Tanyaneka L Wilson (NPI# 1104243831, PAC ID# 7719100890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104243831 |
| PAC ID by PECOS | 7719100890 |
| Professional Enrollment ID | I20140516001496 |
| Full Name | Tanyaneka L Wilson |
| Organization Legal Name | GREATER MERIDIAN HEALTH CLINIC, INC. |
| Address |
2701 Davis St Meridian MS 39301-5708 |
| Phone Number | 6016930118 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032027834 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| 250069 | RUSH FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Birch St, De Kalb, MS 39328-8017 | 6017432643 | GREATER MERIDIAN HEALTH CLINIC, INC. |
| 2701 Davis St, Meridian, MS 39301-5708 | 6016930118 | GREATER MERIDIAN HEALTH CLINIC, INC. |
| Organization Legal Name | GREATER MERIDIAN HEALTH CLINIC, INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna Kendrick | Family Medicine | Greater Meridian Health Clinic, Inc. | 67 Mulberry St, Shuqualak, MS 39361-9128 |
| Tanya S Cockrell | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 14130 Hwy 15 S, Suite D, Louisville, MS 39339-6452 |
| Elizabeth D Mcmahan | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Candace B Pringle | Certified Nurse Midwife (cnm) | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Wanda L Lloyd | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Kelvin Knowles | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Olugboyega Ransome-kuti | Internal Medicine | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Kimkeshia S Morgan | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| George L Howell | Family Medicine | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Rita F Carter-mcreynolds | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Street Address |
2701 DAVIS ST |
| City | MERIDIAN |
| State | MS |
| Zip | 39301-5708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth D Mcmahan | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Candace B Pringle | Certified Nurse Midwife (cnm) | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Wanda L Lloyd | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Kelvin Knowles | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Olugboyega Ransome-kuti | Internal Medicine | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Kimkeshia S Morgan | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| George L Howell | Family Medicine | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Rita F Carter-mcreynolds | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Regina S Nickelson | Nurse Practitioner | Greater Meridian Health Clinic, Inc. | 2701 Davis St, Meridian, MS 39301-5708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Mcgilbra | Psychiatry | 5000 Hwy 39 N, Meridian, MS 39301-0210 | |
| Anna A Wile | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Richard A Nance | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Emily Kate Matthews | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Jonathan D Baker | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Particia L Dudley | Psychiatry | Psychology Associates, LLC | 5004 Hwy 39 N, Meridian, MS 39301-1021 |
| Justin A Jones | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Find all physicians in zip 39301 | |||
| City | MERIDIAN |
| Zip Code | 39301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tanyaneka L Wilson.
| 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.