Bernetta Lashawn Smith (NPI# 1619487303, PAC ID# 5799024246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1619487303 |
PAC ID by PECOS | 5799024246 |
Professional Enrollment ID | I20190228001619 |
Full Name | Bernetta Lashawn Smith |
Organization Legal Name | FAST PACE MISSISSIPPI PLLC |
Address |
533 Lake St Hazlehurst MS 39083-2217 |
Phone Number | 93125311108053 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3678832029 |
Number of Group Practice Members | 65 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
305 Hill St, Ellisville, MS 39437-2521 | 93125311108053 | FAST PACE MISSISSIPPI PLLC |
533 Lake St, Hazlehurst, MS 39083-2217 | 93125311108053 | FAST PACE MISSISSIPPI PLLC |
Organization Legal Name | FAST PACE MISSISSIPPI PLLC |
Physicians | 50 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamatha Nicole Owen | Nurse Practitioner | Fast Pace Mississippi Pllc | 533 Lake St, Hazlehurst, MS 39083-2217 |
Kara Austin | Nurse Practitioner | Fast Pace Mississippi Pllc | 700 Sunset Dr, Grenada, MS 38901-4091 |
Dorothy Holmes Jumpiere | Nurse Practitioner | Fast Pace Mississippi Pllc | 305 Hill St, Ellisville, MS 39437-2521 |
Charles Ray Strange | Nurse Practitioner | Fast Pace Mississippi Pllc | 1008 Azalea Dr, Waynesboro, MS 39367-2499 |
Christopher Pennington | Nurse Practitioner | Fast Pace Mississippi Pllc | 619 S State St, Clarksdale, MS 38614-6319 |
Charles Strange | Nurse Practitioner | Fast Pace Mississippi Pllc | 616 Hwy 82 W, Indianola, MS 38751-2080 |
Rhonda Jill Cox | Nurse Practitioner | Fast Pace Mississippi Pllc | 517 City Ave S, Ripley, MS 38663-2517 |
Lori S Duke | Nurse Practitioner | Fast Pace Mississippi Pllc | 602 Craft St, Holly Springs, MS 38635-3323 |
Kelvinna M Alexander | Nurse Practitioner | Fast Pace Mississippi Pllc | 1806 Simpson Hwy 49, Magee, MS 39111-5391 |
Kelly L Rhodes | Nurse Practitioner | Fast Pace Mississippi Pllc | 1017 W Beacon St, Philadelphia, MS 39350-3218 |
Street Address |
533 LAKE ST |
City | HAZLEHURST |
State | MS |
Zip | 39083-2217 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamatha Nicole Owen | Nurse Practitioner | Fast Pace Mississippi Pllc | 533 Lake St, Hazlehurst, MS 39083-2217 |
Name | Specialty | Organization | Address |
---|---|---|---|
Channing Wells | Optometry | 527 Lake St, Hazlehurst, MS 39083-2217 | |
Cheryl A Dunaway | Certified Registered Nurse Anesthetist (crna) | Copiah County Medical Center | 27190 Hwy 28, Hazlehurst, MS 39083-2224 |
Kimberly Jane Mckay | General Surgery | Keystone Medical Services of Ms Inc | 27190 Hwy 28, Hazlehurst, MS 39083-2224 |
Tobby M Tinsley | Emergency Medicine | Keystone Medical Services of Ms Inc | 27190 Hwy 28, Hazlehurst, MS 39083-2224 |
Becky Everett | Certified Registered Nurse Anesthetist (crna) | Copiah County Medical Center | 27190 Hwy 28, Hazlehurst, MS 39083-2224 |
Christopher T Bullin | Optometry | 28063 Hwy 28, Hazlehurst, MS 39083-2240 | |
Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
Zenotha D Larry | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
Kanisha L Meaders | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
Randall R Hankins | Family Medicine | Copiah Medical Associates LLP | 213 Caldwell Dr, Hazlehurst, MS 39083-2711 |
Find all physicians in zip 39083 |
City | HAZLEHURST |
Zip Code | 39083 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HAZLEHURST + 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.