provider directory - uhccommunityplan.com€¦ · 05-07-2018 · csms18mc4250757_003 provider...
TRANSCRIPT
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CSMS18MC4250757_003
Provider Directory Directorio de proveedores
MississippiCHIP South
Mississippi Children's
Health Insurance Program
Counties / Condados:Adams, Amite, Covington, Forrest, Franklin, George, Greene,
Hancock, Harrison, Jackson, Jefferson, Jefferson Davis, Jones,
Lamar, Lawrence, Lincoln, Marion, Pearl River, Perry, Pike, Stone,
Walthall, Wayne, and / y Wilkinson
7/5/2018
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Welcome to UnitedHealthcare
We care about you and your family's health.
This directory will help you find providers (like doctors, specialists, pharmacies and hospitals) in
your area who are in the UnitedHealthcare network. We have a relationship with these providers.
UnitedHealthcare members can visit in-network providers by calling the provider and making an
appointment. You don't need to call us first before seeing these providers.
A provider who is not in our network is an out-of-network provider. If your child goes to an out-of-
network provider, UnitedHealthcare will usually not pay for the care you get. If you cannot find a
provider that meets your child's needs, please call Member Services at 1-800-992-9940 for help
finding one.
Mississippi CHIP 24/7 Nurse Line 1-877-410-0184
Member Services is available seven days a week:
Monday 8:00 a.m. 5:00 p.m.
Tuesday 8:00 a.m. 5:00 p.m.
Wednesday 8:00 a.m. 8:00 p.m.
Thursday 8:00 a.m. 5:00 p.m.
Friday 8:00 a.m. 5:00 p.m.
First Saturday of each month 8:00 a.m. 5:00 p.m.
First Sunday of each month 8:00 a.m. 5:00 p.m.
Member Services can help with your questions or concerns. This includes:
Understanding your child's benefits.
Help getting a replacement member ID card.
Finding a doctor or urgent care clinic.
Call 1-800-992-9940, TTY 711.
Member Services 1-800-992-9940, TTY 711
Our office is closed on these major holidays:
New Year's Day (observed)
Martin Luther King Jr. Day
Memorial Day
Independence Day
Labor Day
Thanksgiving Day
Day After Thanksgiving
Christmas Day (observed)
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Providers listed in this directory are current as of the date listed on the cover.
Information is subject to change.
Choosing a Primary Care Physician (PCP) for You
and Your Family Is Easy.
There are several types of PCPs listed in this directory.
In order to find a provider, please go to the table of contents and find the listing for your county. The
providers are listed by their specialty. When you find the specialty that you want, go to the page that is
listed. New providers join our network all the time. The most up-to-date directory is on our website.
For most of your medical care, you must go to your PCP.
Family Practice: Adults and Children
Internal Medicine: Adults
Pediatrician: Children
Primary Care Physicians
How to Use This Directory
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Sample Provider Listing
All of the information in these provider listings is based upon the provider's application.
UnitedHealthcare checks this information when these providers join our network and every
three years (or sooner) when the provider is re-credentialed.
This chart will help you understand each doctor's listing.
Listing Example
Provider Name John Smith, MD*
Group Address 123 Main Street
Any Town, MS 12345
Group Phone Number (555) 222-2222
Gender Male
Sample Hospital Listing
This chart will help you understand each hospital's listing.
Hospital Name GoodCare Hospital
Hospital Phone Number (555) 123-4567
Hospital Address 627 South Wellness Street
Health Valley, MS 15786
Hospital ID number 987654321
Description of Hospital Listings
Description of Provider Listings
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Bienvenido a UnitedHealthcare
Nos preocupamos por su salud y la de su familia.
Este directorio le ayudar a encontrar proveedores (como mdicos, especialistas, farmacias y
hospitales) ubicados en su rea y que se encuentren en la red de UnitedHealthcare. Tenemos un
vnculo con estos proveedores. Los miembros de UnitedHealthcare pueden visitar a los proveedores
que se encuentren en la red llamando al proveedor para concertar una cita. No necesita llamarnos
antes de ver a estos proveedores.
Un proveedor que no se encuentre en nuestra red se considera un proveedor fuera de la red. Si su
hijo visita a un proveedor fuera de la red, por lo general, UnitedHealthcare no pagar la atencin que
reciba. Si no puede encontrar un proveedor que logre satisfacer las necesidades de su hijo, llame a
Servicios para Miembros al 1-800-992-9940 para obtener ayuda para encontrar uno.
Servicios para Miembros se encuentran disponibles los siete das de la semana:
Lunes 8:00 a.m. 5:00 p.m.
Martes 8:00 a.m. 5:00 p.m.
Mircoles 8:00 a.m. 8:00 p.m.
Jueves 8:00 a.m. 5:00 p.m.
Viernes 8:00 a.m. 5:00 p.m.
Primer sbado de cada mes 8:00 a.m. 5:00 p.m.
Primer domingo de cada mes 8:00 a.m. 5:00 p.m.
Servicios para Miembros pueden ayudarle con sus preguntas o inquietudes. Esto incluye:
La comprensin de los beneficios de su hijo.
Ayuda para obtener una tarjeta de identificacin como miembro de reemplazo.
Encontrar un mdico o una clnica de atencin de urgencia.
Llame al 1-800-992-9940, TTY 711.
Servicios para Miembros 1-800-992-9940, TTY 711
Nuestra oficina est cerrada en estos das feriados importantes:
Da de Ao Nuevo (observado)
Da de Martin Luther King Jr.
Da de los Cados (Memorial Day)
Da de la Independencia
Da del Trabajo
Da de Accin de Gracias
Da despus de Accin de Gracias
Navidad (observado)
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Elegir un mdico de atencin primaria para usted
y su familia es fcil.
Hay muchos tipos de mdicos de atencin primaria incluidos en este directorio.
Para encontrar un proveedor, busque su condado en el ndice. Los proveedores se agrupan por
especialidad. Despus de encontrar la especialidad que desea, vaya a la pgina correspondiente.
Nuevos proveedores se unen a nuestra red constantemente. El directorio ms actualizado se
encuentra en nuestro sitio web. En la mayora de los casos de atencin mdica, deber recurrir
a su mdico de atencin primaria.
El directorio de proveedores est actualizado hasta la fecha que figura en la tapa.
La informacin est sujeta a cambios.
Medicina de familia: Adultos y nios
Medicina interna: Adultos
Pediatras: Nios
Doctores de Atencin Primaria
Como usar este directorio
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Ejemplo de la lista de proveedores
Toda la informacin que se encuentra en estas listas de proveedores depende de la solicitud de
los proveedores. UnitedHealthcare verifica esta informacin en el momento en que los proveedores
se unen a nuestra red y cada tres aos (o menos) cuando el proveedor vuelve a ser acreditado.
Este cuadro le ayudar a comprender la lista de cada mdico.
Lista Ejemplo
Nombre del proveedor John Smith, MD*
Direccin del grupo 123 Main Street
Any Town, MS 12345
Nmero de telfono del grupo (555) 222-2222
Sexo Male
Ejemplo de la lista de hospitales
Este cuadro le ayudar a comprender la lista de cada hospital.
Nombre del hospital GoodCare Hospital
Nmero de telfono del hospital (555) 123-4567
Direccin del hospital 627 South Wellness Street
Health Valley, MS 15786
El nmero hospital identificacin 987654321
Descripcin de la lista de proveedores
Descripcin de la lista de hospitales
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UnitedHealthcare Community Plan does not treat members differently because of sex, age, race, color,
disability or national origin.
If you think you were treated unfairly because of your sex, age, race, color, disability or national origin,
you can send a complaint to:
Civil Rights Coordinator
UnitedHealthcare Civil Rights Grievance
P.O. Box 30608
Salt Lake City, UTAH 84130
You must submit the complaint in writing within 30 days of when you found out about it. If your complaint
cannot be resolved in 1 day it will be treated as a grievance. We will send you an acknowledgement of
the grievance within 5 days of receipt of the grievance. A decision will be sent to you within 30 days.
If you need help with your complaint, please call the toll-free member phone number at 1-800-992-9940,
TTY 711, Monday through Friday, 8 a.m. to 5 p.m. CT (and 8 a.m. 8 p.m. CT on Wednesday). We are
also available 8 a.m. to 5 p.m. CT the first Saturday and Sunday of each month.
You can also file a complaint with the U.S. Dept. of Health and Human Services.
Online:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Complaint forms are available at
http://www.hhs.gov/ocr/office/file/index.html
Phone:
Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)
Mail:
U.S. Dept. of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
We provide free services to help you communicate with us. Such
as, letters in other languages or large print. Or, you can ask for an
interpreter. To ask for help, please call the toll-free member phone
number at 1-800-992-9940, TTY 711, Monday through Friday,
8 a.m. to 5 p.m. CT (and 8 a.m. 8 p.m. CT on Wednesday). We are
also available 8 a.m. to 5 p.m. CT the first Saturday and Sunday of
each month.CSMS15MC4066254_001
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UnitedHealthcare Community Plan no da un tratamiento diferente a sus miembros en base a su sexo,
edad, raza, color, discapacidad u origen nacional.
Si usted piensa que ha sido tratado injustamente por razones como su sexo, edad, raza, color,
discapacidad u origen nacional, puede enviar una queja a:
Civil Rights Coordinator
UnitedHealthcare Civil Rights Grievance
P.O. Box 30608
Salt Lake City, UTAH 84130
Usted tiene que presentar la queja por escrito dentro de los primeros 30 das a partir de la fecha
cuando se enter de ella. Si su queja no puede resolverse un un da, se le considerar como
reclamacin. Nosotros le enviaremos una notificacin de recibido de su reclamacin dentro de los
primeros 5 das despus de haberla recibido. Se le enviar la decisin en un plazo de 30 das.
Si usted necesita ayuda con su queja, por favor llame al nmero de telfono gratuito para miembros
1-800-992-9940, TTY 711, de lunes a viernes, de 8 a.m. a 5 p.m. CT (y de 8 a.m. a 8 p.m. CT los mircoles).
Tambin estamos disponibles de 8 a.m. a 5 p.m. CT el primer sbado y domingo de cada mes.
Usted tambin puede presentar una queja con el Departamento de Salud y Servicios Humanos de los
Estados Unidos.
Internet:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
Formas para las quejas se encuentran disponibles en:
http://www.hhs.gov/ocr/office/file/index.html
Telfono:
Llamada gratuita, 1-800-368-1019, 1-800-537-7697 (TDD)
Correo:
U.S. Department of Health and Human Services
200 Independence Avenue SW
Room 509F, HHH Building
Washington, D.C. 20201
Ofrecemos servicios gratuitos para ayudarle a comunicarse con nosotros. Tales como, cartas en otros idiomas o en letra grande. O bien, puede solicitar un intrprete. Para pedir ayuda, por favor llame al nmero de telfono gratuito para miembros 1-800-992-9940, TTY 711, de lunes a viernes, de 8 a.m. a 5 p.m. CT (y de 8 a.m. a 8 p.m. CT los mircoles). Tambin estamos disponibles de 8 a.m. a 5 p.m. CT el primer sbado y domingo de cada mes.
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National Vendors / Proveedores Nacionales..........................................................................................14
Hospital / Hospitales ................................................................................................................................21
Primary Care Providers / Proveedores De Cuidado Primario............................................................25
Specialists / Especialistas.......................................................................................................................299
Dental Providers / Proveedores De Servicios Dentales.......................................................................577
Vision Providers / Proveedores De Atencin De La Vista..................................................................638
Pharmacy / Farmacia ............................................................................................................................664
Ancillary Providers / Proveedores Auxiliares .....................................................................................690
Behavioral Health Providers / Proveedores De Salud Mental...........................................................720
Behavioral Health Facilities / Servicios De Salud Mental..................................................................740
Index / ndice ..........................................................................................................................................742
Table Of Contents / Tabla de Contenido
IMPORTANT:
Providers listed in this directory are current as of July 5, 2018.
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Provider(s) Phone Number Website
Cardiac Diagnostic - Cardiac Monitoring Services
LifeWatch 1-877-774-9846 www.lifewatch.com
Preventice Services 1-888-747-1442 www.preventicesolutions.com/services/pr
eventice-services.html
Cardiac Diagnostic - Cardiac Monitoring Services & Home INR Monitor/test strips
CardioNet 1-888-312-2328 www.cardionet.com
Convenience Care Clinic
Walgreens Healthcare Clinic 1-866-825-3227 www.walgreens.com/topic/pharmacy/heal
thcare-clinic
Dialysis
DaVita Dialysis 1-866-475-7757 ext.
253706
www.davita.com
Fresenius Medical Care 1-866-434-2597 www.fmcna.com
DME - AED - wearable defibrillator
ZOLL Lifecore 1-800-543-3267 www.zoll.com
DME - Ambulatory Infusion Pumps
InfuSystem Inc 1-800-962-9656 www.infusystem.com
DME - Bone Growth Stimulator
Bioventus 1-800-396-4325 www.bioventusglobal.com
DJO 1-800-321-9549 www.djortho.com
EBI 1-800-526-2579 www.biomet.com
Orthofix 1-800-535-4492 www.orthofix.com
DME - Breast pump purchase
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com
Medline Industries 1-800-633-5463 www.medline.com
Walmart Stores Inc. (d/b/a
Walmart and Sams Club)
1-800-273-3455 www.walmart.com
DME - Commodity, oxygen, respiratory
Lincare - may be known
locally by a different name;
refer to website
See website www.lincare.com
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Provider(s) Phone Number Website
Rotech Healthcare - may be
known locally by a different
name; refer to website
See website www.rotech.com
DME - Commodity, oxygen, respiratory, negative pressure wound care, manual wheelchairs
Apria Healthcare 1-800-277-4288 www.apria.com
DME - CPM/Continuous Passive Motion
Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com
DME - CPM/continuous passive motion, Thermocomp, TENS
Kinex Medical Company 1-800-845-6364 www.kinexmedical.com
DME - Diabetic insulin pump and pump supplies
MiniMed Distribution 1-877-576-6113 www.minimed.com
DME - Dynamic Splinting; Bracing & Orthotics
Dynasplint Systems 1-800-638-6771 www.dynasplint.com
DME - Home INR Monitor/test strips
Roche Diagnostics Corp 1-800-779-7616 www.coaguchek.com/coaguchek_patient/
en/home/products/how_to_get_a_coaguc
hek.html
DME - Incontinence, diapers, soft goods and wound care supplies
Medline Industries 1-800-633-5463 www.medline.com
DME - Mail order disposable medical supplies including Medicare-covered diabetic supplies
(blood glucose monitors, test strips and lancets)
Byram Healthcare 1-877-902-9726 www.byramhealthcare.com
Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com
DME - Mobility products - custom/complex power wheelchairs and seating systems
Hoveround Corporation 1-888-225-1547 www.hoveround.com/MobilityNow
Numotion 1-888-232-1333 www.numotion.com
DME - Negative pressure wound pump and wound care surfaces
KCI USA 1-800-275-4524 www.kci1.com
DME - Orthotics and Prosthetics
Linkia Orthotics & Prosthetics 1-877-754-6542 www.linkia.com
DME - Respiratory high frequency chest compression oscillation system (vest)
Advanced Respiratory 1-800-826-4224 www.thevest.com
Electromed 1-800-462-1045 www.smartvest.com
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Provider(s) Phone Number Website
RespirTech 1-800-793-1261 www.respirtech.com
DME - Speech generating device
Prentke Romich 1-800-268-5224 www.prentrom.com
Tobii Dynavox Systems 1-866-396-2869 www.dynavoxtech.com/tobii-dynavox
DME - TENS units
Electrostim Medical Services,
Inc
1-800-588-8383 www.wecontrolpain.com
Zynex Medical 1-800-495-6670 www.zynexmed.com
DME - Wound care supplies for residents of nursing homes
Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com
Home Infusion
Basic Home Infusion 1-888-822-7428 www.basichomeinfusion.com
BriovaRx Infusion Services 1-877-306-4036 www.axelacare.com
Lincare Infusion Services See website www.lincare.com
Home Infusion - TPN, Enteral and Synagis
BioScrip Infusion Services 1-866-788-7710 www.bioscrip.com
Hospice - Home and inpatient
AseraCare Hospice See website www.aseracare.com
Laboratory
True Health Diagnostics 1-800-268-5224 www.truehealthdiag.com
Laboratory - Anatomic pathology - including dermatopathology
Bako Integrated Physician
Solutions
1-877-376-7284 www.bakocts.com
Laboratory - Anatomic pathology - including dermatopathology, gastroenterology,
genitourinary, hematology and gynecological pathology
StrataDx Pathology 1-800-325-7284 www.stratadx.com
Laboratory - BRCA for breast & ovarian cancer; COLARIS for colon & endometrial cancer;
MELARIS for melanoma & pancreatic cancer; Theraguide 5-FU
Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com
Laboratory - Clinical, pathology and genetic testing
ARUP Labs 1-800-522-2787 www.aruplab.com
Laboratory Corporation of
America
1-888-522-2677 (1-888-
LABCORP)
www.labcorp.com
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Provider(s) Phone Number Website
Laboratory - Dialysis testing
Nationwide Laboratory
Services
1-888-377-3522 www.nationwidelab.com
Laboratory - Drug testing, medication monitoring
Dominion Diagnostics 1-800-511-8427 / 1-
800-711-6974
www.dominiondiagnostics.com
Laboratory - Fecal DNA screening
Exact Sciences Laboratories 1-844-870-8870 www.cologuardtest.com
Laboratory - Genetic testing
Foundation Medicine, Inc. 1-888-988-3639 www.foundationmedicine.com
GeneDx 1-301-519-2100 www.genedx.com
Natera, Inc 1-650-249-9090 www.natera.com
Sequenom Laboratories 1-877-821-7266 www.sequenom.com
Laboratory - Genetic testing (OncotypeDx)
Genomic Health 1-888-662-6897 (1-888-
ONCOTYPE)
www.genomichealth.com
Laboratory - Molecular Diagnostics
ColorGenomics 1-650-651-7130 www.color.com
Veracyte 1-888-9AFIRMA www.veracyte.com
Laboratory - Molecular Oncology
NeoGenomics Laboratories,
Inc
1-866-776-5907 neogenomics.com
Laboratory - Nerve Pathology (ENFD)
Therapath Neuropathology 1-800-681-4338 www.therapath.com
Laboratory - Oncometrix, hematopathology, gastrointestinal pathology, dermatopathology,
gynecologic pathology
Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com
Laboratory - Predictive genetic testing for breast cancer patients (MammaPrint)
Agendia 1-888-321-2732 www.agendia.com
Laboratory - Prenatal testing
Ariosa Diagnostics 1-855-927-4672 www.ariosadx.com
PerkinElmer Laboratories 1-888-762-4000 www.perkinelmer.com
Laboratory - Specialty genetic testing
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Provider(s) Phone Number Website
CBLPath 1-877-225-7284 www.cblpath.com
Invitae Corporation 1-800-436-3037 www.invitae.com
Laboratory - Specialty infectious disease diagnostic testing, molecular biology, immunology
and serology
Medical Diagnostic
Laboratories
1-877-269-0090 www.mdlab.com
Laboratory - Specialty laboratory
Ambry Genetics 1-866-262-7943 www.ambrygen.com
Counsyl 1-888-COUNSYL (1-
888-268-6795)
www.counsyl.com
Laboratory - Therapeutic medication monitoring, drug testing
Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com
Alere Toxicology 1-800-340-4029 www.aleretoxicology.com
Essential Testing 1-855-623-0623 www.etlab.org
Millennium Health 1-877-451-3534 www.milleniumlaboratories.com
Precision Diagnostics 1-800-635-6901 www.precisiondxlab.com
Tribal Diagnostics 1-405-896-2978 www.tribaldiagnostics.com
Other Specialty Services - Womens health - high risk OB / prenatal care
Optum Women's and
Children's Health
1-800-950-3963 www.alere.com
Specialty Pharmacy
BriovaRx Specialty Pharmacy 1-866-218-7398 www.briovarx.com
Specialty Pharmacy - Carticel, Elylyso and Prolastin
Dohmen Life Science
Services
1-866-336-1336 www.dohmen.com
Specialty Pharmacy - Limited Distribution Specialty Drugs
Biologics 1-800-856-1984 www.biologicsinc.com
Caremark 1-877-287-1234 www.cvsspecialty.com
Specialty Pharmacy - Xiaflex
US Bioservices 1-888-518-7246 www.usbioservices.com
Specialty Pharmacy and Home Infusion - Limited Distribution Drugs
Accredo 1-800-803-2523 www.accredo.com
Transportation - Fixed-Wing Air Ambulance
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Provider(s) Phone Number Website
AirCARE1 International 1-877-760-7760 www.airambulanceone.com
AMR Air Ambulance 1-800-424-7060 www.amr-airambulance.com
Castle International See website www.castlemedflight.com
Medway Air Ambulance 1-800-233-0655 www.medwayairambulance.com
Vaccine Program - Influenza (Trivalent, Quadrivalent, High Dose, Intradermal), Pneumonia,
Zostavax, Tdap, Meningococcal, Hepatitis B, HPV , MMR, MMRV, Varicella, Hepatitis A/B
combo. TDAP (Tetanus, Diphtheria & Pertussis), Shingles (Zostavax), Meningitis, HPV, and
Hepatitis B (age 15 and up). Worksite Clinics and Retail locations
Albertsons (d/b/a Albertsons
Sav-on, Albertsons Osco)
1-877-276-9637 www.albertsons.com/pharmacy/immunizat
ions/
CVS Pharmacy (d/b/a CVS
Pharmacy, Longs Drug,
CarePlus Pharmacy)
1-888-358-7468 www.cvs.com/promo/promoLandingTemp
late.jsp?promoLandingId=get-vaccinated
Harris Teeter See website www.harristeeter.com/in_our_stores/depar
tments/pharmacy/flu_shots/details.aspx
H-E-B 1-210-938-8357 www.heb.com/pharmacy/services/immuni
zations.jsp
Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com
Meijer Pharmacy 1-877-363-4537 www.meijer.com/pharmacy
New Albertsons d/b/a Acme
Sav-on, Jewel-Osco, Star
Markets, Shaws Osco,
Safeway
1-877-276-9637 www.acmemarkets.com/pharmacy/immun
izations/
Publix Pharamcy 1-800-242-1227 www.publix.com/pharmacy-
wellness/pharmacy/preventive-
care/vaccinations
Rite Aid Pharmacy 1-800-RITEAID / 1-800-
748-3243
www.riteaid.com
Safeway, Inc. (d/b/a Safeway,
Carrs, Pak'N Save, Pavilions,
Randalls, Tom Thumb, Vons)
1-877-723-3929 www.safeway.com/shopstores/pharmacy
ShopKo Pharmacy 1-800-791-7333 http://pharmacy.shopko.com/flushots
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Provider(s) Phone Number Website
The Kroger Co. (d/b/a Fred
Meyer, Smiths Food & Drug
Center, Ralphs Grocery,
Dillons, Tom Thumb, Kwik
Shop, Frys, King Soopers, Jay
C, QFC, Bakers, City Market,
Owens, Payless, Gerbes,
Roundy's, Copps, Mariano's,
Metro Market, Pick 'N Save)
See website www.kroger.com/topic/pharmacy/#/vacci
nations-made-easy
United Supermarkets (d/b/a
United Supermarket,
Albertsons Market, Amigos,
Market Street)
1-877-276-9637 www.unitedsupermarkets.com
Walmart Stores Inc. (d/b/a
Walmart and Sams Club)
See website www.walmart.com
DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your
doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV
infusion pump, oxygen equipment, nebulizer, and walker.
HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that
can provide health care services in the home. Services include but are not limited to nursing visits
for infusion services or wound care.
LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic
pathology, surgical pathology, and specialty or esoteric services.
SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or
physicians.
WOMEN'S HEALTH is limited to home uterine monitoring services.
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Mississippi
Adams
Acute Care Hospital / Atencin
Hospitalaria Aguda
Merit Health Natchez
Provider ID 000240367004
NPI: 1164821559
54 Sergeant Prentiss Dr
Natchez, MS 39120
(601) 443-2100
Ages: 0-99
Merit Health Natchez
Provider ID 000240367004
NPI: 1164821559
54 Sergeant S Prentiss Dr
Natchez, MS 39120
(601) 443-2100 EB,P,R
Ages: 0-99
Covington
Acute Care Hospital / Atencin
Hospitalaria Aguda
Covington County Hospital
Provider ID 000543150001
NPI: 1164544375
701 S Holly Ave
Collins, MS 39428
(601) 765-6711
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Covington County Hospital
Provider ID 000543150004
NPI: 1164544375
701 S Holly St
Collins, MS 39428
(601) 765-6511 EB,P,R
Ages: 0-99
Forrest
Acute Care Hospital / Atencin
Hospitalaria Aguda
Forrest General Hospital
Provider ID 000094652003
NPI: 1225041809
6051 U S Highway 49
Hattiesburg, MS 39401
(601) 288-7000
Web address: http://www.forrestgen
eral.com
Ages: 0-99
Franklin
Acute Care Hospital / Atencin
Hospitalaria Aguda
Franklin County Memorial Hosp
Provider ID 000196095001
NPI: 1669705612
40 Union Church Rd
Meadville, MS 39653
(601) 384-5801 EB,P,R
Ages: 0-99
George
Acute Care Hospital / Atencin
Hospitalaria Aguda
George County Hospital
Provider ID 000712517002
NPI: 1023074028
859 Winter St
Lucedale, MS 39452
(601) 947-3161
E,EB,G,IB,P,PL,R,RE,T
Web address: http://georgeregional.
com/2012/04/05/geo
Ages: 0-99
Greene
Acute Care Hospital / Atencin
Hospitalaria Aguda
Greene County Hospital
Provider ID 002648524001
NPI: 1275796856
1017 Jackson Ave
Leakesville, MS 39451
(601) 394-4135
E,EB,G,IB,P,PL,R,RE,T
Web address: http://georgeregional.
com/2012/04/05/gre
Ages: 0-99
Hancock
Acute Care Hospital / Atencin
Hospitalaria Aguda
Ochsner Medical Center Hancock
Provider ID 000276616002
NPI: 1326245432
149 Drinkwater Blvd
Bay Saint Louis, MS 39520
(228) 467-8686 EB,P,R
Web address: http://www.hmc.org/
Ages: 0-99
Harrison
Acute Care Hospital / Atencin
Hospitalaria Aguda
Biloxi Vamc
Provider ID 001787931002
NPI: 1811946817
400 Veterans Blvd
Biloxi, MS 39531
(228) 523-5000
Ages: 0-99
Hospital / Hospitales Mississippi - Harrison
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
21
-
Garden Park Medical Center
Provider ID 000639241001
NPI: 1598719577
15200 Community Rd
Gulfport, MS 39503
(228) 575-7000 EB,P,R
Ages: 0-99
Merit Health Biloxi
Provider ID 000227830001
NPI: 1972557064
150 Reynoir St
Biloxi, MS 39530
(228) 432-1571
E,EB,G,IB,P,PL,R,RE,T
Web address: http://www.biloxiregi
onal.net/locations
Ages: 0-99
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
10319 Diberville Blvd
Diberville, MS 39540
(228) 396-2999 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
12337 Ashley Dr Ste C
Gulfport, MS 39503
(228) 832-0957 EB,P,R
Ages: 0-99
Jackson
Acute Care Hospital / Atencin
Hospitalaria Aguda
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
2012 Highway 90 Ste 34
Gautier, MS 39553
(228) 522-2176 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
2809 Denny Ave
Pascagoula, MS 39581
(228) 809-5000 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
3109 Bienville Blvd
Ocean Springs, MS 39564
(228) 497-7462
E,EB,G,IB,P,PL,R,RE,T
Ages: 0-99
Singing River Health System
Provider ID 000701824003
NPI: 1033238456
3535 Bienville Blvd
Ocean Springs, MS 39564
(228) 762-3000 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824003
NPI: 1033238456
3603 Bienville Blvd
Ocean Springs, MS 39564
(228) 762-3000 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
3631 Bienville Blvd
Ocean Springs, MS 39564
(228) 762-9080 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824002
NPI: 1033238456
4105 Hospital St Ste 104
Pascagoula, MS 39581
(228) 696-9224 EB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824003
NPI: 1033238456
4300 Hospital St Ste 105
Pascagoula, MS 39581
(228) 762-3000 E,EB,IB,P,R
Ages: 0-99
Singing River Health System
Provider ID 000701824003
NPI: 1033238456
7001 Hwy 614
Hurley, MS 39555
(228) 818-1111 EB,P,R
Ages: 0-99
Jefferson
Acute Care Hospital / Atencin
Hospitalaria Aguda
Jefferson Co Hosp
Provider ID 000570597001
NPI: 1043204555
870 S Main St
Fayette, MS 39069
(601) 786-3402 EB,P,R
Ages: 0-99
Mississippi - Jackson Hospital / Hospitales
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
22
-
Jefferson Davis
Acute Care Hospital / Atencin
Hospitalaria Aguda
Jefferson Davis Community
Hospital
Provider ID 000579080003
NPI: 1295013316
1102 Rose St
Prentiss, MS 39474
(601) 792-4276 EB,P,R
Ages: 0-99
Jones
Acute Care Hospital / Atencin
Hospitalaria Aguda
South Central Regional Med Ctr
Provider ID 000221879002
NPI: 1619973542
1220 Jefferson St
Laurel, MS 39440
(601) 426-4000 EB,P,R
Ages: 0-99
Lamar
Acute Care Hospital / Atencin
Hospitalaria Aguda
Merit Health Wesley
Provider ID 000068790001
NPI: 1164476107
5001 Hardy St
Hattiesburg, MS 39402
(601) 268-8000
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Pine Grove Recovery Center
Provider ID 003172603001
NPI: 1225041809
2255 Broadway Dr
Hattiesburg, MS 39402
(601) 288-2273 EB,P,R
Ages: 0-99
Lawrence
Acute Care Hospital / Atencin
Hospitalaria Aguda
Lawrence County Hospital
Provider ID 000382424001
NPI: 1669576385
1065 E Broad St
Monticello, MS 39654
(601) 587-4051 EB,P,R
Ages: 0-99
Lincoln
Acute Care Hospital / Atencin
Hospitalaria Aguda
Kings Daughters Medical Center
Provider ID 000607405001
NPI: 1972503464
427 Highway 51 N
Brookhaven, MS 39601
(601) 833-6011
E,EB,G,IB,P,PL,R,RE,T
Web address: http://www.kdmc.org/
Ages: 0-99
Kings Daughters Medical Center
Provider ID 000607405001
NPI: 1972503464
510c Highway 51 N
Brookhaven, MS 39601
(601) 833-6011 EB,P,R
Ages: 0-99
Marion
Acute Care Hospital / Atencin
Hospitalaria Aguda
Marion General Hospital
Provider ID 000505759001
NPI: 1427320993
1560 Sumrall Rd
Columbia, MS 39429
(601) 736-6303
E,EB,G,IB,P,PL,R,RE,T
Ages: 0-99
Pearl River
Acute Care Hospital / Atencin
Hospitalaria Aguda
Highland Community Hospital
Provider ID 000588422002
NPI: 1053350462
130 Highland Pkwy
Picayune, MS 39466
(601) 358-9400 EB,P,R
Ages: 0-99
Highland Community Hospital
Provider ID 000588422001
NPI: 1053350462
801 Goodyear Blvd
Picayune, MS 39466
(601) 798-4711 EB,P,R
Ages: 0-99
Pearl River County Hsp &
Nursing Home
Provider ID 000583637001
NPI: 1760789903
305 W Moody St
Poplarville, MS 39470
(601) 795-4543
E,EB,G,IB,P,PL,R,RE,S,T
Ages: 0-99
Hospital / Hospitales Mississippi - Pearl River
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
23
-
Perry
Acute Care Hospital / Atencin
Hospitalaria Aguda
Perry County General Hospital
Provider ID 000573501001
NPI: 1437470622
206 Bay Ave
Richton, MS 39476
(601) 788-6316 EB,P,R
Ages: 0-99
Perry County General Hospital
Provider ID 000573501001
NPI: 1437470622
206 Bay St
Richton, MS 39476
(601) 788-6316 EB,P,R
Ages: 0-99
Pike
Acute Care Hospital / Atencin
Hospitalaria Aguda
Beacham Memorial Hospital
Provider ID 000566196002
NPI: 1417969700
204 N Cherry St
Magnolia, MS 39652
(601) 783-2351 EB,P,R
Ages: 0-99
Southwest Ms Regional Med
Center
Provider ID 000466209001
NPI: 1407805971
215 Marion Ave
Mccomb, MS 39648
(601) 249-5500
E,EB,G,IB,P,R,RE
Web address: http://www.smrmc.co
m/
Ages: 0-99
Stone
Acute Care Hospital / Atencin
Hospitalaria Aguda
Stone County Hospital
Provider ID 001157823001
NPI: 1386654309
1434 E Central Ave
Wiggins, MS 39577
(601) 928-6600 EB,P,R
Web address: www.schospital.net
Ages: 0-99
Walthall
Acute Care Hospital / Atencin
Hospitalaria Aguda
Walthall General Hospital
Provider ID 000652385001
NPI: 1023326485
100 Hospital Dr
Tylertown, MS 39667
(601) 876-2122 EB,P,R
Ages: 0-99
Wayne
Acute Care Hospital / Atencin
Hospitalaria Aguda
Wayne General Hospital
Provider ID 000503764001
NPI: 1023271723
950 Matthew Dr
Waynesboro, MS 39367
(601) 735-7102 EB,P,R
Web address: http://www.waynegen
eralhospital.org/
Ages: 0-99
Wilkinson
Acute Care Hospital / Atencin
Hospitalaria Aguda
Field Memorial Community Hosp
Provider ID 000422292003
NPI: 1770574048
178 Highway 24 E
Centreville, MS 39631
(601) 890-0500 E,EB,IB,P,R
Ages: 0-99
Mississippi - Wilkinson Hospital / Hospitales
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
24
-
Mississippi
Adams
Family Practice - Nurse
Practitioner / Medicina Familiar -
Enfermera Especialista
Baker, Janelle R, NP, (F)
Alcorn State University Family
Clinic
Provider ID 003417764001
NPI: 1134150006
15 Campus Dr
Natchez, MS 39120
(601) 304-4375 EB,P,R
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 4:00 PM
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Baskin, Lawanda W, NP, (F)
Alcorn State University Family
Clinic
Provider ID 003566099002
NPI: 1306192349
15 Campus Dr
Natchez, MS 39120
(601) 304-4375 EB,P,R
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 4:00 PM
Ages: 0-99
Davis, Tearsanee, NP, (F)
Alcorn State University Family
Clinic
Provider ID 003025210004
NPI: 1760568398
15 Campus Dr
Natchez, MS 39120
(601) 304-4375 EB,P,R
Ages: 0-99
Hospital Affiliations:
State Of Ms-univ Of Ms Med Ctr
Goodson, Kristi H, NP, (F)
Alcorn State University Family
Clinic
Provider ID 002822710006
NPI: 1184652489
15 Campus Dr
Natchez, MS 39120
(601) 304-4375 EB,P,R
Ages: 0-99
Hospital Affiliations:
State Of Ms-univ Of Ms Med Ctr
Jackson, Priscilla, NP, (F)
Jefferson Comp Health Center
Provider ID 003123352007
NPI: 1962583971
101 Cottage Home Dr
Natchez, MS 39120
(601) 445-4806 EB,P,R
Ages: 0-99
Jackson, Priscilla, NP, (F)
Jefferson Comp Health Center
Provider ID 003123352001
NPI: 1962583971
145 Homochitto St
Natchez, MS 39120
(601) 442-4863 EB,P,R
Th - 8:00 AM - 9:00 PM
Mo,Tu,We,Fr - 8:00 AM - 5:00 PM
Ages: 0-99
Jackson, Priscilla, NP, (F)
Jefferson Comp Health Center
Provider ID 003123352008
NPI: 1962583971
170 Sgt Prentiss Dr
Natchez, MS 39120
(601) 786-3475 EB,P,R
Ages: 0-99
Smith, Erica F, NP, (F)
Pediatric Adolescent Clinic
Provider ID 006504334003
NPI: 1134659881
1221 N Martin Luther King Jr St
Natchez, MS 39120
(601) 442-7676 EB,P,R
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Smith, Erica F, NP, (F)
Pediatric Adolescent Clinic
Provider ID 006504334001
NPI: 1134659881
308 Highland Blvd
Natchez, MS 39120
(601) 442-7676 E,EB,IB,P,R,T
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Williams, Jennifer P, NP, (F)
Jefferson Comp Health Center
Provider ID 003664553006
NPI: 1811338072
101 Cottage Home Dr
Natchez, MS 39120
(601) 445-4806 EB,P,R
Ages: 0-99
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Adams
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
25
-
Williams, Jennifer P, NP, (F)
Jefferson Comp Health Center
Provider ID 003664553003
NPI: 1811338072
145 Homochitto St
Natchez, MS 39120
(601) 442-4863 EB,P,R
Ages: 0-99
Family Practice / Medicina
Familiar
Anderson, Jeffrey R, DO, (M), B
Anderson Jeffrey R
Provider ID 001863195003
NPI: 1851326813
300 Highland Blvd Ste C
Natchez, MS 39120
(601) 442-4343 E,EB,IB,P,R
Mo-We - 8:30 AM - 4:30 PM
Th,Fr - 8:30 AM - 11:30 PM
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Merit Health Natchez-community
Campus
Promise Hosp Of Miss Lou
Bhandari, Sahitya, MD, (F)
Natchez Clinic Company
Provider ID 006126931002
NPI: 1083970123
315 John R Junkin Dr
Natchez, MS 39120
(601) 445-1715 EB,P,R
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Borum, Charles D, MD, (M)
Family Health Clinic
Provider ID 000239791001
NPI: 1417042979
131 Jefferson Davis Blvd Ste F
Natchez, MS 39120
(601) 442-0200 EB,P,R
Mo-Th - 9:00 AM - 4:00 PM
Fr - 9:00 AM - 12:00 PM
Does Not Accept New Patients
Ages: 0-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Areas Of Expertise: General
Therapy
Christian, Robin, FNP, (F)
Alcorn State University Family
Clinic
Provider ID 003171271007
NPI: 1245230887
15 Campus Dr
Natchez, MS 39120
(601) 304-4334 EB,P,R
Ages: 999-99
Cline, Jana, NP, (F)
Alcorn State University Family
Clinic
Provider ID 003776037003
NPI: 1083043681
15 Campus Dr
Natchez, MS 39120
(601) 304-4356 EB,P,R
Ages: 0-99
Hospital Affiliations:
St Dominic Jackson Memorial
Hosp
Areas Of Expertise: Abuse
(Physical/Sexual/Etc), Adult
Therapy, Anger Management,
Anxiety, Attention Deficit
Disorders, Depre
Coxwell, Lea Ann, FNP, (F)
Alcorn State University Family
Clinic
Provider ID 003273757006
NPI: 1720189459
15 Campus Dr
Natchez, MS 39120
(601) 304-4375 EB,P,R
Ages: 0-99
Darg-Quinones, Ruth G, MD, (F)
Natchez Clinic Company
Provider ID 003543777003
NPI: 1205027489
54 Sgt Prentiss Dr
Natchez, MS 39120
(601) 304-4113 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 18-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Frye, Ronald M, MD, (M)
Jefferson Comp Health Center
Provider ID 004281180003
NPI: 1194790287
170 Sgt Prentiss Dr
Natchez, MS 39120
(601) 786-3475 EB,P,R
Ages: 0-99
Hospital Affiliations:
Jefferson Co Hosp
Mississippi - Adams Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
26
-
Ingram, Johnny K, MD, (M), B
Natchez Regional Clinic
Provider ID 002679471003
NPI: 1437100419
46 Sergeant Prentiss Dr Ste 200
Natchez, MS 39120
(225) 924-9827 EB,P,R
Ages: 0-99
Hospital Affiliations:
Riverland Medical Center
Areas Of Expertise: General
Therapy
Mascagni, Jennifer, NP, (F)
Pediatric Adolescent Clinic
Provider ID 002897025004
NPI: 1861578635
1221 N Martin Luther King Jr St
Natchez, MS 39120
(601) 442-7676 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Pham, Tuananh M, MD, (M), B
Family Med Ctr Of Natchez
Provider ID 002443842003
NPI: 1609881440
150 Jefferson Davis Blvd Ste 130
Natchez, MS 39120
(601) 446-4616 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Lake Charles Memorial Hospital
Areas Of Expertise: General
Therapy
Waller, Angela O, FNP, (F)
Premier Hlth & Wellness Cln
Provider ID 003193485002
NPI: 1194774190
300 Highland Blvd Ste B
Natchez, MS 39120
(601) 304-2421 EB,P,R
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 3:00 PM
Ages: 2-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Wolfe, Scott J, MD, (M), B
Family Medicine Associates Of
Natchez
Provider ID 002864253001
NPI: 1740215797
46 Seargent Prentiss Dr Ste 203
Natchez, MS 39120
(601) 445-7773 E,EB,IB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Internal Medicine - Nurse
Practitioner / Medicina Interna -
Enfermera Especialista
Brown, Brenda L, NP, (F)
Natchez Clinic Company
Provider ID 005574132002
NPI: 1508294505
46 Sergeant Prentiss Dr Ste 201a
Natchez, MS 39120
(601) 445-2248 EB,P,R
Ages: 0-99
Brown, Brenda L, NP, (F)
Natchez Clinic Company
Provider ID 005574132003
NPI: 1508294505
54 Sgt Prentiss Dr
Natchez, MS 39120
(318) 336-8707 EB,P,R
Ages: 0-99
Drane, Lucinda B, NP, (F)
Comprehensive Health Specialty
Clinic
Provider ID 003287494003
NPI: 1194047829
55 Sgt Prentiss Dr Ste 6
Natchez, MS 39120
(601) 445-0740 EB,P,R
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 12:00 PM
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Jackson, Priscilla, NP, (F)
Jefferson Comp Health Center
Provider ID 003123352007
NPI: 1962583971
101 Cottage Home Dr
Natchez, MS 39120
(601) 445-4806 EB,P,R
Ages: 0-99
Jackson, Priscilla, NP, (F)
Jefferson Comp Health Center
Provider ID 003123352008
NPI: 1962583971
170 Sgt Prentiss Dr
Natchez, MS 39120
(601) 786-3475 EB,P,R
Ages: 0-99
Internal Medicine / Medicina
Interna
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Adams
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
27
-
England, Leslie E, MD, (M), B
England Leslie E
Provider ID 000241673001
NPI: 1720014939
151 Jefferson Davis Blvd Ste C
Natchez, MS 39120
(601) 442-9802 E,EB,G,IB,P,R
Languages Spoken:
Provider: French
Mo-Th - 8:00 AM - 5:00 PM
Fr - 8:00 AM - 12:00 PM
Ages: 12-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Merit Health Natchez-community
Campus
Promise Hospital Of Vicksburg
Prabaharan, Velummylum, MD,
(M), B
Family Med Ctr Of Natchez
Provider ID 002501283001
NPI: 1700839966
150 Jefferson Davis Blvd Ste 100
Natchez, MS 39120
(601) 445-8268 EB,P,R
Ages: 0-99
Hospital Affiliations:
Lakeview Regional Hospital
Alta Bates Summit Med Ctr
Ochsner Medical Center -
Northshore
Ochsner Medical Center
Pediatrics - Nurse Practitioner /
Pediatra - Enfermera
Especialista
Robinson, Kizzy, NP, (F)
Pediatric Adolescent Clinic
Provider ID 006262348003
NPI: 1780038786
1221 N Martin Luther King Jr St
Natchez, MS 39120
(601) 442-7676 EB,P,R
Ages: 0-99
Robinson, Kizzy, NP, (F)
Pediatric Adolescent Clinic
Provider ID 006262348001
NPI: 1780038786
308 Highland Blvd
Natchez, MS 39120
(601) 442-7676 E,EB,IB,P,R,T
Ages: 0-99
Pediatrics / Pediatra
Russ, Jennifer V, MD, (F), B
Natchez Pediatric Clinic
Provider ID 002033132001
NPI: 1619925666
136 Jefferson Davis Blvd Ste A
Natchez, MS 39120
(601) 442-5439 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Stretch, Tommie B, MD, (M), B
Stretch Clinic
Provider ID 001179662001
NPI: 1174576730
55 Sgt Prentiss Dr Ste 7
Natchez, MS 39120
(601) 445-9543 EB,P,R
Mo,Tu,We,Fr - 9:00 AM - 5:00 PM
Th - 8:00 AM - 5:00 PM
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Merit Health Natchez-community
Campus
Timm, David A, MD, (M), B
Pediatric Adolescent Clinic
Provider ID 000241308004
NPI: 1023194867
1221 N Martin Luther King Jr St
Natchez, MS 39120
(601) 442-7676 EB,P,R
Ages: 0-21
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Merit Health Natchez-community
Campus
Mississippi - Adams Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
28
-
Timm, David A, MD, (M), B
Pediatric Adolescent Clinic
Provider ID 000241308001
NPI: 1023194867
308 Highland Blvd
Natchez, MS 39120
(601) 442-7676 E,EB,IB,P,R,T
Mo-Fr - 7:30 AM - 5:00 PM
Does Not Accept New Patients
Ages: 0-99
Hospital Affiliations:
Natchez Regional Medical Center
Merit Health Natchez
Merit Health Natchez-community
Campus
Weary, Danita R, MD, (F), B
Natchez Pediatric Clinic
Provider ID 002357393001
NPI: 1093763245
136 Jefferson Davis Blvd Ste A
Natchez, MS 39120
(601) 442-5439 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Natchez-community
Campus
Amite
Family Practice - Nurse
Practitioner / Medicina Familiar -
Enfermera Especialista
Bryant, Sue M, NP, (F)
Amite County Medical Serivces
Provider ID 002967762004
NPI: 1669539391
102 W Freedom Dr
Liberty, MS 39645
(601) 657-8091 EB,P,R
Languages Spoken:
Provider: French
Ages: 0-99
Hospital Affiliations:
Southwest Ms Regional Med
Center
Hawley, James L, NP, (M)
Field Memorial Cmnty Hsp/Pro
Fee
Provider ID 005215738002
NPI: 1275946162
1410 E Main St
Liberty, MS 39645
(601) 657-8820 EB,P,R
Ages: 0-99
Hospital Affiliations:
Field Memorial Community Hosp
Family Practice / Medicina
Familiar
Leak, James C, MD, (M), B
Gloster Clinic(Rhc)
Provider ID 000833358001
NPI: 1427086636
434 N Captain Gloster Dr
Gloster, MS 39638
(601) 225-4711 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Field Memorial Community Hosp
Mcgraw, David B, MD, (M)
Catchings Clinic
Provider ID 001392640001
NPI: 1336193135
434 N Captain Gloster Dr
Gloster, MS 39638
(601) 225-4711 EB,P,R
Ages: 0-99
Hospital Affiliations:
Field Memorial Community Hosp
Mckenzie, Trinity J, MD, (M), B
Field Memorial Comm Hosp
Clinics
Provider ID 002629501004
NPI: 1255387544
1410 E Main St
Liberty, MS 39645
(601) 657-8820 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Trace Regional Hospital
Field Memorial Community Hosp
North Mississippi Medical Ctr
Schwartz, Alan C, MD, (M), B
Amite County Medical Serivces
Provider ID 001777556029
NPI: 1184760910
102 W Freedom Dr
Liberty, MS 39645
(601) 249-3541 EB,P,R
Ages: 0-99
Hospital Affiliations:
Pearl River County Hsp &
Nursing Home
Wootton, James L, MD, (M), B
Amite County Medical Serivces
Provider ID 003333029006
NPI: 1114184249
102 W Freedom Dr
Liberty, MS 39645
(601) 657-8091 EB,P,R
Ages: 0-99
Internal Medicine / Medicina
Interna
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Amite
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
29
-
Decoux, Robert E, MD, (M), B
Amite County Medical Serivces
Provider ID 001432971002
NPI: 1487662763
102 W Freedom Dr
Liberty, MS 39645
(601) 657-8091 EB,P,R
Ages: 19-99
Hospital Affiliations:
Forrest General Hospital
Regency Hospital Of Southern
Mississippi
Harrison, David L, MD, (M), B
Gloster Clinic
Provider ID 001968357004
NPI: 1497702302
434 N Captain Gloster Dr
Gloster, MS 39638
(601) 225-4711 EB,P,R
Ages: 0-99
Hospital Affiliations:
South Central Regional Med Ctr
Field Memorial Community Hosp
Obstetrics & Gynecology /
Obstetricia Y Ginecologa
Hubbs, David R, MD, (M), B
Amite County Medical Serivces
Provider ID 000465839004
NPI: 1487753414
102 W Freedom Dr
Liberty, MS 39645
(601) 657-8091 EB,P,R
Ages: 12-99
Does Not Accept Male Patients
Hospital Affiliations:
Southwest Ms Regional Med
Center
Pediatrics / Pediatra
Charles, Christopher, MD, (M), B
Amite County Medical Serivces
Provider ID 002519060001
NPI: 1073594743
102 W Freedom Dr
Liberty, MS 39645
(601) 657-8091 EB,P,R
Ages: 0-21
Hospital Affiliations:
Southwest Ms Regional Med
Center
Smith, Milton S, MD, (M), B
Amite County Medical Serivces
Provider ID 000466239001
NPI: 1376531368
102 W Freedom Dr
Liberty, MS 39645
(601) 657-8091 EB,P,R
Ages: 0-21
Hospital Affiliations:
Southwest Ms Regional Med
Center
Covington
Family Practice - Nurse
Practitioner / Medicina Familiar -
Enfermera Especialista
Logan, Bettye V, NP, (F)
Hattiesburg Clinic
Provider ID 002055047004
NPI: 1376504597
704 5th St
Collins, MS 39428
(601) 765-4414 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Magee General Hospital
Lott, Nicole C, NP, (F)
Family Care Express
Provider ID 005133785011
NPI: 1861809402
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Lott, Nicole C, NP, (F)
Family Care Express
Provider ID 005133785008
NPI: 1861809402
603 Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Lott, Nicole C, NP, (F)
Family Care Express
Provider ID 005133785010
NPI: 1861809402
603 S Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Lott, Nicole C, NP, (F)
Family Care Express
Provider ID 005133785009
NPI: 1861809402
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Mississippi - Covington Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
30
-
Padgett, Brian K, NP, (M)
Family Care Of Seminary
Provider ID 003465306007
NPI: 1750677704
104 W Main St Ste 20
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Padgett, Brian K, NP, (M)
Family Care Of Seminary
Provider ID 003465306006
NPI: 1750677704
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Redmon, Simon P, NP, (M)
Hattiesburg Clinic
Provider ID 002007587002
NPI: 1528176807
215 Bobby Beasley St
Seminary, MS 39479
(601) 722-4300 EB,P,R
Ages: 0-99
Family Practice / Medicina
Familiar
Barnes, Tangular M, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 005665920015
NPI: 1902294093
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Beasley, Jason G, MD, (M), B
Southern Family Medicine
Provider ID 002422958001
NPI: 1508860214
603 S Holly Ave
Collins, MS 39428
(601) 765-9393 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Rapides Regional Medical Cente
Blakeney, Lacey M, FNP, (F)
Covington County Hosp/Prof Fees
Provider ID 005325554021
NPI: 1326457151
104 W Main St Ste 20
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Blakeney, Lacey M, FNP, (F)
Covington County Hosp/Prof Fees
Provider ID 005325554020
NPI: 1326457151
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Blakeney, Lacey M, FNP, (F)
Covington County Hosp/Prof Fees
Provider ID 005325554018
NPI: 1326457151
603 Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Blakeney, Lacey M, FNP, (F)
Covington County Hosp/Prof Fees
Provider ID 005325554019
NPI: 1326457151
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Bolivar, Stephen M, FNP, (M)
Se Mississippi Rural Health
Initiative
Provider ID 003830796048
NPI: 1598199291
824 Hopewell Rd
Collins, MS 39428
(601) 545-8700 EB,P,R
Ages: 0-99
Bruce, Andrea M, DO, (F), B
Covington County Hosp/Prof Fees
Provider ID 002178517005
NPI: 1295739894
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Bruce, Andrea M, DO, (F), B
Covington County Hosp/Prof Fees
Provider ID 002178517002
NPI: 1295739894
603 S Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Languages Spoken:
Provider: Spanish
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Covington
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
31
-
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Bruce, Andrea M, DO, (F), B
Covington County Hosp/Prof Fees
Provider ID 002178517001
NPI: 1295739894
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Languages Spoken:
Provider: Spanish
Mo-Fr - 8:00 AM - 9:00 PM
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Bruce, Karen H, MD, (F), B
Hattiesburg Clinic
Provider ID 002547775003
NPI: 1942267281
704 5th St
Collins, MS 39428
(601) 765-4414 EB,P,R
Ages: 0-99
Hospital Affiliations:
Magee General Hospital
Buffington, Linda B, FNP, (F)
Family Medical Associates (Rhc)
Provider ID 002348269007
NPI: 1053315507
104 W Main St Ste 20
Seminary, MS 39479
(301) 772-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Buffington, Linda B, FNP, (F)
Family Medical Associates (Rhc)
Provider ID 002348269004
NPI: 1053315507
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Buffington, Linda B, FNP, (F)
Family Medical Associates (Rhc)
Provider ID 002348269008
NPI: 1053315507
603 S Main St
Mount Olive, MS 39119
(601) 765-2746 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Buffington, Linda B, FNP, (F)
Family Medical Associates (Rhc)
Provider ID 002348269002
NPI: 1053315507
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Mo-Fr - 8:00 AM - 9:00 PM
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Coleman, Brandon L, DO, (M), B
Se Mississippi Rural Health
Initiative
Provider ID 002086469016
NPI: 1881685782
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Cultural Competency: Y
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Forrest General Hospital
Coulson, Melissa B, FNP, (F)
Family Care Express
Provider ID 006446621005
NPI: 1235581513
104 W Main St Ste 20
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Coulson, Melissa B, FNP, (F)
Family Care Express
Provider ID 006446621004
NPI: 1235581513
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Coulson, Melissa B, FNP, (F)
Family Care Express
Provider ID 006446621001
NPI: 1235581513
603 Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Coulson, Melissa B, FNP, (F)
Family Care Express
Provider ID 006446621003
NPI: 1235581513
603 S Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Mississippi - Covington Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
32
-
Coulson, Melissa B, FNP, (F)
Family Care Express
Provider ID 006446621002
NPI: 1235581513
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Griffin, James W, MD, (M), B
Se Mississippi Rural Health
Initiative
Provider ID 002848261015
NPI: 1720274327
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Cultural Competency: Y
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
North Mississippi Medical Ctr
Areas Of Expertise: General
Therapy
Harvey, Martin D, MD, (M), B
Hattiesburg Clinic
Provider ID 001869533001
NPI: 1043223639
704 5th St
Collins, MS 39428
(601) 765-4414 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Hicks, Charlene R, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 006649820008
NPI: 1235599515
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Johnston, Word M, MD, (M), B
Green Tree Family Medical Clinic
Provider ID 001440482007
NPI: 1952305567
104 W Main St Ste 20
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Covington County Hospital
Magee General Hospital
Johnston, Word M, MD, (M), B
Green Tree Family Medical Clinic
Provider ID 001440482003
NPI: 1952305567
210 Main St
Collins, MS 39428
(601) 765-2746 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Covington County Hospital
Magee General Hospital
Johnston, Word M, MD, (M), B
Green Tree Family Medical Clinic
Provider ID 001440482009
NPI: 1952305567
2120 Highway 49
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Covington County Hospital
Magee General Hospital
Johnston, Word M, MD, (M), B
Green Tree Family Medical Clinic
Provider ID 001440482001
NPI: 1952305567
603 S Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Covington County Hospital
Magee General Hospital
Johnston, Word M, MD, (M), B
Green Tree Family Medical Clinic
Provider ID 001440482002
NPI: 1952305567
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Covington County Hospital
Magee General Hospital
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Covington
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
33
-
Jones, Bobby G, DO, (M), B
Hattiesburg Clinic
Provider ID 002085497005
NPI: 1205940095
215 Bobby Beasley St
Seminary, MS 39479
(601) 722-4300 EB,P,R
Ages: 0-99
Hospital Affiliations:
South Central Regional Med Ctr
Kellar, Christie L, NP, (F)
Family Care Express
Provider ID 006446655005
NPI: 1184161457
104 W Main St Ste 20
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Kellar, Christie L, NP, (F)
Family Care Express
Provider ID 006446655004
NPI: 1184161457
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Kellar, Christie L, NP, (F)
Family Care Express
Provider ID 006446655001
NPI: 1184161457
603 Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Kellar, Christie L, NP, (F)
Family Care Express
Provider ID 006446655003
NPI: 1184161457
603 S Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Kellar, Christie L, NP, (F)
Family Care Express
Provider ID 006446655002
NPI: 1184161457
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Kersten, Keith A, DO, (M), B
Se Mississippi Rural Health
Initiative
Provider ID 000416131044
NPI: 1861445108
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Cultural Competency: Y
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Merit Health Biloxi
Ladner, Tracy L, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 005416937013
NPI: 1003239294
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Lee, Karen K, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 005247274021
NPI: 1386930477
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Lumpkin-Freeman, Stephanie R,
FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 006260869015
NPI: 1407301237
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Mccullouch, Charles L, MD, (M)
Covington County Hosp/Prof Fees
Provider ID 001438936005
NPI: 1710964754
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Noxubee General Hosp
Laird Hospital
Mitchell, Jeffery J, FNP, (M)
Covington County Hosp/Prof Fees
Provider ID 002285612004
NPI: 1942234232
603 Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Hospital Affiliations:
Quitman County Hosp
Covington County Hospital
Mississippi - Covington Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
34
-
Murphree, Robin M, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 005646948015
NPI: 1164898474
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Pace-Herndon, Ginger N, MD, (F)
Se Mississippi Rural Health
Initiative
Provider ID 002955107019
NPI: 1649480971
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Cultural Competency: Y
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Forrest General Hospital
Covington County Hospital
Pickering, Billy M, MD, (M), B
Hattiesburg Clinic
Provider ID 001478529001
NPI: 1487762787
215 Bobby Beasley St
Seminary, MS 39479
(601) 722-4300 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Forrest General Hospital
Covington County Hospital
Pitts, Celeste M, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 006464290014
NPI: 1295270213
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Rice, Amanda R, MD, (F), B
Hattiesburg Clinic
Provider ID 003344965008
NPI: 1457513376
704 5th St
Collins, MS 39428
(601) 765-4414 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Merit Health River Oaks
River Oaks Hospital
Shivers, James H, FNP, (M)
Family Care Of Seminary
Provider ID 003293148013
NPI: 1942471115
104 W Main St Ste 20
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Shivers, James H, FNP, (M)
Family Care Of Seminary
Provider ID 003293148012
NPI: 1942471115
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Shivers, James H, FNP, (M)
Family Care Of Seminary
Provider ID 003293148002
NPI: 1942471115
603 S Main St
Mount Olive, MS 39119
(601) 797-3405 EB,P,R
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Shivers, James H, FNP, (M)
Family Care Of Seminary
Provider ID 003293148010
NPI: 1942471115
701 S Holly Ave
Collins, MS 39428
(601) 765-3180
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Slade, Lisa D, FNP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 002888996020
NPI: 1013080027
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Covington
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
35
-
Wade, Jeremy P, NP, (M)
Covington County Hosp/Prof Fees
Provider ID 003250830013
NPI: 1538494489
210 Main St
Collins, MS 39428
(601) 765-6711 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Covington County Hospital
Perry County General Hospital
Pearl River County Hsp &
Nursing Home
Wade, Jeremy P, NP, (M)
Covington County Hosp/Prof Fees
Provider ID 003250830014
NPI: 1538494489
2120 Highway 49
Seminary, MS 39479
(601) 722-3610 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Covington County Hospital
Perry County General Hospital
Pearl River County Hsp &
Nursing Home
Wade, Jeremy P, NP, (M)
Covington County Hosp/Prof Fees
Provider ID 003250830015
NPI: 1538494489
3275 Highway 49 Ste E
Collins, MS 39428
(601) 765-6292 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Covington County Hospital
Perry County General Hospital
Pearl River County Hsp &
Nursing Home
Wade, Jeremy P, NP, (M)
Covington County Hosp/Prof Fees
Provider ID 003250830009
NPI: 1538494489
701 S Holly Ave
Collins, MS 39428
(601) 765-6711
E,EB,G,IB,P,PL,R,RE
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Covington County Hospital
Perry County General Hospital
Pearl River County Hsp &
Nursing Home
Internal Medicine / Medicina
Interna
Bolivar, Stephen M, FNP, (M)
Se Mississippi Rural Health
Initiative
Provider ID 003830796019
NPI: 1598199291
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Echols-Williams, Quenyatta, MD,
(F)
Se Mississippi Rural Health
Initiative
Provider ID 002033615008
NPI: 1255392841
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Cultural Competency: Y
Ages: 19-99
Hospital Affiliations:
Forrest General Hospital
Ochsner Medical Center
Thomas, Catherine M, MD, (F), B
Se Mississippi Rural Health
Initiative
Provider ID 001741356014
NPI: 1093796500
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Languages Spoken:
Provider: Spanish
Cultural Competency: Y
Ages: 19-99
Hospital Affiliations:
Forrest General Hospital
Obstetrics & Gynecology - Nurse
Practitioner /
Obstetricia/Ginecologa -
Enfermera Especialista
Suber, Traci D, NP, (F)
Se Mississippi Rural Health
Initiative
Provider ID 002285175014
NPI: 1962628966
100 Highway 535
Seminary, MS 39479
(601) 722-3208 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Forrest
Family Practice - Nurse
Practitioner / Medicina Familiar -
Enfermera Especialista
Mississippi - Covington Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
36
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Bailey, Lisa M, NP, (F)
Hattiesburg Clinic
Provider ID 002283275006
NPI: 1487609871
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Bailey, Lisa M, NP, (F)
Hattiesburg Clinic
Provider ID 002283275008
NPI: 1487609871
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Bolton, Matthew D, NP, (M)
Hattiesburg Clinic
Provider ID 005726403001
NPI: 1891163598
511 W Laurel Ave
Hattiesburg, MS 39401
(601) 544-1261 EB,P,R
Ages: 0-99
Cobb, Donna G, NP, (F)
Hattiesburg Clinic
Provider ID 002284899006
NPI: 1972510212
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Pearl River County Hsp &
Nursing Home
Cobb, Donna G, NP, (F)
Hattiesburg Clinic
Provider ID 002284899009
NPI: 1972510212
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Pearl River County Hsp &
Nursing Home
Dueitt, Theresa B, NP, (F)
Forrest County General Hospital
Provider ID 003114328005
NPI: 1881817450
6051 U S Highway 49
Hattiesburg, MS 39401
(601) 288-1212
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Green, Stephanie L, NP, (F)
Wesley Physician Services
Provider ID 002881589010
NPI: 1376504357
2109 Hardy St
Hattiesburg, MS 39401
(601) 296-3290 EB,P,R
Ages: 0-99
Green, Stephanie L, NP, (F)
Wesley Physician Services
Provider ID 002881589009
NPI: 1376504357
2109 Hardy Street Ste 10
Hattiesburg, MS 39401
(601) 296-3290 EB,P,R
Ages: 0-99
Green, Stephanie L, NP, (F)
Wesley Physician Services
Provider ID 002881589003
NPI: 1376504357
425 Highway 42
Petal, MS 39465
(601) 584-4309 EB,P,R
Ages: 0-99
Hamm, Melanie R, NP, (F)
Hattiesburg Clinic
Provider ID 003000488003
NPI: 1699913202
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-21
Hamm, Melanie R, NP, (F)
Hattiesburg Clinic
Provider ID 003000488004
NPI: 1699913202
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-21
Hodge, Krista K, NP, (F)
Hattiesburg Clinic
Provider ID 001897605010
NPI: 1487639019
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Highland Community Hospital
Stone County Hospital
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Forrest
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
37
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Holton, Nikki C, NP, (F)
Hattiesburg Clinic
Provider ID 006289850011
NPI: 1043671696
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Holton, Nikki C, NP, (F)
Hattiesburg Clinic
Provider ID 006289850012
NPI: 1043671696
50 Parkway Ln Ste B
Petal, MS 39465
(601) 705-2897 EB,P,R
Ages: 0-99
Jones, Garrett L, NP, (M)
Forrest County General Hospital
Provider ID 005916040006
NPI: 1760865216
6051 Us Highway 49
Hattiesburg, MS 39401
(601) 288-1212
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Logan, Bettye V, NP, (F)
Hattiesburg Clinic
Provider ID 002055047005
NPI: 1376504597
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Magee General Hospital
Logan, Bettye V, NP, (F)
Hattiesburg Clinic
Provider ID 002055047007
NPI: 1376504597
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Languages Spoken:
Provider: Spanish
Ages: 0-99
Hospital Affiliations:
Covington County Hospital
Magee General Hospital
Love, Pamela A, NP, (F)
Hattiesburg Clinic
Provider ID 002285723004
NPI: 1154436574
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Love, Pamela A, NP, (F)
Hattiesburg Clinic
Provider ID 002285723006
NPI: 1154436574
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Mathis, Marla, NP, (F)
Family Clinic Of Petal
Provider ID 002859759005
NPI: 1972662427
130 N Main St
Petal, MS 39465
(601) 549-3603 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Mathis, Marla, NP, (F)
Family Clinic Of Petal
Provider ID 002859759006
NPI: 1972662427
1501 Adeline St Ste 3
Hattiesburg, MS 39401
(601) 336-8970 EB,P,R
Ages: 0-99
Hospital Affiliations:
Merit Health Wesley
Mckenzie, Jessica A, NP, (F)
Hattiesburg Clinic
Provider ID 003057635004
NPI: 1750517660
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Mckenzie, Jessica A, NP, (F)
Hattiesburg Clinic
Provider ID 003057635006
NPI: 1750517660
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Mcleod, Michele F, FNP, (F)
Mercy Family Medical Clinic
Provider ID 002670179001
NPI: 1346261864
1306 Hardy St
Hattiesburg, MS 39401
(601) 602-4700 EB,P,R
Mo - 9:00 AM - 8:00 PM
Tu,We,Th,Fr - 8:00 AM - 5:00 PM
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Mississippi - Forrest Primary Care Providers / Proveedores De Cuidado Primario
Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers
are proficient in English unless otherwise noted.
38
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Moore, Dorothy D, NP, (F)
Hattiesburg Clinic
Provider ID 002879805006
NPI: 1164567996
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Moore, Dorothy D, NP, (F)
Hattiesburg Clinic
Provider ID 002879805008
NPI: 1164567996
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Parker, Lisa M, NP, (F)
Wesley Physician Services
Provider ID 003115113008
NPI: 1831422336
1146 Evelyn Gandy Pkwy
Petal, MS 39465
(601) 584-4309 EB,P,R
Ages: 0-99
Hospital Affiliations:
Sky Lakes Medical Ctr
Parker, Lisa M, NP, (F)
Inland Family Practice Center
Provider ID 003115113009
NPI: 1831422336
908 W Pine St
Hattiesburg, MS 39401
(601) 544-7012 EB,P,R
Ages: 0-99
Hospital Affiliations:
Sky Lakes Medical Ctr
Pattie, Jennifer M, NP, (F)
Hattiesburg Clinic
Provider ID 005665866004
NPI: 1457754855
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Redmon, Simon P, NP, (M)
Hattiesburg Clinic
Provider ID 002007587004
NPI: 1528176807
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Redmon, Simon P, NP, (M)
Hattiesburg Clinic
Provider ID 002007587008
NPI: 1528176807
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Tullos, Sherry L, NP, (F)
Hattiesburg Clinic
Provider ID 002285581011
NPI: 1255440426
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Walters, Lauren M, FNP, (F)
Hattiesburg Clinic
Provider ID 003496837003
NPI: 1518221175
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
White, Kathy G, NP, (F)
University Of Southern
Mississippi
Provider ID 002421260001
NPI: 1407992233
118 College Drive #5066
Hattiesburg, MS 39406
(601) 266-5390 EB,P,R
Ages: 0-99
Areas Of Expertise: General
Therapy
Whitson, Ann N, NP, (F)
Hattiesburg Clinic
Provider ID 002954023004
NPI: 1508029695
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Whitson, Ann N, NP, (F)
Hattiesburg Clinic
Provider ID 002954023007
NPI: 1508029695
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Ages: 0-99
Hospital Affiliations:
Forrest General Hospital
Primary Care Providers / Proveedores De Cuidado Primario Mississippi - Forrest
= Wheelchair Accessible = Provider is within one (1) mile of public transportation B = Board CertifiedP = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam RoomT = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic EquipmentS = Signage & Documents = Telehealth Services
39
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Woods, Elisha D, NP, (F)
Hattiesburg Clinic
Provider ID 003274703005
NPI: 1659675064
415 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Does Not Accept New Patients
Ages: 19-99
Woods, Elisha D, NP, (F)
Hattiesburg Clinic
Provider ID 003274703007
NPI: 1659675064
421 S 28th Ave
Hattiesburg, MS 39401
(601) 264-6000 EB,P,R
Does Not Accept New Patients
Ages: 19-99
Family Practice - Physician
Assistant / Medicina Familiar -
Asistente Mdico
Blackwell, Blen D, PA, (M)
Southern Bone & Jnt Spclst
Provider ID 003180846003
NPI: 1811217409
3688 Veterans Memorial Dr #200
Hattiesburg, MS 39401
(601) 554-7400 EB,P,R
Ages: 0-99
Hospital Affi