Laurie S Nimon
SOUTHEAST UROGYN LLC


Address: 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Phone: 6019486540

Laurie S Nimon (NPI# 1265712145, PAC ID# 9830350198) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1265712145
PAC ID by PECOS 9830350198
Professional Enrollment ID I20120412000516
Full Name Laurie S Nimon
Organization Legal Name SOUTHEAST UROGYN LLC
Address 501 Marshall St
Suite 600
Jackson
MS 39202-1650
Phone Number 6019486540
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7517197718
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250102 MISSISSIPPI BAPTIST MEDICAL CENTER
250136 MERIT HEALTH WOMEN'S HOSPITAL

Other Locations

Address Phone Organization
501 Marshall St, Suite 600, Jackson, MS 39202-1650 6019486540 SOUTHEAST UROGYN LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name SOUTHEAST UROGYN LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Amanda Leigh Ellis Nurse Practitioner Southeast Urogyn LLC 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Steven E Speights Obstetrics/gynecology Southeast Urogyn LLC 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Robert L Harris Obstetrics/gynecology Southeast Urogyn LLC 501 Marshall St, Suite 600, Jackson, MS 39202-1650

Office Location

Street Address 501 MARSHALL ST
SUITE 600
City JACKSON
State MS
Zip 39202-1650

Physicians in the same location

Name Specialty Organization Address
Michael C Livingston Obstetrics/gynecology 501 Marshall St, Suite 501, Jackson, MS 39202-1615
Brittany A Little Nurse Practitioner Jackson Pulmonary Associates, Pa 501 Marshall St, Suite 200, Jackson, MS 39202-1687
Gina E Heath General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Robert W Naef Obstetrics/gynecology 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Ashley M Johnson Obstetrics/gynecology The Womans Clinic of Ms Pllc 501 Marshall St, Suite 400, Jackson, MS 39202-1687
Lindsey B Lassiter Nurse Practitioner Jackson Pulmonary Associates, Pa 501 Marshall St, Suite 200, Jackson, MS 39202-1687
George Edward Copeland Iii General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Erin R Cummins General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Raymond L Portis Internal Medicine Jackson Pulmonary Associates, Pa 501 Marshall St, Suite 200, Jackson, MS 39202-1687
Mollie M Doty Nurse Practitioner Jackson Pulmonary Associates, Pa 501 Marshall St, Suite 200, Jackson, MS 39202-1687
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Anthony Bedear Petro General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Jason G Murphy General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Nathan Dudley Maples General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Andrew Currier Mallette General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Alexander John Haick General Surgery The Surgical Clinic Associates, P.a. 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Martha D Dickens Family Practice Medical Foundation of Central Mississippi Inc 501 Marshall St, Suite 500, Jackson, MS 39202-1615
Amanda Leigh Ellis Nurse Practitioner Southeast Urogyn LLC 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Steven E Speights Obstetrics/gynecology Southeast Urogyn LLC 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Sabra Sullivan Dermatology 501 Marshall St, Suite 606, Jackson, MS 39202-1650
Robert L Harris Obstetrics/gynecology Southeast Urogyn LLC 501 Marshall St, Suite 600, Jackson, MS 39202-1650
Find all physicians in zip 39202

Competitor

Search similar physicians

City JACKSON
Zip Code 39202
Specialty NURSE PRACTITIONER
City + Specialty JACKSON + NURSE PRACTITIONER

Improve Information

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Dataset Information

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.

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