Jennifer B Edwards (NPI# 1790019354, PAC ID# 7012040173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1790019354 |
PAC ID by PECOS | 7012040173 |
Professional Enrollment ID | I20100727000538 |
Full Name | Jennifer B Edwards |
Organization Legal Name | MCCOMB SKIN CLINIC PA |
Address |
136 Marion Ave Mccomb MS 39648-3620 |
Phone Number | 60168432101 |
Gender | F |
Graduation Year | 2009 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9830269539 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250097 | SOUTHWEST MS REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
136 Marion Ave, Mccomb, MS 39648-3620 | 60168432101 | MCCOMB SKIN CLINIC PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 93% |
Organization Legal Name | MCCOMB SKIN CLINIC PA |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather R Newlon | Dermatology | Mccomb Skin Clinic Pa | 136 Marion Ave, Mccomb, MS 39648-3620 |
James M Brock Jr. | Dermatology | Mccomb Skin Clinic Pa | 136 Marion Ave, Mccomb, MS 39648-3620 |
Street Address |
136 MARION AVE |
City | MCCOMB |
State | MS |
Zip | 39648-3620 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather R Newlon | Dermatology | Mccomb Skin Clinic Pa | 136 Marion Ave, Mccomb, MS 39648-3620 |
James M Brock Jr. | Dermatology | Mccomb Skin Clinic Pa | 136 Marion Ave, Mccomb, MS 39648-3620 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Scott Snow | Family Medicine | 1121 Hwy 98/51, Summit, MS 39648 | |
Damon S Spears | Nurse Practitioner | Maxem Health Urgent Care Mccomb | 101 Edgewood Dr, Mccomb, MS 39648-2043 |
Tonya Brister | Nurse Practitioner | Maxem Health Urgent Care Mccomb | 101 Edgewood Dr, Mccomb, MS 39648-2043 |
James Stephen Moore | Optometry | 1722 Veterans Blvd, C2, Mccomb, MS 39648-2052 | |
Kimberly F Harrell | Optometry | 1608 Veterans Blvd, Mccomb, MS 39648-2064 | |
Kappi F Rushing | Nurse Practitioner | Mccomb Og-gyn Associated | 205 Marion Ave, Mccomb, MS 39648-2705 |
Ashraf E Riad | Anesthesiology | Mccomb Anesthesia Associates, LLP | 215 Marion Ave, Mccomb, MS 39648-2705 |
Carl R Feind | Interventional Cardiology | Southwest Mississippi Regional Medical Center | 215 Marion Ave, Mccomb, MS 39648-2705 |
Warren J Anderson | Certified Registered Nurse Anesthetist (crna) | Mccomb Anesthesia Associates, LLP | 215 Marion Ave, Mccomb, MS 39648-2705 |
Dany Haddad | Internal Medicine | Southwest Mississippi Regional Medical Center | 215 Marion Ave, Mccomb, MS 39648-2705 |
Find all physicians in zip 39648 |
City | MCCOMB |
Zip Code | 39648 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MCCOMB + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer B Edwards.
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.