GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC (NPI# 1639442726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639442726 |
| Entity Type | Organization |
| Organization Name | GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC |
| Practice Address |
100 Wilburn Way Starkville MS 39759-3692 |
| Practice Telephone | 6623204008 |
| Practice Fax Number | 6623236007 |
| Mailing Telephone | 6623204008 |
| Mailing Fax Number | 6623236007 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | DR. MARY ATKINSON SMITH (MANAGING PARTNER) |
| Authorized Official Telephone | 6623204008 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
R850904 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 WILBURN WAY |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467476531 | William Todd Smith | Orthopaedic Surgery | 100 Wilburn Way, Starkville, MS 39759 | 2006-07-26 |
| 1124649678 | Clay County Medical Corporation | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2020-05-06 |
| 1376180992 | Catherine Eldridge | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2019-12-02 |
| 1568945947 | Andrea Michele Jackson | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2018-09-11 |
| 1104107036 | Mamie M Kosko | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2011-09-06 |
| 1730328352 | Michael J. Cox, Md | Orthopaedic Surgery | 100 Wilburn Way, Starkville, MS 39759 | 2009-02-05 |
| 1649415431 | Mary K Atkinson-smith | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2008-12-08 |
| 1629269477 | W. Todd Smith, M.d., P.a. | Orthopaedic Surgery | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-08-07 |
| 1891900569 | Kenneth R Thomas | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-05-14 |
| 1730202078 | Starkville Orthopedic Clinic, LLC | Specialist | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC.
| 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.