Jack Elia Jr. (NPI# 1699806323, PAC ID# 2860681970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1699806323 |
| PAC ID by PECOS | 2860681970 |
| Professional Enrollment ID | I20110105000529 |
| Full Name | Jack Elia Jr. |
| Address |
1918 Grenada Blvd Greenwood MS 38930-4725 |
| Phone Number | 6624533866 |
| Gender | M |
| Graduation Year | 1960 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1918 Grenada Blvd, Greenwood, MS 38930-4725 | 6624533866 |
| Street Address |
1918 GRENADA BLVD |
| City | GREENWOOD |
| State | MS |
| Zip | 38930-4725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chandra A Boston | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Joyce C Vaughn | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Roxie Hogan | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Chester W Jenkins | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Shonda Jacqueline R Phelon | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Martha Catlette | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Maxie Lerone Gordon | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| April L Mitchell | Nurse Practitioner | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| Carolyn V Tingle | Psychiatry | Region Vi Mental Health/mental Retardation Commission | 2504 Old Browning Rd, Greenwood, MS 38930 |
| William F Reid Sr. | Certified Registered Nurse Anesthetist (crna) | 2005 Hwy 82 W, Greenwood, MS 38930 | |
| Find all physicians in zip 38930 | |||
| City | GREENWOOD |
| Zip Code | 38930 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GREENWOOD + CHIROPRACTIC |
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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.