DR. LATOYA DENISE COLENBERG EAKINS (NPI# 1144500091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144500091 |
| Entity Type | Individual |
| Full Name | DR. LATOYA DENISE COLENBERG EAKINS |
| Credential | D.M.D. |
| Practice Address |
2045 Highway 61 N Port Gibson MS 39150 |
| Mailing Address |
2045 Highway 61 N Port Gibson MS 39150-4262 |
| Practice Telephone | 6014373050 |
| Practice Fax Number | 6014373057 |
| Mailing Telephone | 6014373050 |
| Mailing Fax Number | 6014373057 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
361511 | MS | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3615-11 | MS | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
PENDING | MS | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2045 Highway 61 N, Port Gibson, MS 39150 | 6014373050 | 6014373057 |
| Street Address |
2045 HIGHWAY 61 N |
| City | PORT GIBSON |
| State | MS |
| Zip Code | 39150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194968982 | Claiborne County Family Health Center, Inc. | Clinic/Center | 2045 Highway 61 N, Port Gibson, MS 39150-4262 | 2009-04-09 |
| 1558978510 | Linda B Fouche | Health Educator | 2045 Highway 61 N, Port Gibson, MS 39150-4262 | 2020-09-24 |
| 1861930851 | Brenda Faye Collins | Nurse Practitioner | 2045 Highway 61 N, Port Gibson, MS 39150-4262 | 2017-02-09 |
| 1659721116 | Arlene Hunt | Nurse Practitioner | 2045 Highway 61 N, Port Gibson, MS 39150-4262 | 2016-06-15 |
| 1174803829 | Marie Evans Allen | Nurse Practitioner | 2045 Highway 61 N, Port Gibson, MS 39150-4262 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113135 | Eli George Ellis Jr. | Dentist | 911 Market St, Port Gibson, MS 39150 | 2006-11-21 |
| 1528032406 | David Mccaa Headley | Family Medicine | 405 Market St, Port Gibson, MS 39150 | 2006-02-15 |
| 1982914628 | Delarious Oneal Stewart | Counselor | 404 Market St, Port Gibson, MS 39150 | 2010-10-15 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1073176749 | Ginetta Felton Anderson | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2019-04-18 |
| 1265753172 | Jennifer Leigh Greer | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2010-06-15 |
| 1578627782 | David M. Headley, M.d. Pa | Family Medicine | 405 Market St, Port Gibson, MS 39150-2024 | 2006-12-21 |
| 1427296748 | Claiborne County School District | Local Education Agency (LEA) | 404 Market St, Port Gibson, MS 39150-2025 | 2009-01-23 |
| 1235394966 | Claiborne County Family Health Center, Inc. | Clinic/Center | 880 Anthony St, 2045 Highway 61 North, Port Gibson, MS 39150-2050 | 2008-07-22 |
| 1740519123 | Claiborne County School District | Local Education Agency (LEA) | 880 Anthony St, Port Gibson, MS 39150-2050 | 2009-12-15 |
| Find all providers in zip 39150 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113135 | Eli George Ellis Jr. | Dentist | 911 Market St, Port Gibson, MS 39150 | 2006-11-21 |
| 1427160654 | Keith D Bishop | Dentist | 2045 Highway 61 North, Port Gibson, MS 39150-4262 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1518564210 | Reagan Mcnerney | Dentist | 275 11th Ave Sw, Magee, MS 39111-3553 | 2020-10-06 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1275157463 | Anderson Reid Bensch | Dentist | 160 Cracker Barrell Dr, Batesville, MS 38606-3031 | 2020-06-03 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1831746338 | Gary Williams LLC | Dentist | 100 Marketplace Dr Ste B, Byram, MS 39272-8974 | 2019-08-20 |
| 1518528769 | Huey D Phillips Jr. | Dentist | 5204 Highway 51 N, Senatobia, MS 38668-1712 | 2019-06-27 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT GIBSON |
| Zip Code | 39150 |
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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.