Randall Edward Jackson
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER


Address: 215 Marion Ave, Mccomb, MS 39648-2705

Randall Edward Jackson (NPI# 1144614165, PAC ID# 8628396736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1144614165
PAC ID by PECOS 8628396736
Professional Enrollment ID I20150421000238
Full Name Randall Edward Jackson
Organization Legal Name SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Address 215 Marion Ave
Mccomb
MS 39648-2705
Gender M
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5193633907
Number of Group Practice Members 42
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250097 SOUTHWEST MS REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1506 Aston Ave, Mccomb, MS 39648-2735 6012494282 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
212 Marion Ave, Mccomb, MS 39648-2706 6012491570 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
215 Marion Ave, Mccomb, MS 39648-2705 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

Organization Information

Organization Legal Name SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Physicians 33

Physicians with the same organization

Name Specialty Organization Address
Ronald Dwayne Delrie Jr. Medical Oncology Southwest Mississippi Regional Medical Center 1501 Aston Ave, Mccomb, MS 39648-2734
Robert Boatwright Harris General Surgery Southwest Mississippi Regional Medical Center 1311 Aston Ave, Mccomb, MS 39648-2825
Jordan Harrington Nurse Practitioner Southwest Mississippi Regional Medical Center 303 Marion Ave, Mccomb, MS 39648-2707
Patrick B Wood Family Medicine Southwest Mississippi Regional Medical Center 1167 E Broad St, Monticello, MS 39654-7682
Carl R Feind Interventional Cardiology Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Dany Haddad Internal Medicine Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Mary W Thornton Nurse Practitioner Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Craig V Adams Cardiac Surgery Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
James A Nobles Obstetrics/gynecology Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
William N Dixon General Surgery Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705

Office Location

Street Address 215 MARION AVE
City MCCOMB
State MS
Zip 39648-2705

Physicians in the same location

Name Specialty Organization Address
Ashraf E Riad Anesthesiology Mccomb Anesthesia Associates, LLP 215 Marion Ave, Mccomb, MS 39648-2705
Carl R Feind Interventional Cardiology Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Warren J Anderson Certified Registered Nurse Anesthetist (crna) Mccomb Anesthesia Associates, LLP 215 Marion Ave, Mccomb, MS 39648-2705
Dany Haddad Internal Medicine Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Mary W Thornton Nurse Practitioner Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Rachel M Spiers Certified Registered Nurse Anesthetist (crna) Mccomb Anesthesia Associates, LLP 215 Marion Ave, Mccomb, MS 39648-2705
Craig V Adams Cardiac Surgery Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Rhonda J Thomas Nurse Practitioner Mississippi Em-i Medical Services PC 215 Marion Ave, Mccomb, MS 39648-2705
Marc B Freeman Anesthesiology Mccomb Anesthesia Associates, LLP 215 Marion Ave, Mccomb, MS 39648-2705
Robert K Walker Emergency Medicine Streambed Emergency Physicians LLC 215 Marion Ave, Mccomb, MS 39648-2705
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
David Scott Snow Family Medicine 1121 Hwy 98/51, Summit, MS 39648
Damon S Spears Nurse Practitioner Maxem Health Urgent Care Mccomb 101 Edgewood Dr, Mccomb, MS 39648-2043
Tonya Brister Nurse Practitioner Maxem Health Urgent Care Mccomb 101 Edgewood Dr, Mccomb, MS 39648-2043
James Stephen Moore Optometry 1722 Veterans Blvd, C2, Mccomb, MS 39648-2052
Kimberly F Harrell Optometry 1608 Veterans Blvd, Mccomb, MS 39648-2064
Kappi F Rushing Nurse Practitioner Mccomb Og-gyn Associated 205 Marion Ave, Mccomb, MS 39648-2705
James A Nobles Obstetrics/gynecology Southwest Mississippi Regional Medical Center 215 Marion Ave, Mccomb, MS 39648-2705
Kasie S Holmes Nurse Practitioner Mccomb Og-gyn Associated 205 Marion Ave, Mccomb, MS 39648-2705
Karen D Nelms Certified Registered Nurse Anesthetist (crna) Mccomb Anesthesia Associates, LLP 215 Marion Ave, Mccomb, MS 39648-2705
Jarrod P Fontenelle Certified Registered Nurse Anesthetist (crna) Mccomb Anesthesia Associates, LLP 215 Marion Ave, Mccomb, MS 39648-2705
Find all physicians in zip 39648

Competitor

Search similar physicians

City MCCOMB
Zip Code 39648
Specialty NURSE PRACTITIONER
City + Specialty MCCOMB + NURSE PRACTITIONER

Improve Information

Please comment or provide details below to improve the information on Randall Edward Jackson.

Dataset Information

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.

Trending Searches