Jason Lee Shives (NPI# 1083942338, PAC ID# 7810028800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083942338 |
| PAC ID by PECOS | 7810028800 |
| Professional Enrollment ID | I20110223000032 |
| Full Name | Jason Lee Shives |
| Organization Legal Name | SOUTH MISSISSIPPI EMERGENCY PHYSICIANS PA |
| Address |
6051 U S Hwy 49 Hattiesburg MS 39401-7200 |
| Phone Number | 6012887000 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7113994138 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 | 6012887000 | SOUTH MISSISSIPPI EMERGENCY PHYSICIANS PA |
| Organization Legal Name | SOUTH MISSISSIPPI EMERGENCY PHYSICIANS PA |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee Rueben Pace | Nurse Practitioner | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Curtis W Cochran | Nurse Practitioner | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Brian Clayton Gibson | Nurse Practitioner | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jeremy P Wade | Nurse Practitioner | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Christopher Shaw | Emergency Medicine | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jennifer A Byrd | Nurse Practitioner | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Christie Tynes Ladner | Nurse Practitioner | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Lisa L Leek | Emergency Medicine | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jerald A Reinshagen | Emergency Medicine | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Eric W Jordan | Emergency Medicine | South Mississippi Emergency Physicians Pa | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Street Address |
6051 U S HWY 49 |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-7200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| William Duncan Donald Iii | General Surgery | Fgh Trauma Surgery Clinic | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Lauren Marie Worley | Physician Assistant | Comprehensive Radiology Services, Pllc | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Jeffrey Hudson | Obstetrics/gynecology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Joshua A Maksi | Neurology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Charles R Mccollum | Pulmonary Disease | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Billy C Chancellor | Nurse Practitioner | Fgh Physician Billing | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Porter Hudson Glover | Gastroenterology | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Bassam K Mechleb | Cardiovascular Disease (cardiology) | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HATTIESBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason Lee Shives.
| 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.