HATTIESBURG CLINIC PA (NPI# 1730272931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730272931 |
Entity Type | Organization |
Organization Name | HATTIESBURG CLINIC PA |
Other Organization Name | MAGEE FAMILY CLINIC |
Practice Address |
801 Main Ave S Magee MS 39111-4102 |
Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
Practice Telephone | 6018673570 |
Practice Fax Number | 6018673574 |
Mailing Telephone | 6015795488 |
Mailing Fax Number | 6015795240 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-11-01 |
Authorized Official Name | TOMMY G THORNTON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6012685601 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07627872 | 05 |
Other Name | Type Code |
---|---|
Magee Family Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831251925 | Hattiesburg Clinic Pa | Clinic/Center | 101 Courtenay Cir, Hattiesburg, MS 39402-3153 | 2006-12-14 |
1649332735 | Hattiesburg Clinic Pa | Psychologist | 2 Southern Point Pkwy Ste 201, Hattiesburg, MS 39401-8025 | 2006-12-14 |
1033270921 | Hattiesburg Clinic Pa | Internal Medicine | 940 Matthew Dr, Waynesboro, MS 39367-2522 | 2006-12-13 |
1184785065 | Hattiesburg Clinic Pa | Ophthalmology | 6414 Highway 98 West, Suite 80, Hattiesburg, MS 39402 | 2006-12-13 |
1417046574 | Hattiesburg Clinic Pa | Family Medicine | 2013 North Pine, Heidelberg, MS 39439 | 2006-10-12 |
1962599282 | Hattiesburg Clinic Pa | Physical Therapist | 206 Corinth Rd, Petal, MS 39465-2883 | 2006-10-06 |
1972690287 | Hattiesburg Clinic Pa | Ophthalmology | 321 S 11th Ave, Laurel, MS 39440-4316 | 2006-10-06 |
1114014479 | Hattiesburg Clinic Pa | Dermatology | 6 Medical Blvd, Hattiesburg, MS 39401-7230 | 2006-10-06 |
1104910322 | Hattiesburg Clinic Pa | Family Medicine | 300 Pine St, Taylorsville, MS 39168-5432 | 2006-10-03 |
1720188030 | Hattiesburg Clinic Pa | Family Medicine | 7148 Us Highway 98, Suite101, Hattiesburg, MS 39402-8446 | 2006-09-25 |
Street Address |
801 MAIN AVE S |
City | MAGEE |
State | MS |
Zip Code | 39111-4102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235669136 | Maxem Health Urgent Care Magee | Clinic/Center | 1529 Highway 49 S, Suite A, Magee, MS 39111 | 2017-06-14 |
1427409200 | Ashley Bounds | Specialist/Technologist | 499 Pinewood Dr., Magee, MS 39111 | 2016-06-23 |
1053707083 | Dental Group of Magee Pllc | Dentist | 1667 Highway 49s Ste 6, Magee, MS 39111 | 2015-04-07 |
1528387859 | Brandi's Hope Community Services | In Home Supportive Care | 720b 3rd Ave Sw, Magee, MS 39111 | 2010-05-26 |
1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
1033342688 | Family Health Care Clinic, Inc. | Clinic/Center | 820 Johnson Lockhart Drive North East, Magee, MS 39111 | 2009-08-31 |
1043403124 | Charlene William Jones-smith | Speech-Language Pathologist | 193 Colonial Circle, Magee, MS 39111 | 2007-08-22 |
1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
1487878054 | Jack R Magee Jr. | Dentist | 1425 Simpson Highway 49, Magee, MS 39111 | 2007-04-12 |
1104945096 | Magee Benevolent Association | Pediatrics | 310 2nd Se St, Magee, MS 39111 | 2007-03-29 |
Find all providers in zip 39111 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557986 | Independent Healthcare Management, Inc | Family Medicine | 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 | 2020-08-07 |
1104303502 | Ascentium Healthcare Resources I Inc | Family Medicine | 100 Pioneer Way, Magee, MS 39111-5501 | 2018-07-27 |
1093201980 | Molly Grubbs Mayhugh | Family Medicine | 360 Simpson Highway 149 Ste 370, Magee, MS 39111-3843 | 2018-07-03 |
1831619253 | Miller Family Care, Pllc | Family Medicine | 360 Simpson Highway 149 Ste 310, Magee, MS 39111-3849 | 2017-06-27 |
1376861757 | Thomas R. Blackledge, Jr., Md, Pa | Family Medicine | 800 3rd St Sw, Magee, MS 39111-3951 | 2010-05-11 |
1629177712 | Dm and C | Family Medicine | 376a Simpson Highway 149, Magee, MS 39111-3409 | 2006-09-22 |
1497798615 | Thomas Rayford Blackledge Jr. | Family Medicine | 800 Third St Sw, Magee, MS 39111 | 2006-06-14 |
1619934940 | Frank C Wade Jr. | Family Medicine | 360 Simpson Highway 149, Suite 370, Magee, MS 39111-3841 | 2006-04-28 |
1881651131 | Rudolph S Runnels Sr. | Family Medicine | 360 Simpson Highway 149 Ste 170, Magee, MS 39111-3840 | 2006-04-28 |
1780778928 | Karen M Bruce Md Pllc | Family Medicine | 360 Simpson Highway 149, Suite 350, Magee, MS 39111-3841 | 2006-10-03 |
Find all providers in MAGEE |
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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.