JACOB MCCLENDON (NPI# 1144724105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144724105 |
| Entity Type | Individual |
| Full Name | JACOB MCCLENDON |
| Credential | DO |
| Practice Address |
5001 Hardy St Hattiesburg MS 39402-1308 |
| Mailing Address |
250 Walnut Cv Dawsonville GA 30534-6994 |
| Practice Telephone | 6012963963 |
| Mailing Telephone | 7708718203 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS16271 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5001 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475315 | Gregory Richard Sims | Registered Nurse | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2005-05-24 |
| 1497377170 | Kristi Morgan | Social Worker | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-05-15 |
| 1275154619 | Wesley Health System LLC | Clinical Medical Laboratory | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-04-27 |
| 1477181899 | Shivalika Rhea Singh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1750919163 | Christopher Riley | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1295363729 | Hora Nemati Rezvani | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1275161788 | Michael Corso | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1871121582 | Alexander Oh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-29 |
| 1073141891 | Vashishtha Patel | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| 1316575160 | Madeline Sarah Larossa | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
| 1962796789 | Ochsner Clinic LLC | General Practice | #4 Willow Pointe, Suite 1, Hattiesburg, MS 39402 | 2011-06-09 |
| 1285653386 | Pacific Physician Services, LLC | General Practice | 101 Asbury Cirlce, Hattiesburg, MS 39402 | 2006-07-19 |
| 1326003856 | Pacific Physician Services, LLC | General Practice | 14 Orleans Dr, Hattiesburg, MS 39402-8674 | 2006-04-18 |
| 1326565763 | Crystal Parker Mcnabb | General Practice | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2017-08-25 |
| 1336384742 | Pioneer Health Care, LLC | General Practice | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2008-12-14 |
| 1134379175 | Robert E Bailey | General Practice | 222 S 27th Ave, Minor Care Clinic, Hattiesburg, MS 39401-7165 | 2008-09-26 |
| 1982740718 | Bennett E Smith Jr. | General Practice | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
| 1316968084 | Pacific Physician Services, LLC | General Practice | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-07-21 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on JACOB MCCLENDON.
| 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.