PRIMARY HEALTH SOLUTIONS, LLC (NPI# 1336430594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336430594 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH SOLUTIONS, LLC |
| Practice Address |
10404 Tucker Rd Ocean Springs MS 39565-7922 |
| Mailing Address |
Po Box 6190 Diberville MS 39540-6190 |
| Practice Telephone | 2283549505 |
| Practice Fax Number | 2283549575 |
| Mailing Telephone | 2283549505 |
| Mailing Fax Number | 2283549575 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | MS. NANCY ANN BUCKHEISTER (ADULT ACUTE CARE NURSE PRACTITIONER) |
| Authorized Official Telephone | 2283549505 |
| Authorized Official Credential | ACNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 6705 | MS | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
6705 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 3630279 | 05 |
| Street Address |
10404 TUCKER RD |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39565-7922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396922423 | Nancy A. Buckheister | Nurse Practitioner | 10404 Tucker Rd, Ocean Springs, MS 39565-7922 | 2008-01-31 |
| 1376181800 | Erika Nicole Lett | Nurse Practitioner | 10404 Tucker Rd, Ocean Springs, MS 39565-7922 | 2019-12-16 |
| 1053760850 | Lauren Elizabeth Hitt | Nurse Practitioner | 10404 Tucker Rd, Ocean Springs, MS 39565-7922 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761950 | Jake Wallace Carzoli | Nurse Practitioner | 11700 Ms-57, Vancleave, MS 39565 | 2018-02-22 |
| 1992129316 | Ashlynn Evan Crum | Speech-Language Pathologist | 8728 Doobie Ct., Vancleave, MS 39565 | 2014-02-05 |
| 1851695720 | Coast Nurse Practitioners, Inc. | Nurse Practitioner | 13300 R.s. Kimball Road, Vancleave, MS 39565 | 2011-01-06 |
| 1538484761 | Sarah Burke | Speech-Language Pathologist | 477 Colonel Vickrey Road, Vancleave, MS 39565 | 2010-03-31 |
| 1194058842 | Jackson County School District | Local Education Agency (LEA) | 4700 Colonel Vickrey Road, Vancleave, MS 39565 | 2009-09-14 |
| 1962566224 | John Michael Martin | Nurse Practitioner | 1330 R S Kimball, Vancleave, MS 39565 | 2006-12-21 |
| 1619919156 | Lennon E. Bowen Iv | Psychiatry & Neurology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2006-06-11 |
| 1396233490 | Dorian R Blake | Nurse Practitioner | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2018-04-25 |
| 1164971867 | Clarissa Picard | Occupational Therapist | 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 | 2016-09-23 |
| 1629427174 | Amanda Rayburn | Registered Nurse | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2016-06-06 |
| Find all providers in zip 39565 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39565 |
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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.