Alicia Brister (NPI# 1336543305, PAC ID# 6507088812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336543305 |
| PAC ID by PECOS | 6507088812 |
| Professional Enrollment ID | I20141120001285 |
| Full Name | Alicia Brister |
| Organization Legal Name | INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A. |
| Address |
914 Sumrall Rd Columbia MS 39429-2652 |
| Phone Number | 6017311470 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507982410 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250085 | MARION GENERAL HOSPITAL |
| 250094 | MERIT HEALTH WESLEY |
| Address | Phone | Organization |
|---|---|---|
| 914 Sumrall Rd, Columbia, MS 39429-2652 | 6017311470 | INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A. |
| Organization Legal Name | INTERNAL MEDICINE CLINIC OF COLUMBIA, P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy F Easterling | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
| Street Address |
914 SUMRALL RD |
| City | COLUMBIA |
| State | MS |
| Zip | 39429-2652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy F Easterling | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakita D Rawls | Nurse Practitioner | Quality Medical Clinic, Inc. | 315 Lafayette St, Columbia, MS 39429-2059 |
| Vickie L Robbins | Psychologist, Clinical | Meditelecare of Mississippi LLC | 1506 N Main St, Columbia, MS 39429-2070 |
| Leonard Oswald | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 11 Pecan Dr, Columbia, MS 39429-2600 |
| Joseph Taiwo | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Oladipo Kusemiju | Family Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Ronda M Vanderheiden | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Lemuel D Oliver | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Jackie Stuckey | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Jeffrey N Johnson | Internal Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Peter J Jensen | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Find all physicians in zip 39429 | |||
| City | COLUMBIA |
| Zip Code | 39429 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Alicia Brister.
| 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.