JENNIFER D GHOLSON MD, LLC (NPI# 1487967410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487967410 |
| Entity Type | Organization |
| Organization Name | JENNIFER D GHOLSON MD, LLC |
| Practice Address |
804 Robb St Summit MS 39666-8291 |
| Practice Telephone | 6012767665 |
| Practice Fax Number | 6012767655 |
| Mailing Telephone | 6012767665 |
| Mailing Fax Number | 6012767655 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | DR. JENNIFER GHOLSON (OWNER) |
| Authorized Official Telephone | 6012767665 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
804 ROBB ST |
| City | SUMMIT |
| State | MS |
| Zip Code | 39666-8291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588834 | Jennifer Gholson | Family Medicine | 804 Robb St, Summit, MS 39666-8291 | 2006-04-18 |
| 1194179226 | Elizabeth Mccord | Nurse Practitioner | 804 Robb St, Summit, MS 39666-8291 | 2016-04-14 |
| 1477921468 | Lori Tate | Social Worker | 804 Robb St, Summit, MS 39666-8291 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1871073908 | Southwest Pharmacy, Inc. | Pharmacy | 1121 Hwy 98 and 51, Summit, MS 39666 | 2018-08-17 |
| 1710463856 | Lucy Rena' Mikell | Nurse Practitioner | 804 Robb Street, Summit, MS 39666 | 2018-07-12 |
| 1720586332 | Summit Express Pharmacy LLC | Pharmacy | 105 S Laurel St # 1310, Summit, MS 39666 | 2018-01-29 |
| 1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
| 1902196777 | Salena J Steade | Nurse Practitioner | 7900 Hwy 570, Summit, MS 39666 | 2011-04-14 |
| 1376853531 | Rose Cancer Center | Internal Medicine | 807 Rob Street, Summit, MS 39666 | 2010-10-20 |
| Find all providers in zip 39666 | ||||
| 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 |
|---|---|---|---|---|
| 1295374312 | Adreece Sanders | Family Medicine | 5292 Irene Rd, Summit, MS 39666-5640 | 2020-01-06 |
| 1558623330 | Lara Von Berg | Family Medicine | 11 Overlook Rd Ste 100, Summit, NJ 07901-3580 | 2012-06-08 |
| 1851683833 | Sarah Marie Murray | Family Medicine | 11 Overlook Rd Ste 140, Summit, NJ 07901-3577 | 2011-05-09 |
| 1194829408 | Jozef J Rzucidlo | Family Medicine | 5838 S Harlem Ave, Summit, IL 60501-1407 | 2006-09-08 |
| 1134236599 | David S. Snow | Family Medicine | 7900 Highway 570, Summit, MS 39666-7563 | 2006-08-23 |
| 1174588834 | Jennifer Gholson | Family Medicine | 804 Robb St, Summit, MS 39666-8291 | 2006-04-18 |
| 1295707156 | Elizabeth Fagan | Family Medicine | 12 Bank St Ste 201, Summit, NJ 07901-3661 | 2006-02-06 |
| 1477085660 | James Kostek | Family Medicine | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2017-03-28 |
| 1003262783 | Lauren H Im-imamura | Family Medicine | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2016-05-11 |
| 1336568419 | Christina Nicole Johnson | Family Medicine | 99 Beauvoir Ave, Summit, NJ 07901 | 2014-04-15 |
| Find all providers in SUMMIT | ||||
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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.