Leondrea Collins (NPI# 1639608813, PAC ID# 5496025868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639608813 |
| PAC ID by PECOS | 5496025868 |
| Professional Enrollment ID | I20170816000194 |
| Full Name | Leondrea Collins |
| Organization Legal Name | MALLORY COMMUNITY HEALTH |
| Address |
33795 Hwy 12 W Dr. Arenia C. Mallory Community Health Center Inc Durant MS 39063-3568 |
| Phone Number | 6626530505 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739074501 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251319 | HOLMES COUNTY HOSPITAL AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 | 6626530505 | MALLORY COMMUNITY HEALTH |
| 9715 Hwy 12, Tchula, MS 39169-3692 | 6622354731 | MALLORY COMMUNITY HEALTH |
| Organization Legal Name | MALLORY COMMUNITY HEALTH |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Conner Carroll | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
| Melissa White | Nurse Practitioner | Mallory Community Health | 276 Nissan Pkwy Bldg C, 100 Dr. Arenia C. Mallory Community Health Center Inc, Canton, MS 39046-7006 |
| Lease Wordlaw | Nurse Practitioner | Mallory Community Health | 201 E Washington St, Dr. Arenia C. Mallory Community Health Center Inc, Greenwood, MS 38930-4407 |
| Kristie Lashundra Anderson | Nurse Practitioner | Mallory Community Health | 17280 Hwy 17 S, Dr. Arenia C. Mallory Community Health Center Inc, Lexington, MS 39095-6617 |
| Michele L Brooks | Nurse Practitioner | Mallory Community Health | 17280 Hwy 17 S, Dr. Arenia C. Mallory Community Health Center Inc, Lexington, MS 39095-6617 |
| Romero K Midgett | Obstetrics/gynecology | Mallory Community Health | 276 Nissan Pkwy Bldg C, 100 Dr. Arenia C. Mallory Community Health Center Inc, Canton, MS 39046-7006 |
| Anita Greer | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
| Katrina Cotton | Nurse Practitioner | Mallory Community Health | 17280 Hwy 17 S, Dr. Arenia C. Mallory Community Health Center Inc, Lexington, MS 39095-6617 |
| Renita F Cotton | Family Medicine | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
| Street Address |
33795 HWY 12 W DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER INC |
| City | DURANT |
| State | MS |
| Zip | 39063-3568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Conner Carroll | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
| Anita Greer | Nurse Practitioner | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
| Renita F Cotton | Family Medicine | Mallory Community Health | 33795 Hwy 12 W, Dr. Arenia C. Mallory Community Health Center Inc, Durant, MS 39063-3568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wirt F Shrock Jr. | Family Medicine | 630 Northwest Ave, Doctor's Clinic, Durant, MS 39063-3337 | |
| Calvin Ramsey | Internal Medicine | 403 Nw Depot St, Durant, MS 39063-3705 |
| City | DURANT |
| Zip Code | 39063 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DURANT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Leondrea Collins.
| 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.