Courtney Williamson Sandridge (NPI# 1235695768, PAC ID# 7719228360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1235695768 |
PAC ID by PECOS | 7719228360 |
Professional Enrollment ID | I20190408001749 |
Full Name | Courtney Williamson Sandridge |
Organization Legal Name | MIDSOUTH MEDICINE |
Address |
2149 Stateline W Rd Southaven MS 38671-1222 |
Phone Number | 6623421112 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3971579400 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2149 Stateline W Rd, Southaven, MS 38671-1222 | 6623421112 | MIDSOUTH MEDICINE |
Organization Legal Name | MIDSOUTH MEDICINE |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ginger L Stewart | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Amy M Perkins | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Amy Malai Mclennan | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Ciao Newman | Internal Medicine | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Street Address |
2149 STATELINE W RD |
City | SOUTHAVEN |
State | MS |
Zip | 38671-1222 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ginger L Stewart | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Amy M Perkins | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Amy Malai Mclennan | Nurse Practitioner | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Ciao Newman | Internal Medicine | Midsouth Medicine | 2149 Stateline W Rd, Southaven, MS 38671-1222 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward A Steward | General Practice | 1669 Stateline Rd W, Suite A, Southaven, MS 38671-1223 | |
Mary A Hall | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
Asma Ghani | Registered Dietitian Or Nutrition Professional | Delta Gastroenterology P.C. | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
Cassandra L Anderson | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 9140 Hwy 51 N, Southaven, MS 38671-1233 |
Paul T. Martin | Chiropractic | 9040 Millbranch Rd, Southaven, MS 38671-1420 | |
Diosan Mangubat Powell | Nurse Practitioner | 346 Stateline Rd W, Southaven, MS 38671-1610 | |
Lolethia Hamilton | Chiropractic | 354 Stateline W Rd, Chiropractic Wellness Centre, Southaven, MS 38671-1610 | |
Justin Morris | Chiropractic | Chiropractic Wellness Centre Pllc | 354 Stateline W Rd, Southaven, MS 38671-1610 |
Darrell D Barnes | Chiropractic | 919 Ferncliff Cove, Suite 5, Southaven, MS 38671-2439 | |
Mehul B Patel | Interventional Cardiology | Specialty Physician Group LLC | 7900 Airways Blvd, Suite 101, Southaven, MS 38671-4113 |
Find all physicians in zip 38671 |
City | SOUTHAVEN |
Zip Code | 38671 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SOUTHAVEN + 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.