Terry T Jordan (NPI# 1417046327, PAC ID# 5597866947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1417046327 |
| PAC ID by PECOS | 5597866947 |
| Professional Enrollment ID | I20070730000150 |
| Full Name | Terry T Jordan |
| Organization Legal Name | REGION TEN STATE OF MS |
| Address |
1415 College Dr Meridian MS 39307-5345 |
| Phone Number | 6014834821125 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 4284605353 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251300 | LACKEY MEMORIAL HOSPITAL |
| 250151 | ALLIANCE HEALTH CENTER |
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1415 College Dr, Meridian, MS 39307-5345 | 6014834821125 | REGION TEN STATE OF MS |
| 2208 Hwy 39 N, Meridian, MS 39301-2605 | 6014822400 | BEHAVIORAL MEDICINE CLINIC, PA |
| Organization Legal Name | REGION TEN STATE OF MS |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary R Larkin | Psychiatry | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Michael G Shaw | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Jessica P Curry | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Rebecca E Espey | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Leigh Z Gillespie | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Constance Bradley | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Amelia M Kelley | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Street Address |
1415 COLLEGE DR |
| City | MERIDIAN |
| State | MS |
| Zip | 39307-5345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary R Larkin | Psychiatry | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Michael G Shaw | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Jessica P Curry | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Rebecca E Espey | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Leigh Z Gillespie | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Constance Bradley | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Amelia M Kelley | Nurse Practitioner | Region Ten State of Ms | 1415 College Dr, Meridian, MS 39307-5345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hunter J Harrison | Family Medicine | Laird Hospital, Inc. | 1500 Hwy 19 N, Meridian, MS 39307-5335 |
| Christy M. Mnzava | Family Medicine | Laird Hospital, Inc. | 1500 Hwy 19 N, Meridian, MS 39307-5335 |
| Linda F Mccullar | Family Medicine | East Mississippi State Hospital | 4555 Highland Park Dr, Meridian, MS 39307-5429 |
| Brenda Lee Phillips | Nurse Practitioner | East Mississippi State Hospital | 1451 N Lakeland Dr, Meridian, MS 39307-9020 |
| Daniel Munn | Nurse Practitioner | East Mississippi State Hospital | 1451 N Lakeland Dr, Meridian, MS 39307-9020 |
| Rebecca S Blount | Nurse Practitioner | East Mississippi State Hospital | 1451 N Lakeland Dr, Meridian, MS 39307-9020 |
| City | MERIDIAN |
| Zip Code | 39307 |
| Specialty | PSYCHIATRY |
| City + Specialty | MERIDIAN + PSYCHIATRY |
Please comment or provide details below to improve the information on Terry T Jordan.
| 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.