MRS. TRACEY BRYANT (NPI# 1518581511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518581511 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY BRYANT |
| Practice Address |
1160 Rosewood St Jackson MS 39212-3966 |
| Practice Telephone | 6013835815 |
| Mailing Telephone | 6013835815 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 1212995 | MS | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053629212 | Tracey Renee Bryant | Counselor | 202 S 4th St, Bardstown, KY 40004-1008 | 2010-09-21 |
| 1962473256 | Tracey L Bryant | Physician Assistant | 216 W 10th Ave, Suite 300, Kennewick, WA 99336-6300 | 2006-01-27 |
| Street Address |
1160 ROSEWOOD ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39212-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
| 1154968048 | Anwar Abdalnour | Non-emergency Medical Transport (VAN) | 23 Carriage House Dr, Jackson, TN 38305-3934 | 2019-12-10 |
| 1679119564 | Medigo LLC | Non-emergency Medical Transport (VAN) | 782 N West St, Jackson, MS 39202-3017 | 2019-11-26 |
| 1194369264 | Simeon Sobenna Ekugwum | Non-emergency Medical Transport (VAN) | 18 Rob Ln, Jackson, MS 39212-5927 | 2019-11-01 |
| 1437717006 | Door 2 Door | Non-emergency Medical Transport (VAN) | 5110 Curtis St, Jackson, MS 39209-3201 | 2019-05-30 |
| 1053974816 | Tyrie Dunn | Non-emergency Medical Transport (VAN) | 2614 Highway 952, Jackson, LA 70748-3326 | 2019-04-17 |
| 1881157626 | Aa Medical Transit LLC | Non-emergency Medical Transport (VAN) | 811 E River Pl Ste 201, Jackson, MS 39202-3454 | 2019-04-09 |
| 1982166906 | Jnz Transport LLC | Non-emergency Medical Transport (VAN) | 950 W Monroe St Ste G300a, Jackson, MI 49202-2079 | 2019-04-01 |
| 1568931038 | William P Evans | Non-emergency Medical Transport (VAN) | 3979 Skyline Dr, Jackson, MS 39213-6055 | 2018-11-14 |
| 1932688579 | Funchess Transport | Non-emergency Medical Transport (VAN) | 3907 Rainey Rd, Jackson, MS 39212-5323 | 2018-08-13 |
| 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.