Charles S Carroll (NPI# 1003846353, PAC ID# 7214010776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1003846353 |
| PAC ID by PECOS | 7214010776 |
| Professional Enrollment ID | I20080207000362 |
| Full Name | Charles S Carroll |
| Organization Legal Name | JACKSON HEALTHCARE FOR WOMEN PA |
| Address |
291 E Layfair Dr Flowood MS 39232-9527 |
| Phone Number | 6019369190 |
| Gender | M |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0345335295 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250136 | MERIT HEALTH WOMEN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 291 E Layfair Dr, Flowood, MS 39232-9527 | 6019369190 | JACKSON HEALTHCARE FOR WOMEN PA |
| Organization Legal Name | JACKSON HEALTHCARE FOR WOMEN PA |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Cook | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Kathryn H Mallette | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Edra S Kimmel | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Karen F Cole | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Roy B Kellum | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Christopher D Wiggs | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Layson L Denney | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Mercer Lee Iii | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Amanda A Reeves | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Emily B Johnson | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Street Address |
291 E LAYFAIR DR |
| City | FLOWOOD |
| State | MS |
| Zip | 39232-9527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Cook | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Kathryn H Mallette | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Edra S Kimmel | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Karen F Cole | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Roy B Kellum | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Christopher D Wiggs | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Layson L Denney | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Mercer Lee Iii | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Amanda A Reeves | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Emily B Johnson | Obstetrics/gynecology | Jackson Healthcare for Women Pa | 291 E Layfair Dr, Flowood, MS 39232-9527 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James K Hensarling | Rheumatology | 4436 Mangum Dr A, Flowood, MS 39232-2113 | |
| Charles Bradley Edmondson | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Cortni Cooper | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Latoya Green | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Flowood, MS 39232-3306 |
| Leah Calder | Physician Assistant | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Miriam J Shatley | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Anna C Asher | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Audra Lewis | Nurse Practitioner | Ms Phs LLC | 232 Market St, Flowood, MS 39232-3339 |
| Okshoon Scott | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Denise Gossett | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Find all physicians in zip 39232 | |||
| City | FLOWOOD |
| Zip Code | 39232 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FLOWOOD + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Charles S Carroll.
| 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.