EPS ON THE GO II (NPI# 1790331643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790331643 |
| Entity Type | Organization |
| Organization Name | EPS ON THE GO II |
| Practice Address |
5773 Old Canton Rd Jackson MS 39211-3202 |
| Practice Telephone | 6014569894 |
| Mailing Telephone | 6014569894 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | EUGENE MORGAN (OWNER/EXERCISE PHYSIOLOGIST) |
| Authorized Official Telephone | 6014569894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5773 OLD CANTON RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811343684 | Eugene Morgan | Community Health Worker | 5773 Old Canton Rd, Jackson, MS 39211-3202 | 2016-05-10 |
| 1760939904 | Ep's On The Go | Case Management | 5773 Old Canton Rd, Jackson, MS 39211-3202 | 2016-09-06 |
| 1487002176 | Morgan and Drake Home Care Agency and Secondary Prevention Program Inc | In Home Supportive Care | 5773 Old Canton Rd, Jackson, MS 39211-3202 | 2016-06-02 |
| 1366898025 | Lemichal Drake | Community Health Worker | 5773 Old Canton Rd, Jackson, MS 39211-3202 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730697756 | Amy Schultz | Preventive Medicine | 1715 Lansing Ave Ste 221, Jackson, MI 49202-2193 | 2018-01-11 |
| 1710341771 | Sisters In Birth, Inc. | Preventive Medicine | 3000 Old Canton Rd Ste 280, Jackson, MS 39216-4255 | 2016-04-06 |
| 1851620314 | Frank J Morgan Jr. | Preventive Medicine | 1200 Meadowbrook Rd, #25, Jackson, MS 39206-6109 | 2009-12-12 |
| 1548306525 | Charlotte Deniece Coleman | Preventive Medicine | 295 Summar Avenue, West Tennesse Regional Office, Jackson, TN 38301 | 2007-01-29 |
| 1780692400 | Jackson County | Preventive Medicine | 1715 Lansing Ave, Jackson, MI 49202-2193 | 2006-08-05 |
| 1801227723 | Kidz Fitness Station | Preventive Medicine | 2460 Terry Rd, Jackson, MS 39204-5767 | 2013-12-02 |
| 1821382235 | Courtland Keith Keteyian | Preventive Medicine | 205 N. East Avenue, Jackson, MI 49201 | 2011-06-02 |
| 1821252479 | Abedulnaasseer O. Mohammedelamien | Preventive Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-14 |
| 1821123670 | Paul E. Byers | Preventive Medicine | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2007-02-22 |
| 1376685750 | Karen K Codjoe | Preventive Medicine | 295 Summar Ave, Jackson, TN 38301 | 2007-02-13 |
| 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.