James L Wootton Iii (NPI# 1114184249, PAC ID# 1658540877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114184249 |
| PAC ID by PECOS | 1658540877 |
| Professional Enrollment ID | I20170822000662 |
| Full Name | James L Wootton Iii |
| Organization Legal Name | AMITE COUNTY MEDICAL SERVICES INC |
| Address |
102 W Freedom Dr Liberty MS 39645-7295 |
| Phone Number | 6016574326 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991607178 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250097 | SOUTHWEST MS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 W Freedom Dr, Liberty, MS 39645-7295 | 6016574326 | AMITE COUNTY MEDICAL SERVICES INC |
| 300 Rawls Dr, Suite 1300, Mccomb, MS 39648-2866 | 6016843541 | AMITE COUNTY MEDICAL SERVICES INC |
| Organization Legal Name | AMITE COUNTY MEDICAL SERVICES INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonna Huhn | Nurse Practitioner | Amite County Medical Services Inc | 300 Rawls Dr, Suite 1300, Mccomb, MS 39648-2866 |
| Karen C Ross | Nurse Practitioner | Amite County Medical Services Inc | 102 W Freedom Dr, Liberty, MS 39645-7295 |
| Carla K Brown | Nurse Practitioner | Amite County Medical Services Inc | 300 Rawls Dr, Suite 1300, Mccomb, MS 39648-2866 |
| Robert E Decoux Jr. | Internal Medicine | Amite County Medical Services Inc | 102 W Freedom Dr, Liberty, MS 39645-7295 |
| Suzanne M Bryant | Nurse Practitioner | Amite County Medical Services Inc | 300 Rawls Dr, Suite 1300, Mccomb, MS 39648-2866 |
| Ledon Langston | Family Practice | Amite County Medical Services Inc | 300 Rawls Dr, Mccomb, MS 39648-2866 |
| Street Address |
102 W FREEDOM DR |
| City | LIBERTY |
| State | MS |
| Zip | 39645-7295 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen C Ross | Nurse Practitioner | Amite County Medical Services Inc | 102 W Freedom Dr, Liberty, MS 39645-7295 |
| Robert E Decoux Jr. | Internal Medicine | Amite County Medical Services Inc | 102 W Freedom Dr, Liberty, MS 39645-7295 |
| City | LIBERTY |
| Zip Code | 39645 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LIBERTY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James L Wootton Iii.
| 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.