JILLIAN CARROLL (NPI# 1770974016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770974016 |
| Entity Type | Individual |
| Full Name | JILLIAN CARROLL |
| Credential | PA |
| Practice Address |
1002 Jefferson St Suite 400 Laurel MS 39440-4306 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6016497802 |
| Practice Fax Number | 6014287841 |
| Mailing Telephone | 6016497802 |
| Mailing Fax Number | 6014287841 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942398243 | Jillian Lousie Carroll | Counselor | 4041 S Cherokee St, Englewood, CO 80110-4611 | 2006-10-11 |
| 1235697103 | Jillian L Carroll | Nurse Practitioner | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2019-03-08 |
| 1982017331 | Jillian Harrison Carroll | Speech-Language Pathologist | 4408 W Walnut St, Ste 7, Rogers, AR 72756-9526 | 2014-06-03 |
| 1649618828 | Jillian Carroll | Genetic Counselor, MS | 833 Chestnut St, Suite 1250, Philadelphia, PA 19107-4414 | 2013-06-10 |
| Street Address |
1002 JEFFERSON ST SUITE 400 |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003849068 | Charles Saul | Surgery | 1002 Jefferson St, Suite 400, Laurel, MS 39440-4306 | 2006-07-09 |
| 1821355363 | Sachin Patil | Surgery | 1002 Jefferson St, Suite 400, Laurel, MS 39440-4306 | 2012-04-23 |
| 1063643476 | Susan R Atkinson | Pediatrics | 1002 Jefferson St, Suite 200, Laurel, MS 39440-4306 | 2009-08-03 |
| 1154405413 | South Central Clinics, Inc | Surgery | 1002 Jefferson St, Suite 400, Laurel, MS 39440-4350 | 2006-10-24 |
| 1467555771 | Thomas B Baylis | Orthopaedic Surgery | 1002 Jefferson St, Suite 350, Laurel, MS 39440-4306 | 2006-09-06 |
| 1790703171 | Richard K. Ivey | Surgery | 1002 Jefferson St, Suite400, Laurel, MS 39440-4306 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932478575 | Heber J De Oliveira | Physician Assistant | 14103 Corunna Ct, Laurel, MD 20707-6901 | 2011-12-28 |
| 1639351158 | Steven C Jarboe | Physician Assistant | 7300 Van Dusen Road, Laurel Regional Hospital, Laurel, MD 20707 | 2007-11-27 |
| 1043285257 | Abraham J Smith | Physician Assistant | 9328 Ridings Way, Laurel, MD 20723-5832 | 2006-02-21 |
| 1083896948 | Naima K Jackson | Physician Assistant | 7300 Van Dusen Rd, Laurel Regional Hospital, Laurel, MD 20707 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477091742 | Madeline Grace Daniels | Physician Assistant | 501 Marshall St Ste 400, Jackson, MS 39202-1687 | 2017-02-07 |
| 1114392172 | Robin Rae Hoffeld | Physician Assistant | 11401 Wedgewood Ln, Ocean Springs, MS 39564-7910 | 2015-12-02 |
| 1487027504 | Advanced Surgical Assistants LLC | Physician Assistant | 1924 30th Ave Ste A, Gulfport, MS 39501-4534 | 2015-11-11 |
| 1063889509 | Julie Dianne Sullivan | Physician Assistant | 216 Linda Dr, Ocean Springs, MS 39564-4114 | 2015-09-01 |
| 1326478744 | William Bishop | Physician Assistant | 11476 Savannah Pl, Gulfport, MS 39503-1109 | 2013-11-21 |
| 1376840173 | Christopher Lawrence Sweebe | Physician Assistant | 741 Beaus Landing Dr, Gulfport, MS 39507-4347 | 2011-02-15 |
| 1528275633 | Tina M Mcginty | Physician Assistant | 250 Church Ave, Gulfport, MS 39507-1255 | 2007-05-17 |
| 1922190271 | Robert L. Gillum Jr. | Physician Assistant | 6099 Adaughtery Rd, Suite A, Long Beach, MS 39560 | 2006-09-28 |
| 1841249489 | Bradley Martin | Physician Assistant | 1014 Biglane Drive, Brookhaven, MS 39601 | 2006-05-10 |
| 1144293655 | David Bradley Robbins | Physician Assistant | 206 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
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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.