Jackie C Dyess (NPI# 1003972928, PAC ID# 9436323540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003972928 |
| PAC ID by PECOS | 9436323540 |
| Professional Enrollment ID | I20111129000150 |
| Full Name | Jackie C Dyess |
| Organization Legal Name | MDB BEHAVIORAL HEALTH SERVICES LLC |
| Address |
501 Avalon Way Suite D Brandon MS 39047-7500 |
| Phone Number | 6019519863 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749572915 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 Avalon Way, Suite D, Brandon, MS 39047-7500 | 6019519863 | MDB BEHAVIORAL HEALTH SERVICES LLC |
| Organization Legal Name | MDB BEHAVIORAL HEALTH SERVICES LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latonya Jaton Mcgowan | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Stephanie Vincens Dearman | Clinical Social Worker | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Donald Allan Dearman | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Linda Bone Thomas | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Laura C King | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Kenneth R Daughtrey Jr. | Psychiatry | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Toni L. Ladner | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Nancy Mason | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Christopher John Watkins | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Brandon, MS 39047-7500 |
| Street Address |
501 AVALON WAY SUITE D |
| City | BRANDON |
| State | MS |
| Zip | 39047-7500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Howington | Nurse Practitioner | Southern Medical Consultants LLC | 501 Avalon Way, Suite C, Brandon, MS 39047-7500 |
| Latonya Jaton Mcgowan | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Stephanie Vincens Dearman | Clinical Social Worker | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Donald Allan Dearman | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Linda Bone Thomas | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Laura C King | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Kenneth R Daughtrey Jr. | Psychiatry | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Toni L. Ladner | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Nancy Mason | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Suite D, Brandon, MS 39047-7500 |
| Christopher John Watkins | Nurse Practitioner | Mdb Behavioral Health Services LLC | 501 Avalon Way, Brandon, MS 39047-7500 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Sheely | Family Medicine | Flowood River Oaks Hma Medical Group, LLC | 1220 Northshore Pkwy A, Care Plus At The Reservoir, Brandon, MS 39047-6035 |
| Louie G Ross Iii | Nurse Practitioner | Flowood River Oaks Hma Medical Group, LLC | 1220 Northshore Pkwy A, Care Plus At The Reservoir, Brandon, MS 39047-6035 |
| Joel Elisha Maier | Physical Therapy | Synergy Myofascial Release and Rehab, Inc | 115 Village Sq, Suite E, Brandon, MS 39047-6059 |
| Francesca D Tomlinson-davis | Physical Therapy | Synergy Myofascial Release and Rehab, Inc | 115 Village Sq, Suite E, Brandon, MS 39047-6059 |
| Bradley L Grohovsky | Physical Therapy | Synergy Myofascial Release and Rehab, Inc | 115 Village Sq, Suite E, Brandon, MS 39047-6059 |
| Melinda K Roberson | Physical Therapy | Synergy Myofascial Release and Rehab, Inc | 115 Village Sq, Suite E, Brandon, MS 39047-6059 |
| Aaron B Shores | Physical Therapy | Synergy Myofascial Release and Rehab, Inc | 115 Village Sq, Suite E, Brandon, MS 39047-6059 |
| James R Fehrenbacher | Physical Therapy | Synergy Myofascial Release and Rehab, Inc | 115 Village Sq, Brandon, MS 39047-6059 |
| Charvi N Patel | Family Medicine | Medical Foundation of Central Mississippi Inc | 1887 Spillway Rd, Brandon, MS 39047-6066 |
| Timothy C Chen | Family Medicine | Medical Foundation of Central Mississippi Inc | 1887 Spillway Rd, Brandon, MS 39047-6066 |
| Find all physicians in zip 39047 | |||
| City | BRANDON |
| Zip Code | 39047 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRANDON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jackie C Dyess.
| 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.