Telitha K Grant-spencer (NPI# 1851570006, PAC ID# 1658447891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1851570006 |
| PAC ID by PECOS | 1658447891 |
| Professional Enrollment ID | I20161111000595 |
| Full Name | Telitha K Grant-spencer |
| Organization Legal Name | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| Address |
1488 Hwy 487 Sebastopol MS 39359-0150 |
| Phone Number | 6016257403 |
| Gender | F |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | FAMILY MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 0941103717 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250043 | NESHOBA COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1488 Hwy 487, Sebastopol, MS 39359-0150 | 6016257403 | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 | 6016257403 | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| Organization Legal Name | EAST CENTRAL MISSISSIPPI HEALTH CARE INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gaydon Nowell | Nurse Practitioner | East Central Mississippi Health Care Inc | 10330 Rd, Suite 375, Philadelphia, MS 39350-3249 |
| Rhonda P Davis | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| James W Lock | Internal Medicine | East Central Mississippi Health Care Inc | 199 Rimmer St, Walnut Grove, MS 39189-6586 |
| Heather T Taylor | Nurse Practitioner | East Central Mississippi Health Care Inc | 199 Rimmer St, Walnut Grove, MS 39189-6586 |
| Claudia Bowman | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Karen Reece | Nurse Practitioner | East Central Mississippi Health Care Inc | 10330 Rd, Suite 375, Philadelphia, MS 39350-3249 |
| Kayti Powell | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Benita J Myles | Family Medicine | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Amber S Riley | Nurse Practitioner | East Central Mississippi Health Care Inc | 10330 Rd, Suite 375, Philadelphia, MS 39350-3249 |
| Street Address |
1488 HWY 487 |
| City | SEBASTOPOL |
| State | MS |
| Zip | 39359-0150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda P Davis | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Claudia Bowman | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Kayti Powell | Nurse Practitioner | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Benita J Myles | Family Medicine | East Central Mississippi Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| Willetta Henry | Nurse Practitioner | East Central Ms Health Care Inc | 1488 Hwy 487, Sebastopal Clinic, Sebastopol, MS 39359-0150 |
| City | SEBASTOPOL |
| Zip Code | 39359 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | SEBASTOPOL + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Telitha K Grant-spencer.
| 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.