Larry F Gibson (NPI# 1538278734, PAC ID# 6305931569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1538278734 |
| PAC ID by PECOS | 6305931569 |
| Professional Enrollment ID | I20071003000027 |
| Full Name | Larry F Gibson |
| Organization Legal Name | SCOTT REGIONAL MEDICAL CENTER, INC |
| Address |
317 Hwy 13 S Morton MS 39117-3353 |
| Phone Number | 6017326301 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648366260 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251316 | H C WATKINS MEMORIAL HOSPITAL INC |
| 251322 | LAIRD HOSPITAL INC |
| 251335 | JOHN C STENNIS MEMORIAL HOSPITAL |
| 251323 | SCOTT REGIONAL HOSPITAL CAH |
| Address | Phone | Organization |
|---|---|---|
| 317 Hwy 13 S, Morton, MS 39117-3353 | 6017326301 | SCOTT REGIONAL MEDICAL CENTER, INC |
| 603 S Archusa Ave, Quitman, MS 39355-2331 | 6017762123 | RUSH MEDICAL FOUNDATION |
| 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 | 6627766925 | RUSH MEDICAL FOUNDATION |
| 25117 Hwy 15, Union, MS 39365-9088 | 6017748214 | LAIRD HOSPITAL, INC. |
| Organization Legal Name | SCOTT REGIONAL MEDICAL CENTER, INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Gainey | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Brandi R Hurdle | Nurse Practitioner | Scott Regional Medical Center, Inc | 1080 Hwy 35 S, Forest, MS 39074-9423 |
| Ruby L Lucroy | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Tina U Mabry | Nurse Practitioner | Scott Regional Medical Center, Inc | 24489 Hwy 80, Lake, MS 39092-3511 |
| Kristen T Carter | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Micah Ray Walker | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Melissa B Jackson | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Matthew A Ward | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Nahid Islam | Family Medicine | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Brandon L Mizell | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Street Address |
317 HWY 13 S |
| City | MORTON |
| State | MS |
| Zip | 39117-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Gainey | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Kristen T Carter | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Micah Ray Walker | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Melissa B Jackson | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Matthew A Ward | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Brandon L Mizell | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Leah Denise Phillips | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Frederick Flowers | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Joseph Shannon Davis | Certified Registered Nurse Anesthetist | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| John Norris | Certified Registered Nurse Anesthetist | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruby L Lucroy | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Nahid Islam | Family Medicine | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Norman E Jenkins | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Maggie Dawson | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Howard D Clark | Family Practice | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Megan Otto | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Kathryn R Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| Daniel M Walker | Nurse Practitioner | Independent Healthcare Management Inc | 347 S 4th St, Morton, MS 39117-3407 |
| City | MORTON |
| Zip Code | 39117 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MORTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Larry F Gibson.
| 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.