REBECCA A. GRIGGS (NPI# 1528470630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528470630 |
| Entity Type | Organization |
| Organization Name | REBECCA A. GRIGGS |
| Other Organization Name | HOPE MEDICAL CLINIC |
| Practice Address |
21 Security Dr Jackson TN 38305-3626 |
| Practice Telephone | 7316619163 |
| Practice Fax Number | 7316649916 |
| Mailing Telephone | 7316619163 |
| Mailing Fax Number | 7316649916 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | REBECCA ANNE GRIGGS (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7316619163 |
| Authorized Official Credential | F.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
208D00000X | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3642935 | 05 |
| Other Name | Type Code |
|---|---|
| Hope Medical Clinic | Doing Business As Name - Organization |
| Street Address |
21 SECURITY DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578665709 | Rebecca Anne Griggs | Nurse Practitioner | 21 Security Dr, Jackson, TN 38305-3626 | 2006-09-01 |
| 1811266398 | Hope Healthcare of West Tennessee | Nurse Practitioner | 21 Security Dr, Jackson, TN 38305-3626 | 2011-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471570 | Telemedicine Services of Mississippi | Clinic/Center | 2355b River Oaks Blvd, Jackson, MS 39211-3015 | 2016-08-15 |
| 1851706188 | Mediscan, LLC | Clinic/Center | 111 N Missouri St, Jackson, MO 63755-1831 | 2014-06-25 |
| 1245643204 | Meredith Figueroa | Clinic/Center | 20 Copper Ridge Cv, Jackson, TN 38305-5725 | 2014-06-07 |
| 1710260310 | Envision Eye Care, Inc | Clinic/Center | 1100 Jr Lynch St, Suite 5, Jackson, MS 39203-3311 | 2011-09-21 |
| 1962638791 | Choices for Children and Family - Forest Hill | Clinic/Center | 2607 Raymond Rd, Jackson, MS 39212-2252 | 2009-06-08 |
| 1083778617 | Choices for Children LLC | Clinic/Center | 2941 Terry Rd Ste 22, Jackson, MS 39212-3072 | 2006-12-20 |
| 1255719068 | Medical Care Alliance LLC | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2015-05-13 |
| 1679843452 | Medical Mall Services of Mississippi, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2012-01-10 |
| 1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
| 1588964811 | Good Samaritan Family Walk-in Clinic, LLC | Clinic/Center | 1869 Highway 45 Byp, Suite 4, Jackson, TN 38305-2464 | 2010-11-03 |
| 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.