Choice Wound Care
Organization Active NPI Primary Care Clinic/Center · Raymond, MS
NPI 1497535124 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1497535124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CHOICE WOUND CARE
- Practice address
- 119 S Oak Ste 2a
Raymond, MS 39154-4205 - Phone
- (769) 206-1458
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. James McGee Sr.
- Title
- Owner
- Phone
- (769) 257-1047
Practitioners 2
-
Dodie D McGee, MSN, RN, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231205000659 | MS | Part B Supplier - Clinic/Group Practice | 0648628404 |
Receives reassigned benefits from 1 practitioner Practice locations: Raymond, MS |
National Provider Directory
Locations
119 S Oak
#2A
Raymond, MS 39154
119 S Oak
Ste 2A
Raymond, MS 39154
Phone (769) 206-1458
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
119 S Oak Ste 2a
Raymond, MS 39154-4205
Mailing address
PO Box 664
Raymond, MS 39154-0664
Phone (601) 915-2095
Other providers in Raymond, MS
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- Central Mississippi Civic Improvement Association, Inc.
- Central Mississippi Civic Improvement Association, Inc.
- Martha Michelle Chambers
- Saloum Cisse
- April L Coward
- Jianwen Crump
- Stephanie Dooley
- Expect Therapy and Solutions, LLC
All providers in Raymond, MS · Primary Care Clinic/Center 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 18, 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.