MEDSERVE, PA (NPI# 1871883223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871883223 |
| Entity Type | Organization |
| Organization Name | MEDSERVE, PA |
| Practice Address |
Manhattan Nursing and Rehabilitation Center 4540 Manhattan Rd Jackson MS 39206 |
| Mailing Address |
200 Amity Ln Brandon MS 39047 |
| Practice Telephone | 6012060901 |
| Practice Fax Number | 8882406288 |
| Mailing Telephone | 6012060901 |
| Mailing Fax Number | 8882406288 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | PAM FULCHER (PRACTICE MANAGER) |
| Authorized Official Telephone | 6012060901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12503 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05675311 | 05 | |
| MS | 00111649 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Aurora Health and Rehabilitation, 310 Emerald Dr, Columbus, MS 39702 | 6012060901 | 8882406288 |
| Belhaven Senior Care, 1004 North St, Jackson, MS 39202 | 6012060901 | 8882406288 |
| Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 6012060901 | 8882406288 |
| Compere's Nursing Home, 865 North St, Jackson, MS 39202 | 6012060901 | 8882406288 |
| Durant Healthcare, 15481 Bowling Green Rd, Durant, MS 39063 | 6012060901 | 8882406288 |
| Edgewood Health and Rehab, 205 Byram Pkwy, Byram, MS 39272 | 6012060901 | 8882406288 |
| Forest Hill Nursing Center, 927 Cooper Rd, Jackson, MS 39212 | 6012060901 | 8882406288 |
| Lakeland Nursing and Rehabilitation Center, 3680 Lakeland Ln, Jackson, MS 39216 | 6012060901 | 8882406288 |
| Lexington Manor Nursing Center, 56 Rockport Rd, Lexington, MS 39095 | 6012060901 | 8882406288 |
| North Pointe Health & Rehabilitation Center, 211 Windmill Dr, Merdian, MS 39305 | 6012060901 | 8882406288 |
| Poplar Springs Nursing Center, 6615 Poplar Springs Loop, Meridian, MS 39305 | 6012060901 | 8882406288 |
| Trend Health and Rehab of Meridian, 517 33rd St, Meridian, MS 39305 | 6012060901 | 8882406288 |
| Vineyard Court Nursing Center, 2002 5th St North, Columbus, MS 39705 | 6012060901 | 8882406288 |
| Windsor Place Skilled Nursing & Rehabilitation Center, 81 Windsor Blvd, Columbus, MS 39702 | 6012060901 | 8882406288 |
| Street Address |
MANHATTAN NURSING AND REHABILITATION CENTER 4540 MANHATTAN RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124097191 | Todd L Fulcher | Family Medicine | Manhattan Nursing and Rehabilitation Center, 4540 Manhattan Rd, Jackson, MS 39206 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| 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 |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1003470758 | Central Mississippi Health Services, Inc | Family Medicine | 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 | 2019-04-29 |
| 1922515493 | Meaghan Schenk Johnson | Family Medicine | 2969 Curran Dr N # 200, Jackson, MS 39216-4121 | 2018-01-05 |
| 1740795731 | Emily Colleen Dunaway | Family Medicine | 1227 N State St # 101, Jackson, MS 39202-2002 | 2017-12-12 |
| 1679086367 | Hope Np House Call Practice | Family Medicine | 98 Grandview Ave, Jackson, OH 45640-9090 | 2017-11-16 |
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| 1891235289 | Logan Hardin | Family Medicine | 1270 Union University Dr Ste A, Jackson, TN 38305-3856 | 2017-03-03 |
| 1255782843 | Seth Tyler Koehler | Family Medicine | 2600 E Main St, Jackson, MO 63755-2473 | 2016-06-25 |
| 1720495245 | Gopi Patel | Family Medicine | 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 | 2014-07-16 |
| 1154735165 | Lk Physicians Services Pllc | Family Medicine | 36 Lake Pointe Dr, Jackson, TN 38305-8113 | 2014-06-17 |
| 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.