LANDALL HATHORN (NPI# 1487755617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487755617 |
| Entity Type | Individual |
| Full Name | LANDALL HATHORN |
| Credential | M.D. |
| Practice Address |
1050 River Oaks Dr Suite 100 Flowood MS 39232-9564 |
| Mailing Address |
Po Box 23666 Jackson MS 39225-3666 |
| Practice Telephone | 6012004760 |
| Practice Fax Number | 6012004742 |
| Mailing Telephone | 6012004880 |
| Mailing Fax Number | 6012005929 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18385 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05408094 | 05 |
| Street Address |
1050 RIVER OAKS DR SUITE 100 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154423457 | Professional Therapy Services Inc | Physical Therapist | 1050 River Oaks Dr, Suite 110, Flowood, MS 39232-9564 | 2006-09-05 |
| 1740521681 | Lauren Elizabeth Wooten | Nurse Practitioner | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2013-03-01 |
| 1639497878 | Diane H. Phillips | Nurse Practitioner | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2010-05-12 |
| 1093033656 | Margaret Marie Prasanna | Nurse Practitioner | 1050 River Oaks Dr, Suite 100, Flowood, MS 39232-9564 | 2010-05-06 |
| 1205062718 | St. Dominic Medical Associates Inc | Family Medicine | 1050 River Oaks Dr, Suite 100, Flowood, MS 39232-9564 | 2009-06-10 |
| 1538344585 | Shane Michael Sims | Obstetrics & Gynecology | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2008-01-08 |
| 1710040712 | St. Dominic Medical Associates LLC | Family Medicine | 1050 River Oaks Dr, Suite 100, Flowood, MS 39232-9564 | 2006-12-19 |
| 1265521207 | Gregory Alan Vance | Obstetrics & Gynecology | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2006-10-11 |
| 1316036353 | Women's Health Associates, Pllc | Obstetrics & Gynecology | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2006-10-11 |
| 1407944499 | Edward Charles Gnam IIi | Obstetrics & Gynecology | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929713 | Reservoir Family Medical Clinic, Pa | Family Medicine | 1679 Old Fannin Rd Ste E, Flowood, MS 39232-8101 | 2013-05-17 |
| 1497990576 | Jjl Care Center of Mississippi, Inc. | Family Medicine | 4209 Lakeland Dr Ste 374, Flowood, MS 39232-9212 | 2008-12-03 |
| 1669663498 | Flowood River Oaks Hma Medical Group, LLC | Family Medicine | 1679 Old Fannin Rd, Suite E, Flowood, MS 39232-8101 | 2007-08-07 |
| 1669695714 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 151 E Metro Dr #103, Flowood, MS 39232 | 2007-04-10 |
| 1386721546 | Fillingane Medical Clinic, Pa | Family Medicine | 1021 N Flowood Drive, Flowood, MS 39232-9533 | 2006-11-01 |
| 1972694818 | Irma H. Welch | Family Medicine | 2466 Flowood Dr, Flowood, MS 39232-9019 | 2006-09-27 |
| 1790795276 | John B Madden | Family Medicine | 4290 Lakeland Dr Ste A, Flowood, MS 39232-9571 | 2006-08-08 |
| 1417976739 | Jennifer Joiner Bryan | Family Medicine | 205a Belle Meade Pt, Flowood, MS 39232-3311 | 2006-07-18 |
| 1841289279 | Adelaide Frances Henderson | Family Medicine | 2001 Airport Rd N, Suite 204, Flowood, MS 39232-8827 | 2005-10-18 |
| 1629698246 | James Courtney Wilson | Family Medicine | 2466 Flowood Dr, Flowood, MS 39232-9019 | 2020-04-23 |
| Find all providers in FLOWOOD | ||||
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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.