WILCO HEALTHCARE OF NORTH MISSISSIPPI, PLLC (NPI# 1821556838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821556838 |
| Entity Type | Organization |
| Organization Name | WILCO HEALTHCARE OF NORTH MISSISSIPPI, PLLC |
| Practice Address |
1514 Co Rd 41 Tupelo MS 38801 |
| Mailing Address |
731 Shady Oaks Cir Oxford MS 38655-5450 |
| Practice Telephone | 6628426776 |
| Mailing Telephone | 6622552163 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | DOUGLAS PORTER ANDERSON (OWNER/MEDICAL PROVIDER) |
| Authorized Official Telephone | 6622552163 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
1514 CO RD 41 |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| 1992177463 | Rhonda Von Strahl | Nurse Practitioner | 830 North Gloster St, Tupelo, MS 38801 | 2015-10-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437541554 | Jane Sams | Point of Service | 398 E Main St Ste 206, Tupelo, MS 38804-4037 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241812 | Moss Point Visionary Circle Inc | Point of Service | 4425 Griffin St, Moss Point, MS 39563-3707 | 2020-06-29 |
| 1043689581 | Infinity Plus LLC | Point of Service | 880 William Blvd Apt 712, Ridgeland, MS 39157-1596 | 2015-09-15 |
| 1235513714 | Hands of Goddess | Point of Service | 208 E Georgetown St, Crystal Springs, MS 39059-2517 | 2015-07-15 |
| 1467856237 | Green Case Management Services | Point of Service | 21 Valencia Ct, Jackson, MS 39204-4725 | 2014-10-22 |
| 1811322753 | Golden Triangle Planning and Development District | Point of Service | 301 Cc Clark, Starkville, MS 39759 | 2013-09-11 |
| 1497194831 | Wisdom Adult Day Center | Point of Service | 162 T M Jones Hwy, Boyle, MS 38730-2005 | 2013-06-19 |
| 1083953392 | First Step Community Care, LLC | Point of Service | 105 Greer Ct, Canton, MS 39046-6014 | 2013-02-06 |
| 1790021202 | Little Bits Caregivers, LLC | Point of Service | 1325 Cajun Trl Nw, Brookhaven, MS 39601-4479 | 2013-01-02 |
| 1982949202 | Hamiltondavis Home Care Agency, Inc. | Point of Service | 577 Highway 51 Ste A, Ridgeland, MS 39157-2593 | 2012-11-28 |
| 1902169717 | Forever Home Services | Point of Service | 129 Balmoral Dr, Poplarville, MS 39470-3327 | 2012-06-18 |
| 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.