Grace P Ford (NPI# 1376815134, PAC ID# 5496915753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376815134 |
| PAC ID by PECOS | 5496915753 |
| Professional Enrollment ID | I20120322000665 |
| Full Name | Grace P Ford |
| Organization Legal Name | PELICAN URGENT CARE, MS, LLC |
| Address |
1839 Cooper Rd Suite 100 Picayune MS 39466-2835 |
| Phone Number | 7692421700 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466726922 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251333 | PEARL RIVER COUNTY HOSPITAL & NURSING HOME |
| Address | Phone | Organization |
|---|---|---|
| 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 | 7692421700 | PELICAN URGENT CARE, MS, LLC |
| Organization Legal Name | PELICAN URGENT CARE, MS, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Shaw | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Mary Catherine Hess | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Judith Baker | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Street Address |
1839 COOPER RD SUITE 100 |
| City | PICAYUNE |
| State | MS |
| Zip | 39466-2835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen R Calabresi | Hematology/oncology | Slidell Memorial Hospital | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Brittany Shaw | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Ronald Dale Leblanc | Hematology/oncology | Slidell Memorial Hospital | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Mary Catherine Hess | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Cyril Vk Bethala | Cardiovascular Disease (cardiology) | Cardiology Institute, Inc | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Judith Baker | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter Gipson | Family Medicine | Our Lady of The Lake Physician Group LLC | 1702 Hwy 11 N, Our Lady of The Lake Physician Group Picayune, Picayune, MS 39466-2016 |
| Adam Louis Robin | Physical Therapy | Southern Physical Therapy Clinic Inc | 1620 Hwy 11 N, Suite E, Picayune, MS 39466-2070 |
| John W Houston Jr. | Physical Therapy | Southern Physical Therapy Clinic Inc | 1620 Hwy 11 N, Suite E, Picayune, MS 39466-2070 |
| Jason T Lane | Certified Registered Nurse Anesthetist (crna) | Deep South Anesthesia, Inc | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Anthony F Albright | Gastroenterology | Gastroenterology Group A Medical | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Jed D Zak | Certified Registered Nurse Anesthetist (crna) | Deep South Anesthesia, Inc | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Richard E Clatterbuck | Neurosurgery | Fgh Physician Billing | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Benjamin T Rester | Interventional Cardiology | Fgh Physician Billing | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Crawford Wallace | Certified Registered Nurse Anesthetist (crna) | Deep South Anesthesia, Inc | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Andrew Merlan Nida | Otolaryngology | Fgh Physician Billing | 801 Goodyear Blvd, Picayune, MS 39466-3221 |
| Find all physicians in zip 39466 | |||
| City | PICAYUNE |
| Zip Code | 39466 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PICAYUNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Grace P Ford.
| 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.