MID-SOUTH NEUROLOGY-SLEEP MEDICAL CLINIC PLLC (NPI# 1538436167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538436167 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH NEUROLOGY-SLEEP MEDICAL CLINIC PLLC |
| Practice Address |
5740 Getwell Rd Bldg 6 Southaven MS 38672-6346 |
| Practice Telephone | 6623969447 |
| Practice Fax Number | 6623969449 |
| Mailing Telephone | 6623969447 |
| Mailing Fax Number | 6623969449 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | MR. DONALD HUMFELD (OFFICE MANAGER) |
| Authorized Official Telephone | 6623969447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
18354 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
5740 GETWELL RD BLDG 6 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831144039 | Debashis Biswas | Psychiatry & Neurology | 97 Stateline Rd E, Southaven, MS 38671-1724 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101378 | North Mississippi Medical Center, Inc. | Psychiatry & Neurology | 408 Council Cir Ste B, Tupelo, MS 38801-4949 | 2020-07-21 |
| 1376168500 | Ms Care Clinic, Inc | Psychiatry & Neurology | 625 S Pear Orchard Rd Ste B, Ridgeland, MS 39157-4836 | 2020-06-12 |
| 1528303401 | Dave Allen Roberts | Psychiatry & Neurology | 107 Candlewick Rd, Hattiesburg, MS 39402-3010 | 2012-12-04 |
| 1881959401 | Magnolia Specialty Clinic | Psychiatry & Neurology | 3704 Hwy. 72 West, Corinth, MS 38834-8556 | 2012-07-10 |
| 1629379078 | Bolivar Physician Practices LLC | Psychiatry & Neurology | 903 East Sunflower Rd, Suite 400, Cleveland, MS 38732-2551 | 2010-11-16 |
| 1235454059 | Mitchell Myers, M.d. | Psychiatry & Neurology | 2906 North State Street, Suite 301, Jackson, MS 39216 | 2010-04-05 |
| 1407188501 | Magnolia Regional Health Center | Psychiatry & Neurology | 611 Alcron Drive, Corinth, MS 38834 | 2010-02-01 |
| 1639309685 | Syed Baqer Sadiq | Psychiatry & Neurology | 3603 Bienville Blvd Ste 102, Ocean Springs, MS 39564-5736 | 2009-07-23 |
| 1770717449 | Precise Clinical Neuroscience Specialists | Psychiatry & Neurology | 3531 Lakeland Dr Ste 1060, Flowood, MS 39232-8016 | 2009-05-11 |
| 1295978435 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 | 2009-04-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MID-SOUTH NEUROLOGY-SLEEP MEDICAL CLINIC PLLC.
| 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.