Kevin Galloway (NPI# 1073507547, PAC ID# 3173568912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1073507547 |
| PAC ID by PECOS | 3173568912 |
| Professional Enrollment ID | I20050622001193 |
| Full Name | Kevin Galloway |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Address |
129 White Oak St Utica MS 39175-8803 |
| Phone Number | 6018856021 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduation Year | 1994 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4183533235 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3502 W Northside Dr, Jackson, MS 39213-4454 | 6013625321 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| 129 White Oak St, Utica, MS 39175-8803 | 6018856021 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Ericia Latrice Cannon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| Lashondra J Farmer-whitlock | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3472 |
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Willie J Lewis Sr. | Podiatry | Central Mississippi Civic Improvement Association, Inc | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Samuel F Brown | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Street Address |
129 WHITE OAK ST |
| City | UTICA |
| State | MS |
| Zip | 39175-8803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Samuel F Brown | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Lisa J Oswalt | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Rita Gordon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Gwendolyn Bussa | Certified Nurse Midwife (cnm) | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Sherquita Johnson-banks | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Sirna Musa | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Joel Flynt | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda D Johnson | Optometry | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Tammie Tillman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Melissa Minor | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Aqfa Sultana | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Ayanna K Jenkins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Debra Rice | Emergency Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Ava Christian | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Nusrat Khansur | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Felix Taylor | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Lakendria Zollicoffer | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Find all physicians in zip 39175 | |||
| City | UTICA |
| Zip Code | 39175 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | UTICA + OBSTETRICS/GYNECOLOGY |
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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.