DR. ROBERT JERRY NEELY (NPI# 1558423764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558423764 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JERRY NEELY |
| Credential | DMD |
| Practice Address |
1151 N State St Ste 401 Jackson MS 39202 |
| Practice Telephone | 6019482073 |
| Practice Fax Number | 6013548773 |
| Mailing Telephone | 6019482073 |
| Mailing Fax Number | 6013548773 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 228886 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00060298 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164791091 | Robert Neely | Hearing Instrument Specialist | 2001 N Loy Lake Rd Ste H, Sherman, TX 75090-2837 | 2011-12-21 |
| 1942460738 | Robert Chamberlain Neely | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1010 W 40th St, Austin, TX 78756 | 2008-06-15 |
| Street Address |
1151 N STATE ST STE 401 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003953 | Barry Whites | Internal Medicine | 1151 N State St, Ste 617, Jackson, MS 39202-2407 | 2005-06-16 |
| 1275182537 | Qianwen Williamson | Registered Nurse | 1151 N State St, Jackson, MS 39202-2407 | 2019-09-10 |
| 1982057592 | Deborah Fortenberry | Hearing Instrument Specialist | 1151 N State St, Suite 107, Jackson, MS 39202-2407 | 2016-07-19 |
| 1053729285 | Michael Garret Shumaker | Counselor | 1151 N State St, Jackson, MS 39202-2407 | 2014-07-31 |
| 1962823344 | Jackson Pain Center Pa | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202-2407 | 2014-01-02 |
| 1609137868 | Ellen C Lee | Nurse Practitioner | 1151 N State St, Suite 511, Jackson, MS 39202-2407 | 2012-06-05 |
| 1902032089 | Eric Welsh | Marriage & Family Therapist | 1151 N State St, Suite 212, Jackson, MS 39202-2407 | 2009-06-03 |
| 1659539351 | Medical Arts Dental Group P.a. | Dentist | 1151 N State St, Suite 401, Jackson, MS 39202-2407 | 2008-05-29 |
| 1750577805 | Live Oak Psychological Associtaes | Psychologist | 1151 N State St, Ste 212, Jackson, MS 39202-2407 | 2007-09-22 |
| 1154543627 | Sarah R. Guy | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1184249278 | Sleep Better Solutions LLC | Dentist | 9 Chatwick Cv, Jackson, TN 38305-5642 | 2020-06-15 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1124689864 | Hannah Farrar | Dentist | 2064 S Highland Ave, Jackson, TN 38301-7741 | 2019-06-24 |
| 1417515214 | Richard Yoo | Dentist | 3857 Cooper St Ofc, Jackson, MI 49201-7547 | 2019-06-05 |
| 1487148078 | Tanvi Patil | Dentist | 1074 Jackson Crossing, Jackson, MI 49202-2039 | 2018-06-18 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1497292239 | Advanced Dental Clinic | Dentist | 1555 E County Line Road, Jackson, MS 39211 | 2017-01-31 |
| 1598131336 | S Kaur Dds Inc | Dentist | 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 | 2015-08-17 |
| 1841675931 | Miriam Tygier Furlong | Dentist | 186 W Veterans Hwy, Jackson, NJ 08527-3410 | 2015-07-30 |
| 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.