Organization
MISSISSIPPI FAMILY MEDICINE P C
Active
Organization
MISSISSIPPI FAMILY MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA DEARMAN (INSURANCE CLERK)
(601) 671-8555
Entity
Organization
Contact information
Practice address
940 MATTHEW DR, SUITE 2, WAYNESBORO, MS 39367-2522
(601) 671-8555
(601) 671-0777
Mailing address
940 MATTHEW DR, SUITE 2, WAYNESBORO, MS 39367-2522
(601) 671-8555
(601) 671-0777
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00964
DR. STOKLEY
AL
01
—
009700450
DR. TYNES
AL
01
—
009926375
DR. STROKLEY
AL
05
—
0113843
—
MS
05
—
0117444
—
MS
01
—
073075294TYN
DR. TYNES
AL
01
—
279588
DR. TYNES
MS
01
—
C02214
MEDICARE PROVIDER ID
MS
01
—
CD1005
PALMETTOGBA - RAILROAD MEDICARE
—
Enumeration date
01/11/2007
Last updated
07/20/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up