Bryan M Clay (NPI# 1730268764, PAC ID# 9133274129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1730268764 |
| PAC ID by PECOS | 9133274129 |
| Professional Enrollment ID | I20090826000802 |
| Full Name | Bryan M Clay |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Address |
970 Lakeland Dr Suite 40 Jackson MS 39216-4640 |
| Phone Number | 6012004850 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0446303168 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 | 6012004850 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Grubbs Mayhugh | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Charnell R Cain | Family Medicine | St. Dominic Medical Associates LLC | 1297 W Government St, St Dominic Family Practice Associaties, Brandon, MS 39042-3048 |
| Samuel Hammond Love | Internal Medicine | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 |
| Tiffany Smith | Nurse Practitioner | St. Dominic Medical Associates LLC | 969 Lakeland Dr, Jackson, MS 39216-4606 |
| J Scott Harrison | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
| Arturo E Blanco | Family Medicine | St. Dominic Medical Associates LLC | 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 |
| Jo P Deal | Infectious Disease | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609 |
| Paul E Sheffield | Family Medicine | St. Dominic Medical Associates LLC | 890 Lakeland Dr, Jackson, MS 39216-4644 |
| George E Patton Jr. | Internal Medicine | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 |
| John Adrian Lancon | Neurosurgery | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609 |
| Street Address |
970 LAKELAND DR SUITE 40 |
| City | JACKSON |
| State | MS |
| Zip | 39216-4640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Hammond Love | Internal Medicine | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 |
| Lynn A Vincent | Nurse Practitioner | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| Lelouise T Davis | Nurse Practitioner | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4634 |
| Dean E Whitley | Nurse Practitioner | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| Vernon Reid Cotten | Cardiovascular Disease (cardiology) | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| Joel Nutt | Pain Management | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4634 |
| Reuben H Stone | Interventional Cardiology | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| David R Young | Cardiovascular Disease (cardiology) | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| Mindy J Byrd | Nurse Practitioner | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| Douglas D Harkins | Cardiovascular Disease (cardiology) | Jackson Heart Clinic. P.a. | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4634 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark O Rester | Psychiatry | 1225 N State St, Jackson, MS 39216 | |
| Jasmine Martin Smith | Physical Therapy | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Lula Johnson | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Olivia Mccay | Registered Dietitian Or Nutrition Professional | Nutrition Systems Wellness LLC | 603 Duling Ave, Suite 207, Jackson, MS 39216-4009 |
| Nosratollah Ghaemmaghami | Internal Medicine | 381 Medical Dr, Jackson, MS 39216-4118 | |
| Julie P Wyatt | Dermatology | 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225 | |
| Nancy H Goldman | Certified Clinical Nurse Specialist (cns) | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4225 | |
| Louis Wise Jr. | Dermatology | 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225 | |
| Thomas H Cabell | Ophthalmology | 3000 Old Canton Rd, Suite 405, Jackson, MS 39216-4234 | |
| Albert T Williams | Ophthalmology | A.terrel Williams, Md, Pllc | 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4245 |
| Find all physicians in zip 39216 | |||
| City | JACKSON |
| Zip Code | 39216 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | JACKSON + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Bryan M Clay.
| 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.