Jason S Box (NPI# 1851448906, PAC ID# 7719085273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851448906 |
| PAC ID by PECOS | 7719085273 |
| Professional Enrollment ID | I20070606000437 |
| Full Name | Jason S Box |
| Organization Legal Name | GREENE COUNTY FAMILY MEDICAL CLINIC |
| Address |
1017 Jackson Ave Leakesville MS 39451-9105 |
| Phone Number | 6013942820 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991867954 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251329 | GREENE COUNTY HOSPITAL CAH |
| 250036 | GEORGE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1017 Jackson Ave, Leakesville, MS 39451-9105 | 6013942820 | GREENE COUNTY FAMILY MEDICAL CLINIC |
| 92 Ratliff St, Suite A, Lucedale, MS 39452-6537 | 6019474411 | COMMUNITY MEDICAL CENTER |
| Organization Legal Name | GREENE COUNTY FAMILY MEDICAL CLINIC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hollis L Ward | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Norman Mel Parnell | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Larry A Henderson | Family Medicine | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Brandon K Smith | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Kelley Elizabeth Debar | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Street Address |
1017 JACKSON AVE |
| City | LEAKESVILLE |
| State | MS |
| Zip | 39451-9105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hollis L Ward | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Norman Mel Parnell | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Larry A Henderson | Family Medicine | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Brandon K Smith | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Kelley Elizabeth Debar | Nurse Practitioner | Greene County Family Medical Clinic | 1017 Jackson Ave, Leakesville, MS 39451-9105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Delores Anderson | Optometry | Coastal Family Health Center Inc | 1616 Williams Dr, Leakesville, MS 39451-5622 |
| Laurie Johnson | Qualified Speech Language Pathologist | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Karen Merkle | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Susan Hewlett | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Barry Michael Quirk Jr. | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| John H Kirk Iii | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Angela Lambard | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Sherrill Hope Backstrom | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Thomas Lee Huckaby | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Blake J Whatley | Physical Therapy | Encore Rehabilitation Inc | 433 Main St, Leakesville, MS 39451-6502 |
| Find all physicians in zip 39451 | |||
| City | LEAKESVILLE |
| Zip Code | 39451 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEAKESVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jason S Box.
| 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.