METHODIST SPECIALTY CARE CENTER (NPI# 1245389386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245389386 |
| Entity Type | Organization |
| Organization Name | METHODIST SPECIALTY CARE CENTER |
| Practice Address |
1 Layfair Dr Suite 500 Flowood MS 39232-9717 |
| Practice Telephone | 6014207760 |
| Practice Fax Number | 6014207770 |
| Mailing Telephone | 6014207760 |
| Mailing Fax Number | 6014207770 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | MR. LARRY MCKNIGHT (ADMINISTRATOR) |
| Authorized Official Telephone | 6014207760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04477051 | 05 |
| Street Address |
1 LAYFAIR DR SUITE 500 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528094851 | Orhan Ilercil | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-06-26 |
| 1356671556 | Mississippi Brain and Spine, Pllc | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2010-01-11 |
| 1083841803 | Kathryn E Johnson | Dietitian, Registered | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2009-06-18 |
| 1407098536 | Methodist Pain Management, LLC | Anesthesiology | 1 Layfair Dr, Suite 400, Flowood, MS 39232-9717 | 2009-04-06 |
| 1891972022 | Flowood Family Medicine, Pllc | Family Medicine | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2008-01-30 |
| 1245433879 | Kevin Michael Young | Family Medicine | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2007-06-10 |
| 1326116112 | Mississippi Neurosurgery and Spine Center,pllc | Neurological Surgery | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-12-01 |
| 1265528467 | Open Mri of Jackson, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
| 1255427464 | Central Ms Diagnostics, LLC | Clinic/Center | 1 Layfair Dr, Suite 315, Flowood, MS 39232-9717 | 2006-10-05 |
| 1790876811 | Leon M Grigoryev | Physical Medicine & Rehabilitation | 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842641 | Crossroads Adult Day Care | Nursing Facility/Intermediate Care Facility | 519 S Church St, Brookhaven, MS 39601-3807 | 2015-01-27 |
| 1699108860 | Holistic Geriatric Care LLC | Nursing Facility/Intermediate Care Facility | 10026 Lizelia Rd, Meridian, MS 39305-9595 | 2013-08-12 |
| 1538492111 | Iva Ward LLC | Nursing Facility/Intermediate Care Facility | 711 Melrose Montebello Pkwy, Natchez, MS 39120-4924 | 2009-09-14 |
| 1295961969 | River Oaks Management, LLC | Nursing Facility/Intermediate Care Facility | 501 Highway 80 E, Brandon, MS 39042-3257 | 2009-06-08 |
| 1063697340 | North Bolivar School District | Nursing Facility/Intermediate Care Facility | 615 School Street, Duncan, MS 38740 | 2008-01-04 |
| 1659555761 | Tallahatchie General Hospital and Extended Care Facility | Nursing Facility/Intermediate Care Facility | 201 South Market Street, Charleston, MS 38921 | 2007-12-26 |
| 1568683498 | Whitfield Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 2101 Proper St, Corinth, MS 38834-5247 | 2007-05-01 |
| 1265656391 | Gilberto Patino | Nursing Facility/Intermediate Care Facility | 419 Elizabeth Drive, Leakesville, MS 39451 | 2007-04-12 |
| 1013048453 | Bruce Nursing Center, Inc. | Nursing Facility/Intermediate Care Facility | 176 Hwy 9 South, Bruce, MS 38915 | 2007-03-08 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
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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.