ALLIANCE PRIMARY CARE PLUS (NPI# 1265055081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265055081 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PRIMARY CARE PLUS |
| Practice Address |
209b Riverwind Dr Pearl MS 39208-5653 |
| Mailing Address |
Po Box 13329 Jackson MS 39236-3329 |
| Practice Telephone | 6015950401 |
| Mailing Telephone | 6015950401 |
| Mailing Fax Number | 6014205299 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | PRINCE S MCCLINTON (NP / OWNER) |
| Authorized Official Telephone | 6015950401 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209B RIVERWIND DR |
| City | PEARL |
| State | MS |
| Zip Code | 39208-5653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1003273897 | Xcel Rehab, Inc. | Clinic/Center | 209 Riverwind East, Suite B, Pearl, MS 39208 | 2016-01-25 |
| 1487035044 | Christopher Rogers | Physical Therapy Assistant | 209 B Riverwind East, Pearl, MS 39208 | 2015-06-09 |
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| Find all providers in zip 39208 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1952919953 | 360 Healthcare Clinic | Nurse Practitioner | 202 Saint Paul St, Pearl, MS 39208-5134 | 2020-07-16 |
| 1952965642 | Dafina J Skinner | Nurse Practitioner | 104 Woodburn Way, Pearl, MS 39208-8636 | 2019-04-28 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1558812263 | Nashamba Jackson-bracey | Nurse Practitioner | 4490 Highway 80 E Ste A, Pearl, MS 39208-4213 | 2016-10-18 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| 1033723325 | Edward Scott Callihan | Nurse Practitioner | 342 Gilchrist Dr, Pearl, MS 39208-6671 | 2020-09-03 |
| 1841829579 | Alisha Shanell Matthews | Nurse Practitioner | 3794 Highway 468 W, Pearl, MS 39208-9008 | 2020-04-04 |
| Find all providers in PEARL | ||||
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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.