East Mississippi Medical Clinic, PLLC
A Medicare group practice based in Meridian, MS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456362557), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1456362557
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MS
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060602000226 | MS | Part B Supplier - Clinic/Group Practice | 1881640142 |
| O20100719000848 | MS | Part A Provider - Rural Health Clinic | 1881640142 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
East Mississippi Medical Clinic, PLLC
- Clinic/Center
- Meridian, MS
- NPI 1881640142
-
East Mississippi Medical Clinic
- Primary Care Clinic/Center
- Newton, MS
- NPI 1497096036
Practice locations
- Meridian, MS3
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (5).
-
Razee Ameir Ahmad, MD
- Internal Medicine Physician
- Meridian, MS
- NPI 1235111592
-
Courtney Anita Hampton Bennett, APMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
- NPI 1336486422
-
Courtney S Dubose, FNP-BC
- Family Nurse Practitioner
- Forest, MS
- NPI 1134733728
-
Jenna Harper, AGPCNP-BC
- Gerontology Nurse Practitioner
- Meridian, MS
- NPI 1568911527
-
Kymberleigh James, FNP-BC
- Family Nurse Practitioner
- Columbus, MS
- NPI 1134672462
-
Priscilla Miller, FNP
- Family Nurse Practitioner
- Meridian, MS
- NPI 1376814533
-
Farhan Nafis, MD
- Emergency Medicine Physician
- Yazoo City, MS
- NPI 1144394347
-
Jacquelyn Bruner Ray, NP
- Gerontology Nurse Practitioner
- Meridian, MS
- NPI 1326513920
-
Cynthia Marguerite Schuetz Boyd Smith, CFNP
- Family Nurse Practitioner
- Newton, MS
- NPI 1043541337
-
Kerry M Scott, D.O.
- Family Medicine Physician
- Meridian, MS
- NPI 1306827597
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.