Shuntay Mccormick (NPI# 1467931642, PAC ID# 4789018474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467931642 |
| PAC ID by PECOS | 4789018474 |
| Professional Enrollment ID | I20200106002390 |
| Full Name | Shuntay Mccormick |
| Organization Legal Name | OUTREACH HEALTH SERVICES,INC. |
| Address |
130 N High St Shubuta Medical Clinic Shubuta MS 39360-8870 |
| Phone Number | 6016871391 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951386911 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 | 6016871391 | OUTREACH HEALTH SERVICES,INC. |
| Organization Legal Name | OUTREACH HEALTH SERVICES,INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanika Boyd | Nurse Practitioner | Outreach Health Services,inc. | 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 |
| Lakenya Forthner | Nurse Practitioner | Outreach Health Services,inc. | 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 |
| Jackie E Mchenry Ii | Family Medicine | Outreach Health Services,inc. | 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 |
| Street Address |
130 N HIGH ST SHUBUTA MEDICAL CLINIC |
| City | SHUBUTA |
| State | MS |
| Zip | 39360-8870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanika Boyd | Nurse Practitioner | Outreach Health Services,inc. | 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 |
| Lakenya Forthner | Nurse Practitioner | Outreach Health Services,inc. | 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 |
| Jackie E Mchenry Ii | Family Medicine | Outreach Health Services,inc. | 130 N High St, Shubuta Medical Clinic, Shubuta, MS 39360-8870 |
| City | SHUBUTA |
| Zip Code | 39360 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHUBUTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shuntay Mccormick.
| 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.