SHAVETTA D CONNER (NPI# 1235283623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235283623 |
| Entity Type | Individual |
| Full Name | SHAVETTA D CONNER |
| Credential | MD |
| Practice Address |
295 Summar Ave Jackson TN 38301 |
| Practice Telephone | 7314216703 |
| Practice Fax Number | 7319357093 |
| Mailing Telephone | 7314216703 |
| Mailing Fax Number | 7319357093 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
0000024830 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3897153 | 05 |
| Street Address |
295 SUMMAR AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582415 | West Tennessee Regional Health Office Children Special Services | Public Health or Welfare | 295 Summar Ave, Jackson, TN 38301 | 2007-01-11 |
| 1376685750 | Karen K Codjoe | Preventive Medicine | 295 Summar Ave, Jackson, TN 38301 | 2007-02-13 |
| 1497891469 | Kenneth Willard Hill | Dentist | 295 Summar Ave, Jackson, TN 38301 | 2007-01-29 |
| 1740334754 | Melissa B Dennison | Pharmacist | 295 Summar Ave, Jackson, TN 38301 | 2007-01-23 |
| 1366592552 | State of Tennessee | Public Health or Welfare | 295 Summar Ave, Jackson, TN 38301 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697756 | Amy Schultz | Preventive Medicine | 1715 Lansing Ave Ste 221, Jackson, MI 49202-2193 | 2018-01-11 |
| 1710341771 | Sisters In Birth, Inc. | Preventive Medicine | 3000 Old Canton Rd Ste 280, Jackson, MS 39216-4255 | 2016-04-06 |
| 1851620314 | Frank J Morgan Jr. | Preventive Medicine | 1200 Meadowbrook Rd, #25, Jackson, MS 39206-6109 | 2009-12-12 |
| 1548306525 | Charlotte Deniece Coleman | Preventive Medicine | 295 Summar Avenue, West Tennesse Regional Office, Jackson, TN 38301 | 2007-01-29 |
| 1780692400 | Jackson County | Preventive Medicine | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2006-08-05 |
| 1801227723 | Kidz Fitness Station | Preventive Medicine | 2460 Terry Rd, Jackson, MS 39204-5767 | 2013-12-02 |
| 1821382235 | Courtland Keith Keteyian | Preventive Medicine | 205 N. East Avenue, Jackson, MI 49201 | 2011-06-02 |
| 1821252479 | Abedulnaasseer O. Mohammedelamien | Preventive Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-14 |
| 1821123670 | Paul E. Byers | Preventive Medicine | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2007-02-22 |
| 1376685750 | Karen K Codjoe | Preventive Medicine | 295 Summar Ave, Jackson, TN 38301 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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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.