CARY N METTETAL (NPI# 1083786727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786727 |
| Entity Type | Organization |
| Organization Name | CARY N METTETAL |
| Other Organization Name | METTETAL FAMILY MEDICINE |
| Practice Address |
401 E Lee St Sardis MS 38666-1227 |
| Practice Telephone | 6624870004 |
| Practice Fax Number | 6624870006 |
| Mailing Telephone | 6624870004 |
| Mailing Fax Number | 6624870006 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | NITA G MCDONALD (OFFICE MANAGER) |
| Authorized Official Telephone | 6624870004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015623 | 05 |
| Other Name | Type Code |
|---|---|
| Mettetal Family Medicine | Doing Business As Name - Organization |
| Street Address |
401 E LEE ST |
| City | SARDIS |
| State | MS |
| Zip Code | 38666-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235102674 | Cary Nolan Mettetal | Family Medicine | 401 E Lee St, Sardis, MS 38666-1227 | 2006-02-08 |
| 1538631700 | Kelly Denise Grace | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2018-12-27 |
| 1124574231 | Jessica Tubbs | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2016-08-29 |
| 1346794260 | Lisa M Hall | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2016-08-09 |
| 1689054868 | Brooke Lewis | Pharmacist | 401 E Lee St, Sardis, MS 38666-1227 | 2015-06-03 |
| 1699863456 | Linda Rushing Monty | Nurse Practitioner | 401 E Lee St, Sardis, MS 38666-1227 | 2006-10-10 |
| 1427086487 | Freds Stores of Tennessee Inc | Pharmacy | 401 E Lee St, Sardis, MS 38666-1227 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703820 | First Pharmacy Services of Sardis | Pharmacy | 400 East Lee Street, Sardis, MS 38666 | 2018-06-07 |
| 1528310539 | Lorri Cook | Registered Nurse | 4036 Spring Port Rd., Sardis, MS 38666 | 2012-10-15 |
| 1629329289 | Carmie Salina Blankenship | Nurse Practitioner | 124 S. Main St, Sardis, MS 38666 | 2012-09-24 |
| 1467511196 | Pharmacy Investment Group, Inc | Pharmacy | 330 East Lee St., Sardis, MS 38666 | 2006-12-08 |
| 1194745638 | Linda L Troy | Nurse Practitioner | 111 S. Main Street, Sardis, MS 38666 | 2006-07-20 |
| 1497783864 | Sallye S. Scott | Optometrist | 119 S Main Street, Sardis, MS 38666 | 2006-06-28 |
| 1316152093 | Peterrio Harris | Durable Medical Equipment & Medical Supplies | 322 Hernando St, Sardis, MS 38666-1010 | 2007-05-14 |
| 1366479610 | Healthcare Engineers | Nurse Practitioner | 111 W Lee St, Sardis, MS 38666-1124 | 2006-06-26 |
| 1992271803 | People's Pharmacy, LLC | Pharmacy | 411 E Lee St Ste C, Sardis, MS 38666-1227 | 2018-10-17 |
| 1407348832 | First Pharmacy Services | Pharmacy | 400 E Lee St, Sardis, MS 38666-1236 | 2018-06-01 |
| Find all providers in zip 38666 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235102674 | Cary Nolan Mettetal | Family Medicine | 401 E Lee St, Sardis, MS 38666-1227 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1457967226 | Tiffine Lynn Prisock | Family Medicine | 24978 Ms-15, Mathiston, MS 39752 | 2020-09-17 |
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1942810569 | Ericka Marcene Williams | Family Medicine | 1031 Northridge Rd Ste A, Baldwyn, MS 38824-1173 | 2020-08-07 |
| 1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1831707470 | Rebecca Holmes | Family Medicine | 42 Atley Holmes Rd # Rs, Jayess, MS 39641-8272 | 2020-07-20 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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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.