Gregory T Stallworth (NPI# 1043314057, PAC ID# 6204909708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043314057 |
| PAC ID by PECOS | 6204909708 |
| Professional Enrollment ID | I20080716000640 |
| Full Name | Gregory T Stallworth |
| Organization Legal Name | ALLIANCE HEALTHCARE SYSTEM, INC |
| Address |
1938 Crescent Meadows Dr Holly Springs MS 38635-7419 |
| Phone Number | 6622521599 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2961489547 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250012 | ALLIANCE HEALTHCARE SYSTEM |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| Address | Phone | Organization |
|---|---|---|
| 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 6622521599 | ALLIANCE HEALTHCARE SYSTEM, INC |
| Organization Legal Name | ALLIANCE HEALTHCARE SYSTEM, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Hardin | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Nancy C Boatwright | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Kenneth Williams | Internal Medicine | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Richard G Wiseman | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Street Address |
1938 CRESCENT MEADOWS DR |
| City | HOLLY SPRINGS |
| State | MS |
| Zip | 38635-7419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Hardin | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Nancy C Boatwright | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Ernest S Behnke | Diagnostic Radiology | Memphis Radiological PC | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Dale E Hansen Jr. | Diagnostic Radiology | Memphis Radiological PC | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Kenneth Williams | Internal Medicine | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Richard G Wiseman | Nurse Practitioner | Alliance Healthcare System, Inc | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Stevan I Himmelstein | Interventional Cardiology | Specialty Physician Group LLC | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Randolph | Optometry | Holly Springs Eyecare Pllc | 640 J M Ash Dr, Holly Springs, MS 38635-0608 |
| Dana A Nash | Family Medicine | 1315 Hwy 4 E, Holly Springs, MS 38635-2112 | |
| Phyllis Wright | Nurse Practitioner | 153 A S Market St, Holly Springs, MS 38635-3029 | |
| Emmily T Hurdle | Nurse Practitioner | Saint Francis Physician Network, LLC | 491 A Craft St, Holly Springs, MS 38635-3251 |
| Cassandra Hawkins | Family Medicine | Saint Francis Physician Network, LLC | 491 A Craft St, Holly Springs, MS 38635-3251 |
| Lori S Duke | Nurse Practitioner | Fast Pace Mississippi Pllc | 602 Craft St, Holly Springs, MS 38635-3323 |
| Karla Michelle Burnett | Nurse Practitioner | Fast Pace Mississippi Pllc | 602 Craft St, Holly Springs, MS 38635-3323 |
| Vanessa Jill Simmons | Nurse Practitioner | Marshall Urgent Care | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 |
| Tracy A. Scott | Nurse Practitioner | Marshall Urgent Care | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 |
| Christina C Joyner | Nurse Practitioner | Marshall Urgent Care | 1696 Crescent Meadows Dr, Holly Springs, MS 38635-7415 |
| Find all physicians in zip 38635 | |||
| City | HOLLY SPRINGS |
| Zip Code | 38635 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HOLLY SPRINGS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Gregory T Stallworth.
| 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.