Kenneth R Cook (NPI# 1831161397, PAC ID# 1456480060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831161397 |
| PAC ID by PECOS | 1456480060 |
| Professional Enrollment ID | I20100519000902 |
| Full Name | Kenneth R Cook |
| Organization Legal Name | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Address |
844 S Madison St Tupelo MS 38801-4904 |
| Phone Number | 6623775400 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103736665 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 844 S Madison St, Tupelo, MS 38801-4904 | 6623775400 | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Organization Legal Name | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Physicians | 119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Alford Luter | Internal Medicine | North Mississippi Medical Clinics Inc | 845 S Madison, Tupelo, MS 38801-4905 |
| Luke J Campbell | Family Medicine | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Ginger Mcmillan-buchanan | Nurse Practitioner | North Mississippi Medical Clinics Inc | 1301 N 2nd St, Booneville, MS 38829-1028 |
| Margaret D Fava | Nurse Practitioner | North Mississippi Medical Clinics Inc | 903 Mississippi Dr, Tupelo, MS 38804-0928 |
| Deanna Leigh Sanders | Nurse Practitioner | North Mississippi Medical Clinics Inc | 5062 Raymond Ave, Tupelo, MS 38801-8671 |
| Lauren C Waldrop | Nurse Practitioner | North Mississippi Medical Clinics Inc | 104 As Madison St, Tupelo, MS 38804-4732 |
| Richmond D Mccarty | Family Medicine | North Mississippi Medical Clinics Inc | 125 Turner Park Rd, Saltillo, MS 38866 |
| Winnie S Simmons | General Practice | North Mississippi Medical Clinics Inc | 49 Turner St, Maben, MS 39750-9157 |
| John G Shields | Obstetrics/gynecology | North Mississippi Medical Clinics Inc | 373 Medical Ctr Cir, The Women's Group West Point, West Point, MS 39773-0432 |
| Gerald A Turner | Family Medicine | North Mississippi Medical Clinics Inc | 755 Emergency Dr, West Point, MS 39773-9276 |
| Street Address |
844 S MADISON ST |
| City | TUPELO |
| State | MS |
| Zip | 38801-4904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke J Campbell | Family Medicine | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| John White Jr. | Family Medicine | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Maegan Gilliland Flynn | Nurse Practitioner | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Terry W Miller | Nurse Practitioner | North Mississippi Medical Clinics Inc | 844 S Madison St, Suite B, Tupelo, MS 38801-4904 |
| Sheila D Gann | Nurse Practitioner | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Mary A. Fleming-parker | Nurse Practitioner | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Jeffrey S Ballard | Nurse Practitioner | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Bonnie N Basler | Family Medicine | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Timothy A Albers | Internal Medicine | North Mississippi Medical Clinics Inc | 844 S Madison St, Tupelo, MS 38801-4904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TUPELO + NURSE PRACTITIONER |
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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.