G A CARMICHAEL FAMILY HEALTH CENTER, INC. (NPI# 1013569847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013569847 |
Entity Type | Organization |
Organization Name | G A CARMICHAEL FAMILY HEALTH CENTER, INC. |
Practice Address |
1668 W Peace St Canton MS 39046-5332 |
Mailing Address |
Po Box 588 Canton MS 39046-0588 |
Practice Telephone | 6018595213 |
Practice Fax Number | 6018598771 |
Mailing Telephone | 6018595213 |
Mailing Fax Number | 6018598771 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |
Authorized Official Name | CASEY PAYNE (CFO) |
Authorized Official Telephone | 6018555056 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649337577 | G A Carmichael Family Health Center, Inc. | Dentist | 529 Mace St, Canton, MS 39046 | 2007-01-02 |
1215128046 | G A Carmichael Family Health Center, Inc. | Dentist | 110 N Jerry Clower Blvd, Yazoo City, MS 39194 | 2007-08-07 |
Street Address |
1668 W PEACE ST |
City | CANTON |
State | MS |
Zip Code | 39046-5332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972564656 | Wesley F Prater | Obstetrics & Gynecology | 1668 W Peace St, Canton, MS 39046-5332 | 2006-03-31 |
1295344224 | Keneisha Dean | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2020-07-27 |
1205456910 | Falasha Reed | Licensed Practical Nurse | 1668 W Peace St, Canton, MS 39046-5332 | 2020-04-22 |
1669010732 | G A Carmichael Family Health Center | Pharmacy | 1668 W Peace St, Canton, MS 39046-5332 | 2019-12-19 |
1972167278 | Jessica Carson | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2019-04-23 |
1992269088 | Tressa Ann Matthews | Family Medicine | 1668 W Peace St, Canton, MS 39046-5332 | 2019-01-23 |
1134606700 | Chris Fields | Clinical Exercise Physiologist | 1668 W Peace St, Canton, MS 39046-5332 | 2018-07-25 |
1639693823 | Logan Barlow | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-07-28 |
1659891257 | Yvette Rochelle Mclaurin | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2017-06-23 |
1144629510 | Angela Jones-stewart | Nurse Practitioner | 1668 W Peace St, Canton, MS 39046-5332 | 2014-08-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
Find all providers in zip 39046 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619319043 | Richard D Watkins Canton Community Clinic, Inc | Clinic/Center | 3015 Mahoning Rd Ne, Canton, OH 44705-3335 | 2013-07-26 |
1013034636 | Mallory Community Health | Clinic/Center | 276 Nissan Parkway, Building C, Suite 100, Canton, MS 39046 | 2007-03-26 |
1063419422 | Georgia Highlands Medical Services, Inc. | Clinic/Center | 220 Oakside Ln, Canton, GA 30114-6413 | 2005-06-30 |
1811501455 | Georgia Highlands Medical Services, Inc | Clinic/Center | 210 Oakside Ln, Canton, GA 30114-6417 | 2020-09-01 |
1427593409 | Great Salt Plains Health Center | Clinic/Center | 310 E. Walnut Street, Canton, OK 73724 | 2016-12-29 |
1851592034 | Lifecare Family Health and Dental Center, Inc | Clinic/Center | 408 9th St Sw, Canton, OH 44707-4714 | 2007-05-29 |
1720289903 | Richard D Watkins Canton Community Clinic, Inc. | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2007-05-29 |
1801952809 | G A Carmichael Family Health Center Inc | Clinic/Center | 1668 West Peace Street, Canton, MS 39046 | 2006-12-28 |
1013964923 | Lifecare Family Health and Dental Center, Inc | Clinic/Center | 2725 Lincoln St E, Canton, OH 44707-2769 | 2006-05-27 |
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1871193722 | Coastal Family Health Center, Inc | Clinic/Center | 12424 Highway 57, Vancleave, MS 39565-8608 | 2020-10-29 |
1992305445 | Coastal Family Health Center, Inc | Clinic/Center | 5500 Hurley Wade Rd, Moss Point, MS 39562-8548 | 2020-10-26 |
1841890399 | Coastal Family Health Center, Inc | Clinic/Center | 10700 Yellow Jacket Rd, Ocean Springs, MS 39564-8038 | 2020-10-26 |
1033755343 | Access Family Health Services, Inc. | Clinic/Center | 179 Mullen Ave, Nettleton, MS 38858-6033 | 2019-11-21 |
1285280180 | Delta Health Center, Inc | Clinic/Center | 506 Washington Avenue, Moorhead, MS 38761 | 2019-08-15 |
1265088421 | Delta Health Center, Inc | Clinic/Center | 400 South Blvd, Drew, MS 38737-3508 | 2019-08-14 |
1215583356 | Delta Health Center, Inc. | Clinic/Center | 302 College Ave, Indianola, MS 38751-2112 | 2019-08-14 |
1063068252 | Delta Health Center, Inc | Clinic/Center | 1101 Oak St, Inverness, MS 38753-8725 | 2019-08-13 |
1750937959 | Delta Health Center, Inc | Clinic/Center | 212 E Claiborne St, Sunflower, MS 38778-9640 | 2019-08-13 |
1750937108 | Delta Health Center, Inc | Clinic/Center | 410 L F Packer Dr, Ruleville, MS 38771-3604 | 2019-08-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.