Samantha Vickrey (NPI# 1982079000, PAC ID# 9032410931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982079000 |
| PAC ID by PECOS | 9032410931 |
| Professional Enrollment ID | I20171005002174 |
| Full Name | Samantha Vickrey |
| Organization Legal Name | FAMILY MEDICAL CLINIC OF NORTH MS INC |
| Address |
3451 Goodman E Rd Suite 115 Southaven MS 38672-9304 |
| Phone Number | 6628905555 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294790861 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 | 6628905555 | FAMILY MEDICAL CLINIC OF NORTH MS INC |
| Organization Legal Name | FAMILY MEDICAL CLINIC OF NORTH MS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie J Carpenter | Family Medicine | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Sidney Shone E Cook | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Robert Skinner | Family Medicine | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Jerry C Mclarty | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Deanna R Nabors | Internal Medicine | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Nicole L Payne | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Paula Miller | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Street Address |
3451 GOODMAN E RD SUITE 115 |
| City | SOUTHAVEN |
| State | MS |
| Zip | 38672-9304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie J Carpenter | Family Medicine | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Sidney Shone E Cook | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Robert Skinner | Family Medicine | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Jerry C Mclarty | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Deanna R Nabors | Internal Medicine | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Nicole L Payne | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Paula Miller | Nurse Practitioner | Family Medical Clinic of North Ms Inc | 3451 Goodman E Rd, Suite 115, Southaven, MS 38672-9304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Verucchi | Nurse Practitioner | The Women's Clinic At The Grove | 5740 Getwell Rd, Suite B, Southaven, MS 38672-6346 |
| Jennifer B Fredrickson | Nurse Practitioner | The Women's Clinic At The Grove | 5740 Getwell Rd, Suite B, Southaven, MS 38672-6346 |
| William Earl Owens Iv | Neurology | 5740 Getwell Rd, Bldg 6 Suite D, Southaven, MS 38672-6346 | |
| Stacy L Sanders | Audiologist | 5740 Getwell Rd, Unit B, Southaven, MS 38672-6346 | |
| Steven B Roberts | Maxillofacial Surgery | North Mississippi Oral and Maxillofacial Surgery Associates, Pa | 5779 Getwell Rd, Suite 4, Southaven, MS 38672-6347 |
| Robert Appling | Podiatry | 5779 Getwell Rd, Bldg A, Southaven, MS 38672-6348 | |
| Amy R Graham | Physical Therapy | 3075 Goodman Rd E, Suite 7, Southaven, MS 38672-6359 | |
| Jennifer R Dunn | Nurse Practitioner | Getwell Urgent Care, LLC | 6752 Getwell Rd, Southaven, MS 38672-6403 |
| Linda Clark | Nurse Practitioner | Getwell Urgent Care, LLC | 6752 Getwell Rd, Southaven, MS 38672-6403 |
| Tracy J Smiley | Nurse Practitioner | Getwell Urgent Care, LLC | 6752 Getwell Rd, Southaven, MS 38672-6403 |
| Find all physicians in zip 38672 | |||
| City | SOUTHAVEN |
| Zip Code | 38672 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTHAVEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Samantha Vickrey.
| 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.