Lacey Blakeney (NPI# 1326457151, PAC ID# 7214254010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326457151 |
| PAC ID by PECOS | 7214254010 |
| Professional Enrollment ID | I20150316000467 |
| Full Name | Lacey Blakeney |
| Organization Legal Name | COVINGTON COUNTY HOSPITAL |
| Address |
603 S Main St Green Tree Family Medical Clinic Mt Olive MS 39119-8902 |
| Phone Number | 6017973405 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183517253 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250077 | WAYNE GENERAL HOSPITAL |
| 250058 | SOUTH CENTRAL REG MED CTR |
| 251325 | COVINGTON COUNTY HOSPITAL CAH |
| Address | Phone | Organization |
|---|---|---|
| 3275 Hwy 49 E, Collins, MS 39428-3275 | 6017656292 | COVINGTON COUNTY HOSPITAL |
| 701 S Holly Ave, Collins, MS 39428-3894 | 6017653180 | COVINGTON COUNTY HOSPITAL |
| 1203 Ave B, Ellisville, MS 39437-2080 | 6014778553 | SOUTH CENTRAL CLINICS, INC |
| 1203 Ave B, Suite 300, Ellisville, MS 39437-2080 | 6014772226 | SOUTH CENTRAL CLINICS, INC |
| 1002 Jefferson St, Laurel, MS 39440-4306 | SOUTH CENTRAL CLINICS, INC | |
| 1410 Jefferson St, Laurel, MS 39440-4243 | SOUTH CENTRAL CLINICS, INC | |
| 1430 Jefferson St, Laurel, MS 39440-4243 | 6014252273 | SOUTH CENTRAL CLINICS, INC |
| 1440 Jefferson St, Laurel, MS 39440-4243 | 6014280577 | SOUTH CENTRAL CLINICS, INC |
| 1440 Jefferson St, Suite B, Laurel, MS 39440-4243 | 6016496213 | SOUTH CENTRAL CLINICS, INC |
| 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 | 6017973405 | COVINGTON COUNTY HOSPITAL |
| 104 W Main St, 20 Family Care Seminary, Seminary, MS 39479-9027 | 6017223610 | COVINGTON COUNTY HOSPITAL |
| Organization Legal Name | COVINGTON COUNTY HOSPITAL |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bria Goff | Nurse Practitioner | Covington County Hospital | 3275 Hwy 49 E, Collins, MS 39428-3275 |
| Bryan G Bennett | Nurse Practitioner | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Thomas R Blackledge Jr. | Family Medicine | Covington County Hospital | 800 3rd St Sw, Medical Center of Magee, Magee, MS 39111-3951 |
| Melissa Coulson | Nurse Practitioner | Covington County Hospital | 104 W Main St, 20 Family Care Seminary, Seminary, MS 39479-9027 |
| Andrea M Bruce | Family Medicine | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Crystal P Mcnabb | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Harpreet Sood | Family Medicine | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Terri Bickham | Nurse Practitioner | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Laura J Davis | Nurse Practitioner | Covington County Hospital | 701 S Holly Ave, Collins, MS 39428-3894 |
| Jennifer R Leggett-hudson | Nurse Practitioner | Covington County Hospital | 3275 Hwy 49 E, Collins, MS 39428-3275 |
| Street Address |
603 S MAIN ST GREEN TREE FAMILY MEDICAL CLINIC |
| City | MT OLIVE |
| State | MS |
| Zip | 39119-8902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal P Mcnabb | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Nicole Lott | Nurse Practitioner | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Word Johnston | Family Medicine | Covington County Hospital | 603 S Main St, Green Tree Family Medical Clinic, Mt Olive, MS 39119-8902 |
| Annie Jenkins | Nurse Practitioner | Covington County Hospital | 603 S Main St, Mt Olive, MS 39119-8902 |
| City | MT OLIVE |
| Zip Code | 39119 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MT OLIVE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lacey Blakeney.
| 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.