Matthew J Harris (NPI# 1093234411, PAC ID# 7911263520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1093234411 |
PAC ID by PECOS | 7911263520 |
Professional Enrollment ID | I20171115002094 |
Full Name | Matthew J Harris |
Organization Legal Name | NORTH MISSISSIPPI GILMORE CLINICS LLC |
Address |
40023 Cross Creek Dr Hamilton MS 39746-8801 |
Phone Number | 6623435299 |
Gender | M |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2961745195 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250025 | GILMORE MEMORIAL HOSPITAL |
250100 | BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC |
251302 | MONROE REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1105 Earl Frye Blvd, Amory, MS 38821-5500 | 6622567111 | COMPREHENSIVE HOSPITALISTS OF MS, LLC |
40023 Cross Creek Dr, Hamilton, MS 39746-8801 | 6623435299 | NORTH MISSISSIPPI GILMORE CLINICS LLC |
Organization Legal Name | NORTH MISSISSIPPI GILMORE CLINICS LLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Joseph Boland | Cardiovascular Disease (cardiology) | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
William Mc Comb | Internal Medicine | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 6 Amory Specialty Clinic, Amory, MS 38821-5519 |
Teresa Stanford | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
Benjamin Thomas Boatright | Gastroenterology | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 5 Amory Children's Clinic, Amory, MS 38821-5519 |
Sharla E Saylors | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 404 Gilmore Dr, Amory, MS 38821-5414 |
James W Lewis | Pathology | North Mississippi Gilmore Clinics LLC | 1105 Earl Frye Blvd, Amory Pathology, Amory, MS 38821-5500 |
Brenda Elain Worthey | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 5 Amory Children's Clinic, Amory, MS 38821-5519 |
Timothy B Watson | Nurse Practitioner | North Mississippi Gilmore Clinics LLC | 1107 Earl Frye Blvd, Suite 6 Amory Specialty Clinic, Amory, MS 38821-5519 |
Street Address |
40023 CROSS CREEK DR |
City | HAMILTON |
State | MS |
Zip | 39746-8801 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nina P Jurney | Nurse Practitioner | Pioneer Health Services of Monroe County, Inc | 40128 Hamilton Rd, Hamilton, MS 39746-9686 |
Lisa A Dement | Nurse Practitioner | Pioneer Health Services of Monroe County, Inc | 40128 Hamilton Rd, Hamilton, MS 39746-9686 |
City | HAMILTON |
Zip Code | 39746 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HAMILTON + 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.