MISSISSIPPI EM-I MEDICAL SERVICES PC (NPI# 1407412976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407412976 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI EM-I MEDICAL SERVICES PC |
| Practice Address |
14365 Highway 16 W De Kalb MS 39328-7974 |
| Mailing Address |
Po Box 80180 Philadelphia PA 19101-1180 |
| Practice Telephone | 9548382371 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | GREGORY J BYRNE (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866413 | Mississippi Em-i Medical Services PC | Nurse Practitioner | 25117 Highway 15, Union, MS 39365-9088 | 2019-05-10 |
| 1902358856 | Mississippi Em-i Medical Services PC | Physician Assistant | 215 Marion Ave, Mccomb, MS 39648-2705 | 2016-10-26 |
| 1023467909 | Mississippi Em-i Medical Services PC | Physician Assistant | 317 Highway 13 S, Morton, MS 39117-3353 | 2016-06-10 |
| 1679763205 | Mississippi Em-i Medical Services PC | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2007-07-30 |
| Street Address |
14365 HIGHWAY 16 W |
| City | DE KALB |
| State | MS |
| Zip Code | 39328-7974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104808732 | Martha Maxine Puckett | Nurse Practitioner | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2005-11-18 |
| 1326522319 | Sammy Elizabeth Kratzer | Nurse Practitioner | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2018-09-17 |
| 1326419375 | Mitzi Trosper | Pharmacist | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2015-10-16 |
| 1912348616 | Kemper Cah, Inc. | Clinic/Center | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2013-07-10 |
| 1467716860 | Anna Marie Hailey-sharp | Family Medicine | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2012-06-29 |
| 1871876342 | Rush Care, Inc. | Internal Medicine | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-09-21 |
| 1346546306 | Kemper Cah, Inc. | Nurse Anesthetist, Certified Registered | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-02-08 |
| 1194020248 | Father of Waters Emergency Physicians LLC | Emergency Medicine | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2011-01-21 |
| 1518260322 | Kemper Cah, Inc. | Medicare Defined Swing Bed Unit | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2010-12-16 |
| 1679875645 | Kemper Cah, Inc. | General Acute Care Hospital | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
| 1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
| 1376978551 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 30 Ponderosa Avenue, Dekalb, MS 39328 | 2013-09-06 |
| 1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
| 1225148158 | Daniel Elliot Fulton Jr. | Dentist | Hwy 39 S Church Street, Dexalb, MS 39328 | 2006-08-30 |
| 1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
| 1831116300 | Freds Stores of Tennessee Inc | Pharmacy | 14916 Hwy 16 West, Dekalb, MS 39328 | 2006-07-17 |
| 1609866235 | Kemper County Ltc Inc | Skilled Nursing Facility | 220 Willow Ave, Dekalb, MS 39328-0577 | 2005-10-25 |
| Find all providers in zip 39328 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
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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.