicians in zip 38930 | |||
| City | GREENWOOD |
| Zip Code | 38930 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREENWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Valencia Patrice Martin.
| 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.