Jefferson R Buntin (NPI# 1114318417, PAC ID# 9335433978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114318417 |
| PAC ID by PECOS | 9335433978 |
| Professional Enrollment ID | I20160804002203 |
| Full Name | Jefferson R Buntin |
| Organization Legal Name | FORREST COUNTY GENERAL HOSPITAL |
| Address |
146 Highland Pkwy Picayune MS 39466-5575 |
| Phone Number | 6013589765 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052397767 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250117 | HIGHLAND COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 146 Highland Pkwy, Picayune, MS 39466-5575 | 6013589765 | FORREST COUNTY GENERAL HOSPITAL |
| 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 | 6013589765 | FORREST COUNTY GENERAL HOSPITAL |
| Organization Legal Name | FORREST COUNTY GENERAL HOSPITAL |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Duncan | Nurse Practitioner | Forrest County General Hospital | 200 Country Club Rd, Highland Internal Medicine Clinic, Carriere, MS 39426 |
| German A Almonte Hidalgo | General Surgery | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Ronald P. Tynes Jr. | Nurse Practitioner | Forrest County General Hospital | 6051 Us Hwy 49, Hattiesburg, MS 39401-7243 |
| Pennie L Allen | Nurse Practitioner | Forrest County General Hospital | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 |
| Ashley H Holford | Clinical Social Worker | Forrest County General Hospital | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3261 |
| Michele B Mahaffey | Nurse Practitioner | Forrest County General Hospital | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 |
| Roopsi Bassi | Psychiatry | Forrest County General Hospital | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3261 |
| Bassam K Mechleb | Cardiovascular Disease (cardiology) | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Charles R Griffith | Family Medicine | Forrest County General Hospital | 6051 U S Hwy 49, Hattiesburg, MS 39401-7200 |
| Oladipo Kusemiju | Family Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Street Address |
146 HIGHLAND PKWY |
| City | PICAYUNE |
| State | MS |
| Zip | 39466-5575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| German A Almonte Hidalgo | General Surgery | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Fatima Sadiq | General Surgery | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Gina F Rivero | Nurse Practitioner | Forrest County General Hospital | 146 Highland Pkwy, Picayune, MS 39466-5575 |
| Staci R Hess | Nurse Practitioner | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Kimberly J Carver | Nurse Practitioner | Forrest County General Hospital | 146 Highland Pkwy, Picayune, MS 39466-5575 |
| Eric T Siegel | Obstetrics/gynecology | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Cynthia V Jean-pierre | Obstetrics/gynecology | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| James J Blount Iii | Obstetrics/gynecology | Forrest County General Hospital | 146 Highland Pkwy, Suite C, Picayune, MS 39466-5576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter Gipson | Family Medicine | Our Lady of The Lake Physician Group LLC | 1702 Hwy 11 N, Our Lady of The Lake Physician Group Picayune, Picayune, MS 39466-2016 |
| Adam Louis Robin | Physical Therapy | Southern Physical Therapy Clinic Inc | 1620 Hwy 11 N, Suite E, Picayune, MS 39466-2070 |
| John W Houston Jr. | Physical Therapy | Southern Physical Therapy Clinic Inc | 1620 Hwy 11 N, Suite E, Picayune, MS 39466-2070 |
| Allen R Calabresi | Hematology/oncology | Slidell Memorial Hospital | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Brittany Shaw | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Ronald Dale Leblanc | Hematology/oncology | Slidell Memorial Hospital | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Mary Catherine Hess | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Grace P Ford | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Cyril Vk Bethala | Cardiovascular Disease (cardiology) | Cardiology Institute, Inc | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Judith Baker | Nurse Practitioner | Pelican Urgent Care, Ms, LLC | 1839 Cooper Rd, Suite 100, Picayune, MS 39466-2835 |
| Find all physicians in zip 39466 | |||
| City | PICAYUNE |
| Zip Code | 39466 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PICAYUNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jefferson R Buntin.
| 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.