Jordan B Ingram (NPI# 1679952535, PAC ID# 1153620885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679952535 |
| PAC ID by PECOS | 1153620885 |
| Professional Enrollment ID | I20180725000141 |
| Full Name | Jordan B Ingram |
| Organization Legal Name | WAYNE GENERAL HOSPITAL |
| Address |
950 Matthew Dr Waynesboro MS 39367-2567 |
| Phone Number | 6017355151 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2668457581 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250077 | WAYNE GENERAL HOSPITAL |
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Matthew Dr, Waynesboro, MS 39367-2567 | 6017355151 | WAYNE GENERAL HOSPITAL |
| Organization Legal Name | WAYNE GENERAL HOSPITAL |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley A Hendricks | General Surgery | Wayne General Hospital | 940 Matthew Dr, Suite 5, Waynesboro, MS 39367-2522 |
| Wulf Hirschfield | Internal Medicine | Wayne General Hospital | 951 Matthew Dr, Suite D, Waynesboro, MS 39367-2566 |
| James J Rogers | Nurse Practitioner | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Aremmia Tanious | Neurology | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2590 |
| Ross K Sherman | Family Medicine | Wayne General Hospital | 951 Matthew Dr, Suite A, Waynesboro, MS 39367-2566 |
| Samuel W White | Certified Registered Nurse Anesthetist (crna) | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2590 |
| Douglas Hunt Blackledge | Anesthesiology | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Arthur Eugene Wood Iii | General Practice | Wayne General Hospital | 951 Matthew Dr, Suite D, Waynesboro, MS 39367-2566 |
| Leah Christene Anderson | Family Medicine | Wayne General Hospital | 951 Matthew Dr, Waynesboro, MS 39367-2566 |
| Jennifer N Walley | Nurse Practitioner | Wayne General Hospital | 951 Matthew Dr, Suite A, Waynesboro, MS 39367-2566 |
| Street Address |
950 MATTHEW DR |
| City | WAYNESBORO |
| State | MS |
| Zip | 39367-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James J Rogers | Nurse Practitioner | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Aremmia Tanious | Neurology | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2590 |
| Jatinder Singh | Emergency Medicine | 950 Matthew Dr, Waynesboro, MS 39367-2567 | |
| Daniel M Habeeb | Nephrology | Hattiesburg Clinic Pa | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Samuel W White | Certified Registered Nurse Anesthetist (crna) | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2590 |
| Douglas Hunt Blackledge | Anesthesiology | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Gregory N Vickers | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Susan Blakeney | Nurse Practitioner | Hattiesburg Clinic Pa | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Janet M Bullock | Registered Dietitian Or Nutrition Professional | Wayne General Hospital | 950 Matthew Dr, Waynesboro, MS 39367-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Ray Strange | Nurse Practitioner | Fast Pace Mississippi Pllc | 1008 Azalea Dr, Waynesboro, MS 39367-2499 |
| Jennifer James | Nurse Practitioner | Fast Pace Mississippi Pllc | 1008 Azalea Dr, Waynesboro, MS 39367-2499 |
| Alison Creel | Nurse Practitioner | Fast Pace Mississippi Pllc | 1008 Azalea Dr, Waynesboro, MS 39367-2499 |
| Anna E Hollingshead | Nurse Practitioner | Fast Pace Mississippi Pllc | 1008 Azalea Dr, Waynesboro, MS 39367-2499 |
| Wesley A Hendricks | General Surgery | Wayne General Hospital | 940 Matthew Dr, Suite 5, Waynesboro, MS 39367-2522 |
| Bernard G. De Asis | Pediatric Medicine | Family Health Center, Inc | 713 Lomax Ave, Waynesboro, MS 39367-2556 |
| Scott Fowler | Nurse Practitioner | Family Health Center, Inc | 713 Lomax Ave, Waynesboro, MS 39367-2556 |
| Burgese K Turel | Internal Medicine | Family Health Center, Inc | 713 Lomax Ave, Waynesboro, MS 39367-2556 |
| Rashad N Ali | Obstetrics/gynecology | Family Health Center, Inc | 713 Lomax Ave, Waynesboro, MS 39367-2556 |
| Janna T. Phillips | Nurse Practitioner | Family Health Center Inc | 713 Lomax Ave, Waynesboro, MS 39367-2556 |
| Find all physicians in zip 39367 | |||
| City | WAYNESBORO |
| Zip Code | 39367 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WAYNESBORO + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.