MUSCLE AND NERVE PA (NPI# 1346370921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346370921 |
| Entity Type | Organization |
| Organization Name | MUSCLE AND NERVE PA |
| Practice Address |
971 Lakeland Drive Suite 560 Jackson MS 39216 |
| Practice Telephone | 6019829826 |
| Practice Fax Number | 6019829826 |
| Mailing Telephone | 6019829826 |
| Mailing Fax Number | 6019829535 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL COLEMAN GRAEBER (PRESIDENT) |
| Authorized Official Telephone | 6019829826 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
18286 | MS | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
10770 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014965 | 05 | |
| GROUP RAILROAD MEDICARE | DC2890 | 01 | |
| RAILROAD MEDICARE | P00159488 | 01 | |
| UNITED HEALTH CARE | 0530055 | 01 | |
| MS | 06772854 | 05 |
| Street Address |
971 LAKELAND DRIVE SUITE 560 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1326562968 | Stephanie Nichole Love | Nurse Practitioner | 971 Lakeland Drive, Suite 401 East Tower, Jackson, MS 39216 | 2017-07-26 |
| 1295117505 | Anna Marie Ketchum | Nurse Practitioner | 971 Lakeland Drive, Ste 1052, Jackson, MS 39216 | 2015-06-23 |
| 1770987638 | Jackson Neurocare, Pllc | Psychiatry & Neurology | 971 Lakeland Drive, Suite 557, West Tower, Jackson, MS 39216-4607 | 2014-10-21 |
| 1023323029 | Vanessa L. Sandifer, M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 | 2010-08-13 |
| 1780902155 | Raymond F. Grenfell, IIi., M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216 | 2010-05-11 |
| 1700911096 | Donald L Seago | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-23 |
| 1316089634 | David E Seago | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-13 |
| 1427190750 | Stephen R Gandy | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-13 |
| 1285781153 | Berthrone Lacalvin Mock-muhammad | Internal Medicine | 971 Lakeland Drive, Jackson, Jackson, MS 39216-4608 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558461459 | Michael Coleman Graeber | Psychiatry & Neurology | 971 Lakeland Dr, Suite 560 Muscle and Nerve Pa, Jackson, MS 39216-4607 | 2006-09-22 |
Please comment or provide details below to improve the information on MUSCLE AND NERVE PA.
| 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.