JRCO, LLC (NPI# 1184056285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184056285 |
| Entity Type | Organization |
| Organization Name | JRCO, LLC |
| Other Organization Name | CALEDONIA MEDICAL CARE |
| Practice Address |
9692 Wolfe Rd Caledonia MS 39740 |
| Mailing Address |
9692 Wolfe Rd Caledonia MS 39740-9223 |
| Practice Telephone | 6623560320 |
| Practice Fax Number | 6623560322 |
| Mailing Telephone | 6623560320 |
| Mailing Fax Number | 6623560322 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | ALVIN RAY BEEZLEY JR. (PROVIDER) |
| Authorized Official Telephone | 6623560320 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15421 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE PTAN | 512I110141 | 01 |
| MS | 07757360 | 05 |
| Other Name | Type Code |
|---|---|
| CALEDONIA MEDICAL CARE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JRCO, LLC | 5300 Oakbrook Parkway, Building 300, Suite 300, Norcross, GA 30093 |
| Street Address |
9692 WOLFE RD |
| City | CALEDONIA |
| State | MS |
| Zip Code | 39740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851792626 | Amanda Fondren | Nurse Practitioner | 171 South St, Caledonia, MS 39740 | 2014-09-11 |
| 1174723209 | Leslie Herndon Singley | Physical Therapist | 91 Gurlie Malone Rd., Caledonia, MS 39740 | 2007-07-18 |
| 1922056159 | Alvin Ray Beezley Jr. | Internal Medicine | 9692 Wolf Road, Caledonia, MS 39740 | 2006-05-04 |
| 1013426329 | Fig Leaf, LLC | Nurse Practitioner | 171 South St, Caledonia, MS 39740 | 2017-09-29 |
| 1013294461 | Caledonia Pharmacy LLC | Pharmacy | 741 Main St, Caledonia, MS 39740-7609 | 2011-11-14 |
| 1528577012 | Lisa Jordan Hudson | Nurse Practitioner | 171 South St, Caledonia, MS 39740-8587 | 2017-09-27 |
| 1104100858 | Joachim Yves Mckinney | Pharmacist | 4454 Cal Steens Rd, Caledonia, MS 39740-8677 | 2011-09-29 |
| 1770872459 | Misty S Glasgow | Occupational Therapist | 989 Flint Hill Rd, Caledonia, MS 39740-9026 | 2011-04-01 |
| 1811152317 | Jamie Boyd Whitney | Speech-Language Pathologist | 368 Martin Rd, Caledonia, MS 39740-9502 | 2008-07-23 |
| 1609309145 | Ashley Barksdale | Doula | 2327 Border Springs Rd, Caledonia, MS 39740-9524 | 2017-04-11 |
| Find all providers in zip 39740 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811165780 | Tara Anderson | Specialist | 7846 Golf Point Dr Se, Caledonia, MI 49316-7779 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407273 | Holly Wilson | Specialist | 100 Hospital St Ste 300, Booneville, MS 38829-3354 | 2019-09-24 |
| 1255893434 | Natasha Wilson | Specialist | 959 Memorial Blvd, Picayune, MS 39466-4635 | 2019-04-05 |
| 1669933396 | Doneshia Brown | Specialist | 1436 Saint Andrews Ln, Starkville, MS 39759-1613 | 2019-03-26 |
| 1770061442 | Elizabeth Newcomb | Specialist | 102 N Cass St Ste B, Corinth, MS 38834-5729 | 2018-08-03 |
| 1396271565 | Karlisha Britton | Specialist | 7 Lakeland Circle, Suite 300, Jackson, MS 39216 | 2017-05-10 |
| 1306386784 | Donna Neal | Specialist | 2113 Government St Ste K2, Ocean Springs, MS 39564-3949 | 2017-03-03 |
| 1790227627 | Mississippi Center for Advanced Medicine, PC | Specialist | 7731 Old Canton Rd, Suite B, Madison, MS 39110-6114 | 2016-11-09 |
| 1366993321 | D Balder Md Pllc | Specialist | 15190 Community Rd Ste 210, Gulfport, MS 39503-3483 | 2016-10-14 |
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1114476389 | Physician Practice of Madison, PC | Specialist | 1111 N Frontage Rd Fl 2, Vicksburg, MS 39180-5102 | 2016-09-28 |
| 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.