Bobby Proctor (NPI# 1801006960, PAC ID# 7315018579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1801006960 |
| PAC ID by PECOS | 7315018579 |
| Professional Enrollment ID | I20091116000037 |
| Full Name | Bobby Proctor |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Address |
342 Magnolia Dr Raleigh MS 39153-6012 |
| Phone Number | 6017825665 |
| Gender | M |
| Medical School | COLLEGE OF PHYSICIANS AND SURGEONS (ARKANSAS) |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446303168 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 342 Magnolia Dr, Raleigh, MS 39153-6012 | 6017825665 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 43% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 96% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 56% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 97% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 33% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Grubbs Mayhugh | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Charnell R Cain | Family Medicine | St. Dominic Medical Associates LLC | 1297 W Government St, St Dominic Family Practice Associaties, Brandon, MS 39042-3048 |
| Samuel Hammond Love | Internal Medicine | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 |
| Tiffany Smith | Nurse Practitioner | St. Dominic Medical Associates LLC | 969 Lakeland Dr, Jackson, MS 39216-4606 |
| J Scott Harrison | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
| Arturo E Blanco | Family Medicine | St. Dominic Medical Associates LLC | 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 |
| Jo P Deal | Infectious Disease | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609 |
| Paul E Sheffield | Family Medicine | St. Dominic Medical Associates LLC | 890 Lakeland Dr, Jackson, MS 39216-4644 |
| George E Patton Jr. | Internal Medicine | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 |
| John Adrian Lancon | Neurosurgery | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609 |
| Street Address |
342 MAGNOLIA DR |
| City | RALEIGH |
| State | MS |
| Zip | 39153-6012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Grubbs Mayhugh | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Pamela D Hardin | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Kenneth Brent Cain | Family Medicine | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Rebecca Little | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Frank C Wade Jr. | Family Medicine | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura R Boleware | Nurse Practitioner | Raleigh Family Health Clinic Pllc | 347 Magnolia Dr, Raleigh, MS 39153-6011 |
| Bryce Kincaid | Nurse Practitioner | Raleigh Family Health Clinic Pllc | 234 Magnolia Dr, Raleigh, MS 39153-6016 |
| Teresa Ann Raybourn | Nurse Practitioner | Family Health Care Clinic Inc | 226 Whiteoak Ave, Raleigh, MS 39153-6082 |
| City | RALEIGH |
| Zip Code | 39153 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RALEIGH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bobby Proctor.
| 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.