ADULT NEUROLOGY CLINIC PLLC (NPI# 1679742944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679742944 |
| Entity Type | Organization |
| Organization Name | ADULT NEUROLOGY CLINIC PLLC |
| Practice Address |
401 Southcrest Cir Suite 210 Southaven MS 38671-6726 |
| Practice Telephone | 6625360577 |
| Practice Fax Number | 6625360566 |
| Mailing Telephone | 6625360577 |
| Mailing Fax Number | 6625360566 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | DR. DEBASHIS BISWAS (NEUROLOSIST) |
| Authorized Official Telephone | 6625360577 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | MD#18215 | MS | Hospitals |
| Street Address |
401 SOUTHCREST CIR SUITE 210 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569935 | Sanjay Ratnakant | Internal Medicine | 401 Southcrest Cir, Ste 212, Southaven, MS 38671-6721 | 2005-06-21 |
| 1295240414 | Jenna Scruggs | Nurse Practitioner | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2017-12-11 |
| 1083071237 | Wanda Brown | Nurse Practitioner | 401 Southcrest Cir, Suite 105, Southaven, MS 38671-6726 | 2016-01-19 |
| 1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
| 1487072864 | Shannon Rose Woods | Nurse Practitioner | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2014-04-02 |
| 1669602603 | Rajeev Gupta | Internal Medicine | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2009-07-24 |
| 1881850345 | Upasna Aron | Internal Medicine | 401 Southcrest Cir, Ste 201, Southaven, MS 38671-6726 | 2008-08-04 |
| 1093973836 | Urology Group PC | Urology | 401 Southcrest Cir, Suite 201, Southaven, MS 38671 | 2008-05-29 |
| 1255531885 | Foundation Internal Medicine, P.C. | Clinic/Center | 401 Southcrest Cir, Suite 207, Southaven, MS 38671-6726 | 2007-07-22 |
| 1942400882 | Ma Tessa Lolita Diaz Layugan | Specialist | 401 Southcrest Cir, #104, Southaven, MS 38671-6726 | 2007-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679625511 | Baptist Memorial Hospital- Desoto | General Acute Care Hospital | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2007-01-18 |
| 1194789818 | Baptist Memorial Hospital-desoto, Inc | General Acute Care Hospital | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1013396290 | Martin Hillard Mcmullan | General Acute Care Hospital | 2350 Cooper Rd, Flowood, MS 39232-6136 | 2015-05-21 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1003229469 | Robert J Cole | General Acute Care Hospital | 601 Meadowbrook Cir, Amory, MS 38821-1314 | 2014-06-03 |
| 1295151850 | Mary A. Doss | General Acute Care Hospital | 110 Napoleon Dr, Brandon, MS 39047-9004 | 2014-03-06 |
| 1467755744 | Biloxi Regional Medical Center | General Acute Care Hospital | 1104 Homestead Blvd, Gautier, MS 39553-4612 | 2010-12-08 |
| 1528371119 | University Physicians. Pllc | General Acute Care Hospital | 121 Beaufort Cir, Madison, MS 39110-7962 | 2010-07-23 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1043427206 | Alliance Healthcare System, Inc | General Acute Care Hospital | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2007-05-17 |
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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.