Tina U Mabry (NPI# 1003898859, PAC ID# 8022024223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003898859 |
| PAC ID by PECOS | 8022024223 |
| Professional Enrollment ID | I20060224000560 |
| Full Name | Tina U Mabry |
| Organization Legal Name | SCOTT REGIONAL MEDICAL CENTER, INC |
| Address |
24489 Hwy 80 Lake MS 39092-3511 |
| Phone Number | 6017753264 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1991 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648366260 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251323 | SCOTT REGIONAL HOSPITAL CAH |
| 251300 | LACKEY MEMORIAL HOSPITAL |
| 250069 | RUSH FOUNDATION HOSPITAL |
| 251322 | LAIRD HOSPITAL INC |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24489 Hwy 80, Lake, MS 39092-3511 | 6017753264 | SCOTT REGIONAL MEDICAL CENTER, INC |
| Organization Legal Name | SCOTT REGIONAL MEDICAL CENTER, INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Gainey | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Brandi R Hurdle | Nurse Practitioner | Scott Regional Medical Center, Inc | 1080 Hwy 35 S, Forest, MS 39074-9423 |
| Ruby L Lucroy | Nurse Practitioner | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Kristen T Carter | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Micah Ray Walker | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Melissa B Jackson | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Matthew A Ward | Family Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Nahid Islam | Family Medicine | Scott Regional Medical Center, Inc | 321 Hwy 13 S, Morton, MS 39117-3353 |
| Brandon L Mizell | Emergency Medicine | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Leah Denise Phillips | Nurse Practitioner | Scott Regional Medical Center, Inc | 317 Hwy 13 S, Morton, MS 39117-3353 |
| Street Address |
24489 HWY 80 |
| City | LAKE |
| State | MS |
| Zip | 39092-3511 |
| City | LAKE |
| Zip Code | 39092 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tina U Mabry.
| 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.