Deandria M Thompson (NPI# 1215476650, PAC ID# 9436436011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215476650 |
| PAC ID by PECOS | 9436436011 |
| Professional Enrollment ID | I20170509000816 |
| Full Name | Deandria M Thompson |
| Organization Legal Name | MEDICAL ASSOCIATES OF VICKSBURG PLLC |
| Address |
2080 S Frontage Rd Suite 100 Vicksburg MS 39180-5883 |
| Phone Number | 6012621000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577782366 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250072 | MERIT HEALTH CENTRAL |
| Address | Phone | Organization |
|---|---|---|
| 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 | 6012621000 | MEDICAL ASSOCIATES OF VICKSBURG PLLC |
| 2080 S Frontage Rd, Vicksburg, MS 39180-5883 | 6012621000 | MEDICAL ASSOCIATES OF VICKSBURG PLLC |
| Organization Legal Name | MEDICAL ASSOCIATES OF VICKSBURG PLLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Baleigh V Ford | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Olatunji Jonathan Oluwatade | Internal Medicine | Medical Associates of Vicksburg Pllc | 703 Farmer St, Port Gibson, MS 39150-2319 |
| Morgan J Caulfield | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Johanna M Kimberl | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Jeffrey A Morris | Internal Medicine | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Melanie Elizabeth Furr | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Heather M Anderson | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Daniel Paul Edney | Internal Medicine | Medical Associates of Vicksburg Pllc | 703 Farmer St, Port Gibson, MS 39150-2319 |
| Amy C Campbell | Nurse Practitioner | Medical Associates of Vicksburg Pllc | 703 Farmer St, Port Gibson, MS 39150-2319 |
| Paul W Pierce Iii | Internal Medicine | Medical Associates of Vicksburg Pllc | 703 Farmer St, Port Gibson, MS 39150-2319 |
| Street Address |
2080 S FRONTAGE RD SUITE 100 |
| City | VICKSBURG |
| State | MS |
| Zip | 39180-5883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Baleigh V Ford | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Yolonda Kinzie | Nurse Practitioner | Wound Care Associates LLC | 2080 S Frontage Rd, Suite 106, Vicksburg, MS 39180-5882 |
| Morgan J Caulfield | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Johanna M Kimberl | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Jeffrey A Morris | Internal Medicine | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Melanie Elizabeth Furr | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Kathryn Bonner | Physical Therapy | 2080 S Frontage Rd, Suite 108, Vicksburg, MS 39180-5882 | |
| Heather M Anderson | Physician Assistant | Medical Associates of Vicksburg Pllc | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Robert Charles Clingan | Dermatology | 2080 S Frontage Rd, 113 Dermatology, Vicksburg, MS 39180-5882 | |
| Rashandra F Laws | Nurse Practitioner | Wound Care Associates LLC | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5883 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey P Beckwith | Nurse Practitioner | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Ashley T Karel | Nurse Practitioner | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Namita Arora | Psychiatry | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Lisa Parker | Nurse Practitioner | Wound Care Associates LLC | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 |
| Paul D Murry | Chiropractic | 1109 Mission Park Dr, Vicksburg, MS 39180-3700 | |
| Albert Chiemprabha | Gastroenterology | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Susan H Needham | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Maranda Eversoll | Nurse Practitioner | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Vishwanath Shenoy | Gastroenterology | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Miles David Ashley | Optometry | The Vision Clinic of Vicksburg LLC | 1808 Mission, Suite 66, Vicksburg, MS 39180-3710 |
| Find all physicians in zip 39180 | |||
| City | VICKSBURG |
| Zip Code | 39180 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VICKSBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Deandria M Thompson.
| 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.