PETERKIN AND ASSOCIATES OF MISSISSIPPI INC


Address: 5155 Galaxie Drive, Suite F, Jackson, MS 39206
Phone: 6013983455

PETERKIN AND ASSOCIATES OF MISSISSIPPI INC (NPI# 1447798293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447798293
Entity Type Organization
Organization Name PETERKIN AND ASSOCIATES OF MISSISSIPPI INC
Practice Address 5155 Galaxie Drive, Suite F
Jackson
MS 39206
Practice Telephone 6013983455
Practice Fax Number 7692515715
Mailing Telephone 6013983455
Mailing Fax Number 7692515715
Enumeration Date 2017-02-01
Last Update Date 2017-02-01
Authorized Official Name MRS. ALICE SMITH (CEO)
Authorized Official Telephone 9107599472
Authorized Official Credential ED. D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 5155 GALAXIE DRIVE, SUITE F
City JACKSON
State MS
Zip Code 39206

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
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1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
1558718304 Telehealthone, LLC Nurse Practitioner 225 Meadowbrook Road, Jackson, MS 39206 2016-05-23
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1538703053 Quest Fitness Community/Behavioral Health 1693 Lakeover Rd, Jackson, MS 39213-8015 2019-10-29
1326502535 V.k. Johnson, Lcsw & Consultants, LLC Community/Behavioral Health 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 2019-01-22
1215410816 Feed Your Soul LLC Community/Behavioral Health 180 W University Pkwy Ste D, Jackson, TN 38305-1612 2018-09-10
1184103061 Ymca of Greater Monmouth County Community/Behavioral Health 1025 Larsen Rd, Jackson, NJ 08527-1315 2018-08-10
1649759523 Ymca of Greater Monmouth County Community/Behavioral Health 75 W Veterans Hwy, Jackson, NJ 08527-3403 2018-08-10
1558840439 Ymca of Greater Monmouth County Community/Behavioral Health 125 N Hope Chapel Rd, Jackson, NJ 08527-2962 2018-08-10
1417436544 Ymca of Greater Monmouth County Community/Behavioral Health 35 S Hope Chapel Rd, Jackson, NJ 08527-5019 2018-08-09
1568964112 Apluscare, LLC Community/Behavioral Health 613 Atterbury Ct E, Jackson, NJ 08527-3182 2018-02-28
1043722465 Apluscare, LLC Community/Behavioral Health 1012 Atterbury Ct E, Jackson, NJ 08527-3186 2017-10-25
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Competitor

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City JACKSON
Zip Code 39206

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Dataset Information

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.

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