RH Hospitalist Medicine of Jefferson Davis LLC
Organization Active NPI Hospitalist Physician · Prentiss, MS
NPI 1174385355 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1174385355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- RH HOSPITALIST MEDICINE OF JEFFERSON DAVIS LLC
- Practice address
- 1102 Rose St
Prentiss, MS 39474-5200 - Phone
- (601) 792-4276
- NPI assigned
- Jan 24, 2024
- Organization subpart
- No
Authorized official
- Name
- Jennifer Kathryn Wakeford
- Title
- Entrprise Cfo
- Phone
- (205) 901-5103
Practitioners 58
-
Ralph Sumner Abraham IV, M.D.
-
Robert Lyon Brown, M.D.
-
Terri Lynn Byrd, FNP-C
-
William Bryan Gibboney, DNP, FNP-C, ACNP-BC
-
James W. Lock, MD
-
Billy Pearson, NP
-
Daniel Gregory Stevens, D.O.
-
Cindy Armstead, D.O.
-
Johnny Bullock, MD
-
Jasmine M Crosby, FNP
-
Leigh P Drace, CFNP
-
Michael Farmer, DO
-
James Kevin Glisson, M.D.
-
Heather H Hager, NP
-
Erin K Hines, MSN, APRN, FNP-C,
-
David A Hooker, M.D.
-
April Ann Hopstein, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240423003254 | MS | Part B Supplier - Clinic/Group Practice | 6103265145 |
Receives reassigned benefits from 58 practitioners Practice locations: Prentiss, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
1102 Rose St
Prentiss, MS 39474-5200
Mailing address
PO Box 7058
Tupelo, MS 38802-7058
Other providers in Prentiss, MS
- Prentiss Regional Hospital and Extended Care Facility, Inc.
- Prentiss Regional Hospital and Extended Care Facility, Inc.
- Prentiss Regional Hospital and Extended Care Facility, Inc.
- Jalen Rankin
- RH Emergency Medicine of Jefferson Davis LLC
- Anastasia Rhodes-Peyton
- Katie Daley Rush
- Kristi Lynell Smith
- Martha Ann Stringer
- Lynda Toney
All providers in Prentiss, MS · Hospitalist Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.