G A CARMICHAEL FAMILY HEALTH CENTER INC (NPI# 1023175957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023175957 |
| Entity Type | Organization |
| Organization Name | G A CARMICHAEL FAMILY HEALTH CENTER INC |
| Practice Address |
364 Martin Luther King Dr Canton MS 39046 |
| Mailing Address |
Po Box 588 Canton MS 39046-0588 |
| Practice Telephone | 6018593578 |
| Practice Fax Number | 6018598771 |
| Mailing Telephone | 6018595213 |
| Mailing Fax Number | 6018598771 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | DR. JAMES L. COLEMAN JR. (CEO) |
| Authorized Official Telephone | 6018595213 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598822421 | G A Carmichael Family Health Center Inc | Dentist | 1835 School Dr, Yazoo City, MS 39194 | 2007-01-02 |
| 1033276027 | G A Carmichael Family Health Center Inc | Dentist | 3439 Vaughan Rd, Vaughan, MS 39179 | 2007-01-02 |
| 1699832519 | G A Carmichael Family Health Center Inc | Pediatrics | 644 Finney Road, Canton, MS 39046 | 2007-01-02 |
| 1255498176 | G A Carmichael Family Health Center Inc | Dentist | 740 E Academy St, Canton, MS 39046 | 2007-01-02 |
| 1932266855 | G A Carmichael Family Health Center Inc | Dentist | 1825 Dr Martin Luther King Jr Dr, Yazoo City, MS 39194 | 2007-01-02 |
| 1235295304 | G A Carmichael Family Health Center Inc | Clinic/Center | 1301 E First St, Belzoni, MS 39038 | 2006-12-30 |
| 1396363503 | G A Carmichael Family Health Center Inc | Family Medicine | 16463 Us Highway 49, Belzoni, MS 39038-4292 | 2020-07-14 |
| 1508922675 | G A Carmichael Family Health Center Inc | Clinic/Center | 1547 Jerry Clower Blvd, Yazoo City, MS 39194 | 2006-12-30 |
| 1801952809 | G A Carmichael Family Health Center Inc | Clinic/Center | 1668 West Peace Street, Canton, MS 39046 | 2006-12-28 |
| Street Address |
364 MARTIN LUTHER KING DR |
| City | CANTON |
| State | MS |
| Zip Code | 39046 |
| 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 |
| 1013569847 | G A Carmichael Family Health Center, Inc. | Clinic/Center | 1668 W Peace St, Canton, MS 39046-5332 | 2019-07-11 |
| 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 |
| Find all providers in CANTON | ||||
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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.