DR. ANDREA KOOSNE GARRISON (NPI# 1316984149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316984149 |
| Entity Type | Individual |
| Full Name | DR. ANDREA KOOSNE GARRISON |
| Credential | MD |
| Practice Address |
4577 S Eason Blvd Tupelo MS 38801-6590 |
| Mailing Address |
1937 Briar Ridge Rd Tupelo MS 38804-5963 |
| Practice Telephone | 6623777590 |
| Practice Fax Number | 6623777595 |
| Mailing Telephone | 6626904200 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17069 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08226071 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861052 | Andrea Garrison | Specialist/Technologist | 633 Blairs Ridge Rd, Moundsville, WV 26041 | 2017-02-27 |
| Street Address |
4577 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295054633 | Robert Millsaps Corban | Social Worker | 4577 S Eason Blvd, Suite E-f, Tupelo, MS 38801-6590 | 2010-05-25 |
| 1962440230 | Marianne Barnes | Psychiatry & Neurology | 4577 S Eason Blvd, Suite E-f, Tupelo, MS 38801-6590 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730295585 | North Mississippi Medical Center | Psychiatry & Neurology | 4577 S Eason Blvd Ste E F, Tupelo, MS 38801-6590 | 2006-08-22 |
| 1376572123 | Charles Kenneth Lippincott | Psychiatry & Neurology | 4428 South Eason Boulevard, Suite A, Tupelo, MS 38801-6506 | 2006-07-02 |
| 1508893074 | Ross E Collins Jr. | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-06-28 |
| 1588662720 | Clyde Alexander Sheehan | Psychiatry & Neurology | 1040 B South Madison St., Tupelo, MS 38801 | 2005-07-12 |
| 1508206558 | Demetrio Jose Prota Martinez | Psychiatry & Neurology | 830 S Gloster St, Tupelo, MS 38801 | 2013-07-04 |
| 1164723318 | Aracelis Johanna Lu Brea | Psychiatry & Neurology | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2010-11-04 |
| 1649407917 | Chika Uchechukwu Iwueke | Psychiatry & Neurology | 1601 W Main St, Suite D, Tupelo, MS 38801-3334 | 2009-06-15 |
| 1770760357 | Santrise Goree | Psychiatry & Neurology | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2008-01-26 |
| 1578654851 | Alena Bess Tyre-littlejohn | Psychiatry & Neurology | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1346340858 | Joanne Eleanor Turner | Psychiatry & Neurology | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-24 |
| Find all providers in TUPELO | ||||
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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.