GERIATRIC SPECIALTIES LLC (NPI# 1245508621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245508621 |
| Entity Type | Organization |
| Organization Name | GERIATRIC SPECIALTIES LLC |
| Practice Address |
188 W Oxford St Pontotoc MS 38863-2006 |
| Mailing Address |
Po Box 1035 Pontotoc MS 38863-1035 |
| Practice Telephone | 6629830139 |
| Mailing Telephone | 6629830739 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MICHAEL DON KING (SOLE MEMBER) |
| Authorized Official Telephone | 6629830139 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R654388 | MS | Nursing Service Providers |
| Street Address |
188 W OXFORD ST |
| City | PONTOTOC |
| State | MS |
| Zip Code | 38863-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099911 | Michael Don King | Nurse Practitioner | 188 W Oxford St, Pontotoc, MS 38863-2006 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429176 | Erik Goodwin | Chiropractor | 1 Goodwin Drive, Pontotoc, MS 38863 | 2020-08-28 |
| 1003455379 | Billie Jay Holloway | Technician | 1357 Hwy 9 South, Pontotoc, MS 38863 | 2020-01-03 |
| 1689185597 | Southern Physical and Aquatic Therapy, P.a. | Clinic/Center | 369 Peoples Drive, Pontotoc, MS 38863 | 2017-10-18 |
| 1699290460 | Jamie Michelle Holloway | Nurse Practitioner | 1374 Cooke Road, Pontotoc, MS 38863 | 2017-08-13 |
| 1235673351 | Carla Chism | Speech-Language Pathologist | 2564 Highway 345, Pontotoc, MS 38863 | 2016-12-08 |
| 1669924379 | Stephanie N Watson | Nurse Practitioner | 351 Peoples Dr. # A, Pontotoc, MS 38863 | 2016-10-28 |
| 1003285461 | Timothy R Watson | Nurse Practitioner | Acute Care and Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 | 2015-09-16 |
| 1770995938 | Mississippi Professional Counseling Associates | Social Worker | 356a East Oxford Street, Pontotoc, MS 38863 | 2014-05-22 |
| 1376852525 | Kenneth E Prewett | Pharmacist | 170 Highway 15 N, Pontotoc, MS 38863 | 2010-10-05 |
| 1801105051 | Thomas Keith Guntharp | Pharmacist | 170 Highway 15 North, Pontotoc, MS 38863 | 2010-10-05 |
| Find all providers in zip 38863 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414509 | Katelyn Stalnaker Richardson | Registered Nurse | 160 N Brooks St, Pontotoc, MS 38863-1612 | 2020-10-15 |
| 1578557906 | Arland Dale Jones | Registered Nurse | 351a Peoples Dr, Pontotoc, MS 38863-8990 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316952 | Jennifer Hume Cook | Registered Nurse | 64 Napa Valley Cir, Madison, MS 39110-8892 | 2020-11-05 |
| 1356940803 | Elizabeth Marie Cole | Registered Nurse | 100 Sandpiper Cv, Mooreville, MS 38857-6012 | 2020-10-25 |
| 1124627690 | Alison Denise Perryman | Registered Nurse | 4975 Highway 51 N, Senatobia, MS 38668-1714 | 2020-10-25 |
| 1891394821 | Mandy Lynn Kwarsick | Registered Nurse | 708 Humphries Cove Rd, West Point, MS 39773-8215 | 2020-10-21 |
| 1821697111 | Tenesha Coats | Registered Nurse | 176 Circle Rd, Taylorsville, MS 39168-4656 | 2020-10-19 |
| 1952915092 | Missy Brown Foster | Registered Nurse | 5301 Kristy Ln, Southaven, MS 38671-7424 | 2020-09-05 |
| 1871106773 | Mississippi Medical Relief Care, LLC | Registered Nurse | 199 Charmant Pl Ste 3b, Ridgeland, MS 39157-4358 | 2020-08-28 |
| 1063025062 | Frederick Marvin Terry | Registered Nurse | 2135 Henry Hill Dr Ste 200, Jackson, MS 39204-2013 | 2020-08-28 |
| 1750993481 | Niva Jamice King Alexander | Registered Nurse | 665 S Pear Orchard Road, Suite 106 #553, Ridgeland, MS 39157-4859 | 2020-08-24 |
| 1235741109 | Sheena Renee Barnes | Registered Nurse | 3518 Highway 184 E, Silver Creek, MS 39663-2374 | 2020-08-20 |
| 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.