DR. ROSS E COLLINS JR. (NPI# 1508893074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508893074 |
| Entity Type | Individual |
| Full Name | DR. ROSS E COLLINS JR. |
| Credential | M.D. |
| Practice Address |
2434 S Eason Blvd Tupelo MS 38804-6942 |
| Practice Telephone | 6628441717 |
| Practice Fax Number | 6626805129 |
| Mailing Telephone | 6628441717 |
| Mailing Fax Number | 6626805129 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD0000016359 | TN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD0000016359 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00010869 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659763209 | Ross Alan Collins | Counselor | 406 Piedmont Rd Ste 5, Easley, SC 29642-8285 | 2015-02-19 |
| 1760673271 | Ross W Collins | Optometrist | 407 Corporate Center Dr, Ste C, Vandalia, OH 45377-1165 | 2007-08-08 |
| Street Address |
2434 S EASON BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-6942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831551 | Lisa Roberts | Registered Nurse | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1295336519 | Kyra Neal | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-11-03 |
| 1124635354 | Kecia Williams | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-10-01 |
| 1144837675 | Daniele Nolan | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1639786163 | Reagan Bartley | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-29 |
| 1033725056 | Moesha Banks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1891301719 | Makinley Neighbors | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1073129094 | Stephanie Johnson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1275149197 | Hallie Goodson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-09-16 |
| 1427660604 | Mary Trout | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649466954 | Nazmul Talukdar | Psychiatry & Neurology | 110 Patton Ave, Hattiesburg, MS 39401-6155 | 2007-09-20 |
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1841337656 | Cynthia Lufkin Undesser | Psychiatry & Neurology | 402 Wesley Ave, Jackson, MS 39202-1000 | 2007-01-31 |
| 1932290392 | Millcreek Epsdt | Psychiatry & Neurology | 900 First Ave., N.e., Magee, MS 39111 | 2006-09-28 |
| 1639620560 | North Plantation | Psychiatry & Neurology | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-15 |
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| 1710175260 | Clinical Neuroscience Group, Pllc | Psychiatry & Neurology | 3531 Lakeland Dr, Suite 1058, Flowood, MS 39232-8049 | 2007-10-10 |
| 1992906598 | Maecenas Inc | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazlehurst, MS 39083-0146 | 2007-05-30 |
| 1154477453 | Anthony Wade Jackson Sr. | Psychiatry & Neurology | 152 Highway 7 S, Oxford, MS 38655-5392 | 2007-01-27 |
| Find all providers with the same taxonomy | ||||
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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.