James Dustin Gentry (NPI# 1568756252, PAC ID# 8729227103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568756252 |
| PAC ID by PECOS | 8729227103 |
| Professional Enrollment ID | I20150223000818 |
| Full Name | James Dustin Gentry |
| Organization Legal Name | WINSTON MEDICAL CLINIC LLC |
| Address |
106 W Main St Louisville MS 39339-0470 |
| Phone Number | 6627736211349 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214170968 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250027 | WINSTON MEDICAL CENTER & SWINGBED |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250050 | OCH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 106 W Main St, Louisville, MS 39339-0470 | 6627736211349 | WINSTON MEDICAL CLINIC LLC |
| 823 S Church Ave, Louisville, MS 39339-3429 | 6627795108 | WINSTON COUNTY MEDICAL FOUNDATION |
| Organization Legal Name | WINSTON MEDICAL CLINIC LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica C Mills | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Heather M Gilmer | Nurse Practitioner | Winston Medical Clinic LLC | 90 E Main St, Noxapater, MS 39346-2610 |
| Hayden Stokes Kilgore | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Jenkins Stidham | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Ashley Thomas Davis | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Jennifer Palmer | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Davis Perkins | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Kali Dempsey Rogers | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Michael L Ard | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hannah Stewart | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Street Address |
106 W MAIN ST |
| City | LOUISVILLE |
| State | MS |
| Zip | 39339-0470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica C Mills | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Elaine R Vonscio | Physical Therapy | 106 W Main St, Sophia, WV 25921-7730 | |
| Hayden Stokes Kilgore | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Jenkins Stidham | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Ashley Thomas Davis | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Jennifer Palmer | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Emily Davis Perkins | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Kali Dempsey Rogers | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Michael L Ard | Family Medicine | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Hannah Stewart | Nurse Practitioner | Winston Medical Clinic LLC | 106 W Main St, Louisville, MS 39339-0470 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny R. Clifton | Optometry | 395 W College St, Louisville, MS 39339-2603 | |
| Marcus A Crittenden | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Er Services, Louisville, MS 39339-2742 |
| Joel A Butler | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Physician Services, Louisville, MS 39339-2742 |
| Charles L Mccullouch | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Er Services, Louisville, MS 39339-2742 |
| Christopher Behr | Emergency Medicine | Emergency Room Md LLC | 562 E Main St, Louisville, MS 39339-2742 |
| Michael A Henry | General Surgery | Emergency Room Md LLC | 562 E Main St, Louisville, MS 39339-2742 |
| Rebekah Colleen Norwood | Occupational Therapy | Drayer Physical Therapy Mississippi LLC | 110 N Walmart Dr, Louisville, MS 39339-5905 |
| Stephanie R Ward | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 110 N Walmart Dr, Louisville, MS 39339-5905 |
| John Marty Cheeks | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 110 N Walmart Dr, Louisville, MS 39339-5905 |
| Ann Beth Vanderloo | Speech Language Pathologist | Drayer Physical Therapy Mississippi LLC | 110 N Walmart Dr, Louisville, MS 39339-5905 |
| Find all physicians in zip 39339 | |||
| City | LOUISVILLE |
| Zip Code | 39339 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOUISVILLE + FAMILY MEDICINE |
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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.