MID-SOUTH RETINA ASSOCIATES, LLC (NPI# 1447286802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286802 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH RETINA ASSOCIATES, LLC |
| Practice Address |
609 Skyline Dr Jackson TN 38301-3911 |
| Mailing Address |
Po Box 1000 Dept 448 Memphis TN 38148-0448 |
| Practice Telephone | 7314277799 |
| Practice Fax Number | 7314271476 |
| Mailing Telephone | 7314277799 |
| Mailing Fax Number | 7314271476 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | DR. RICHARD SIEVERS (PARTNER) |
| Authorized Official Telephone | 9016821100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MID-SOUTH RETINA ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3812364 | 05 | |
| TN | BLUE CROSS OF TENNESSEE | 4067262 | 01 |
| TN | BLUE CROSS OF TENNESSEE | 3104352 | 01 |
| TN | 3886759 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428534 | Mid-south Retina Associates, LLC | Ophthalmology | 820 E Matthews Ave, Suite E, Jonesboro, AR 72401-3048 | 2006-06-24 |
| 1598700254 | Mid-south Retina Associates, LLC | Ophthalmology | 3302 W Linden St, Corinth, MS 38834-9188 | 2006-06-18 |
| 1235329145 | Mid-south Retina Associates, LLC | Ophthalmology | 1804 E Shiloh Rd, Corinth, MS 38834-3637 | 2007-07-26 |
| 1316973076 | Mid-south Retina Associates, LLC | Ophthalmology | 529 N 10th St, Blytheville, AR 72315-1974 | 2006-06-24 |
| 1689600215 | Mid-south Retina Associates, LLC | Ophthalmology | 401 E Tickle St, Dyersburg, TN 38024-3163 | 2006-06-24 |
| 1215963350 | Mid-south Retina Associates, LLC | Ophthalmology | 6005 Park Ave, Suite 624b, Memphis, TN 38119-5202 | 2006-06-23 |
| 1255376919 | Mid-south Retina Associates, LLC | Ophthalmology | 300 S 8th St, Suite 284w, Murray, KY 42071-2400 | 2006-06-18 |
| Street Address |
609 SKYLINE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710857 | William Bradford Priester | Ophthalmology | 609 Skyline Dr, Jackson, TN 38301-3911 | 2005-06-17 |
| 1346319506 | David Randall Barnes | Dentist | 609 Skyline Dr, Jackson, TN 38301-3911 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639532468 | Lee Finley Jones | Ophthalmology | 1501 Lakeland Dr Ste 100, Jackson, MS 39216-4869 | 2016-03-30 |
| 1861777161 | Parkside Eye Clinic P.C. | Ophthalmology | 2108 Fourth Street, Jackson, MI 49203-4518 | 2011-10-18 |
| 1043514607 | Jeevak Lal | Ophthalmology | 5887 N Rickfield Rd, Jackson, MI 49201-8314 | 2010-12-22 |
| 1447568241 | Laura L Dipuma | Ophthalmology | 2027 Greystone Sq, Jackson, TN 38305-3576 | 2010-09-15 |
| 1477879062 | James Arnold Luebbers | Ophthalmology | 687 East Kelly Ave., Bx 3797, Jackson, WY 83001-3797 | 2010-04-08 |
| 1366624801 | Premier Eye Care, Pllc | Ophthalmology | 30 Howell Ln, Jackson, KY 41339-8657 | 2007-11-27 |
| 1932224748 | Eyecare Professionals Pa | Ophthalmology | 1501 Lakeland Drive, Suite 100, Jackson, MS 39216-4848 | 2007-03-20 |
| 1053410126 | Ophthalmic Plastic Surgery Specialists Pllc | Ophthalmology | 1421 North State St, Ste 304, Jackson, MS 39202 | 2006-09-22 |
| 1114020906 | James Alvin Bruce Jr. | Ophthalmology | 2500 Lakeland Dr, Ste A, Jackson, MS 39232 | 2006-09-06 |
| 1639272693 | Charles Gerard Sherwood | Ophthalmology | 1500 Woodrow Wilson Ave, G. V. 'sonny' Montgomery Va Medical Center, Jackson, MS 39216 | 2006-09-06 |
| Find all providers in JACKSON | ||||
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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.