PW-Hospital Bridge Services, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

PW-HOSPITAL BRIDGE SERVICES, LLC

Doing business as

Pathway Healthcare - Hospital Bridge Services, LLC

Practice address

801 Hill St Ste a
Springfield, TN 37172-2951

Phone

(615) 382-3002

Fax

(615) 953-9581

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Cox

Title

Credentialing

Phone

(205) 246-9312

Specialties & licenses 1

Addresses

Other names 1

• Pathway Healthcare - Hospital Bridge Services, LLC Doing business as

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda K Adams, MS

  • Counselor
  • West Point, MS
  • NPI 1538419932
  NPD (past)
• Felicia Cameron, LCSW

  • Clinical Social Worker
  • Ridgeland, MS
  • NPI 1548811086
  NPD (past)
• Fulivia Elma Cannady, MSCP,NCC,LPC

  • Counselor
  • Clinton, MS
  • NPI 1306085253
  NPD (past)
• Edith Royal Cheney, LMSW

  • Social Worker
  • Mobile, AL
  • NPI 1235609744
  NPD (past)
• Betty Ann Cousins, LCSW

  • Clinical Social Worker
  • Birmingham, AL
  • NPI 1396127924
  NPD (past)
• Jessica Leigh Cox, LCSW

  • Clinical Social Worker
  • Hattiesburg, MS
  • NPI 1952973695
  NPD (past)
• Shermandra Ann Daniel, LCSW

  • Clinical Social Worker
  • Alabaster, AL
  • NPI 1467814020
  NPD (past)
• Stanley R Easterling, MD

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1154359818
  NPD (past)
• Anita D Giannaris, LCSW, PIP

  • Clinical Social Worker
  • Fairhope, AL
  • NPI 1023386166
  NPD (past)
• Garic Grisbaum, M.D.

  • Psychiatry Physician
  • Mandeville, LA
  • NPI 1902217581
  NPD (past)
• Deborah Virginia Gross, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Jackson, MS
  • NPI 1982717997
  NPD (past)
• Tammy Irby

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1134546294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1811508765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 URBAN CENTER DR STE 600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422584",
            "telephone_number": "205-208-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HILL ST STE A",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722951",
            "telephone_number": "615-382-3002",
            "fax_number": "615-953-9581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Plaza Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391805187",
            "country_code": "US",
            "telephone_number": "601-883-0264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Sandstone Cir Ste 92",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053168",
            "country_code": "US",
            "telephone_number": "731-265-6025",
            "fax_number": "731-265-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Fox Meadows Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626937",
            "country_code": "US",
            "telephone_number": "615-382-3002",
            "fax_number": "615-328-2295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Broaville Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "37115",
            "country_code": "US",
            "telephone_number": "615-868-9959",
            "fax_number": "615-328-2295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N State St Ste 455",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022000",
            "country_code": "US",
            "telephone_number": "601-957-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Bluecutt Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397051397",
            "country_code": "US",
            "telephone_number": "662-434-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Providence Park Dr E Ste 124B",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954614",
            "country_code": "US",
            "telephone_number": "205-208-9312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28119 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365267090",
            "country_code": "US",
            "telephone_number": "251-214-0040",
            "fax_number": "251-307-5559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Medical Park Dr E Ste 454",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353400",
            "country_code": "US",
            "telephone_number": "205-517-7730",
            "fax_number": "205-838-5863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22454 US Highway 72 Ste 320",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356132609",
            "country_code": "US",
            "telephone_number": "256-464-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 Southpoint Park Circle",
            "address_2": "Ste. 190",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "35801",
            "country_code": "US",
            "telephone_number": "256-880-5818",
            "fax_number": "256-883-5346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 Military St S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "AL",
            "postal_code": "355706651",
            "country_code": "US",
            "telephone_number": "205-921-5556",
            "fax_number": "205-921-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PW-HOSPITAL BRIDGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "205-246-9312"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway Healthcare - Hospital Bridge Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• C. Douglas Prentice Jr., RPH
• Elizabeth Price
• Heather D Price, IBCLC
• Jenna Pugh
• Connie S Purdue, PT
• Rtia Faye Qualls, OTR/L
• Quantum Total Health
• Courtney Diane Rabon
• Christopher Radcliffe, PT
• Christopher Rainwater

• Addiction Medicine (Family Medicine) Physician in Springfield, TN
• Providers in Springfield, TN by specialty
• Addiction Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.