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Members:<br />

<strong>This</strong> <strong>Directory</strong> <strong>lists</strong> <strong>participating</strong> <strong>providers</strong> <strong>alphabetically</strong> <strong>by</strong> <strong>Specialty</strong>.<br />

Facility <strong>providers</strong> are listed after physicians. Providers listed are subject to change.<br />

It is important to verify a provider’s participation prior to services being rendered.<br />

If you have any questions, please contact our customer service department at<br />

800-238-1344.You may also visit www.pa-tpa.com to search for a provider.


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Addiction Medicine<br />

Deflumere, Charlotte A<br />

Charlotte A Deflumere Md<br />

1715 Aaron Brenner Dr #326<br />

Memphis, TN 38120<br />

Phone: 901‐747‐2335<br />

County: Shel<strong>by</strong><br />

Addiction Medicine<br />

Jones, Douglas<br />

6005 Park Ave #502<br />

Memphis, TN 38119<br />

Phone: 901‐761‐0800<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Blaiss, Michael S<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Dejarnatt, Alan C<br />

Allergy & Asthma Care<br />

587 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 901‐757‐6100<br />

County: Madison<br />

Allergy and Immunology<br />

Duncan, Jerald M<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Grogan, Fred T<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Hill, Brandon Deemond<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Lieberman, Phillip L<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Mcculley, Tammy Heinly<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Treadwell, George H<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Fahhoum, Joseph Sadik<br />

Allergy & Asthma Specia<strong>lists</strong> Of Memphis<br />

2006 Exeter Rd<br />

Germantown, TN 38138<br />

Phone: 901‐202‐4100<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Escue, Ashley Brawley<br />

E Memphis Allergy & Asthma<br />

3085 Fountainside Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐0550<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Mirro, Betty Jane<br />

E Memphis Allergy & Asthma<br />

3085 Fountainside Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐0550<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Hanissian, Aram S<br />

Hanissian Clinic<br />

2101 Merchants Row #3<br />

Germantown, TN 38138<br />

Phone: 901‐751‐9696<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Hanissian, Gregory Andrew<br />

Hanissian Clinic<br />

2101 Merchants Row #3<br />

Germantown, TN 38138<br />

Phone: 901‐751‐9696<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Levy, Joe S<br />

Joe S Levy Md<br />

5575 Poplar Ave #708<br />

Memphis, TN 38119<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Allergy and Immunology<br />

Cole, Steve<br />

1750 Madison Ave #210<br />

Memphis, TN 38104<br />

Phone: 901‐726‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Doblar, Dennis Delmar<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Anesthesiology<br />

Murphree, Patrick A<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Anesthesiology<br />

Newcomb, Carol Franks<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Anesthesiology<br />

Isom, Johnathan M<br />

Anesthesia Associates Of Memphis<br />

5744 Nanjack Circle<br />

Memphis, TN 38115<br />

Phone: 901‐797‐9711<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 1


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Anesthesiology<br />

New<strong>by</strong>, Diana L<br />

Anesthesia Associates Of Memphis<br />

5744 Nanjack Circle<br />

Memphis, TN 38115<br />

Phone: 901‐797‐9711<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Huggins, David P<br />

Anesthesia Consultants Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐234‐0781<br />

County: Lafayette<br />

Anesthesiology<br />

Hunter, Gary J<br />

Anesthesia Consultants Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐234‐0781<br />

County: Lafayette<br />

Anesthesiology<br />

Mackey, Richard L<br />

Anesthesia Consultants Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐234‐0781<br />

County: Lafayette<br />

Anesthesiology<br />

Marsalis, Wilton L.<br />

Anesthesia Consultants Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐234‐0781<br />

County: Lafayette<br />

Anesthesiology<br />

Morrison, Michael B<br />

Anesthesia Consultants Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐234‐0781<br />

County: Lafayette<br />

Anesthesiology<br />

Crancarty, Wendy Lee<br />

Carroll County Anesthesia<br />

631 R B Wilson Dr #4<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐2983<br />

County: Carroll<br />

Anesthesiology<br />

Wasef, Maha<br />

Clarksdale Hma Physician Mgmt<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Anesthesiology<br />

Armstrong, Mark Anthony<br />

Dr Mark Armstrong Md<br />

1722 E Reelfoot Ave<br />

Union City, TN 38261<br />

Phone: 731‐885‐6300<br />

County: Obion<br />

Anesthesiology<br />

Friederich, Jeffrey A<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Anesthesiology<br />

Hedderich, Ronald<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Anesthesiology<br />

Bang, Hoi J<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐681‐0709<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Bridges, Ruth A<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Buranapiyawong, Arkom<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Dalsania, Jivanlal<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Das, Shibendra<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Draper, Jacqueline<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Eskin, Marc S<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Lafleur, Christopher W<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Nawaf, Kays<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Patel, Mohanlal<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 2


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Anesthesiology<br />

Patil, Mahadev<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Sarkar, Brojo G<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38120<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Shah, Anant V<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Williams, Jeffrey L<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Wu, Bo<br />

East Memphis Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2872<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Anand, Suwarna<br />

Great River Physician Svcs<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7386<br />

County: Mississippi<br />

Anesthesiology<br />

Taylor, Walter T<br />

Grenada Anesthesiology Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7150<br />

County: Grenada<br />

Anesthesiology<br />

Armstrong, Anthony L<br />

Magnolia Anesthesiology Assoc<br />

401‐1E Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐665‐0457<br />

County: Alcorn<br />

Anesthesiology<br />

Jacque, James Jules<br />

Magnolia Anesthesiology Assoc<br />

401‐1E Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐665‐0457<br />

County: Alcorn<br />

Anesthesiology<br />

Jobe, Tina M<br />

Magnolia Anesthesiology Assoc<br />

401‐1E Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐665‐0457<br />

County: Alcorn<br />

Anesthesiology<br />

Rodriguez, Angel A<br />

Magnolia Anesthesiology Assoc<br />

401‐1E Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐665‐0457<br />

County: Alcorn<br />

Anesthesiology<br />

Lee, Zina D<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Anesthesiology<br />

Crone, Robert Andrew<br />

Medical Anesthesia Group<br />

1755 Kir<strong>by</strong> Pkwy #330<br />

Memphis, TN 38120<br />

Phone: 901‐725‐5846<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Akins, Charles D<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Anesthesia Alliance, Metropolitan<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Bailey, James W<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Bartusch, Scott L<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Benoit, David Allen<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Biswas, Ajit K<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Boutte, James N<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Cooper, Charlie W<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 3


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Anesthesiology<br />

Dorroh, Charles W<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Duggirala, Vijaya L<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Fanning, David W<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Fong, Terry T<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Fox, Teresa Otey<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Funderburg, William Rodger<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Gairhan, Charles Hurd<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Gorline, William J<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Hood, Stephen T<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Jacobs, Arthur E<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Kanakamedala, Bhanu V<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Kathawala, Arifa<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Kimball, Noah B<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Landau, Reed S<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Laster, Angela G<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Lazarov, Stuart J<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Lindsay, Herbert Lamar<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Livesay, Christopher Howard<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Mccourt, Carol Jo<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Merritt, Lauren N<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Moolchandani, Geeta R<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 4


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Anesthesiology<br />

Moolchandani, Rajendra K<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Moskop, Robert J<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Patel, Phalgun Jashbhai<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Samuel, Vincent<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Shurley, William R<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Silberberg, Marc S<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Stephens, Raj K<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Walsh, John Thomas<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Webber, Ben P<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Weiss, Steven Jay<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Whitten, Ana Elizabeth<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Wright, Becky Buckley<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Steuer, Michael E<br />

Michael E Steuer Md<br />

122 Airways Pl<br />

Southaven, MS 38671<br />

Phone: 662‐349‐9990<br />

County: DeSoto<br />

Anesthesiology<br />

Bridgewater, Jovie Naedgar<br />

Mid‐South Anesthesia Consultants<br />

391 Southcrest Cir #209<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2659<br />

County: DeSoto<br />

Anesthesiology<br />

Mccoy, Dennis Dewayne<br />

Mid‐South Anesthesia Consultants<br />

391 Southcrest Cir #209<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2659<br />

County: DeSoto<br />

Anesthesiology<br />

Green, Phillip E<br />

Midsouth Pain & Anesthesia Clinic Inc<br />

6005 Park Ave #502<br />

Memphis, TN 38119<br />

Phone: 901‐761‐0800<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Green, Phillip E<br />

Midsouth Pain & Anesthesia Clinic Inc<br />

6005 Park Ave #502<br />

Memphis, TN 38119<br />

Phone: 901‐761‐0800<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Hammitt, George Monroe<br />

Pain Mgmt Center Of N Ms<br />

607 Brunson Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐407‐0801<br />

County: Lee<br />

Anesthesiology<br />

Kinard, Kirk Lawrence<br />

Pain Mgmt Center Of N Ms<br />

607 Brunson Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐407‐0801<br />

County: Lee<br />

Anesthesiology<br />

Bayat‐Mokhtari, Susan P<br />

Ridge Lake Anesthesia<br />

825 Ridge Lake Blvd #125<br />

Memphis, TN 38120<br />

Phone: 901‐685‐6150<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Moustafa, Salwa<br />

Salwa Moustafa Md<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6828<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 5


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Anesthesiology<br />

Breckenridge, Dan B<br />

Shel<strong>by</strong> Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6828<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Carolino, Eugene R<br />

Shel<strong>by</strong> Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6828<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Vickers, Thomas A<br />

Shel<strong>by</strong> Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6828<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Whitten, Anne D<br />

Shel<strong>by</strong> Anesthesia Services<br />

6005 Park Ave #406<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6828<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Anghelescu, Doralina L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Bikhazi, George B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Burgoyne, Laura L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Kaddoum, Roland<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Pereiras, Lilia A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Reid, David Hollis<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

West, James M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Keith, Carmen Nicole<br />

Tupelo Anesthesia Group<br />

703 Alcorn Dr #105<br />

Corinth, MS 38834<br />

Phone: 662‐287‐8185<br />

County: Alcorn<br />

Anesthesiology<br />

Malik, Harbans L<br />

Union City Anesthesia Grp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐0787<br />

County: Obion<br />

Anesthesiology<br />

Ut Medical Group Inc, (Anesthesiology)<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2300<br />

County: Shel<strong>by</strong><br />

Anesthesiology<br />

Group, Magnolia Hospitalist<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐6913<br />

County: Alcorn<br />

Anesthesiology<br />

Partners, Prairie Anesthesia<br />

PO Box 1806<br />

Columbus, MS 39703<br />

Phone: 662‐327‐6820<br />

County: Lowndes<br />

Anesthesiology<br />

Consultants Pllc, Mid‐South Anesthesia<br />

7603 Southcrest Pkwy #100<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0142<br />

County: DeSoto<br />

Anesthesiology<br />

Group Inc, Martin Anesthesia<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐588‐0001<br />

County: Weakley<br />

Anesthesiology<br />

Anesthesia Pc, West Tennessee<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐664‐1717<br />

County: Carroll<br />

Anesthesiology<br />

Consultants Of Oxford Pllc, Anesthesia<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐234‐0781<br />

County: Lafayette<br />

Anesthesiology<br />

Health Llc, Pinnacle<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Anesthesiology<br />

Ms County Plc, Anesthesia Assoc Of<br />

PO Box 427<br />

Blytheville, AR 72316<br />

Phone: 870‐838‐7348<br />

County: Mississippi<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 6


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Bariatric Surgery<br />

Weaver (Mcgrath), Virginia A<br />

Saint Francis Center For Surgical Weight Loss<br />

6005 Park Ave #112<br />

Memphis, TN 38119<br />

Phone: 901‐7653040<br />

County: Shel<strong>by</strong><br />

Bariatric Surgery<br />

Williams, Vanessa<br />

Saint Francis Center For Surgical Weight Loss<br />

6005 Park Ave #112<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3040<br />

County: Shel<strong>by</strong><br />

Biotech Pharmaceutical Services<br />

Accredo Health Group, Inc.<br />

1620 Century Center Pkwy, Suite 109<br />

Memphis, TN 38134<br />

Phone: 901‐385‐3600<br />

County: Shel<strong>by</strong><br />

Bone Growth Stimulator<br />

Orthofix Inc.<br />

1720 Bray Central Drive<br />

McKinney, TX 75069<br />

Phone: 800‐527‐0404<br />

County: Collin<br />

Bone Growth Stimulator<br />

Smith & Nephew, Inc.<br />

1450 E. Brooks Road<br />

Memphis, TN 38116<br />

Phone: 800‐821‐5700<br />

County: Shel<strong>by</strong><br />

Breast Prosthesis & Mastectomy Bras<br />

Fitting Concepts<br />

130 South Industrial Road<br />

Tupelo, MS 38801<br />

Phone: 662‐841‐2476<br />

County: Lee<br />

Breast Surgery<br />

Throckmorton, Alyssa D<br />

Baptist Memorial Medical Group Inc.<br />

6215 Humphreys Blvd #505<br />

Memphis, TN 38120<br />

Phone: 901‐227‐8950<br />

County: Shel<strong>by</strong><br />

Cardiac / Electrophysiology<br />

Porterfield, James G<br />

Arrhythmia Consultants<br />

1211 Union Ave #475<br />

Memphis, TN 38104<br />

Phone: 901‐274‐2643<br />

County: Shel<strong>by</strong><br />

Cardiac Electrophysiology<br />

Cui, Jiang<br />

Stern Cardiovascular Foundation Inc<br />

391 Southcrest Cir #200<br />

Southaven, MS 38671<br />

Phone: 901‐271‐1000<br />

County: DeSoto<br />

Cardiac Event Monitoring<br />

Cardionet, Inc.<br />

227 Washington Street; Suite 300<br />

Conshohocken, PA 19428<br />

Phone: 866‐426‐4404<br />

County: Montgomery<br />

Cardiac Event Monitoring<br />

Telerhythmics Monitoring Service<br />

60 Market Center Drive; Suite 101<br />

Collierville, TN 38017<br />

Phone: 901‐316‐0204<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Webster, Stevan A<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #1<br />

Amory, MS 38821<br />

Phone: 662‐256‐9327<br />

County: Monroe<br />

Cardiology<br />

Rudin, Andrew S<br />

Andrew S Rudin Md<br />

111 Stonebridge Blvd #C<br />

Jackson, TN 38305<br />

Phone: 731‐431‐8002<br />

County: Madison<br />

Cardiology<br />

Mcclure, Mallory L<br />

Apex Cardiology<br />

327 Summar Dr<br />

Jackson, TN 38301<br />

Phone: 731‐423‐8200<br />

County: Madison<br />

Cardiology<br />

Thompson, Thomas Allan<br />

Baptist Memorial Hospital‐Golden Triangle<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Cardiology<br />

Reef, Ellis G<br />

Baptist Memorial Hospital‐Memphis<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120‐2173<br />

Phone: 901‐226‐5000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Reed, Russell Joseph<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Cardiology<br />

Towery, James Green<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Cardiology<br />

Rudorfer, Bennett L<br />

Bennett Rudorfer Md<br />

310 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐2398<br />

County: Crittenden<br />

Cardiology<br />

Chang, Joon Kyu<br />

BMHSI Of Ms<br />

255 Baptist Blvd #303<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2870<br />

County: Lowndes<br />

Cardiology<br />

Cohen, Avrahm<br />

Cardiology Associates Of Memphis<br />

6005 Park Ave #906<br />

Memphis, TN 38119<br />

Phone: 901‐683‐6925<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 7


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiology<br />

Guerra, Guerraumberto J<br />

Cardiology Associates Of Memphis<br />

6005 Park Ave #906<br />

Memphis, TN 38119<br />

Phone: 901‐683‐6925<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Nelson, Michael<br />

Cardiology Associates Of Memphis<br />

6005 Park Ave #500B<br />

Memphis, TN 38119<br />

Phone: 901‐683‐6925<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Shaikh, Aftab A<br />

Cardiology Associates Of Memphis<br />

6005 Park Ave #906<br />

Memphis, TN 38119<br />

Phone: 901‐683‐6925<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Mehrle, Anderson P<br />

Cardiology Consultants Of Oxford<br />

2209 Jefferson Davis Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐1352<br />

County: Lafayette<br />

Cardiology<br />

Purdon, James Stephen<br />

Cardiology Consultants Of Oxford<br />

2209 Jefferson Davis Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐1352<br />

County: Lafayette<br />

Cardiology<br />

Allen, Ray M<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Burnett, Charles R<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Ctr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Debsikdar, Jaideep<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Ctr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Garrison, Janice L<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Guerra, Eric Raul<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Iansmith, David H<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Agbetoyin, Adeyinka A<br />

Cardiovascular Clinic Of W Tn<br />

162 Murray Guard Dr<br />

Jackson, TN 38305<br />

Phone: 731‐256‐1819<br />

County: Madison<br />

Cardiology<br />

Dave, Raj C<br />

Cardiovascular Physicians Of Memphis Inc<br />

4901 Raleigh Common Drive #100<br />

Memphis, TN 38128<br />

Phone: 901‐371‐9040<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Weinstein, Joseph S<br />

Cardiovascular Physicians Of Memphis Inc<br />

4901 Raleigh Common Drive #100<br />

Memphis, TN 38128<br />

Phone: 901‐371‐9040<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Szabo, Tibor S<br />

Cardiovascular Physicians Of Memphis Inc<br />

4901 Raleigh Common Drive #110<br />

Memphis, TN 38128<br />

Phone: 901‐372‐1412<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Munir, Ahmad<br />

Chest Pain Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Naidoo, Abendra Balakista<br />

Cleveland Cardiology<br />

218 N Pearman Ave<br />

Cleveland, MS 38732<br />

Phone: 662‐846‐1112<br />

County: Bolivar<br />

Cardiology<br />

Boland, Michael J<br />

Columbus Cardiovascular Care<br />

255 Baptist Blvd #402<br />

Columbus, MS 39705<br />

Phone: 662‐240‐1412<br />

County: Lowndes<br />

Cardiology<br />

Mohamed, Emad H<br />

Corinth Cardiology<br />

401 Alcorn Dr #1A<br />

Corinth, MS 38834<br />

Phone: 601‐983‐9859<br />

County: Alcorn<br />

Cardiology<br />

Mohamed, Emad H<br />

Corinth Cardiology<br />

401 Alcorn Dr #1A<br />

Corinth, MS 38834<br />

Phone: 601‐983‐9859<br />

County: Alcorn<br />

Cardiology<br />

Simmons, David<br />

David L Simmons Md Cardiovascular<br />

Services<br />

6005 Park Ave #200A<br />

Memphis, TN 38119<br />

Phone: 901‐482‐0988<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 8


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiology<br />

Blakenship, Joseph David<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Haji, Showkat Ahmed<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Hashim, Ahmed S<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Le, Francis Kiet<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Nkadi, Chukwuemeke Oscar<br />

Delta Convenient Care<br />

17 Centre Plaza Dr.<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Nkadi, Chukwuemeke Oscar<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Sullivan, Martin James<br />

Delta Convenient Care<br />

17 Centre Plaza Dr.<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Cardiology<br />

Korban, Elie Hage<br />

Delta Convenient Care<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Cardiology<br />

Miller, Tommy E<br />

Dyersburg Clinic Corp<br />

1716 Parr Ave #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2324<br />

County: Dyer<br />

Cardiology<br />

Geha, Fady Henri<br />

Dyersburg Clinic Corp<br />

1716 Parr Ave # C<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Cardiology<br />

Cunningham, Louis E<br />

Dyersburg Clinic Corp<br />

1716 Parr Ave #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐7250<br />

County: Dyer<br />

Cardiology<br />

Datta, Sudip<br />

Dyersburg Clinic Corp<br />

1716 Parr Ave #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐7250<br />

County: Dyer<br />

Cardiology<br />

Edwards (Hosp), Todd D<br />

Family Heart Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐377‐7308<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Evans (Hospitalist), Edward M<br />

Family Heart Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐377‐7308<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Obi, Patricia R<br />

Firstcare Medical Ctr<br />

168 University Pkwy #A and B<br />

Jackson, TN 38305<br />

Phone: 731‐772‐3442<br />

County: Madison<br />

Cardiology<br />

Gordon, Richard Joseph<br />

Gordon Heart Clinic<br />

5200 Park Ave #102<br />

Memphis, TN 38119<br />

Phone: 901‐333‐0330<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Murray, Gary L<br />

Heart & Vascular Institute<br />

7205 Wolf River Blvd #201<br />

Germantown, TN 38138<br />

Phone: 901‐507‐3100<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Richardson, Brenda Jean<br />

Heart & Vascular Institute<br />

3950 New Covington Pike #280<br />

Memphis, TN 38128<br />

Phone: 901‐507‐3150<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Delrosario, Marc Louie Estacion<br />

Heart Center Of Memphis<br />

1211 Union Ave #495<br />

Memphis, TN 38104<br />

Phone: 901‐507‐6600<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Khan, Shahid Ishaq<br />

Heart Center Of Memphis<br />

1211 Union Ave #495<br />

Memphis, TN 38104<br />

Phone: 901‐821‐0338<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Singh, Bharat<br />

Hmc Physicians Svcs Inc<br />

935 Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8090<br />

County: Hardin<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 9


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiology<br />

Chuang, Howard J<br />

Howard J Chuang Md<br />

3960 Knight Arnold Rd #321<br />

Memphis, TN 38118<br />

Phone: 901‐369‐6090<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Prather, John W<br />

John W Prather Md<br />

611 Alcorn Dr #230<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5218<br />

County: Alcorn<br />

Cardiology<br />

Cuddy, Stephen Richard<br />

Lexington Clinic Corp<br />

279 W Church St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Cardiology<br />

Awdeh, Mahir R<br />

Mahir R Awdeh Md<br />

3787 Summer Ave<br />

Memphis, TN 38122<br />

Phone: 901‐452‐7391<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Young, Stephen Hoyt<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Cardiology<br />

Jha, Sunil Kumar<br />

Memphis Cardiac Care Ctr<br />

1325 Eastmoreland Ave #440<br />

Memphis, TN 38104<br />

Phone: 901‐722‐8884<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Arcot, Kishore Kumar<br />

Memphis Cardiology<br />

6005 Park Ave #225B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐6765<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Shaikh, Khawar Mushtaq<br />

Methodist <strong>Specialty</strong> Physicians Iii<br />

1251 Wesley Dr #153<br />

Memphis, TN 38116<br />

Phone: 901‐259‐2000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Karri, Someswara R<br />

Midsouth Cardiovascular Center<br />

1211 UNION AVE #310<br />

Memphis, TN 38104<br />

Phone: 901‐725‐2222<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Morgan, Kerry Dean<br />

Morgan Cardiovascular<br />

2427 Proper Street<br />

Corinth, MS 38834<br />

Phone: 662‐665‐0151<br />

County: Alcorn<br />

Cardiology<br />

Pidikiti, Nanni<br />

Nanni Pidikiti Md<br />

104 Magnolia Doctor's Plaza<br />

Corinth, MS 38834<br />

Phone: 662‐286‐9393<br />

County: Alcorn<br />

Cardiology<br />

Hall, James C<br />

Nw Tn Cardiology Clinic<br />

1304 Medical Park Cir<br />

Union City, TN 38261<br />

Phone: 731‐886‐1212<br />

County: Obion<br />

Cardiology<br />

Rubin, Michael Andrew<br />

Rubin‐Ward Heart Center<br />

6644 Summer Knoll Cir<br />

Bartlett, TN 38134<br />

Phone: 901‐761‐9092<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Battin, David<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Paulus, Basil<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Robinson, Antwon D<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Selektor, Yelena<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Saxton, Grady Lee<br />

Saxton Heart Clinic<br />

6055 Primacy Pkwy #125<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9998<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Weiner, Ronald I<br />

Skyline Cardiovascular Institute<br />

111 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐217‐9194<br />

County: Madison<br />

Cardiology<br />

Evans, Edward Morgan<br />

Stern Cardiovascular Foundation Inc<br />

7362 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐8854<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 10


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiology<br />

Salazar, Holger Patricio<br />

Stern Cardiovascular Foundation Inc<br />

7362 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐8854<br />

County: DeSoto<br />

Cardiology<br />

Coppess, Mark Alan<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Edwards, Todd D<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Gubin, Steven S<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Holloway, David H<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Infeld, Jason Ivan<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Johnson, Eric E<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Klemis, James Edward<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Mcgrew, Frank A<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Morrow, Jennifer Sae<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Otten, Daniel Edmond<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Russo, William L<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Spiotta, Larry B<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Szatkowski, Arie<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Wolford, David Charles<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Malhotra, Amit<br />

Stern Cardiovascular Foundation Inc<br />

7362 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐8854<br />

County: DeSoto<br />

Cardiology<br />

Patel, Dharmesh Surendra<br />

Stern Cardiovascular Foundation Inc<br />

7362 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐8854<br />

County: DeSoto<br />

Cardiology<br />

Addington, Milton B<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Shirwany, Arsalan Tariq<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Kraus, David H<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Zoghbi, Gilbert Joseph<br />

Stern Cardiovascular Foundation Inc<br />

391 Southcrest Cir #200<br />

Southaven, MS 38671<br />

Phone: 901‐271‐1000<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 11


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiology<br />

Sneed, J Darrell<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Samaha, Joseph K<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Shala, M Bashar<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Hess, Paul G<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Smith, Stacy Cheryl<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Himmelstein, Stevan I<br />

Stern Cardiovascular Foundation Inc<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Strong, Mark H<br />

Strong Heart Clinic<br />

1300 Access Rd #400<br />

Oxford, MS 38655<br />

Phone: 662‐281‐1115<br />

County: Lafayette<br />

Cardiology<br />

Seibel, John E<br />

Sunset Cardiovascular Svcs<br />

1300 Sunset Dr #W<br />

Grenada, MS 38901<br />

Phone: 662‐227‐9991<br />

County: Grenada<br />

Cardiology<br />

Akins, Steven L<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Anderson, Keith<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Basco, Eduardo V<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Danley (Williams), Beverly<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Diaz, Claro F<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Hackman, Bela B<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Hopkins, Jack T<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Mcdonald, Michael<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Smithers, Maureen A<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Stamper, James J<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Stewart, David<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Vanwyhe, Galen<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Watson, Andrew<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 12


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiology<br />

Young, Lisa J<br />

Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Dalal, Ajay<br />

The Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Litzow, James T<br />

The Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Quiroz, Antonio C<br />

The Sutherland Clinic<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Kerlan, Jeffrey Eliot<br />

The West Clinic<br />

6025 Walnut Grove Rd #111<br />

Memphis, TN 38120<br />

Phone: 901‐818‐0300<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Reed Iii, Guy L<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Soberman, Judith E<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Weber Ii, Karl Theodore<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Newman, Kevin P<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Ramanathan, Kodangudi B<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Das, Pranab<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Koshy, Santhosh K G<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Cardiology<br />

Weiner, Roger D<br />

785 Ohio Dr #3D<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐1915<br />

County: Coahoma<br />

Cardiology<br />

Weiner, Roger D<br />

785 Ohio Dr #3D<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Cardiology<br />

Williams, James Barton<br />

520 Willowbrook Rd<br />

Columbus, MS 39705<br />

Phone: 901‐362‐6103<br />

County: Lowndes<br />

Cardiology<br />

Gerlach, Paul A<br />

2963 Elmore Park Rd #1<br />

Bartlett, TN 38134<br />

Phone: 901‐373‐5888<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Crocker, Edward F<br />

BMHSI Of MS<br />

255 Baptist Blvd #305<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2288<br />

County: Lowndes<br />

Cardiovascular & Thoracic Surgery<br />

Deese, Lawrence Edward<br />

BMHSI Of MS<br />

2301 S Lamar #140<br />

Oxford, MS 38655<br />

Phone: 662‐513‐3246<br />

County: Lafayette<br />

Cardiovascular & Thoracic Surgery<br />

Gooch, Jerry B<br />

Cardiac Surgery Assoc<br />

6029 Walnut Grove Rd #109<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0017<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Robbins, Samuel G<br />

Cardiovascular Center<br />

6005 Park Ave #329B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2470<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Carter, Russell A<br />

Cardiovascular Surgery Clinic<br />

6029 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3066<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 13


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Cardiovascular & Thoracic Surgery<br />

Garrett, H Edward<br />

Cardiovascular Surgery Clinic<br />

6029 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3066<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Wolf, Bradley Aaron<br />

Cardiovascular Surgery Clinic<br />

6029 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3066<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Wolf, Rodney Y<br />

Cardiovascular Surgery Clinic<br />

6029 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3066<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Robbins, E Todd<br />

Edward Todd Robbins Md<br />

6027 Walnut Grove Rd #203<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9155<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Davis, J T<br />

Jt Davis Jr Md<br />

6027 Walnut Grove Rd #203<br />

Memphis, TN 38120<br />

Phone: 901‐683‐4471<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Gilmore, James Curtis<br />

Magnolia Cardiovascular & Thoracic Clinic<br />

611 Alcorn Dr #200<br />

Corinth, MS 38834<br />

Phone: 662‐665‐4660<br />

County: Alcorn<br />

Cardiovascular & Thoracic Surgery<br />

Rehman, Atiq<br />

Magnolia Cardiovascular & Thoracic Clinic<br />

611 Alcorn Dr #200<br />

Corinth, MS 38834<br />

Phone: 662‐665‐4660<br />

County: Alcorn<br />

Cardiovascular & Thoracic Surgery<br />

Hutchinson, Clyde M<br />

N Point Cardiovascular & Thoracic Surg<br />

Clinic<br />

611 Alcorn Dr #200<br />

Corinth, MS 38834<br />

Phone: 662‐665‐4660<br />

County: Alcorn<br />

Cardiovascular & Thoracic Surgery<br />

Owen, Edmond W<br />

Owen Clinic<br />

3980 New Covington Pike #101<br />

Memphis, TN 38128<br />

Phone: 901‐383‐8232<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Ilabaca, Patricio A<br />

Patricio A Ilabaca Md<br />

6027 Walnut Grove Rd #114<br />

Memphis, TN 38120<br />

Phone: 901‐683‐6161<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Gibson, Jeffrey B<br />

The Cardiovascular Center<br />

6005 Park Ave #329B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2470<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Powell, Timothy J<br />

The Cardiovascular Center<br />

6005 Park Ave #329B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2470<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Schoettle, Glenn P<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #220<br />

Memphis, TN 38104<br />

Phone: 901‐725‐9450<br />

County: Shel<strong>by</strong><br />

Cardiovascular & Thoracic Surgery<br />

Herrera, Fernando A<br />

6005 Park Ave #828B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1181<br />

County: Shel<strong>by</strong><br />

Cardiovascular Disease<br />

Faulkner, Lee E<br />

5741 Nanjack Circle<br />

Memphis, TN 38115<br />

Phone: 901‐362‐8884<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Alexander, Gregory<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Barber, Keven L<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Cromwell, William J<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Estes, Brian Bob<strong>by</strong><br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Gault, Ricky<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Humphries, Casey L<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 14


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Certified Registered Nurse Anesthetist<br />

Jones, Bradley Wayne<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Martin, Jo E<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Miller, Mary Gail<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Sexton, Aaron Paul<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Fisher, Glenn C<br />

Clarksdale Hma Physician Mgmt<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Certified Registered Nurse Anesthetist<br />

Pelegrin, Ann<br />

Clarksdale Hma Physician Mgmt<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Certified Registered Nurse Anesthetist<br />

Shel<strong>by</strong>, Zachary O<br />

Clarksdale Hma Physician Mgmt<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Certified Registered Nurse Anesthetist<br />

Dobie, Katherine<br />

Dr Mark Armstrong Md<br />

1722 E Reelfoot Ave<br />

Union City, TN 38261<br />

Phone: 731‐885‐6300<br />

County: Obion<br />

Certified Registered Nurse Anesthetist<br />

Hall, James David<br />

Dr Mark Armstrong Md<br />

1722 E Reelfoot Ave<br />

Union City, TN 38261<br />

Phone: 731‐885‐6300<br />

County: Obion<br />

Certified Registered Nurse Anesthetist<br />

Anderson, Jonathan O<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Barger, Dean D<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Jones, Vaughn P<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Ketcher, Aaron R<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Mchugh, Kevin John<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Mckinzie, Victoria L<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Miers, Shawn P<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Monroe, Charles A<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Parker, Benjamin R<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Potter, Delana<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Webb, Jennifer<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Certified Registered Nurse Anesthetist<br />

Yearwood, April P<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 15


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Certified Registered Nurse Anesthetist<br />

Feltman, Joseph Ryan<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Feltman, Samuel J<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Sells, Rudy H<br />

Great River Physician Svcs<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7386<br />

County: Mississippi<br />

Certified Registered Nurse Anesthetist<br />

Connell, John Christopher<br />

Independent Anesthesia Svcs<br />

6133 Poplar Pike<br />

Memphis, TN 38119<br />

Phone: 901‐737‐8571<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Demaree, Edward Matthew`<br />

Lifelinc Anesthesia<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38119<br />

Phone: 901‐844‐1590<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Hines, Leslie H<br />

Lifeline Anesthesia<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38119<br />

Phone: 901‐844‐1590<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Jones, Orey M<br />

Magnolia Regional Health Center<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Certified Registered Nurse Anesthetist<br />

Ermis, Mary W<br />

Martin Anesthesia Group Inc<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐588‐0001<br />

County: Weakley<br />

Certified Registered Nurse Anesthetist<br />

Kelly, Christopher P<br />

Martin Anesthesia Group Inc<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐588‐0001<br />

County: Weakley<br />

Certified Registered Nurse Anesthetist<br />

Lane, Angela S<br />

Martin Anesthesia Group Inc<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐588‐0001<br />

County: Weakley<br />

Certified Registered Nurse Anesthetist<br />

Morel, Joseph M<br />

Martin Anesthesia Group Inc<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐588‐0001<br />

County: Weakley<br />

Certified Registered Nurse Anesthetist<br />

Wallace, Stuart C<br />

Martin Anesthesia Group Inc<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐588‐0001<br />

County: Weakley<br />

Certified Registered Nurse Anesthetist<br />

Allison, Lenee Mcpherson<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Jones, Mary E<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Robinson, Diane M<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Truax, Shelley Danielle<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Tutor, Dennis Wayne<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Woodard, Lyman Woodrow<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Nelson Iii, John William<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Accardo, Dwayne Lance<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Beaver, Kevin Lee<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 16


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Certified Registered Nurse Anesthetist<br />

Cepeda, Claire Eugenia<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Chitwood, Linda B<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Cokeing, Katherine B<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Colvin, David E<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Connell, Sandra B<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Delcambre, Jeanne Bowers<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Fendley, Jeremy Blake<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Jones, Kimberly M<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Koelemay, Karen Ann<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Mays, Karla J<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Mccarley, Sheila M<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Mcconnell, Michael Carl<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Noblin, Shannon Noelle<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Perkins, David Elbert<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Pernell, Ida B<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Pontoni, Cynthia Lynn<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Ro<strong>by</strong>, Linda J<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Watkins, Karen V<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Williams, Valerie Jeanette<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Wood, Virginia S<br />

Metropolitan Anesthesia Alliance<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐818‐2160<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Ryan, Robert L<br />

Mid ‐South Anesthesia Consultants<br />

7603 Southcrest Pkwy # 100<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0142<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 17


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Certified Registered Nurse Anesthetist<br />

Tharp, Patricia Joyce<br />

Mid ‐South Anesthesia Consultants<br />

7603 Southcrest Pkwy # 100<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0142<br />

County: DeSoto<br />

Certified Registered Nurse Anesthetist<br />

Burns, William Danny<br />

North Oak Regional Hospital Inc<br />

401 Getwell Dr. #B<br />

Senatobia, MS 38668<br />

Phone: 662‐612‐0013<br />

County: Tate<br />

Certified Registered Nurse Anesthetist<br />

Cox, Kevin W<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Hayes, Vincent<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Kail, Kristen Rae<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Lucus, Sharon Kay<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Moody, Mark Erickson<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Sandie, Colleen L<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Strock, Ann J<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Winney Jr, Teddy T<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Mcconnell, Kay O<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Acree, James R<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Ballard, Lewis Nelson<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Beck, Ben L<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Burns, Arthur H<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Jenkins, Irma N<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Mcklveen, Lawrence E<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Moran, Judith A<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Ogle, Samuel Lance<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Sanders, Billy D<br />

Pinnacle Health<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐336‐1100<br />

County: Saint Francis<br />

Certified Registered Nurse Anesthetist<br />

Anderson, James F<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 18


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Certified Registered Nurse Anesthetist<br />

Beckham, Penny<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Callan, Eric W<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Davidson, John M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Flettrich, Deborah D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Fulton, Keith Quentin<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Koons, Chad Ryan<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Lambert, Kimberly B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Malina, Debra Pecka<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Myers, Kristi A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Ragon, James R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Ragon, William S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Sandstrom, Tony Olof<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Shearer, Jack R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Thorne, Joan<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Webster, Horace<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

White, Francis R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Yarrow, Sara Elizabeth<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Burns, William Danny<br />

Tm Anesthesia Assoc<br />

2866 Stage Park Dr<br />

Memphis, TN 38134<br />

Phone: 901‐377‐5546<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Yarbro, Dennis M<br />

Tm Anesthesia Assoc<br />

PO Box 280604<br />

Memphis, TN 38128<br />

Phone: 901‐377‐5546<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Anderson, Melvin D<br />

Union City Anesthesia Grp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐0787<br />

County: Obion<br />

Certified Registered Nurse Anesthetist<br />

Barker, Donald W<br />

Union City Anesthesia Grp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐0787<br />

County: Obion<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 19


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Certified Registered Nurse Anesthetist<br />

Cole, Farris O<br />

Union City Anesthesia Grp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐0787<br />

County: Obion<br />

Certified Registered Nurse Anesthetist<br />

Koster, Stephen R<br />

PO Box 1134<br />

Booneville, MS 38829<br />

Phone: 662‐720‐5255<br />

County: Prentiss<br />

Certified Registered Nurse Anesthetist<br />

Mallady, Barbara A<br />

Lifeline Anesthesia<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38119<br />

Phone: 901‐844‐1590<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Hale, Elizabeth Faith<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Certified Registered Nurse Anesthetist<br />

Collins, Ginger Marie<br />

Gastroenterology Ctr Of The Midsouth<br />

1310 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐624‐5151<br />

County: Shel<strong>by</strong><br />

Certified Registered Nurse Anesthetist<br />

Lett, Kimberly Kay<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Chest Pain ER<br />

Gandhi, Malay S<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Child / Adolescent Psy<br />

Arnold, Valerie<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Anderson, Oreta Gayle<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Clinical Social Work<br />

Barnhartgray, C Anita<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Clinical Social Work<br />

Crist, Marilyn I<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Clinical Social Work<br />

Bentley, James Christopher<br />

Chamberlin Clinic<br />

8316 Macon Terrace #103<br />

Cordova, TN 38018<br />

Phone: 901‐757‐0568<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Montgomery, Patricia Shivy<br />

Chamberlin Clinic<br />

8316 Macon Terrace #103<br />

Cordova, TN 38018<br />

Phone: 901‐757‐0568<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Galbreath, Murff Oates<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Johnson, Julia B<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Lamb, Eric H<br />

Eric H Lamb<br />

6810 Crumpler Blvd #303<br />

Olive Branch, MS 38654<br />

Phone: 847‐404‐4855<br />

County: Desoto<br />

Clinical Social Work<br />

Mccullough, Sandra F<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Sanders, Karen D<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Priest, Margaret H<br />

Germantown Psychological Assoc<br />

832 W Poplar Ave #1<br />

Collierville, TN 38017<br />

Phone: 901‐757‐3520<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Middleton, Trina M<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Dygert, Leah Jolley<br />

Journey To New Beginnings<br />

5627 Getwell Rd #C2<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 20


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Clinical Social Work<br />

Lenschau, Angelia R<br />

Journey To New Beginnings<br />

5627 Getwell Rd #C2<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

Clinical Social Work<br />

Lenschau, Angelia R<br />

Journey To New Beginnings<br />

5627 Getwell Rd<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

Clinical Social Work<br />

Schachterle, Ashley Brasfield<br />

Journey To New Beginnings<br />

5627 Getwell Rd #C2<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

Clinical Social Work<br />

Schachterle, Ashley Brasfield<br />

Journey To New Beginnings<br />

5627 Getwell Rd<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

Clinical Social Work<br />

Ward, Wendy<br />

Journey To New Beginnings<br />

5627 Getwell Rd #C2<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

Clinical Social Work<br />

Ward, Wendy<br />

Journey To New Beginnings<br />

5627 Getwell Rd<br />

Southaven, MS 38672<br />

Phone: 662‐349‐2979<br />

County: DeSoto<br />

Clinical Social Work<br />

Mccool, Malachy<br />

Mccool Counseling & Consulting Inc<br />

211 N Madison St<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐2212<br />

County: Lee<br />

Clinical Social Work<br />

Johnson, David A<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Clinical Social Work<br />

Williams, Martha Winn<br />

Professional Care Svcs Of W TN Inc<br />

403 Commerce St<br />

Ripley, TN 38063<br />

Phone: 731‐465‐9831<br />

County: Lauderdale<br />

Clinical Social Work<br />

Davidson, Janice B<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Clinical Social Work<br />

Reed, Karen P<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Clinical Social Work<br />

Corbitt, Jessica A<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Clinical Social Work<br />

Long, Jody G<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Smith, Robin R<br />

356A E Oxford St<br />

Pontotoc, MS 38863<br />

Phone: 662‐624‐5464<br />

County: Pontotoc<br />

Clinical Social Work<br />

Ratliff, Melissa C<br />

211 N Madison St<br />

Tupelo, MS 38804<br />

Phone: 662‐841‐8020<br />

County: Lee<br />

Clinical Social Work<br />

Owens, Francine V<br />

26 Lamar Cir #4<br />

Jackson, TN 38305<br />

Phone: 901‐369‐6095<br />

County: Madison<br />

Clinical Social Work<br />

Wingfield, Mary Beth<br />

1355‐B Lynnfield #245<br />

Memphis, TN 38119<br />

Phone: 901‐485‐1671<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Hand, Beth L<br />

879 Willow Tree Cir #112<br />

Cordova, TN 38018<br />

Phone: 901‐493‐3638<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Edwards, Thomas E<br />

2014 Exeter Rd<br />

Germantown, TN 38138<br />

Phone: 901‐624‐4600<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Streete, Mary E<br />

5668 Rex Rd S #102<br />

Memphis, TN 38119<br />

Phone: 901‐681‐0852<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Valli, Jennifer Lou<br />

1384 Cordova Cv #1<br />

Germantown, TN 38138<br />

Phone: 901‐753‐7700<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Wiggins, Mary Beth<br />

2010 Exeter Rd #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐1377<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 21


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Clinical Social Work<br />

King, Judy P<br />

8134 Country Village Dr #102<br />

Cordova, TN 38018<br />

Phone: 901‐756‐8398<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Rice, Marlyna E<br />

8134 Country Village Dr #102<br />

Cordova, TN 38016<br />

Phone: 901‐756‐8398<br />

County: Shel<strong>by</strong><br />

Clinical Social Work<br />

Furrh, Sandy<br />

1000 S Cooper St<br />

Memphis, TN 38104<br />

Phone: 901‐844‐4357<br />

County: Shel<strong>by</strong><br />

Counseling<br />

Finch, Ann H<br />

Ann H. Finch,<br />

5350 POPLAR AVE #730<br />

Memphis, TN 38119<br />

Phone: 901‐728‐5200<br />

County: Shel<strong>by</strong><br />

Counseling<br />

Pazar, Janice P<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Counseling<br />

Hudspeth, Edward F<br />

2173 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 888‐266‐7044<br />

County: Lafayette<br />

Critical Care Medicine<br />

Jones, Adisa J<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Patel, Purvisha Jitendra<br />

Advanced Dermatology & Skin Cancer<br />

Assoc<br />

7658 Poplar Pike<br />

Germantown, TN 38138<br />

Phone: 901‐759‐2322<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Pillow, Jessica Leigh<br />

Delta Dermatology & Skin Cancer Assoc<br />

810B Newman Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐7494<br />

County: Phillips<br />

Dermatology<br />

Henson, Terri Hayes<br />

Dermatology Clinic Of N. Ms<br />

7585 Clarington Cove<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0200<br />

County: DeSoto<br />

Dermatology<br />

Churchwell, Luella G<br />

Dermatology East<br />

1335 Cordova Cv<br />

Germantown, TN 38138<br />

Phone: 901‐753‐2794<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Churchwell, Mary A<br />

Dermatology East<br />

1335 Cordova Cv<br />

Germantown, TN 38138<br />

Phone: 901‐753‐2794<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Schneider, Michael A<br />

Dermatology East<br />

1335 Cordova Cv<br />

Germantown, TN 38138<br />

Phone: 901‐753‐2794<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Dunaway, Dan A<br />

Dermatology Group<br />

5210 Poplar Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐761‐0685<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Scott, Riddell Walcott<br />

Dermatology Group<br />

5210 Poplar Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐761‐0685<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Tuli, Malika<br />

James E Turner MD Phd<br />

6570 Stage Rd #140<br />

Bartlett, TN 38134<br />

Phone: 901‐372‐4545<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Turner, James E<br />

James E Turner MD Phd<br />

6570 Stage Rd #140<br />

Bartlett, TN 38134<br />

Phone: 901‐372‐4545<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Levy, Alan L<br />

Levy Dermatology<br />

5575 Poplar Ave #708<br />

Memphis, TN 38119<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Marascalco, John A<br />

Marascalco Dermatology Clinic<br />

1300 Sunset Dr #A<br />

Grenada, MS 38901<br />

Phone: 662‐227‐4463<br />

County: Grenada<br />

Dermatology<br />

Jones, Robert M<br />

Medical <strong>Specialty</strong> Clinic<br />

27 Medical Ctr Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐1001<br />

County: Madison<br />

Dermatology<br />

Allen, Lee<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 22


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Dermatology<br />

Amonette, Rex A<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Friedman‐Musicante, Robin Holly<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Gardner, J Harvey<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Huber, Amy Amonette<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Huber, John Dominic<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Witherspoon, Frank G<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Woodmansee, Courtney Stroupe<br />

Memphis Dermatology Clinic<br />

1455 Union Ave<br />

Memphis, TN 38104<br />

Phone: 901‐726‐6655<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Wren, Charles M<br />

Ne Ms Dermatology Ctr<br />

2041 Shiloh Rd<br />

Corinth, MS 38834<br />

Phone: 662‐287‐1003<br />

County: Alcorn<br />

Dermatology<br />

Herron, Charles Burkhead<br />

Paris Henry County Clinic Sc<br />

305 Tyson Ave<br />

Paris, TN 38242<br />

Phone: 731‐642‐0025<br />

County: Henry<br />

Dermatology<br />

Gibbs, Richard B<br />

R Bartholomew Gibbs Md<br />

1215 Poplar Ave<br />

Memphis, TN 38104<br />

Phone: 901‐274‐8668<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Woodbury, George R<br />

Rheumatology & Dermatology Assoc<br />

8143 Walnut Grove Rd<br />

Cordova, TN 38018<br />

Phone: 901‐753‐0168<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Kaplan, Bertram D<br />

Robert J Kaplan Md Bertram D Kaplan Md<br />

6401 Poplar Ave #330<br />

Memphis, TN 38119<br />

Phone: 901‐682‐3273<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Kaplan, Robert J<br />

Robert J Kaplan Md Bertram D Kaplan Md<br />

6401 Poplar Ave #330<br />

Memphis, TN 38119<br />

Phone: 901‐682‐3273<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Tanenbaum, Alan Harris<br />

Tanenbaum Dermatology Ctr<br />

760 Brookhaven Cir<br />

Memphis, TN 38117<br />

Phone: 901‐761‐0500<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Tanenbaum, Mark H<br />

Tanenbaum Dermatology Ctr<br />

760 Brookhaven Cir<br />

Memphis, TN 38117<br />

Phone: 901‐761‐0500<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Chu, Thomas P<br />

Thomas P Chu Md<br />

520 Trinity Creek Cv<br />

Cordova, TN 38018<br />

Phone: 901‐755‐2511<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Poh, Maureen B<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Skinner Jr, Robert B<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8805<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Hairston, Bethany R<br />

Westmoreland Dermatology & Surgery Ctr<br />

2110 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐243‐2435<br />

County: Lowndes<br />

Dermatology<br />

Sharp, Misty<br />

Westmoreland Dermatology & Surgery Ctr<br />

2110 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐243‐2435<br />

County: Lowndes<br />

Dermatology<br />

Westmoreland, Terry A<br />

Westmoreland Dermatology & Surgery Ctr<br />

2110 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐243‐2435<br />

County: Lowndes<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 23


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Dermatology<br />

Loria, Philip R<br />

2204 Jefferson Davis Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐6850<br />

County: Lafayette<br />

Dermatology<br />

Myers, Robert P<br />

2200 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐327‐8767<br />

County: Lowndes<br />

Dermatology<br />

Donohue, Diane M<br />

5600 Goodman Rd #C<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐6729<br />

County: DeSoto<br />

Dermatology<br />

Maloney, Kenneth R<br />

1700 Woodlawn Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐287‐4500<br />

County: Dyer<br />

Dermatology<br />

Woodbury, Michael John<br />

3002 N Germantown Pkwy<br />

Bartlett, TN 38133<br />

Phone: 901‐381‐1173<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Whitehead, William J<br />

1900 Kir<strong>by</strong> Pkwy #201<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5039<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Knight, Janet L<br />

6401 Poplar Ave #405<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2597<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Trautman, Robert Joseph<br />

6005 Park Ave #1005B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐5342<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Jackson, Robert L<br />

6286 Briarcrest Ave #314<br />

Memphis, TN 38120<br />

Phone: 901‐761‐7720<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Safley, Charles F<br />

968 Reddoch Cv<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3510<br />

County: Shel<strong>by</strong><br />

Dermatology<br />

Compoginis, Goli Sophia<br />

Levy Dermatology<br />

1920 Kir<strong>by</strong> Pkwy #204<br />

Germantown, TN 38138<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Dermatopathology<br />

Martin, Howard L<br />

D‐Path<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Dermatopathology<br />

Feiner, Alyssa Michelle<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Diabetic Pumps & Supplies<br />

Edgepark Medical Supplies<br />

1810 Summit Commerce Park<br />

Twinsburg, OH 44087<br />

Phone: 800‐321‐0591<br />

County: Summit<br />

Diabetic Pumps & Supplies<br />

Minimed<br />

18000 Devonshire Street<br />

Northridge, CA 91325<br />

Phone: 800‐933‐3322<br />

County: Los Angeles<br />

Durable Medical Equipment (DME)<br />

Avritt Medical Equipment, Inc.<br />

909 DeSoto<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7702<br />

County: Coahoma<br />

Durable Medical Equipment (DME)<br />

Avritt Medical Equipment, Inc.<br />

4020 Highway 8 East<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐7007<br />

County: Bolivar<br />

Durable Medical Equipment (DME)<br />

Avritt Medical Equipment, Inc.<br />

309 Hwy 82 E , #27<br />

Indianola, MS 38751<br />

Phone: 662‐887‐4055<br />

County: Sunflower<br />

Durable Medical Equipment (DME)<br />

Baptist Home Medical Equipment<br />

2003 Harris Drive<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0555<br />

County: Lafayette<br />

Durable Medical Equipment (DME)<br />

Baptist Home Medical Equipment<br />

2627 5th Street North<br />

Columbus, MS 39705<br />

Phone: 662‐243‐1192<br />

County: Lowndes<br />

Durable Medical Equipment (DME)<br />

Baptist Home Medical Equipment<br />

1600 Century Center Parkway, Suite 101<br />

Memphis, TN 38134<br />

Phone: 901‐373‐8485<br />

County: Shel<strong>by</strong><br />

Durable Medical Equipment (DME)<br />

Cfi Prosthetics‐Orthotics<br />

7545 Airways Blvd., Suite 2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐7122<br />

County: Desoto<br />

Durable Medical Equipment (DME)<br />

Cfi Prosthetics‐Orthotics<br />

1665 Shel<strong>by</strong> Oaks Drive, Suite 105<br />

Memphis, TN 38134<br />

Phone: 901‐725‐0060<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 24


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Durable Medical Equipment (DME)<br />

Djo, Llc<br />

1430 Decision Street<br />

Vista, CA 92081<br />

Phone: 800‐321‐9549<br />

County: San Diego<br />

Durable Medical Equipment (DME)<br />

Hardin Medical Center Home Supply<br />

983 Wayne Road, Suite B<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8212<br />

County: Hardin<br />

Durable Medical Equipment (DME)<br />

Home Medical Alternatives<br />

716 West Bankhead St.<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8759<br />

County: Union<br />

Durable Medical Equipment (DME)<br />

Medical Technology<br />

101 North Rosser<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐5176<br />

County: Saint Francis<br />

Durable Medical Equipment (DME)<br />

Metro Orthotics<br />

701 East Reelfoot, Ste. 500<br />

Union City, TN 38261<br />

Phone: 731‐884‐0284<br />

County: Obion<br />

Durable Medical Equipment (DME)<br />

Theratech, Inc.<br />

1109 Myatt Blvd.<br />

Madison, TN 37115<br />

Phone: 615‐865‐4000<br />

County: Davidson<br />

Electrophysiology<br />

Lan, David Zhiqiang<br />

Stern Cardiovascular Foundation Inc<br />

7362 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐8854<br />

County: DeSoto<br />

Electrotherapy<br />

Empi, Inc.<br />

599 Cardigan Road<br />

St. Paul, MN 55126‐4099<br />

Phone: 800‐328‐2536<br />

County: Washington<br />

Emergency Medicine<br />

Svcs 1 Llc, Amory Emergency<br />

Amory Emergency Svcs I<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 901‐805‐1300<br />

County: Monroe<br />

Emergency Medicine<br />

Sabatino, Bruce<br />

Amory Emergency Svcs I<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 901‐805‐1300<br />

County: Monroe<br />

Emergency Medicine<br />

Batesville Hma Medical Group<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐712‐2222<br />

County: Panola<br />

Emergency Medicine<br />

Politi, Barry J<br />

Batesville Hma Medical Group<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐271‐2222<br />

County: Panola<br />

Emergency Medicine<br />

Anderson, To<strong>by</strong> Eric<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Emergency Medicine<br />

Burton, Leslie J<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Emergency Medicine<br />

Criner, Roger<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Emergency Medicine<br />

Johnson, Darren<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Emergency Medicine<br />

Mullinix, Derek Russell<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Emergency Medicine<br />

Avila, Frank<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Crabb, James Luther<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Ferguson, Teresa I<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Forsythe, Phillip David Wesley<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 25


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Emergency Medicine<br />

Frazier, Ruth Ann Daniel<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Hatcher, Donald B<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

James, William A<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Landfield, Elliott<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Patel, Jaimin B<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Delouis, Donna J<br />

Emergency Coverage Corp<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Emergency Medicine<br />

Foston, Will D<br />

Emergency Coverage Corp<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Emergency Medicine<br />

Ort, Michael Edward<br />

Emergency Coverage Corp<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Emergency Medicine<br />

Portis, Bill S<br />

Emergency Coverage Corp<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Emergency Medicine<br />

Chang, Philemon<br />

Emergency Coverage Corp<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 888‐203‐1274<br />

County: Lauderdale<br />

Emergency Medicine<br />

Nguyen, Tuan Anh Ngoc<br />

Emergency Coverage Corp<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 888‐203‐1274<br />

County: Lauderdale<br />

Emergency Medicine<br />

Williams, Freeland Leroy<br />

Emergency Coverage Corp<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 888‐203‐1274<br />

County: Lauderdale<br />

Emergency Medicine<br />

Woods, Roger L<br />

Emergency Coverage Corp<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 888‐203‐1274<br />

County: Lauderdale<br />

Emergency Medicine<br />

Alkayyali, Fawwaz A<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Emergency Medicine<br />

Istanbouli, Wajih<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Emergency Medicine<br />

Miller, Sue Davenport<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Emergency Medicine<br />

Singh, Rajeev<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Emergency Medicine<br />

Politi, Barry J<br />

Family & Urgent Care Clinic<br />

3040 Goodman Rd W<br />

Horn Lake, MS 38637<br />

Phone: 662‐280‐3420<br />

County: DeSoto<br />

Emergency Medicine<br />

Emergency Physicians Pllc, Forrest City<br />

Forrest City Emergency Physicians<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 800‐639‐0579<br />

County: Saint Francis<br />

Emergency Medicine<br />

Fong, Yuen Yee Anna<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Hardison, Robert<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 26


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Emergency Medicine<br />

Murray, Wayne<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Wilcox, William<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Cullom, Sumner R<br />

Ms County Hospital System<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐6725<br />

County: Mississippi<br />

Emergency Medicine<br />

Stallworth, Gregory T<br />

N Harper Minor Medical Clinic<br />

121 Pratt Dr #3<br />

Corinth, MS 38834<br />

Phone: 662‐286‐0088<br />

County: Alcorn<br />

Emergency Medicine<br />

Medlin, James Ronald<br />

Noxubee General Critical Access Hospital<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Emergency Medicine<br />

Britt, Larry Lee<br />

Oxford After Hours Clinic<br />

1929 University Ave<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2232<br />

County: Lafayette<br />

Emergency Medicine<br />

Serio, Nahum Valentino<br />

Oxford After Hours Clinic<br />

1929 University Ave<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2232<br />

County: Lafayette<br />

Emergency Medicine<br />

Abushaer, Muhammad Basel<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Butts, Dallas W<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Cantrell, John A<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Gaillard, Henry Morel<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Hooker, David Allen<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Indudhara, Ramaiah<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Mccoy, Brian D<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Shaw, Michael D<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Smith, Karenlyn R<br />

Paragon Contracting Services Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Aust, Dennis Wayne<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Butler, Stephen D<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Finch, Jon D<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Lippstone, Matthew Brian<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Mason, Gary L<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 27


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Emergency Medicine<br />

Ruiz, Restituto S<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Stern, Neil David<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Wade, Tarence Earl<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Zuschke, Christen A<br />

Paragon Contracting Services Inc<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Emergency Medicine<br />

Regan, William B<br />

Park Ave. Emergency Physicians<br />

5959 Park Avenue‐ER<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2056<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Waldrup, Phillip D<br />

Park Ave. Emergency Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2056<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Roberson, Charles D<br />

Park Ave. Emergency Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2180<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Elias, Said E<br />

Park Ave. Emergency Physicians & Chest<br />

Pain<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2180<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Corporation, Phillips Clinic<br />

Phillips Clinic Corp<br />

1801 Martin Luther King Dr<br />

Helena, AR 72342<br />

Phone: 870‐816‐3676<br />

County: Phillips<br />

Emergency Medicine<br />

Davis, Amy Boatman<br />

Pratt Family Medical Clinic Inc<br />

121 Pratt Dr #1A<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5599<br />

County: Alcorn<br />

Emergency Medicine<br />

Bandura, Jack<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Frankel, Don<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Altabbaa, Ahmad H<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2180<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Witherington, John M<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2182<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Schrader, Sara<br />

Tunica County Healthcare Authority<br />

1813 Hwy 61 N<br />

Tunica, MS 38676<br />

Phone: 662‐357‐0012<br />

County: Tunica<br />

Emergency Medicine<br />

Adams, John C<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Bell, William J<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Brown, Jill<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

Emergency Medicine<br />

Cabigao, Eduardo C<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

Emergency Medicine<br />

Carney, David Oman<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 28


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Emergency Medicine<br />

Combest, Felton Eugene<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Crandell, Kevin L<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Crandell, Kristy Lynn<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Crittenden, Marcus A<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Draper, Thomas S<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Ferguson, Charlie Benton<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Kelley, Mark C.<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Lamb, Timothy H<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

Emergency Medicine<br />

Linett, Lawrence M<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Mansour, Samuel Phillip<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Oneal, Ellis Hilton<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Palm, Daniel B<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

Emergency Medicine<br />

Perry, Ronald Lee<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Pitcock, Robert Vincent<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Richardson, Samuel Milton<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Sanford, Walter Scott<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

Emergency Medicine<br />

Schillinger, David Scott<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Svcs Inc, United Emergency<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Svs Inc, United Emergency<br />

United Emergency Svcs Inc<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 800‐877‐7564<br />

County: Prentiss<br />

Emergency Medicine<br />

Waller, Jason M<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

Emergency Medicine<br />

Yates, Travis W<br />

United Emergency Svcs Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 800‐877‐7564<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 29


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Emergency Medicine<br />

Aycock, Thomas<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Butler, Joel Alan<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Davidson, Sueanne Mordecai<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Hollister, John J<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Manning, Patti W<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Mccoy, Keith E<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Walrod, John G<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Ut Medical Group Inc, (Emergency Medicine)<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2300<br />

County: Shel<strong>by</strong><br />

Emergency Medicine<br />

Gary, William A<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Emergency Medicine<br />

Medical Svcs Pc, Tennessee Em‐1<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

Emergency Medicine<br />

Corp, Dyersburg Hospital<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Emergency Medicine<br />

Corp, Emergency Coverage<br />

Russell and Bishop Sts<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Emergency Medicine<br />

Svcs Of MS Llc, United Emergency<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Emergency Medicine<br />

Medicine Svcs, Genesis Emergency<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 817‐451‐4208<br />

County: Mississippi<br />

Emergency Medicine<br />

Physicians Pllc, Helena Emergency<br />

1801 Martin Luther King Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐5800<br />

County: Phillips<br />

Emergency Medicine<br />

Services Inc, Paragon Contracting<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 888‐952‐6772<br />

County: Grenada<br />

Endocrinology<br />

Latif, Kashif Ahmed<br />

A M Diabetes Center<br />

2996 Kate Bond Blvd #413<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐0065<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Velasquez, Pedro A<br />

Centrosalud<br />

1068 Cresthaven Rd # 300<br />

Memphis, TN 38119<br />

Phone: 901‐683‐0024<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Oktaei, Hooman<br />

Cure Medical Group<br />

6005 Park Ave #807<br />

Memphis, TN 38119<br />

Phone: 901‐685‐2058<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Khayal, Saba<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Endocrinology<br />

Endoscopy Center, Delta<br />

Delta Endoscopy Center<br />

9140 Hwy 51 N<br />

Southaven, MS 38671<br />

Phone: 662‐280‐8222<br />

County: DeSoto<br />

Endocrinology<br />

Childress, Richard Dale<br />

Endocrine Clinic<br />

5659 S Rex Rd<br />

Memphis, TN 38119<br />

Phone: 901‐763‐3636<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 30


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Endocrinology<br />

Cohen, A Jay<br />

Endocrine Clinic<br />

5659 S Rex Rd<br />

Memphis, TN 38119<br />

Phone: 901‐763‐3636<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Lendel, Irina<br />

Endocrine Clinic<br />

55 Physicians Ln #2<br />

Southaven, MS 38671<br />

Phone: 901‐763‐3636<br />

County: DeSoto<br />

Endocrinology<br />

Mallov, Joseph Stephan<br />

Endocrine Clinic<br />

5659 S Rex Rd<br />

Memphis, TN 38119<br />

Phone: 901‐763‐3636<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Roman, Farid<br />

Endocrine Clinic<br />

5659 S Rex Rd<br />

Memphis, TN 38119<br />

Phone: 901‐763‐3636<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Tetzeli, John Paul<br />

Endocrine Clinic<br />

5659 S Rex Rd<br />

Memphis, TN 38119<br />

Phone: 901‐763‐3636<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Radpour, Omid<br />

Endocrine Clinic<br />

7900 Airways Blvd Bldg A #1<br />

Southaven, MS 38671<br />

Phone: 901‐763‐3636<br />

County: DeSoto<br />

Endocrinology<br />

Ahmed, Javeria<br />

Endocrinology Assoc Of Memphis<br />

6027 Walnut Grove Rd #307<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0346<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Ghawji, Maher S<br />

Endocrinology Assoc Of Memphis<br />

6027 Walnut Grove Rd #307<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0346<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Goodman, Ralph C<br />

Endocrinology Assoc Of Memphis<br />

6027 Walnut Grove Rd #307<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0346<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Myers, Lisa M<br />

Endocrinology Assoc Of Memphis<br />

6027 Walnut Grove Rd #307<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0346<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Sacks, Harold S<br />

Endocrinology Assoc Of Memphis<br />

6027 Walnut Grove Rd #307<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0346<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Usdan, Lisa Suzanne<br />

Endocrinology Assoc Of Memphis<br />

6027 Walnut Grove Rd #307<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0346<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Krishnamurthi, Lakshmi<br />

Endocrinology Clinic<br />

4913 Raleigh Commons Drive #201<br />

Memphis, TN 38128<br />

Phone: 901‐386‐7870<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Ganlim, Leonil A<br />

Endocrinology Consultants<br />

670 Crossover Rd<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐8414<br />

County: Lee<br />

Endocrinology<br />

Shepherd, Mark D<br />

Endocrinology Consultants<br />

670 Crossover Rd<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐8414<br />

County: Lee<br />

Endocrinology<br />

Antwi, Ernest Kofi<br />

Jackson Endocrine & Diabetes Ctr<br />

110 E Forrest<br />

Jackson, TN 38305<br />

Phone: 731‐225‐9137<br />

County: Madison<br />

Endocrinology<br />

Chandler, Andrew Martin<br />

Oxford Endocrinology Consultants<br />

512 Azalea Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2923<br />

County: Lafayette<br />

Endocrinology<br />

Imseis, Raed E<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Palmieri, Genaro M<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Kitabchi, Abbas E<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8806<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Gosmanov, Aidar Raulisovich<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360/365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8806<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 31


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Endocrinology<br />

Nyenwe, Ebenezer A<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Dagogo‐Jack, Samuel<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Hughes, Thomas Arthur<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8806<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Cunningham, Amanda Ring<br />

5960 Getwell Rd #212D<br />

Southaven, MS 38672<br />

Phone: 662‐895‐6455<br />

County: DeSoto<br />

Endocrinology<br />

Imseis, Raed E<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐484‐3173<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Gupta‐Ganguli, Malini<br />

6005 Park Ave #409<br />

Memphis, TN 38119<br />

Phone: 901‐681‐9670<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Williams‐Cleaves, Beverly J<br />

2829 Lamar Ave<br />

Memphis, TN 38114<br />

Phone: 901‐744‐3362<br />

County: Shel<strong>by</strong><br />

Endocrinology<br />

Williams‐Cleaves, Beverly J<br />

2829 Lamar Ave<br />

Memphis, TN 38114<br />

Phone: 901‐744‐3362<br />

County: Shel<strong>by</strong><br />

Endoscopy Centers<br />

Medical Center Endoscopy Group<br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Endoscopy Centers<br />

Memphis Gastroenterology Endoscopy<br />

Center East<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Endoscopy Centers<br />

Mid‐South Gastroenterology Group<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hilliard, Belinda L<br />

A M Diabetes Center<br />

2996 Kate Bond Blvd #413<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐0065<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Burnett, Mary L<br />

Aaron E Henry Comm Health Svcs Ctr Inc<br />

103 Main St<br />

Como, MS 38619<br />

Phone: 662‐526‐9922<br />

County: Panola<br />

Family Nurse Practitioner<br />

Brock, Nell Catherine<br />

Aaron E Henry Comm Health Svcs Ctr Inc<br />

216 Hwy 51 N<br />

Batesville, MS 38606<br />

Phone: 662‐563‐1858<br />

County: Panola<br />

Family Nurse Practitioner<br />

Furr, Angela E<br />

Access Family Health Svcs Inc<br />

106 Walker St<br />

Houlka, MS 38850<br />

Phone: 662‐568‐3316<br />

County: Chickasaw<br />

Family Nurse Practitioner<br />

Mcneel, Ashley V<br />

Access Family Health Svcs Inc<br />

106 Walker St<br />

Houlka, MS 38850<br />

Phone: 662‐568‐3316<br />

County: Chickasaw<br />

Family Nurse Practitioner<br />

Cagle, Rebecca A<br />

Access Family Health Svcs Inc<br />

63420 Hwy 25 N<br />

Smithville, MS 38870<br />

Phone: 662‐651‐4637<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Cagle, Rebecca A<br />

Access Family Health Svcs Inc<br />

63420 Hwy 25 N<br />

Smithville, MS 38870<br />

Phone: 662‐651‐4637<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Searcy, Carissa Irene<br />

Access Family Health Svcs Inc<br />

12725 Hwy 23 N<br />

Tremont, MS 38876<br />

Phone: 662‐652‐3361<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Sumerford, David B<br />

Access Family Health Svcs Inc<br />

499 Gloster Creek Village #D4<br />

Tupelo, MS 38801<br />

Phone: 662‐690‐8007<br />

County: Lee<br />

Family Nurse Practitioner<br />

Carroll, Whitney Johnson<br />

Access Family Health Svcs Inc<br />

106 Walker St<br />

Houlka, MS 38850<br />

Phone: 662‐568‐3316<br />

County: Chickasaw<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 32


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Higginbottom, Amelia A<br />

Access Family Health Svcs Inc<br />

12725 Hwy 23 N<br />

Tremont, MS 38876<br />

Phone: 662‐652‐3361<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Sheffield, Susan F<br />

Acute Care & Family Clinic Of Mooreville<br />

710 Hwy 371<br />

Mooreville, MS 38857<br />

Phone: 662‐840‐4577<br />

County: Lee<br />

Family Nurse Practitioner<br />

Jones, Arland Dale<br />

Acute Care & Family Clinic Of Pontotoc Inc<br />

351‐A Peoples Dr<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐2777<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Wilburn, Cathy<br />

Acute Care & Family Clinic Of Pontotoc Inc<br />

351‐A Peoples Dr<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐2777<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Dabbs, Lisa<br />

Acute Care & Family Clinic Of Pontotoc Inc<br />

351‐A Peoples Dr<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐2777<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Hendrix, Valerian Keith<br />

Adult & Adolescent Medicine Clinics<br />

3294 Poplar Ave #100<br />

Memphis, TN 38111<br />

Phone: 901‐362‐8671<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Leonard, Kelly Jean<br />

Adult & Adolescent Medicine Clinics<br />

3294 Poplar Ave #100<br />

Memphis, TN 38111<br />

Phone: 901‐362‐8671<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Russell, Laura W<br />

Advanced Gastroenterology<br />

1109 E Reelfoot Ave #C<br />

Union City, TN 38261<br />

Phone: 731‐884‐0600<br />

County: Obion<br />

Family Nurse Practitioner<br />

Ligon, Cynthia Seat<br />

Affordable Medical Care<br />

900 E Commerce St<br />

Hernando, MS 38632<br />

Phone: 662‐429‐9111<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Creekmore, Penny Gateley<br />

All Care Medical<br />

522 Main St<br />

Friendship, TN 38034<br />

Phone: 731‐677‐3000<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Johnston, Marcia L<br />

Allergy & Asthma Care<br />

7205 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐757‐6100<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Ragan, Rita Testa<br />

Alliance Health Partners<br />

155 Keating Rd<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5640<br />

County: Panola<br />

Family Nurse Practitioner<br />

Moffett, Shellie J<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Highfill, Tina D<br />

Assoc Family Medical<br />

4364 Hwy 51 S<br />

Senatobia, MS 38668<br />

Phone: 662‐560‐5966<br />

County: Tate<br />

Family Nurse Practitioner<br />

West, Sarah<br />

Assoc Family Medical<br />

4364 Hwy 51 S<br />

Senatobia, MS 38663<br />

Phone: 662‐560‐5966<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Forrest, Amy M<br />

Auburn Family Medical Clinic Inc<br />

149 Eason Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐678‐1050<br />

County: Lee<br />

Family Nurse Practitioner<br />

Harbin, Angel S<br />

Auburn Family Medical Clinic Inc<br />

149 Eason Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐678‐1050<br />

County: Lee<br />

Family Nurse Practitioner<br />

Dawson, Jennifer S<br />

Avalon Medical<br />

1413 W Quitman St<br />

Iuka, MS 38852<br />

Phone: 662‐424‐9550<br />

County: Tishomingo<br />

Family Nurse Practitioner<br />

Flowers, Carrie R<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Thomas, Katherine B<br />

Baptist Memorial Health Services Of MS Inc<br />

515 Willowbrook Rd #1<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2960<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Ambler, Janet C<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 33


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Martin, Ashley Elizabeth<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Family Nurse Practitioner<br />

Carlisle, Lauren Janelle<br />

Baptist Memorial Medical Group Inc<br />

255 Baptist Blvd #402<br />

Columbus, MS 39705<br />

Phone: 662‐240‐1412<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

King, Madelyn B<br />

Baptist Memorial Medical Group Inc<br />

255 Baptist Blvd # 402<br />

Columbus, MS 39705<br />

Phone: 662‐240‐1412<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Kosko, Mamie M<br />

Baptist Memorial Medical Group Inc<br />

255 Baptist Blvd # 305<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2550<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Pelegrin, Tammy Louise<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd # 130<br />

Oxford, MS 38655<br />

Phone: 662‐513‐1300<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Bennett, Jill S<br />

Baptist Memorial Medical Group Inc<br />

631 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Byrer, Christine F<br />

Baptist Memorial Medical Group Inc<br />

631 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Wilkes, Ouida G<br />

Baptist Memorial Medical Group Inc<br />

641 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Getz, Len Nobert<br />

Baptist Memorial Medical Group Inc<br />

6025 Walnut Grove Rd # 301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3321<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Slate, Kimberly Diane<br />

Baptist Memorial Medical Group Inc<br />

6025 Walnut Grove Rd # 301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3321<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Jenkins, Judith E<br />

Baptist Memorial Medical Group Inc<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐685‐8245<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Mckee, Meredith H<br />

Baptist Memorial Medical Group Inc<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐685‐8245<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Speros, Carolyn Ijams<br />

Baptist Memorial Medical Group Inc<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 9016858245<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Tolbert, Whitney<br />

Baptist Memorial Medical Group Inc<br />

7715 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Taylor, Heather H<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Simpson, Mary Kathleen<br />

Baptist Memorial Medical Group Inc<br />

7715 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Meredith, Nicole T<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Cochran, Stephanie Megan<br />

Baptist Memorial Medical Group Inc<br />

7715 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Todd, Tina M<br />

Baptist Memorial Medical Group Inc<br />

7205 Wolf River Blvd #100<br />

Germantown, TN 38138<br />

Phone: 901‐684‐1322<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Bullock, Emily W<br />

Baptist Memorial Medical Group Inc<br />

641 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Smith, Robert Larry<br />

Baptist Minor Medical Center Inc<br />

3295 Poplar Ave<br />

Memphis, TN 38111<br />

Phone: 901‐327‐8188<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 34


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Thomas, Elizabeth P<br />

Batesville Clinic<br />

107 Eureka St<br />

Batesville, MS 38606<br />

Phone: 662‐563‐7681<br />

County: Panola<br />

Family Nurse Practitioner<br />

Durrett, Sandra C<br />

Blue Mountain Family Medicine Clinic<br />

124 N Guyton Blvd<br />

Blue Mountain, MS 38610<br />

Phone: 662‐685‐4700<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Jackson, Tammy Z<br />

Blue Mountain Family Medicine Clinic<br />

124 N Guyton Blvd<br />

Blue Mountain, MS 38610<br />

Phone: 662‐685‐4700<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Bonner, Patricia A<br />

Bmh‐Golden Triangle Inc<br />

525 Willowbrook Rd #C<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2560<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Nolen, Ryan Clay<br />

Bone & Joint Specialist<br />

1004 Cornerstone Dr<br />

Paris, TN 38242<br />

Phone: 731‐644‐0474<br />

County: Henry<br />

Family Nurse Practitioner<br />

Powell, John H<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave # 800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Brame, Susan C<br />

Brame & Wright Medical Group<br />

153A S Market St<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐9987<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Wright, Phyllis Renee<br />

Brame & Wright Medical Group<br />

153A S Market St<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐9987<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Overbey, Barbara A<br />

Brighton Medical Practice<br />

39 W Woodlawn Ave<br />

Brighton, TN 38011<br />

Phone: 901‐475‐1600<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Kight, John J<br />

Brownsville Clinic Corp<br />

2545 N Washington Ave<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐4110<br />

County: Haywood<br />

Family Nurse Practitioner<br />

Johnson, Tami B<br />

Burnsville Medical Clinic<br />

603B Hwy 365<br />

Burnsville, MS 38833<br />

Phone: 662‐427‐9999<br />

County: Tishomingo<br />

Family Nurse Practitioner<br />

Mcduffy, Randy Lee<br />

Burnsville Medical Clinic<br />

603 B Hwy 365<br />

Burnsville, MS 38833<br />

Phone: 662‐427‐9999<br />

County: Tishomingo<br />

Family Nurse Practitioner<br />

Wood, Deborah T<br />

Camden Medical Clinic Inc<br />

160 Hospital Dr<br />

Camden, TN 38320<br />

Phone: 731‐279‐0600<br />

County: Benton<br />

Family Nurse Practitioner<br />

Dar<strong>by</strong>, Dina G<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Peggins, Kristie Neichall<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Ctr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Qualls, Zoe Francis<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Shelton, Michela R<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Watkins, Pamela Ann<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Woodcock, Lisa Marie<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Center Dr #202<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Sluder, Vanessa Kay<br />

Cary M. Finn & Associates<br />

6025 Walnut Grove Rd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3321<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hughes, Lynda J<br />

Center For Adult Healthcare<br />

1629 Woodlawn Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 35


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Mcwilliams, Jennifer Wright<br />

Center For Adult Healthcare<br />

462 Church St<br />

Halls, TN 38040<br />

Phone: 731‐836‐9303<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Diana, Karen Ann<br />

Chamberlin Clinic<br />

8316 Macon Terrace #103<br />

Cordova, TN 38018<br />

Phone: 901‐757‐0568<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Glenn, Francine S<br />

Childrens Health Ctr Of Columbus Inc<br />

114 Lehmburg Rd<br />

Columbus, MS 39701<br />

Phone: 662‐329‐2955<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Bieberly, Johanna Marie<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Engelkemier, Becca E<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Stevens, Jessica L<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Waller, Sandra D<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Owens‐Johnson, Patrice M<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Smith, Mitzi W<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Scott, Kelley Von<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐271‐6300<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Lykins, Amy L<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐398‐2442<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Faller, Rachel L<br />

Christ Community Health Svcs<br />

5366 Mendenhall Mall<br />

Memphis, TN 38115<br />

Phone: 901‐271‐6100<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Campbell, Aniko V<br />

Christian Family Medicine<br />

79 Hwy 51 S #1<br />

Ripley, TN 38063<br />

Phone: 731‐635‐8189<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Dedmon, Diana D<br />

Christian Family Medicine<br />

79 Hwy 51 S #1<br />

Ripley, TN 38063<br />

Phone: 731‐635‐8189<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Hamm, Jerry Ray<br />

Christian Family Medicine<br />

79 Hwy 51 S #1<br />

Ripley, TN 38063<br />

Phone: 731‐635‐8189<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Via, Sara Jane<br />

Christian Family Medicine<br />

79 Hwy 51 S #1<br />

Ripley, TN 38063<br />

Phone: 731‐635‐8189<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Jacobs, Rosemary P<br />

Christian Family Medicine<br />

899 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8886<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Smith, Morgan Craft<br />

Christian Family Practitioner<br />

79 Hwy 51 S #1<br />

Ripley, TN 38063<br />

Phone: 731‐635‐8189<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Hurst, Nettie Sue<br />

Citizens Of Lake Co For Healthcare Inc<br />

215 S Court St<br />

Tiptonville, TN 38079<br />

Phone: 731‐253‐6690<br />

County: Lake<br />

Family Nurse Practitioner<br />

Ring, June Deon<br />

Citizens Of Lake Co For Healthcare Inc<br />

215 S Court St<br />

Tiptonville, TN 38079<br />

Phone: 731‐253‐6690<br />

County: Lake<br />

Family Nurse Practitioner<br />

Murphy, George T<br />

Clarksdale Hma Inc<br />

785 Ohio Ave #2G<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐5081<br />

County: Coahoma<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 36


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Murphy, Rebecca J<br />

Clarksdale Hma Inc<br />

785 Ohio Ave #2G<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐5081<br />

County: Coahoma<br />

Family Nurse Practitioner<br />

Wilson, Pamela K<br />

Clarksdale Hma Physician Mgmt<br />

860 Desoto Ext<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐4316<br />

County: Coahoma<br />

Family Nurse Practitioner<br />

Barnes, Jackie<br />

Cleveland Medical Clinic<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

Family Nurse Practitioner<br />

Gale, Stephanie M<br />

Clinic At Elm Lake<br />

3700 N Frontage Rd<br />

Columbus, MS 39701<br />

Phone: 662‐240‐9999<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Harrell, Lance M<br />

Coast To Coast Medical<br />

2201 Horizon Dr #4<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐0332<br />

County: Crittenden<br />

Family Nurse Practitioner<br />

Harrell, Lance M<br />

Coast To Coast Medical<br />

2201 Horizon Dr #4<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐0332<br />

County: Crittenden<br />

Family Nurse Practitioner<br />

Pilgrim, Tracy R<br />

Coast To Coast Medical<br />

2201 Horizon Dr #4<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐0332<br />

County: Crittenden<br />

Family Nurse Practitioner<br />

Shivers, Debra Jane<br />

Coast To Coast Medical<br />

2201 Horizon Dr #4<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐0332<br />

County: Crittenden<br />

Family Nurse Practitioner<br />

Williams, Jennifer L<br />

Coast To Coast Medical<br />

2201 Horizon Dr #4<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐0332<br />

County: Crittenden<br />

Family Nurse Practitioner<br />

Briscoe, Beverly W<br />

Cockrell Family Medical Center<br />

120 Norfleet Dr<br />

Senatobia, MS 38668<br />

Phone: 662‐301‐1128<br />

County: Tate<br />

Family Nurse Practitioner<br />

Meyers, Anna M<br />

Cockrell Family Medical Center<br />

120 Norfleet Dr<br />

Senatobia, MS 38668<br />

Phone: 662‐301‐1128<br />

County: Tate<br />

Family Nurse Practitioner<br />

Stewart, Brenda F<br />

Columbus Ob‐Gyn <strong>Specialty</strong> Center<br />

425 Hospital Dr #5<br />

Columbus, MS 39705<br />

Phone: 662‐240‐0095<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Cadden, Dollie Jewel<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Weeks, Lisa S<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Barrett, Paul W<br />

Columbus Urology Group<br />

321 Hospital Dr<br />

Columbus, MS 39701<br />

Phone: 662‐327‐2921<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Loden, Joy Y<br />

Community Family Healthcare<br />

285 Ivie Ln<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4197<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Hesselrode, Mark A<br />

Cordova Psychiatric Assoc<br />

320 Walnut Bend S #2<br />

Cordova, TN 38018<br />

Phone: 901‐737‐4565<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Wigginton, Jimmy T<br />

Corinth Family Medical Ctr<br />

1921 Droke Rd<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3520<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Hamlin, Melinda R<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Hill, Donna B<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Robinson, Cassie C<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 37


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Ward, Rebecca P<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Warren, Shannon R<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Shook, Ginger Ashley<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Koonce, Phyllis G<br />

Cotton Plant Family Clinic<br />

100 CR 714<br />

Blue Mountain, MS 38610<br />

Phone: 662‐538‐4111<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Springfield, Brenda<br />

Covington Clinic<br />

1111 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐1313<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Byrd, Lashundra B<br />

Creekmore Clinic<br />

216 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐9042<br />

County: Union<br />

Family Nurse Practitioner<br />

Phillips, Teddy W<br />

Crittenden Hospital Assoc<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Family Nurse Practitioner<br />

Laman, Lori F<br />

Crockett Medical Clinic Inc<br />

59 S Bells St<br />

Alamo, TN 38001<br />

Phone: 731‐696‐5401<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Webb, Karen E<br />

Crockett Medical Clinic Inc<br />

59 S Bells St<br />

Alamo, TN 38001<br />

Phone: 731‐696‐5401<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Mcfalls, Debora Fields<br />

Cross Roads Health Clinic<br />

121 B Pratt Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐2300<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Bunch, Holly B<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Cannady, Penni C<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Cook, Anna M<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Crews, Holly B<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Koonce, Jennifer H<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Little, Tracy D<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, MS 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Wilkes, Shanna Lynn<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Williams, Mary Ann<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Family Nurse Practitioner<br />

Combs, Laura<br />

Delta Convenient Care<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Walker, Jayme Leke<br />

Delta Convenient Care<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Frost, Debra A<br />

Delta Dermatology & Skin Cancer Assoc<br />

810 B Newman Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐7494<br />

County: Phillips<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 38


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Chew, Gwen<br />

Delta Health Center Inc<br />

110 W Washington St<br />

Moorhead, MS 38761<br />

Phone: 662‐246‐8028<br />

County: Sunflower<br />

Family Nurse Practitioner<br />

Wooten, Misty A<br />

Dermatology Clinic Of N. Ms<br />

7585 Clarington Cove<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0200<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Bond, Mary A<br />

Down Town Medical Clinic<br />

435 E Chester St<br />

Jackson, TN 38301<br />

Phone: 731‐423‐1887<br />

County: Madison<br />

Family Nurse Practitioner<br />

Stinnett, Amy Kellams<br />

Dyersburg Clinic Corp<br />

412 Ward Ave<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐0033<br />

County: Pemiscot<br />

Family Nurse Practitioner<br />

Constant, Angela Suzanne<br />

Dyersburg Clinic Corp<br />

310 E. Main St<br />

Hayti, MO 63851<br />

Phone: 573‐359‐2517<br />

County: Pemiscot<br />

Family Nurse Practitioner<br />

Shapton, Amber D<br />

Dyersburg Clinic Corp<br />

315 E Tickle St #B<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2100<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Davis, Anna C<br />

Dyersburg Clinic Corp<br />

1067 Vendall Rd<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5513<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Miller, Emily C<br />

Dyersburg Clinic Corp<br />

305 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐7250<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Hensley, Connie T<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Luckey, Carol<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Marberry, Cheryl S<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Springer, Alicia G<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Howell, Philip Myron<br />

Ear Nose & Throat Physicians Of N Ms<br />

618 Pegram Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐6513<br />

County: Lee<br />

Family Nurse Practitioner<br />

Easley, Jennifer Leigh<br />

Easley Delones Family Medicine<br />

1618 Hwy 51 S #G<br />

Covington, TN 38019<br />

Phone: 901‐476‐7777<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Early, Cynthia A<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Warmath, Ginger H<br />

EMG Clinics Of Tn<br />

3035 N. Highland Ave<br />

Jackson, TN 38305<br />

Phone: 800‐224‐1807<br />

County: Madison<br />

Family Nurse Practitioner<br />

Enlow, Tara Boyd<br />

Express Care Of Fulton<br />

202 Interchange Dr<br />

Fulton, MS 38843<br />

Phone: 662‐862‐9040<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Littlejohn, Melissa L<br />

Express Care Of New Albany<br />

210 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐507‐3330<br />

County: Union<br />

Family Nurse Practitioner<br />

Hare, Laura J<br />

Eze Family Medical Clinic<br />

105 Strange Rd<br />

Starkville, MS 39759<br />

Phone: 662‐323‐4400<br />

County: Oktibbeha<br />

Family Nurse Practitioner<br />

Lambert, Brandi Jo<br />

Faith Family Clinic<br />

2209 N Second St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐0162<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Thornton, Kelly Shields<br />

Faith Family Clinic<br />

2209 N Second St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐0162<br />

County: Prentiss<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 39


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Wallace, Emerson Lee<br />

Family & Urgent Care Clinic<br />

1154 Cross Creek Dr<br />

Saltillo, MS 38866<br />

Phone: 662‐840‐8010<br />

County: Lee<br />

Family Nurse Practitioner<br />

Stroupe, Wanda S<br />

Family Care Clinic Of Ripley Inc<br />

1007 N Main<br />

Ripley, MS 38663<br />

Phone: 662‐993‐9336<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Evans, Stacie Dianne<br />

Family Care Clinic Of Ripley Inc<br />

1331 City Ave N<br />

Ripley, MS 38663<br />

Phone: 662‐993‐9336<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Blanchard, Sylvia<br />

Family Care Medical Clinic<br />

109 Parkgate Ext<br />

Tupelo, MS 38801<br />

Phone: 662‐840‐4175<br />

County: Lee<br />

Family Nurse Practitioner<br />

Frazier‐Griffin, Valerie V<br />

Family Care Of Fulton<br />

602 S Adams St<br />

Fulton, MS 38843<br />

Phone: 662‐862‐9820<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Martin, Amanda Leigh<br />

Family Care Of Fulton<br />

602 S Adams St<br />

Fulton, MS 38843<br />

Phone: 662‐862‐9820<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Quinn, Melinda Louise<br />

Family Clinic Of New Albany Inc<br />

474 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐7777<br />

County: Union<br />

Family Nurse Practitioner<br />

Vail, Gena A<br />

Family Clinic Of New Albany Inc<br />

474 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐7777<br />

County: Union<br />

Family Nurse Practitioner<br />

Wacaser, Cathy<br />

Family Clinic Of New Albany Inc<br />

474 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐7777<br />

County: Union<br />

Family Nurse Practitioner<br />

Rodgers, Dallas Maxwell<br />

Family First Clinic Of Clarksdale<br />

1015 Lee Dr #13<br />

Clarksdale, MS 38614<br />

Phone: 662‐592‐4170<br />

County: Coahoma<br />

Family Nurse Practitioner<br />

Perrigo, Felesha D<br />

Family Med 101 Inc<br />

101 Mimosa St<br />

Booneville, MS 38829<br />

Phone: 662‐720‐4919<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Barnes, Jackie<br />

Family Medical Clinic<br />

803 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐2721<br />

County: Bolivar<br />

Family Nurse Practitioner<br />

Tabb, Leslie C<br />

Family Medical Clinic<br />

803 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐2721<br />

County: Bolivar<br />

Family Nurse Practitioner<br />

Shelton, Brenda D<br />

Family Nurse Clinic Inc<br />

1305 City Ave N<br />

Ripley, MS 38663<br />

Phone: 662‐512‐1685<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Heathcott, Shari P<br />

Family Practice Clinic<br />

1445 Parr Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐6156<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Mcgrath, Sandra E<br />

Family Practice<br />

203 N First St #8<br />

Union City, TN 38261<br />

Phone: 731‐885‐3866<br />

County: Obion<br />

Family Nurse Practitioner<br />

Barnes, Jennifer O<br />

First Care Family Clinic<br />

529 S 4th St<br />

Baldwyn, MS 38824<br />

Phone: 662‐365‐2222<br />

County: Lee<br />

Family Nurse Practitioner<br />

Honeycutt, Vickie N<br />

Firstcare Medical Ctr<br />

1215 E College St<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐3442<br />

County: Haywood<br />

Family Nurse Practitioner<br />

Griffin, Manda<br />

Frances W Herod<br />

670 Hwy 178 #2 & 3<br />

Sherman, MS 38869<br />

Phone: 662‐844‐7999<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Herod, Frances W<br />

Frances W Herod<br />

670 Hwy 178 #2 & 3<br />

Sherman, MS 38869<br />

Phone: 662‐844‐7999<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Cook, Angela Kay<br />

Friendship Medical Clinic<br />

5129 Hwy 15 N<br />

Ecru, MS 38841<br />

Phone: 662‐488‐8799<br />

County: Pontotoc<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 40


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Griffin, Valerie Frazier<br />

Friendship Medical Clinic<br />

5129 Hwy 15 N<br />

Ecru, MS 38841<br />

Phone: 662‐488‐8799<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Smiley, Tracye<br />

Friendship Medical Clinic<br />

5129 Hwy 15 N<br />

Ecru, MS 38841<br />

Phone: 662‐488‐8799<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Vanevery, Kymberly Raven<br />

Friendship Medical Clinic<br />

5129 Hwy 15 N<br />

Ecru, MS 38841<br />

Phone: 662‐488‐8799<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Tramel, Connie Lynn<br />

Friendship Medical Clinic<br />

5129 Hwy 15 N<br />

Ecru, MS 38841<br />

Phone: 662‐620‐7101<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Abrams, Mary E<br />

Gastroenterology Assoc Of Columbus<br />

600 Leigh Dr<br />

Columbus, MS 39702<br />

Phone: 662‐327‐7525<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Griffith, Ashley M<br />

Gastroenterology Assoc Of N Ms<br />

1208 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐9888<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Rourke, Leo Francis<br />

Getwell Community Clinic<br />

3055 Watson St<br />

Memphis, TN 38118<br />

Phone: 901‐369‐4900<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Battles, Alice<br />

Gloster North Family Medical Clinic Inc<br />

1714 N Gloster St<br />

Tupelo, MS 38804<br />

Phone: 662‐620‐7102<br />

County: Lee<br />

Family Nurse Practitioner<br />

Whitehurst, Angie M<br />

Gloster North Family Medical Clinic Inc<br />

1714 N Gloster St<br />

Tupelo, MS 38804<br />

Phone: 662‐620‐7102<br />

County: Lee<br />

Family Nurse Practitioner<br />

Barrett, Paul W<br />

Golden Triangle Urology<br />

321 Hospital Dr #1<br />

Columbus, MS 39705<br />

Phone: 662‐327‐2921<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Chipman, Donna K<br />

Greenfield Medical Clinic<br />

801 S Meridian<br />

Greenfield, TN 38230<br />

Phone: 731‐235‐0555<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Dotson, Cynthia<br />

Grenada Lake Medical Center<br />

965 Avent Dr #105<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7575<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Atchison, Shannon R<br />

Halls Family Walk‐In Clinic<br />

115 W Tigrett Apt A<br />

Halls, TN 38040<br />

Phone: 731‐836‐9444<br />

County: Lauderdale<br />

Family Nurse Practitioner<br />

Salvaggio, Karen Lynn<br />

Hardeman Co. Community Health Center<br />

17 First St E<br />

Stanton, TN 38069<br />

Phone: 731‐548‐2232<br />

County: Haywood<br />

Family Nurse Practitioner<br />

Ferri, Jeannie<br />

Hardeman Co. Community Health Center<br />

629 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Family Nurse Practitioner<br />

Anthony, Lori K<br />

Hardeman Co. Community Health Center<br />

208 North Ave<br />

Henderson, TN 38340<br />

Phone: 731‐983‐3175<br />

County: Chester<br />

Family Nurse Practitioner<br />

Joyner, Christina C<br />

Health 1st Family Medical Clinic<br />

2422 Church St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐5565<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Mcdaniel, Jacqueline<br />

Health 1st Family Medical Clinic<br />

2422 Church St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐5565<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Mcminn, Jennifer L<br />

Health 1st Family Medical Clinic<br />

2422 Church St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐5565<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Weaver, Beverly P<br />

Health 1st Family Medical Clinic<br />

2422 Church St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐5565<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Parks, Carmen L<br />

Heartsouth<br />

2668 S Harper Rd #4<br />

Corinth, MS 38834<br />

Phone: 662‐287‐3100<br />

County: Alcorn<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 41


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Burcham, Penny Lynn<br />

Heartsouth<br />

2425 Proper St<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7785<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Gossett, Denise W<br />

Hickory Flat Family Clinic<br />

250 Oak St<br />

Hickory Flat, MS 38633<br />

Phone: 662‐333‐6387<br />

County: Benton<br />

Family Nurse Practitioner<br />

Wilson, Nicole Denise<br />

Hmc Physicians Svcs Inc<br />

935 Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8090<br />

County: Hardin<br />

Family Nurse Practitioner<br />

Campbell, Angela J<br />

Hometown Express Care<br />

228 Starlyn Ave<br />

New Albany, MS 38652<br />

Phone: 662‐534‐1888<br />

County: Union<br />

Family Nurse Practitioner<br />

Hopkins, Alan Brian<br />

Hometown Medical Services<br />

635 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐9996<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Hopkins, Joan H<br />

Hometown Medical Services<br />

635 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐9996<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Booher, Mary Beth<br />

Hope Healthcare Of W TN Inc<br />

21 Security Dr<br />

Jackson, TN 38305<br />

Phone: 731‐661‐9163<br />

County: Madison<br />

Family Nurse Practitioner<br />

Dalehite‐Stringfellow, Julie E<br />

Hope Primary Care Center<br />

4958 Navy Road<br />

Millington, TN 38053<br />

Phone: 901‐872‐0023<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hooker, Megan M<br />

Internal Medicine & Pediatric Clinic Of New<br />

Albany<br />

488 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐5340898<br />

County: Union<br />

Family Nurse Practitioner<br />

Pounders, Terri L<br />

Internal Medicine & Pediatric Clinic Of New<br />

Albany<br />

488 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐5340898<br />

County: Union<br />

Family Nurse Practitioner<br />

Mattix, Vanita Mayberry<br />

J Barton Williams Md<br />

520 Willowbrook Rd<br />

Columbus, MS 39705<br />

Phone: 662‐241‐0050<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Martin, Karen L<br />

James W Martin Md<br />

1995 Hwy 51 S #105<br />

Covington, TN 38019<br />

Phone: 901‐476‐7371<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Benson, June Wynelle<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Burrell, James L<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Butler, Rebecca Joy<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Hester, Molly E<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Hinton, Alicia F<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Rosas, Virginia Kelli<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Sanders, Deanna L<br />

John W White Jr Md<br />

5062 Raymond Ave<br />

Tupelo, MS 38801<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Nurse Practitioner<br />

Hardin, Kimberly W<br />

Jones Clinic<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 901‐685‐5969<br />

County: Union<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 42


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Rogers, Cynthia L<br />

Jones Clinic<br />

7710 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐685‐5969<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Britt, Jeffrey T<br />

Jtb Healthcare Consulting Inc<br />

110B Alabama St<br />

Columbus, MS 39702<br />

Phone: 662‐327‐0444<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Chittick, Amber T<br />

Kellett Brophy & Lovell Neurosurgical Clinic<br />

1325 Eastmoreland Ave #580<br />

Memphis, TN 38104<br />

Phone: 901‐726‐5300<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Reames, Karen Kimberly<br />

Kidney Care Consultants<br />

3950 New Covington Pike #300<br />

Memphis, TN 38128<br />

Phone: 901‐382‐5256<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

King, Deborah B<br />

King Family Healthcare Inc<br />

2006 Robertson Dr<br />

Corinth, MS 38834<br />

Phone: 662‐665‐0006<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Hayhurst, Betty Gayle<br />

Kossuth Family Health Clinic<br />

820 Hwy 2<br />

Corinth, MS 38834<br />

Phone: 662‐286‐5055<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Leitherland, Edna R<br />

Leitherland Family Care Clinic<br />

1123 N Main St<br />

Dyer, TN 38330<br />

Phone: 731‐692‐2853<br />

County: Gibson<br />

Family Nurse Practitioner<br />

Riddle, Kristi Jeanette<br />

Lexington Clinic Corp<br />

185 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Scott, Chad C<br />

Lexington Clinic Corp<br />

270 W Church St #A<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Crocker, Lindsay T<br />

Lexington Clinic Corp<br />

249 W Church St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐4477<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Loftin, Natasha M<br />

Lexington Family Physicians<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Lindsay, Patricia<br />

Lindsay Clinic<br />

109 Hwy 15 S<br />

Pontotoc, MS 38863<br />

Phone: 662‐509‐9934<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Pearson, Cynthia E<br />

Lister Healthcare Corp<br />

123 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐2866<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Davis, Ashley T<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Nurse Practitioner<br />

Perkins, Emily D<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Nurse Practitioner<br />

Randle, Jan S<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Nurse Practitioner<br />

Sullivan, Valerie O<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Nurse Practitioner<br />

Boldreghini, Sandra J<br />

Lunceford Family Health Center<br />

7865 Educators Ln #300<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐9920<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Green, Richard W<br />

Lunceford Family Health Center<br />

7865 Educators Ln #300<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐9920<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Horton, Patty M<br />

Macon Primary Care Clinic<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Family Nurse Practitioner<br />

Downing, April R<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 43


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Griffin, Robbie W<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

Family Nurse Practitioner<br />

Griffin, Robbie W<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

Family Nurse Practitioner<br />

Saddler, Tracy Lytle<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

Family Nurse Practitioner<br />

Long, Beth R<br />

Madison Clinic Corp<br />

4022 Liberty St<br />

Milan, TN 38358<br />

Phone: 731‐686‐7004<br />

County: Gibson<br />

Family Nurse Practitioner<br />

Butler, Kathy Diane<br />

Madison Clinic Corp<br />

8 Stonebridge Blvd #J<br />

Jackson, TN 38305<br />

Phone: 731‐984‐8380<br />

County: Madison<br />

Family Nurse Practitioner<br />

Deal, Mary B<br />

Madison Clinic Corp<br />

8 Stonebridge Blvd #J<br />

Jackson, TN 38305<br />

Phone: 731‐984‐8380<br />

County: Madison<br />

Family Nurse Practitioner<br />

Marlar, Kimberly K<br />

Magnolia Cardiology Assoc<br />

611 Alcorn Dr #230<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5218<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Mitchell, Mary Ellen<br />

Magnolia Gastroenterology Clinic<br />

3050 Corder Dr<br />

Corinth, MS 38834<br />

Phone: 662‐284‐9902<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Bryant, Brittany B<br />

Magnolia Orthopaedic & Sports Medicine<br />

Clinic<br />

611 Alcorn Dr #100<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6369<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Higginbottom, Amelia A<br />

Magnolia Regional Health Center<br />

1001 S Harper Rd<br />

Corinth, MS 38834<br />

Phone: 662‐286‐1499<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Searcy, Carissa Irene<br />

Magnolia Regional Health Center<br />

1001 S Harper Rd<br />

Corinth, MS 38834<br />

Phone: 662‐286‐1499<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Floyd, Patricia Kim<br />

Magnolia Regional Health Center<br />

82 Main St<br />

Rienzi, MS 38865<br />

Phone: 662‐462‐8600<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Alder, Valarie M<br />

Magnolia Womens Clinic<br />

512 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6090<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Fraiser, Jacqueline<br />

Magnolia Womens Clinic<br />

512 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6090<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Miskelly, Randle Scott<br />

Main Street Family Medicine Inc<br />

1306 Hwy 45 N<br />

Henderson, TN 38340<br />

Phone: 731‐989‐9899<br />

County: Chester<br />

Family Nurse Practitioner<br />

Duffie‐Morgan, Susan<br />

Mantachie Rural Health Care Inc<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Duncan, Rachel<br />

Mantachie Rural Health Care Inc<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Peterson, Leslie E<br />

Mantachie Rural Health Care Inc<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Rowland, Dennis L<br />

Mantachie Rural Health Care Inc<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Walters, Dorthia S<br />

Mantachie Rural Health Care Inc<br />

550 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Sheffield, Susan F<br />

Mantachie Rural Health Care Inc.<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 44


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Strak, Leita N<br />

Mantachie Rural Health Care Inc.<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Nurse Practitioner<br />

Slack, Kristi<br />

Marietta Family Clinic Inc<br />

3 CR 4050<br />

Marietta, MS 38856<br />

Phone: 662‐728‐2408<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Page, Sharon P<br />

Martin Childrens Clinic<br />

215 Hawks Rd #3<br />

Martin, TN 38237<br />

Phone: 731‐681‐1577<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Riddle, Elizabeth A<br />

Martin Clinic Corp<br />

130 E Locust St<br />

Dresden, TN 38225<br />

Phone: 731‐364‐3196<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Baltz, John F<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Stone, Morgan S<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Ary, Leslie A<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Gray, Stefanie L<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Kizer, Tracey G<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Mastin, Terrye T<br />

Mccalla Ear Nose & Throat<br />

1719 Kir<strong>by</strong> Pkwy<br />

Memphis, TN 38120<br />

Phone: 901‐274‐5786<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Mcgehee, Debbie E<br />

Mcgehee Family Health Clinic<br />

100 E Monroe St<br />

Grenada, MS 38901<br />

Phone: 662‐226‐0600<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Waddell, Donna<br />

Mckenzie Clinic Corp<br />

201 Hospital Dr<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐4127<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Blount, Christy Anne<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Hisiro, Edna Pauline<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Prosser, Rina M<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Reisinger, Angela D<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Smith, Michael D<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Tharpe, Kimberly Kaye<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Friedrich, Kristie N<br />

Mckenzie Medical Ctr<br />

136 S Wilson St<br />

Dresden, TN 38225<br />

Phone: 731‐364‐4900<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Sturdivant, Lucy E<br />

Mckenzie Medical Ctr<br />

123 Maple St<br />

Bruceton, TN 38317<br />

Phone: 731‐586‐4800<br />

County: Carroll<br />

Family Nurse Practitioner<br />

Dolan, Heather R<br />

Mcnairy Clinic Corp<br />

699 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐6777<br />

County: McNairy<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 45


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Norris, Donna R<br />

Mcnairy Clinic Corp<br />

699 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐6777<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Wilson, Crystal R<br />

Mcnairy Clinic Corp<br />

699 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐6777<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Martin, Dana K<br />

Melanie R Nixon<br />

545 Pickwick St S<br />

Savannah, TN 38372<br />

Phone: 731‐925‐3354<br />

County: Hardin<br />

Family Nurse Practitioner<br />

Nixon, Melanie<br />

Melanie R Nixon<br />

545 Pickwick St S<br />

Savannah, TN 38372<br />

Phone: 731‐925‐3354<br />

County: Hardin<br />

Family Nurse Practitioner<br />

Crowe, Lindsey B<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Bullen, Liesl R<br />

Memphis Internists<br />

3294 Poplar Ave #100<br />

Memphis, TN 38111<br />

Phone: 901‐362‐8671<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Wilson, Elizabeth O<br />

Memphis Internists<br />

3294 Poplar Ave #100<br />

Memphis, TN 38111<br />

Phone: 901‐362‐8671<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Harmon, Stephanie Ann<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

York, Alicia B<br />

Memphis Lung Physicians Foundation Inc<br />

401 Southcrest Cir #212<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0488<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Marion, Ashley Gaye<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Porch, Laura E<br />

Memphis Neurology<br />

7645 Wolf River Cir #100<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Edwards, Virginia Kelli<br />

Memphis Spine Center<br />

2120 Exeter Rd #130<br />

Germantown, TN 38138<br />

Phone: 901‐507‐2225<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hodges, Kathlene Richards<br />

Michael E Steuer Md<br />

122 Airways Pl<br />

Southaven, MS 38671<br />

Phone: 662‐349‐9990<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Atkeison, Julie A<br />

Michael E Steuer Md<br />

1365 W Brierbrook Rd<br />

Germantown, TN 38138<br />

Phone: 901‐751‐4112<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Kir<strong>by</strong>, Marcia Conner<br />

Michael P Berry Md<br />

1385 W Brierbrook Rd<br />

Germantown, TN 38138<br />

Phone: 901‐692‐9600<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Walker, Erin May<br />

Michael P Berry Md<br />

1385 W Brierbrook Rd<br />

Germantown, TN 38138<br />

Phone: 901‐692‐9606<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Rhoads, Mary Sue<br />

Michie Medical Clinic Inc<br />

6659 Michie Pebble Hill Rd<br />

Michie, TN 38357<br />

Phone: 731‐632‐1783<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Beaver, Lesa Jane<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Uhlhorn, Alice Nicole<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Lax, Kasey<br />

Miracle Healthcare<br />

649 B W Mcneal St<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐2885<br />

County: Hardeman<br />

Family Nurse Practitioner<br />

Dodson, Melissa C<br />

Mississippi State University<br />

360 Hardy Rd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 46


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Fitts, Myra E<br />

Mississippi State University<br />

360 Hardy Rd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Nurse Practitioner<br />

Yarbrough, Angela Richardson<br />

Mississippi State University<br />

360 Hardy Rd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Nurse Practitioner<br />

Norton, Sherie R<br />

N Benton County Health Care Inc<br />

PO Box 89 71 Mitchell Ave<br />

Walnut, MS 38683<br />

Phone: 662‐223‐4011<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Eaton, Renate S<br />

N Benton County Health Care Inc<br />

208 N First St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐3313<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Orozco, Leigh J<br />

N Benton County Health Care Inc<br />

208 N First St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐3313<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Gough‐Davis, Nora C<br />

N Delta Medicine Clinic<br />

705 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2192<br />

County: Coahoma<br />

Family Nurse Practitioner<br />

Smith, Loretta Jean<br />

N Delta Medicine Clinic<br />

617 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2192<br />

County: Coahoma<br />

Family Nurse Practitioner<br />

Johnson, Kathy R<br />

N Ms Medical Clinics Inc<br />

4508 Hwy 45 N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐9702<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Kemp, Jennifer R<br />

N Ms Primary Health Care Inc<br />

12 B Natchez St<br />

Tishomingo, MS 38873<br />

Phone: 662‐224‐8951<br />

County: Tishomingo<br />

Family Nurse Practitioner<br />

Nunnally, Christina<br />

N Ms Primary Health Care Inc<br />

15921 Boundary Dr<br />

Ashland, MS 38603<br />

Phone: 662‐224‐8951<br />

County: Benton<br />

Family Nurse Practitioner<br />

Jones, Rita D<br />

N Ms Primary Health Care Inc<br />

208 N First St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐3313<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Brown, Amanda Lee<br />

N Ms Pulmonology Clinic Inc<br />

100 Hospital St #300<br />

Booneville, MS 38829<br />

Phone: 662‐728‐2147<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Crockett, Teresa<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Mcclain, Stacey N<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Roberson, Delores<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Davis, Brendan L<br />

Ne Ms Health Care Inc<br />

154 Mt Pleasant Rd<br />

Mount Pleasant, MS 38649<br />

Phone: 662‐851‐7939<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Atwal, Harminder K<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Family Nurse Practitioner<br />

Mcknight, Patricia S<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Family Nurse Practitioner<br />

Rall, Chester E<br />

New Hope Family Health Center Inc<br />

249 Hardeman Rd<br />

Grand Junction, TN 38039<br />

Phone: 731‐764‐2200<br />

County: Hardeman<br />

Family Nurse Practitioner<br />

Lamison, Linda W<br />

New Hope Medical Clinic<br />

2110 Lake Lowndes Rd<br />

Columbus, MS 39702<br />

Phone: 662‐329‐4940<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Mccann, Beverly Dell<br />

Newbern Medical Clinic<br />

105 N Monroe<br />

Newbern, TN 38059<br />

Phone: 731‐627‐0734<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 47


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Dunn, Starr Leigh<br />

Newbern Medical Clinic<br />

105 N Monroe<br />

Newbern, TN 38059<br />

Phone: 731‐627‐0734<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Harden, Kelly A<br />

Newbern Medical Clinic<br />

105 N Monroe<br />

Newbern, TN 38059<br />

Phone: 731‐627‐0734<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Newsom, Sandra<br />

Newsom Healthcare Inc<br />

2906 Goodman Rd #109<br />

Horn Lake, MS 38637<br />

Phone: 662‐393‐8022<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Dozier, Jennifer Y<br />

Noxubee General Critical Access Hospital<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Family Nurse Practitioner<br />

Garner, Beverly A<br />

Noxubee General Critical Access Hospital<br />

602 N Jefferson St<br />

Macon, MS 39341<br />

Phone: 662‐726‐5831<br />

County: Noxubee<br />

Family Nurse Practitioner<br />

Truesdale, Kim W<br />

Noxubee General Critical Access Hospital<br />

139 N Oliver St<br />

Brooksville, MS 39739<br />

Phone: 662‐738‐4424<br />

County: Noxubee<br />

Family Nurse Practitioner<br />

Turner, Anita J<br />

Nurse Med Inc<br />

716 S Main St<br />

Ripley, MS 38663<br />

Phone: 662‐837‐1534<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Lipsey, Catherine A<br />

Oakland Medical<br />

7243 Hwy 64<br />

Oakland, TN 38060<br />

Phone: 901‐465‐2102<br />

County: Fayette<br />

Family Nurse Practitioner<br />

Melton, Jason<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Payne, Nicole L<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Smith, Carol J<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Turner, Leon Crafton<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Wilson, Charla F<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Nurse Practitioner<br />

Canup, Alison C<br />

Oncology Hematology Consultants<br />

100 Kiana Ct<br />

Paducah, KY 42001<br />

Phone: 270‐554‐0011<br />

County: McCracken<br />

Family Nurse Practitioner<br />

Yekaitis, Kevin Francis<br />

Orthoone Orthopaedics & Sports Medicine<br />

9085 E Sandidge Cv #200<br />

Olive Branch, MS 38654<br />

Phone: 662‐890‐2663<br />

County: Desoto<br />

Family Nurse Practitioner<br />

Harris, Alison S<br />

Otolaryngology Assoc<br />

2430 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐327‐4432<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Bishop, Lisa H<br />

Oxford After Hours Clinic<br />

1929 University Ave<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2232<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Monty, Linda R<br />

Oxford After Hours Clinic<br />

1929 University Ave<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2232<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Littlefield, Shirley Michelle<br />

Oxford Family Clinic<br />

1109 N Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐238‐7860<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Russell, Jodi H<br />

Oxford Family Clinic<br />

1109 N Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐238‐7871<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Vanslyke, Bobbie G<br />

Oxford Obstetrics & Gynecology Assoc<br />

1204 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐5717<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 48


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Dickens, Mary C<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Omara, Amy K<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Richardson, Kathryn K<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Bailey, Allison Miller<br />

Oxford Surgical & Bariatric Clinic<br />

506 Azalea Dr.<br />

Oxford, MS 38655<br />

Phone: 662‐234‐4744<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Decanter, Paula G<br />

Pain Mgmt Center Of N Ms<br />

2089 Southridge Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐407‐0801<br />

County: Lee<br />

Family Nurse Practitioner<br />

Dutton, Holly<br />

Pain Mgmt Center Of N Ms<br />

2089 Southridge Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐407‐0801<br />

County: Lee<br />

Family Nurse Practitioner<br />

Thomas, Katherine B<br />

Pain Mgmt Center Of N Ms<br />

2089 Southridge Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐407‐0801<br />

County: Lee<br />

Family Nurse Practitioner<br />

Harder, Stephanie Lynn<br />

Pediatric Place Of Union City<br />

1117 S Miles Ave #3<br />

Union City, TN 38261<br />

Phone: 731‐885‐4338<br />

County: Obion<br />

Family Nurse Practitioner<br />

Paton, Elizabeth A<br />

Pediatric Surgical Group Inc<br />

777 Washington Ave #P230<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6031<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Kirk, Heather J<br />

Physicians Urgent Care Of Corinth<br />

2668 S Harper Rd #1<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7138<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Lovell, Lydia Jackson<br />

Physicians Urgent Care Of Corinth<br />

2668 S Harper Rd #1<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7138<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Williams, Christina S<br />

Physicians Urgent Care Of Corinth<br />

2668 S Harper Rd #1<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7138<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Dement, Lisa A<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

40128 Hamilton Rd<br />

Hamilton, MS 39746<br />

Phone: 662‐343‐5129<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Beasley, Stephanie Michelle<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

771 Main St<br />

Caledonia, MS 39740<br />

Phone: 662‐356‐4621<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Finch, Penny L<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

771 Main St<br />

Caledonia, MS 39740<br />

Phone: 662‐356‐4621<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Cooper, Lisa B<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

502 Jackson St #5<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐9500<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Justice, Andrew C<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

502 Jackson St #5<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐9500<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Jurney, Nina Provias<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

502 Jackson St #4<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐9945<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Hill, Debra G<br />

Plantersville Family Clinic<br />

2464 Main St<br />

Plantersville, MS 38862<br />

Phone: 662‐842‐4877<br />

County: Lee<br />

Family Nurse Practitioner<br />

Bray, Carla H<br />

Pratt Family Medical Clinic Inc<br />

121 Pratt Dr. #1A<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5599<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Cappleman, Susan<br />

Primary Care Clinic Of Ripley<br />

1009 City Ave N #A<br />

Ripley, MS 38663<br />

Phone: 662‐837‐1404<br />

County: Tippah<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 49


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Abbott, Mary S<br />

Primary Care Ctr<br />

500 Hospital Dr<br />

Trenton, TN 38382<br />

Phone: 731‐855‐3510<br />

County: Gibson<br />

Family Nurse Practitioner<br />

Cursey, Angela B<br />

Primary Care Ctr<br />

500 Hospital Dr<br />

Trenton, TN 38382<br />

Phone: 731‐855‐3510<br />

County: Gibson<br />

Family Nurse Practitioner<br />

Thompson, Laura L<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Briley, John M<br />

Primary Care Specia<strong>lists</strong> South<br />

1629 S Highland Ave #H3<br />

Jackson, TN 38301<br />

Phone: 731‐427‐0470<br />

County: Madison<br />

Family Nurse Practitioner<br />

Clinton, Martha M<br />

Primary Health Care<br />

565 N Robinson St<br />

Senatobia, MS 38668<br />

Phone: 662‐560‐4313<br />

County: Tate<br />

Family Nurse Practitioner<br />

Jones, Cindy K<br />

Prime Care Medical Ctr<br />

426 White Ave<br />

Henderson, TN 38340<br />

Phone: 731‐989‐2174<br />

County: Chester<br />

Family Nurse Practitioner<br />

Gray, Tiffany B<br />

Prime Care Medical Ctr<br />

270 E Court Ave #B<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Luttrell, Natalie E<br />

Prime Care Medical Ctr<br />

270 E Court Ave #B<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Lee, Joan H<br />

Professional Care Svcs Of W TN Inc<br />

2380 Henry St<br />

Dyersburg, TN 38024<br />

Phone: 731‐287‐1794<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Lee, Joan H<br />

Professional Care Svcs Of W TN Inc<br />

2380 Henry St<br />

Dyersburg, TN 38024<br />

Phone: 731‐287‐1794<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Vincent, Carroll Logan<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Mathis, Susan K<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Rice, Michelle Rosamond<br />

Rice Family Medical Clinic<br />

120 Burke‐Calhoun City Rd<br />

Calhoun City, MS 38916<br />

Phone: 662‐628‐5116<br />

County: Calhoun<br />

Family Nurse Practitioner<br />

Rike, Donna R<br />

Roberson Rike Clinic<br />

768 Everett St<br />

Tiptonville, TN 38079<br />

Phone: 731‐253‐3760<br />

County: Lake<br />

Family Nurse Practitioner<br />

Kaminska, Agata Helena<br />

Robert Buchalter Md & Assoc<br />

6005 Park Ave #524B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐0500<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Franks, Brandi J<br />

Rosemark Family Medicine<br />

1984 Rosemark Rd #E<br />

Atoka, TN 38004<br />

Phone: 901‐837‐7785<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Little, Russell<br />

Rutherford Medical Clinic<br />

104 E Main St<br />

Rutherford, TN 38369<br />

Phone: 731‐665‐7741<br />

County: Gibson<br />

Family Nurse Practitioner<br />

Davis, Diane L<br />

Segars Clinic<br />

1507 W Quitman<br />

Iuka, MS 38852<br />

Phone: 662‐423‐1000<br />

County: Tishomingo<br />

Family Nurse Practitioner<br />

Whitehead, Deborah J<br />

Sherman Family Clinic<br />

608 Hwy 178<br />

Sherman, MS 38869<br />

Phone: 662‐840‐8978<br />

County: Pontotoc<br />

Family Nurse Practitioner<br />

Bailey, Nancy Miles<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Beattie, Lisa L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 50


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Brandon, Carolyn S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Burnette, Ken C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Chandler, Michelle R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Chapman, Lindsay M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Cone, Amy E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Crom, Mary D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Discenza, Sally S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Donohoe, Marion L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Douglas, Tracy L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Douglas‐Mckinley, Carla<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Duffy, Lauren C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Ferree, Jennifer E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Gaillard, Pamela A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Griffith, Katherine L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hale, Karen C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Harper, Joann<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hick, Leigh M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Howard, Vanessa C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Howlett, Nanna<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hyde, Kristina S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Jones, Sandra C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 51


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Kennedy, Wren T<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Kovach, Sandra S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Kyzer, Emily P<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Ledet, Davonna S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Mandrell, Belinda N<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Marsh, Jennifer K<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

May, Martha V<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Murphy, Sandra W<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Ofallon, Catherine C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Pinlac, Rene W<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Pring, Katherine E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Pritchard, Michele<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Proctor, Kimberly E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Ratliff, Ramona<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Redd, Debbie S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Reiman, Martha D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Rencher, Jacquelyn Renee<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Shope, Sheila<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Simmons, Andrea M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Smith, Daniel E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Snyder, Angela Toles Lizar<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 52


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Sweeney, Teresa A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Wodowski, Karen S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Woods, Tina Marie<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Woody, Kimberly D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Wynn, Lynn W<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Own<strong>by</strong>, Amy Elizabeth<br />

Skyline Cardiovascular Institute<br />

111 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐217‐9194<br />

County: Madison<br />

Family Nurse Practitioner<br />

Walker, Alexander P<br />

Skyline Cardiovascular Institute<br />

111 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐217‐9194<br />

County: Madison<br />

Family Nurse Practitioner<br />

Wren, Amy B<br />

Skyline Cardiovascular Institute<br />

111 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐217‐9194<br />

County: Madison<br />

Family Nurse Practitioner<br />

Young, Jeffrey W<br />

Skyline Cardiovascular Institute<br />

111 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐217‐9194<br />

County: Madison<br />

Family Nurse Practitioner<br />

Lantrip, Danny D<br />

Southern Health Corp Of Houston Inc<br />

1002 E Madison St # 3<br />

Houston, MS 38851<br />

Phone: 662‐448‐6213<br />

County: Chickasaw<br />

Family Nurse Practitioner<br />

Hobbs, Heather D<br />

<strong>Specialty</strong> Clinic<br />

201 W Main Office Plaza #G<br />

Union City, TN 38261<br />

Phone: 731‐885‐0063<br />

County: Obion<br />

Family Nurse Practitioner<br />

Holt, Tara C<br />

<strong>Specialty</strong> Physician Group<br />

7460 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Speight, Deanna K<br />

Speight Family Medical<br />

139 Wesley Reed Dr #D<br />

Atoka, TN 38004<br />

Phone: 901‐840‐2102<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Young, Jeffrey W<br />

Stonebridge Medical Group<br />

111 Stonebridge Blvd #B<br />

Jackson, TN 38305<br />

Phone: 731‐661‐1008<br />

County: Madison<br />

Family Nurse Practitioner<br />

Roberts, Elizabeth Wade<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Family Nurse Practitioner<br />

Nagel‐Terrell, Renea<br />

Terrell Clinic<br />

1720 E Reelfoot Ave #104<br />

Union City, TN 38261<br />

Phone: 731‐885‐9687<br />

County: Obion<br />

Family Nurse Practitioner<br />

Smith, Wendy Jean<br />

The West Clinic<br />

2001 State Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3694<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Beard, Tammara Harris<br />

The West Clinic<br />

100 N Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Mccormick, Paula F<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Mulroy, Janet Flynn<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Watts, Marah Jo<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 53


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Wheat‐Moss, Jaclyn Iris<br />

Threlkeld Threlkeld & Omer<br />

1068 Cresthaven Rd # 250<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Hill, Donna P<br />

Toccopola Family Medical Clinic<br />

7908 Hwy 334<br />

Toccopola, MS 38874<br />

Phone: 662‐281‐8003<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Fitts, Teresa L<br />

Toccopola Family Medicine Clinic<br />

PO Box 389<br />

Toccopola, MS 38874<br />

Phone: 662‐281‐8003<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Rudder, Michiel Brent<br />

Transsouth Healthcare<br />

622 W Market St #100<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐4500<br />

County: Hardeman<br />

Family Nurse Practitioner<br />

Hodges, Stacey S<br />

Transsouth Healthcare<br />

9 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐661‐0086<br />

County: Madison<br />

Family Nurse Practitioner<br />

Emison, Karen R<br />

Transsouth Healthcare<br />

100 Herndon Dr<br />

Bells, TN 38006<br />

Phone: 731‐663‐3727<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Haynes, Carol C<br />

Transsouth Healthcare<br />

100 Herndon Dr<br />

Bells, TN 38006<br />

Phone: 731‐663‐3727<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Bain, Judy B<br />

Transsouth Healthcare<br />

364 Tennessee Ave S<br />

Parsons, TN 38363<br />

Phone: 731‐847‐6396<br />

County: Decatur<br />

Family Nurse Practitioner<br />

Martin, Susan C<br />

Transsouth Healthcare<br />

364 Tennessee Ave S<br />

Parsons, TN 38363<br />

Phone: 731‐847‐6396<br />

County: Decatur<br />

Family Nurse Practitioner<br />

Waldrop, Alice J<br />

Transsouth Healthcare<br />

120 E Church St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0146<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Rawdon, Michael A<br />

Transsouth Healthcare<br />

236 North Ave<br />

Henderson, TN 38340<br />

Phone: 731‐989‐5180<br />

County: Chester<br />

Family Nurse Practitioner<br />

Lothenore, Mark A<br />

Treesap Medical Center<br />

28301 Hwy 15<br />

Walnut, MS 38683<br />

Phone: 662‐223‐0063<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Taylor, Rhonda M<br />

Treesap Medical Center<br />

28301 Hwy 15<br />

Walnut, MS 38683<br />

Phone: 662‐223‐0063<br />

County: Tippah<br />

Family Nurse Practitioner<br />

Bain, Laquita W<br />

Tri State Rural Health<br />

502 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5216<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Wharton, Marianne<br />

Tri‐Lakes Medical Center<br />

564 Hwy 6 East<br />

Batesville, MS 38606<br />

Phone: 662‐563‐7873<br />

County: Panola<br />

Family Nurse Practitioner<br />

Houk, Marsha T<br />

Trinity Health Care<br />

200 S Main<br />

Amory, MS 38821<br />

Phone: 662‐256‐3858<br />

County: Monroe<br />

Family Nurse Practitioner<br />

Hunt, Rhonda L<br />

Trinity Medical Clinic<br />

181 South Y<br />

Selmer, TN 38375<br />

Phone: 731‐434‐0200<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Hunt, Rhonda L<br />

Trinity Medical Clinic<br />

181 South Y<br />

Selmer, TN 38375<br />

Phone: 731‐434‐0200<br />

County: McNairy<br />

Family Nurse Practitioner<br />

Ferri, Jeannie<br />

Tunica County Healthcare Authority<br />

1813 Hwy 61 N<br />

Tunica, MS 38676<br />

Phone: 662‐357‐0012<br />

County: Tunica<br />

Family Nurse Practitioner<br />

Ellis, Daniella S<br />

Tunica County Healthcare Authority<br />

1813 Hwy 61 N<br />

Tunica, MS 38676<br />

Phone: 662‐357‐0012<br />

County: Tunica<br />

Family Nurse Practitioner<br />

Harrington, Erin E<br />

Tunica County Healthcare Authority<br />

11273 Hwy 61 N<br />

Robinsonville, MS 38664<br />

Phone: 662‐363‐3224<br />

County: Tunica<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 54


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Benson, Jeanne<br />

Tupelo Medical Group<br />

1265 Cliff Gookin Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐2131<br />

County: Lee<br />

Family Nurse Practitioner<br />

Breen, Eileen<br />

Tutwiler Clinic Inc<br />

205 Alma<br />

Tutwiler, MS 38963<br />

Phone: 662‐345‐8334<br />

County: Tallahatchie<br />

Family Nurse Practitioner<br />

Holcomb, Cindy O<br />

Twincare Family Clinic<br />

2686 Hwy 145S #B<br />

Saltillo, MS 38866<br />

Phone: 662‐869‐8693<br />

County: Lee<br />

Family Nurse Practitioner<br />

Howell, Wendy O<br />

Twincare Family Clinic<br />

2686 Hwy 145S #B<br />

Saltillo, MS 38866<br />

Phone: 662‐869‐8693<br />

County: Lee<br />

Family Nurse Practitioner<br />

Arrington, Lisa D<br />

Union City Internal Medicine<br />

1208 Edwards St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8800<br />

County: Obion<br />

Family Nurse Practitioner<br />

Odle, Michael Chad<br />

Union City Urgent Care<br />

1229 S First St<br />

Union City, TN 38261<br />

Phone: 731‐885‐8282<br />

County: Obion<br />

Family Nurse Practitioner<br />

Long, Dennis R.<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Maddox, Judy T<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Robertson, Cindy L<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Shaw, Virginia N<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Thompson, Melanie E<br />

United Emergency Svcs Of Ms<br />

2520 5th St N<br />

Columbus, MS 39701<br />

Phone: 800‐291‐4020<br />

County: Lowndes<br />

Family Nurse Practitioner<br />

Holmes, Rocky Dan<br />

Urgent Care Clinic Of Oxford<br />

1487 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1090<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Smith, Jene W<br />

Urgent Care Clinic Of Oxford<br />

1487 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1090<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Sledge, Rachel Jamison<br />

Urgent Care Clinic Of Oxford<br />

1487 Bells Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1090<br />

County: Lafayette<br />

Family Nurse Practitioner<br />

Lawson, Sally F<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Family Nurse Practitioner<br />

Mckell, Lauri M<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Family Nurse Practitioner<br />

Watkins, Katrina M<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Family Nurse Practitioner<br />

Hines‐Dowell, Stacy Janet<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Smith, Loretta Q<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Smith‐Hudson, Jessica<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Tidwell, Chrisla<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 55


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Stewart, Charles W<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washigton Ave # 400<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6046<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Brooks, Lai D<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

770 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2080<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Clarin, Donald Lyn<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Thompson, Linda<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8817<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Shelton, Virginia<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Parimore, Linda J<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Birmingham, Barbara M<br />

Ut Medical Group Inc<br />

890 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐8999<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

King, Kathryn L<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8220<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Parimore, Linda J<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S #A<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Family Nurse Practitioner<br />

Breeden, Melody W<br />

Ut Medical Group Inc<br />

718 Harbor Bend Rd<br />

Memphis, TN 38103<br />

Phone: 901‐522‐1555<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Shelton, Virginia L<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Lambert, Vicki M<br />

VML Medical Svcs Of Booneville Inc<br />

305 Mill St<br />

Baldwyn, MS 38824<br />

Phone: 662‐365‐7725<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Sykes, Richard D<br />

Vogelfanger & Struble Clinic<br />

6005 Park Ave #630B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐1136<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Williams, Lisa D<br />

Vogelfanger & Struble Clinic<br />

6005 Park Ave #630B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐1136<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Lambert, Phillip N<br />

Warrington Clinic<br />

1209 Broadway<br />

Shel<strong>by</strong>, MS 38774<br />

Phone: 662‐398‐5111<br />

County: Bolivar<br />

Family Nurse Practitioner<br />

Waters, Tammie C<br />

Waters Family Health Care Inc<br />

305 Mill St<br />

Baldwyn, MS 38824<br />

Phone: 662‐365‐3253<br />

County: Lee<br />

Family Nurse Practitioner<br />

Fiveash, Phyllis<br />

The West Clinic<br />

2001 State Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3694<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Fowlkes, Sandra J<br />

West Tn Medical<br />

1716 Parr Ave #A<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐3300<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Whit<strong>by</strong>, Sherry<br />

Whit<strong>by</strong> Family Clinic<br />

2051 S Hwy 45 Bypass<br />

Trenton, TN 38382<br />

Phone: 731‐855‐0094<br />

County: Gibson<br />

Family Nurse Practitioner<br />

Mayse, Melissa M<br />

Whitney Slade Md<br />

4901 Raleigh Commons Dr #200<br />

Memphis, TN 38128<br />

Phone: 901‐387‐0193<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Ray, Corry Lynn<br />

Whitney Slade Md<br />

4901 Raleigh Commons Drive #200<br />

Memphis, TN 38128<br />

Phone: 901‐387‐0193<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 56


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Brant, Anne M<br />

William G Jackson Md<br />

202 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐4481<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Wolfe, Carlene M<br />

Wolfe Family Medical Clinic<br />

204 E Walnut St<br />

Charleston, MS 38921<br />

Phone: 662‐647‐0900<br />

County: Tallahatchie<br />

Family Nurse Practitioner<br />

Brown, Candace S<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Herrod, Addie P<br />

Yalobusha General Hospital<br />

645 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐1311<br />

County: Yalobusha<br />

Family Nurse Practitioner<br />

Chance‐Peeler, Mary Elizabeth<br />

Yalobusha General Hospital<br />

604 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Family Nurse Practitioner<br />

Smith, Katherine C<br />

Yalobusha General Hospital<br />

604 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Family Nurse Practitioner<br />

Turnage, Vicki<br />

Yalobusha General Hospital<br />

604 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Family Nurse Practitioner<br />

Robertson, Rebecca H<br />

Yalobusha General Hospital<br />

14430 Main St<br />

Coffeeville, MS 38922<br />

Phone: 662‐675‐2500<br />

County: Yalobusha<br />

Family Nurse Practitioner<br />

Pickle, Teresa K<br />

Yalobusha General Hospital<br />

14430 Main St<br />

Coffeeville, MS 38922<br />

Phone: 662‐675‐2500<br />

County: Yalobusha<br />

Family Nurse Practitioner<br />

Cole, Ronja<br />

305 N 2nd St<br />

Booneville, MS 38829<br />

Phone: 662‐720‐7970<br />

County: Prentiss<br />

Family Nurse Practitioner<br />

Dubard, Lillian Lorraine<br />

1300 Sunset Dr #A<br />

Grenada, MS 38901<br />

Phone: 662‐226‐1646<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Wilbourn, Amanda Elizabeth<br />

1300 Sunset Dr #B<br />

Grenada, MS 38901<br />

Phone: 662‐226‐6430<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Meadows, Sharon F<br />

1350 Sunset Dr #B<br />

Grenada, MS 38901<br />

Phone: 662‐229‐0069<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Upchurch, Agnes P<br />

1350 Sunset Dr #B<br />

Grenada, MS 38901<br />

Phone: 662‐229‐0069<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Thornton, Betty<br />

733 S 4th St<br />

Baldwyn, MS 38824<br />

Phone: 662‐365‐3431<br />

County: Lee<br />

Family Nurse Practitioner<br />

Callahan, Sherry D<br />

3336 N Polk St<br />

Corinth, MS 38834<br />

Phone: 662‐396‐4733<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Falls, Anita J<br />

1002 E Madison<br />

Houston, MS 38851<br />

Phone: 662‐456‐4277<br />

County: Chickasaw<br />

Family Nurse Practitioner<br />

Troy, Linda L<br />

111 W Lee St<br />

Sardis, MS 38666<br />

Phone: 662‐487‐1064<br />

County: Panola<br />

Family Nurse Practitioner<br />

Lofton, Crystal Renee<br />

621G Old Hickory Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐660‐6402<br />

County: Madison<br />

Family Nurse Practitioner<br />

Page, Corey Amanda<br />

621G Old Hickory Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐660‐6402<br />

County: Madison<br />

Family Nurse Practitioner<br />

Sims, Jan A<br />

100 W College St<br />

Kenton, TN 38233<br />

Phone: 731‐749‐7444<br />

County: Obion<br />

Family Nurse Practitioner<br />

Vassar, Paula H<br />

1117 S Miles Ave #4<br />

Union City, TN 38261<br />

Phone: 731‐885‐6600<br />

County: Obion<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 57


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Koon, Rita Carol<br />

701 E Reelfoot Ave<br />

Union City, TN 38261<br />

Phone: 731‐885‐9687<br />

County: Obion<br />

Family Nurse Practitioner<br />

Carter, Syble S<br />

520 Parkview E<br />

Dyersburg, TN 38024<br />

Phone: 731‐986‐7305<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Donnelly, Jacquelyn L<br />

4100 Austin Peay Hwy<br />

Memphis, TN 38128<br />

Phone: 901‐213‐5439<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Cox, Mary Beth<br />

907 Vann Dr<br />

Jackson, TN 38305<br />

Phone: 901‐372‐9133<br />

County: Madison<br />

Family Nurse Practitioner<br />

Hurt, Nancy M<br />

8076 Hwy 51 N<br />

Millington, TN 38053<br />

Phone: 901‐872‐8407<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Holcomb, Tammy R<br />

625 W Main St<br />

Newbern, TN 38059<br />

Phone: 731‐627‐0700<br />

County: Dyer<br />

Family Nurse Practitioner<br />

Mcfarland, Heather N<br />

621 G Old Hickory<br />

Jackson, TN 38305<br />

Phone: 731‐660‐6402<br />

County: Madison<br />

Family Nurse Practitioner<br />

Gann, Katie<br />

1002 E Madison #2<br />

Houston, MS 38851<br />

Phone: 662‐456‐4277<br />

County: Chickasaw<br />

Family Nurse Practitioner<br />

Mcdaniel, Crystal G<br />

Lexington Family Physicians<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

Family Nurse Practitioner<br />

Thompson, Stephanie E<br />

Potts Camp Family Medical Clinic<br />

3 Reids Alley<br />

Potts Camp, MS 38659<br />

Phone: 662‐333‐4333<br />

County: Marshall<br />

Family Nurse Practitioner<br />

Morrisson, Velma Sue<br />

Family Clinic Of New Albany Inc<br />

474 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐7777<br />

County: Union<br />

Family Nurse Practitioner<br />

Megreger, Candace P<br />

Creekmore Clinic<br />

216 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐9042<br />

County: Union<br />

Family Nurse Practitioner<br />

Davis, Elizabeth S<br />

Transsouth Healthcare<br />

100 Herndon Dr<br />

Bells, TN 38006<br />

Phone: 731‐662‐3727<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Smith, Kimberly Block<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Byrd, Kristin L<br />

Crockett Medical Clinic Inc<br />

59 S Bells St<br />

Alamo, TN 38001<br />

Phone: 731‐696‐5401<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Turnage, Kylie Brown<br />

Transsouth Healthcare<br />

100 Herndon Dr<br />

Bells, TN 38006<br />

Phone: 731‐663‐3727<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Reeves, Melissa M<br />

Terrell Clinic<br />

701 E Reelfoot Ave #100<br />

Union City, TN 38261<br />

Phone: 731‐885‐9687<br />

County: Obion<br />

Family Nurse Practitioner<br />

Wentworth, Raven D<br />

Transsouth Healthcare<br />

9 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐661‐0086<br />

County: Madison<br />

Family Nurse Practitioner<br />

Nelms, Trina L<br />

Magnolia Cardiology Assoc<br />

611 Alcorn Dr #230<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5218<br />

County: Alcorn<br />

Family Nurse Practitioner<br />

Haynes, Carol C<br />

Transsouth Healthcare<br />

100 Herndon Dr<br />

Bells, TN 38006<br />

Phone: 731‐663‐3727<br />

County: Crockett<br />

Family Nurse Practitioner<br />

Avent, Cherryl M<br />

1300 Sunset Dr #A<br />

Grenada, MS 38901<br />

Phone: 662‐226‐1646<br />

County: Grenada<br />

Family Nurse Practitioner<br />

Chipman, Donna K<br />

Transsouth Healthcare<br />

236 North Ave<br />

Henderson, TN 38340<br />

Phone: 731‐989‐5180<br />

County: Chester<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 58


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Nurse Practitioner<br />

Lamar, Stephanie Denise<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Family Nurse Practitioner<br />

Newman, Zenobia L<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Family Practice<br />

Booker, William L<br />

Aaron E Henry Comm Health Svcs Ctr Inc<br />

800 Ohio Ave<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐2504<br />

County: Coahoma<br />

Family Practice<br />

Hathcock, Stephen S<br />

Access Family Health Svcs Inc<br />

63420 Hwy 25 N<br />

Smithville, MS 38870<br />

Phone: 662‐651‐4637<br />

County: Monroe<br />

Family Practice<br />

Monroe, James M<br />

Access Family Health Svcs Inc<br />

63420 Hwy 25 N<br />

Smithville, MS 38870<br />

Phone: 662‐651‐4637<br />

County: Monroe<br />

Family Practice<br />

Johnson, Kevin Ryan<br />

Access Family Health Svcs Inc<br />

499 Gloster Creek Village #D1<br />

Tupelo, MS 38801<br />

Phone: 662‐690‐8007<br />

County: Lee<br />

Family Practice<br />

Koehler, Kevin Robert<br />

Access Family Health Svcs Inc<br />

499 Gloster Creek Village #D1<br />

Tupelo, MS 38801<br />

Phone: 662‐690‐8007<br />

County: Lee<br />

Family Practice<br />

May, Monique D<br />

Advanced Primary Care<br />

2747 Bartlett Blvd<br />

Bartlett, TN 38134<br />

Phone: 901‐388‐6011<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Parker, Gerald L<br />

Amory Hma Physician Mgmt<br />

404 Gilmore Dr<br />

Amory, MS 38821<br />

Phone: 662‐256‐3564<br />

County: Monroe<br />

Family Practice<br />

Washington, Clinton L<br />

Amory Hma Physician Mgmt<br />

404 Gilmore Dr<br />

Amory, MS 38821<br />

Phone: 662‐256‐3564<br />

County: Monroe<br />

Family Practice<br />

Washington, Laura K<br />

Amory Hma Physician Mgmt<br />

404 Gilmore Dr<br />

Amory, MS 38821<br />

Phone: 662‐256‐3564<br />

County: Monroe<br />

Family Practice<br />

Yoe, William Edward<br />

Amory Hma Physician Mgmt<br />

404 Gilmore Dr<br />

Amory, MS 38821<br />

Phone: 662‐256‐3564<br />

County: Monroe<br />

Family Practice<br />

Coleman, Shelli Isabel<br />

Amory Hma Physician Mgmt<br />

302 Hospital Dr<br />

Fulton, MS 38843<br />

Phone: 662‐862‐7047<br />

County: Itawamba<br />

Family Practice<br />

Reeves, Marcus C<br />

Apex Primary Health Care<br />

7625 Hwy 64 #107<br />

Memphis, TN 38133<br />

Phone: 901‐213‐1110<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Armour, Karen A<br />

Armour Family Medical<br />

832 Old Hwy 51 South<br />

Brighton, TN 38011<br />

Phone: 901‐475‐1600<br />

County: Tipton<br />

Family Practice<br />

Scott Iii, Daniel Joyner<br />

Assoc Of Family Practice<br />

7889 Astoria Rd<br />

Millington, TN 38053<br />

Phone: 901‐872‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Dudley, Shinita Reed<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Family Practice<br />

Stokes, Keith Ian<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Family Practice<br />

Uzowulu, Obinna Chimezie<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Family Practice<br />

Seecharan, Grace Amy<br />

Baptist Memorial Medical Group Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐4460<br />

County: Pontotoc<br />

Family Practice<br />

Wheatley, Kevin J<br />

Baptist Memorial Medical Group Inc<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7021<br />

County: Carroll<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 59


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Williamson, James S<br />

Baptist Memorial Medical Group Inc<br />

631 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Family Practice<br />

Payne‐Johnson, Ann Ilene<br />

Baptist Memorial Medical Group Inc<br />

6027 Walnut Grove Rd #305<br />

Memphis, TN 38120<br />

Phone: 901‐226‐2040<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Chisholm, Patricia Ann<br />

Baptist Memorial Medical Group Inc<br />

8950 Hwy 64 #116<br />

Lakeland, TN 38002<br />

Phone: 901‐383‐7170<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

May, Monique Danielle<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mintz, Philip G<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Summers, Samuel Timothy<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Valentin, Gardy<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Family Practice<br />

Simmons, Earnest C<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Family Practice<br />

Dozier, Selena Parnell<br />

Baptist Memorial Medical Group Inc<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Sullivan, Anne Lorraine<br />

Baptist Memorial Medical Group Inc<br />

7715 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Green, Reginique L<br />

Baptist Memorial Medical Group Inc<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐685‐8245<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Linder, Edwin L<br />

Batesville Clinic<br />

107 Eureka St<br />

Batesville, MS 38606<br />

Phone: 662‐563‐7681<br />

County: Panola<br />

Family Practice<br />

Havens, Michael R<br />

Batesville Family Medical Clinic<br />

435 Hwy 6 E<br />

Batesville, MS 38606<br />

Phone: 662‐578‐4357<br />

County: Panola<br />

Family Practice<br />

Winston, William S<br />

Bell‐Winston Clinic<br />

626 Poplar St<br />

Helena, AR 72342<br />

Phone: 870‐338‐8163<br />

County: Phillips<br />

Family Practice<br />

Ratliff, Donald W<br />

Belmont Medical Clinic<br />

102 Third St<br />

Belmont, MS 38827<br />

Phone: 662‐454‐3401<br />

County: Tishomingo<br />

Family Practice<br />

Lowery, Jennifer D<br />

Blue Mountain Family Practice Clinic<br />

124 N Gayton Blvd<br />

Blue Mountain, MS 38610<br />

Phone: 662‐815‐2955<br />

County: Tippah<br />

Family Practice<br />

Dunavant, Robert W<br />

Bolivar Medical Clinic<br />

407 Lafayette<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐7111<br />

County: Hardeman<br />

Family Practice<br />

Bolton, Kirsten J<br />

Bolton Family Medical Clinic<br />

105 Town Creek Dr<br />

Saltillo, MS 38866<br />

Phone: 662‐869‐0033<br />

County: Lee<br />

Family Practice<br />

Box, Samuel Keith<br />

Box Family Medicine Clinic<br />

118 Hospital St<br />

Ripley, MS 38663<br />

Phone: 662‐993‐9255<br />

County: Tippah<br />

Family Practice<br />

Boyett, Brent E<br />

Boyett Health Services Inc<br />

2131 Military St S<br />

Hamilton, AL 35570<br />

Phone: 205‐921‐5556<br />

County: Marion<br />

Family Practice<br />

Cook, Buffy Jay<br />

Brighton Family Medicine<br />

1880 Old Hwy 51 #C<br />

Brighton, TN 38011<br />

Phone: 901‐837‐7979<br />

County: Tipton<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 60


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Craig, Michael Scott<br />

Brighton Family Medicine<br />

1880 Old Hwy 51 #C<br />

Brighton, TN 38011<br />

Phone: 901‐837‐7979<br />

County: Tipton<br />

Family Practice<br />

Brooks, Deborah M<br />

Brookhaven Medical Center<br />

785 Ohio Ave #2D<br />

Clarksdale, MS 38614<br />

Phone: 662‐298‐1730<br />

County: Coahoma<br />

Family Practice<br />

Dowling, Clarey R<br />

Brownsville Clinic Corp<br />

2545 N Washington Ave<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐8432<br />

County: Haywood<br />

Family Practice<br />

Gools<strong>by</strong>, Jason B<br />

Brownsville Family Medicine<br />

2290 N Washington<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐5183<br />

County: Haywood<br />

Family Practice<br />

Caballero, Hugo A<br />

Caballero Family Healthcare Group<br />

1920 Kir<strong>by</strong> Pkwy #202<br />

Germantown, TN 38138<br />

Phone: 901‐751‐9997<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Farmer, Guy R.<br />

Calhoun City Medical Clinic<br />

120 Burke Rd<br />

Calhoun City, MS 38916<br />

Phone: 662‐628‐5116<br />

County: Calhoun<br />

Family Practice<br />

Hyden, John Carl<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Smith, Lora Michelle<br />

Cardiology Specia<strong>lists</strong> Of Memphis<br />

80 Humphreys Ctr # 202<br />

Memphis, TN 38120<br />

Phone: 601‐747‐3330<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Jain, Angeli<br />

Care Rite<br />

1445 Hwy 51 Bypass<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐1930<br />

County: Dyer<br />

Family Practice<br />

Blankenship, John Lee<br />

Caring Hands Family Medicine<br />

641 R B Wilson Dr #D<br />

Huntingdon, TN 38344<br />

Phone: 731‐209‐0449<br />

County: Carroll<br />

Family Practice<br />

Carnahan, Walter E<br />

Carnahan Clinic<br />

7900 Airways Blvd Bldg A #6<br />

Southaven, MS 38671<br />

Phone: 662‐536‐4646<br />

County: DeSoto<br />

Family Practice<br />

Erbele, Krista Eileen<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mullinax, Clarice Weathers<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Potter, Timothy Alan<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Sittnick, Stephen M<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Weaver, Joseph L<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Pike, Daniel R<br />

Christ Community Health Svcs<br />

5366 Mendenhall Mall<br />

Memphis, TN 38115<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mullins, Katherine L<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Patrick, Joseph P<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Williamson, John D<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Beekhuizen, Jeff Allan<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐271‐6300<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 61


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Dopotter, Kim T<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐271‐6300<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Engbretson, John Wayne<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐398‐2442<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Pepperman, David A<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐398‐2442<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Dowling, Clarey R<br />

Clarey R Dowling Md<br />

2569 N Washington Ave<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐4411<br />

County: Haywood<br />

Family Practice<br />

Brock, Charles Franklin<br />

Cleveland Medical Clinic<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

Family Practice<br />

Lindsey, Kimberly W<br />

Cleveland Medical Clinic<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

Family Practice<br />

Montesi, Michael W<br />

Cleveland Medical Clinic<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

Family Practice<br />

Stokes, Annmarie B<br />

Clinic At Elm Lake<br />

3700 N Frontage Rd<br />

Columbus, MS 39701<br />

Phone: 662‐240‐9999<br />

County: Lowndes<br />

Family Practice<br />

Shrader, Floyd R<br />

Coast To Coast Medical<br />

2201 Horizon Dr #4<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐0332<br />

County: Crittenden<br />

Family Practice<br />

Callaghan, Timothy Joseph<br />

Cockrell Family Medical Center<br />

120 Norfleet Dr<br />

Senatobia, MS 38668<br />

Phone: 662‐301‐1128<br />

County: Tate<br />

Family Practice<br />

Cockrell, Jessie Michael<br />

Cockrell Family Medical Center<br />

120 Norfleet Dr<br />

Senatobia, MS 38668<br />

Phone: 662‐301‐1128<br />

County: Tate<br />

Family Practice<br />

Brewer, Raymond M<br />

Collierville Family Medical Ctr<br />

790 W Poplar Ave #1<br />

Collierville, TN 38017<br />

Phone: 901‐853‐9700<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Crawford, John D<br />

Collierville Family Medical Ctr<br />

790 W Poplar Ave #1<br />

Collierville, TN 38017<br />

Phone: 901‐853‐9700<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Jackson, William Clay<br />

Comprehensive Primary Care<br />

1995 Hwy 51 S #109<br />

Covington, TN 38019<br />

Phone: 901‐840‐1202<br />

County: Tipton<br />

Family Practice<br />

Everson, Freddie L<br />

Consolidated Medical Practice Of Memphis<br />

1750 MADISON AVE #400<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2410<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Noyes, Erica L<br />

Corinth Family Care Center<br />

2000 Shiloh Rd<br />

Corinth, MS 38834<br />

Phone: 662‐665‐1881<br />

County: Alcorn<br />

Family Practice<br />

Reed, Mark L<br />

Covington Pike Medical Clinic<br />

3789 Covington Pike<br />

Memphis, TN 38135<br />

Phone: 901‐372‐3200<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Thomas, O H<br />

Covington Pike Medical Clinic<br />

3789 Covington Pike<br />

Memphis, TN 38135<br />

Phone: 901‐372‐3200<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Scott, Ronald Bradley<br />

Creekmore Clinic<br />

216 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐9042<br />

County: Union<br />

Family Practice<br />

Thompson, Timothy F<br />

Creekmore Clinic<br />

216 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐9042<br />

County: Union<br />

Family Practice<br />

Rhear, Raymond Wayne<br />

Crockett Medical Clinic Inc<br />

59 S Bells St<br />

Alamo, TN 38001<br />

Phone: 731‐696‐5401<br />

County: Crockett<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 62


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Coss, David Matthew<br />

Crowleys Ridge Family Practice<br />

904 Holiday Dr #404<br />

Forrest City, AR 72335<br />

Phone: 870‐630‐1683<br />

County: Saint Francis<br />

Family Practice<br />

Hall, Scott A<br />

Cyperet Ridge Family Practice Clinic<br />

812 B Newman Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐8308<br />

County: Phillips<br />

Family Practice<br />

Flippin, Dane Howard<br />

Dane H Flippin<br />

756 Ridge Lake Blvd #120<br />

Memphis, TN 38120<br />

Phone: 901‐761‐5921<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Evans, Christine Hardin<br />

Delta Convenient Care<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Family Practice<br />

Sylvester, Robert E<br />

Delta Convenient Care<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Family Practice<br />

Baker, Adam Walter<br />

Dermatology Realm & Family Practice<br />

2120 Merchants Row #2<br />

Germantown, TN 38138<br />

Phone: 901‐362‐7170<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Kumar, Laju Alok<br />

Desoto Primary Care Clinic<br />

6942 Autumn Oaks Dr #A<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐3627<br />

County: DeSoto<br />

Family Practice<br />

Kumar, Laju Alok<br />

Desoto Primary Care Clinic<br />

6942 Autumn Oaks Dr #A<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐3627<br />

County: DeSoto<br />

Family Practice<br />

Diffine, David Arthur<br />

Diffine Family Practice<br />

1100 Medical Plaza Dr #C<br />

Blytheville, AR 72315<br />

Phone: 870‐824‐2807<br />

County: Mississippi<br />

Family Practice<br />

Crenshaw, Shrearest M<br />

Diversified Health Care<br />

6005 Park Ave #704<br />

Memphis, TN 38119<br />

Phone: 901‐684‐4646<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Batey, James T<br />

Doctors Clinic Of Union City<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Bradberry, Samuel W<br />

Doctors Clinic Of Union City<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Brown, Bruce B<br />

Doctors Clinic Of Union City<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Clendenin, John B<br />

Doctors Clinic Of Union City<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Hale, John W<br />

Doctors Clinic Of Union City<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Stone, William K<br />

Doctors Clinic Of Union City<br />

1020 Reelfoot Ave E<br />

Union City, TN 38261<br />

Phone: 731‐885‐5131<br />

County: Obion<br />

Family Practice<br />

Drewry, William Rice<br />

Drewry Family Medicine<br />

1055 N Houston Levee #201<br />

Cordova, TN 38018<br />

Phone: 901‐312‐5993<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Jacobs, James R<br />

Drs Hayes Young & Jacobs Ltd<br />

411 Falls Blvd S<br />

Wynne, AR 72396<br />

Phone: 870‐238‐3261<br />

County: Cross<br />

Family Practice<br />

Fitzwater, Douglas S<br />

Dyersburg Clinic Corp<br />

412 Ward Ave<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐0033<br />

County: Pemiscot<br />

Family Practice<br />

Fowler, Mark W<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Family Practice<br />

Borja, Jherico P<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 63


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Diaz, Lawrence D<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Family Practice<br />

Martin, Mary Sue<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Family Practice<br />

Soyinka, Olufemi E<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Family Practice<br />

Eze, Placid M<br />

Eze Family Medical Clinic<br />

105 Strange Rd<br />

Starkville, MS 39759<br />

Phone: 662‐323‐4400<br />

County: Oktibbeha<br />

Family Practice<br />

Bowen, Ronnie D<br />

Families First Health Care<br />

3699 Riverdale Rd<br />

Memphis, TN 38125<br />

Phone: 901‐365‐9625<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Bell, David W<br />

Family & Urgent Care Clinic<br />

1154 Cross Creek Dr<br />

Saltillo, MS 38866<br />

Phone: 662‐840‐8010<br />

County: Lee<br />

Family Practice<br />

Casey‐Bolden, Monique<br />

Family Care<br />

1716 Parr Ave #D<br />

Dyersburg, TN 38025<br />

Phone: 731‐288‐0911<br />

County: Dyer<br />

Family Practice<br />

Feldhouse, Doreen E<br />

Family Care<br />

1716 Parr Ave #D<br />

Dyersburg, TN 38025<br />

Phone: 731‐288‐0911<br />

County: Dyer<br />

Family Practice<br />

Rodriguez‐Conesa, Yvonne<br />

Family Care<br />

1716 Parr Ave #D<br />

Dyersburg, TN 38025<br />

Phone: 731‐288‐0911<br />

County: Dyer<br />

Family Practice<br />

Goff, Gisele Allen<br />

Family Care Group<br />

6555 Stage Rd #1<br />

Bartlett, TN 38134<br />

Phone: 901‐377‐3475<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Shelton, Michelle Alexander<br />

Family Care Group<br />

6555 Stage Rd #1<br />

Bartlett, TN 38134<br />

Phone: 901‐377‐3475<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Laraya, Jose Ari G<br />

Family Doctors‐Doctores De Familia<br />

3860 New Covington Pike #101<br />

Memphis, TN 38128<br />

Phone: 901‐377‐6805<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mattewada, Vijay Kishore<br />

Family Doctors‐Doctores De Familia<br />

3860 New Covington Pike #101<br />

Memphis, TN 38128<br />

Phone: 901‐377‐6805<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Hughes Jr, Vernon T<br />

Family First Clinic Of Clarksdale<br />

1015 Lee Dr #13<br />

Clarksdale, MS 38614<br />

Phone: 662‐592‐4170<br />

County: Coahoma<br />

Family Practice<br />

Wisniewski, Peter F<br />

Family Medical Care<br />

518 West Dr<br />

Okolona, MS 38860<br />

Phone: 662‐447‐1339<br />

County: Chickasaw<br />

Family Practice<br />

Wisniewski, Peter F<br />

Family Medical Care<br />

518 West Dr<br />

Okolona, MS 38860<br />

Phone: 662‐447‐1339<br />

County: Chickasaw<br />

Family Practice<br />

Warrington, Paul W<br />

Family Medical Clinic<br />

803 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐2721<br />

County: Bolivar<br />

Family Practice<br />

Ball, Patrick A<br />

Family Medical Clinic Of N Ms<br />

3451 Goodman Rd E #115<br />

Southaven, MS 38672<br />

Phone: 662‐890‐5555<br />

County: DeSoto<br />

Family Practice<br />

Carpenter, Julie J<br />

Family Medical Clinic Of N Ms<br />

3451 Goodman Rd E #115<br />

Southaven, MS 38672<br />

Phone: 662‐890‐5555<br />

County: DeSoto<br />

Family Practice<br />

Lum, Brian David<br />

Family Medical Clinic Of N Ms<br />

3451 Goodman Rd E #115<br />

Southaven, MS 38672<br />

Phone: 662‐890‐5555<br />

County: DeSoto<br />

Family Practice<br />

Petrides, Tracey F<br />

Family Medical Clinic Of N Ms<br />

3451 Goodman Rd E #115<br />

Southaven, MS 38672<br />

Phone: 662‐890‐5555<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 64


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Skinner, Robert Louis<br />

Family Medical Clinic Of N Ms<br />

3451 Goodman Rd E #115<br />

Southaven, MS 38672<br />

Phone: 662‐890‐5555<br />

County: DeSoto<br />

Family Practice<br />

Findley, Dwayne D<br />

Family Medical Group<br />

126 Hwy 72 E<br />

Collierville, TN 38017<br />

Phone: 901‐507‐7007<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Farooq, Farha N<br />

Family Medicine<br />

7046 Hwy 64<br />

Oakland, TN 38060<br />

Phone: 901465‐9902<br />

County: Fayette<br />

Family Practice<br />

Lyons, Darrin C<br />

Family Medicine<br />

7046 Hwy 64<br />

Oakland, TN 38060<br />

Phone: 901‐465‐9902<br />

County: Fayette<br />

Family Practice<br />

Russell, James D<br />

Family Medicine Assoc Of Blytheville<br />

1521 N Tenth St #C<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐5360<br />

County: Mississippi<br />

Family Practice<br />

Hyatt, Terri L<br />

Family Medicine Group<br />

2996 Kate Bond Rd #405<br />

Bartlett, TN 38133<br />

Phone: 901‐386‐4423<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Miller, Robert Glenn<br />

Family Medicine Group<br />

2996 Kate Bond Rd #405<br />

Bartlett, TN 38133<br />

Phone: 901‐386‐4423<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Makapugay, Fidel Deleon<br />

Family Medicine Partners<br />

491 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐850‐9900<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Burns, Tina K<br />

Family Physicians Grp<br />

400 Market Blvd #101<br />

Collierville, TN 38017<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Filipcic, Ramune Montvilaite<br />

Family Physicians Grp<br />

3091 Kir<strong>by</strong>‐Whitten Rd<br />

Bartlett, TN 38134<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Givens, Preston Grant<br />

Family Physicians Grp<br />

7685 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mccallum, Lee W<br />

Family Physicians Grp<br />

400 Market Blvd #101<br />

Collierville, TN 38017<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mullins, Calvin Jeff<br />

Family Physicians Grp<br />

8110 Cordova Rd #111<br />

Cordova, TN 38016<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Murti, Aparna K<br />

Family Physicians Grp<br />

3091 Kir<strong>by</strong>‐Whitten Rd<br />

Bartlett, TN 38134<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Neal, Michele Evyan<br />

Family Physicians Grp<br />

3091 Kir<strong>by</strong>‐Whitten Rd<br />

Bartlett, TN 38134<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Nollner, Robert Michael<br />

Family Physicians Grp<br />

8110 Cordova Rd #111<br />

Cordova, TN 38016<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Smith, Jay Daniel<br />

Family Physicians Grp<br />

7685 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Wallace, Michael Christian<br />

Family Physicians Grp<br />

7685 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Wong, Joseph Kenneth<br />

Family Physicians Grp<br />

3091 Kir<strong>by</strong>‐Whitten Rd<br />

Bartlett, TN 38134<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Woodall, Charles J<br />

Family Physicians Grp<br />

7685 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Woodall, Melanie Landrum<br />

Family Physicians Grp<br />

7685 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 65


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Henderson, Reggie A<br />

Family Physicians Of Lexington<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

Family Practice<br />

White, Charles Wesley<br />

Family Physicians Of Lexington<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

Family Practice<br />

Johnson, Samuel T<br />

Family Practice Clinic Of Covington<br />

4235 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐475‐4752<br />

County: Tipton<br />

Family Practice<br />

Causey, Karima T<br />

Forest Hill Family Practice & Aesthetics<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mintz, Philip<br />

Forrest Hill Family Practice<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Summers, Samuel T<br />

Forrest Hill Family Practice<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Busch, Forrest K<br />

Forrest Kenton Busch Do<br />

1950 Cook St<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4300<br />

County: Dyer<br />

Family Practice<br />

Frix, Carey Wallace<br />

Frix‐Jennings Clinic<br />

116 W Main St<br />

Henderson, TN 38340<br />

Phone: 731‐989‐0001<br />

County: Chester<br />

Family Practice<br />

Smith, Clyde R<br />

Getwell Family Medicine<br />

3960 Knight Arnold Rd #108<br />

Memphis, TN 38118<br />

Phone: 901‐369‐6000<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Hightower, Denise M<br />

Grace Family Medicine<br />

2900 Kir<strong>by</strong> Pkwy #14<br />

Memphis, TN 38119<br />

Phone: 901‐754‐3200<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Davidson, Karen<br />

Greenfield Family Medicine Clinic<br />

230 N Front St<br />

Greenfield, TN 38230<br />

Phone: 731‐235‐2271<br />

County: Weakley<br />

Family Practice<br />

Armstrong, Ralph C<br />

Grenada Family Medicine Clinic<br />

1300 Sunset Dr #F<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5747<br />

County: Grenada<br />

Family Practice<br />

Lee, Kerry Todd<br />

Grenada Family Medicine Clinic<br />

1300 Sunset Dr #F<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5747<br />

County: Grenada<br />

Family Practice<br />

Reid, Richard Clyde<br />

Grenada Family Medicine Clinic<br />

1300 Sunset Dr #F<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5747<br />

County: Grenada<br />

Family Practice<br />

Soyinka, Olufemi E<br />

Hardeman Co. Community Health Center<br />

629 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Family Practice<br />

Spencer, John Vennard<br />

Hardeman Co. Community Health Center<br />

629 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Family Practice<br />

Armetta, Nancy A<br />

Hardin Co Reg Health Ctr<br />

765 Florence Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Family Practice<br />

Hall, Anjeanette Kittrell<br />

Hardin Co Reg Health Ctr<br />

765 Florence Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Family Practice<br />

Kirsch, Scott W<br />

Hardin Co Reg Health Ctr<br />

150 Guinn St<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Family Practice<br />

Mitchell, Gregory Charles<br />

Hardin Co Reg Health Ctr<br />

105 Davis St<br />

Savannah, TN 38372<br />

Phone: 731‐925‐8879<br />

County: Hardin<br />

Family Practice<br />

Hatfield, Eric Jason<br />

Hatfield Physician Services Inc<br />

200 Carraway Dr #1<br />

Winfield, AL 35594<br />

Phone: 205‐487‐3625<br />

County: Marion<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 66


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Hawkins, Cassandra Mae<br />

Hawkins Family Medicine<br />

491A Craft St #A<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐6416<br />

County: Marshall<br />

Family Practice<br />

Kirsch, Scott W<br />

Hmc Physicians Svcs Inc<br />

935 Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8090<br />

County: Hardin<br />

Family Practice<br />

Cook, Buffy Jay<br />

Hometown Medical Services<br />

635 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐9996<br />

County: Tipton<br />

Family Practice<br />

Chanda, Jayasree D<br />

Humboldt Primary Care<br />

1830 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐475‐1260<br />

County: Tipton<br />

Family Practice<br />

Bryant, James W<br />

Humphreys Family Practice Clinic<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐685‐8245<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Humphreys, Robert A<br />

Humphreys Family Practice Clinic<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐685‐8245<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Xu, Ying<br />

Hutchinson Clinic<br />

4137 Kir<strong>by</strong> Pkwy #1<br />

Memphis, TN 38115<br />

Phone: 901‐794‐3397<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Dees, Jason Barkley<br />

Internal Medicine Rural Health Clinic<br />

300 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8166<br />

County: Union<br />

Family Practice<br />

Ostrander, Troy J<br />

Internal Medicine Rural Health Clinic<br />

300 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8166<br />

County: Union<br />

Family Practice<br />

Park, Christopher Lane<br />

Internal Medicine Rural Health Clinic<br />

300 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8166<br />

County: Union<br />

Family Practice<br />

Dye, James David<br />

J David Dye Md<br />

527 N Sixth St<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐4541<br />

County: Mississippi<br />

Family Practice<br />

Black, John L<br />

J Larry Black Md Phd<br />

4364 Hwy 51 S<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐7503<br />

County: Tate<br />

Family Practice<br />

Reiter, Amanda M<br />

Jackson Clinic<br />

20719 E Main St<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐2056<br />

County: Carroll<br />

Family Practice<br />

Jackson, Anna Martin<br />

Jackson‐Randle Family Health Care<br />

5142 Stage Rd #100<br />

Bartlett, TN 38134<br />

Phone: 901‐382‐2040<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Randle, Yvette I<br />

Jackson‐Randle Family Health Care<br />

5142 Stage Rd #100<br />

Bartlett, TN 38134<br />

Phone: 901‐382‐2040<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Martin, James William<br />

James W Martin Md<br />

1995 Hwy 51 S #105<br />

Covington, TN 38019<br />

Phone: 901‐476‐7371<br />

County: Tipton<br />

Family Practice<br />

Friloux, Brian K<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Practice<br />

Taylor, Jessie Roma<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Practice<br />

White, John W<br />

John W White Jr Md<br />

1423 Palmetto Rd<br />

Verona, MS 38879<br />

Phone: 662‐566‐5593<br />

County: Lee<br />

Family Practice<br />

Jones, Phillip E<br />

Jones Family Medical Clinic<br />

1200 N Gloster<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐0990<br />

County: Lee<br />

Family Practice<br />

Ueltschey, Marcus E<br />

Jones Family Medical Clinic<br />

1200 N Gloster<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐0990<br />

County: Lee<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 67


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Poe, Katrina Nichelle<br />

Kilmichael Clinic<br />

303 Lamar Ave<br />

Kilmichael, MS 39747<br />

Phone: 662‐262‐4284<br />

County: Montgomery<br />

Family Practice<br />

Loskovitz, Lewis I<br />

Lewis Loskovitz Md<br />

2018 Germantown Rd S<br />

Germantown, TN 38138<br />

Phone: 901‐754‐8880<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Sylvester, Robert E<br />

Lexington Clinic Corp<br />

185 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Family Practice<br />

Stroup, Kevin H<br />

Lexington Family Care Clinic<br />

270 W Church St #A<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0133<br />

County: Henderson<br />

Family Practice<br />

Walker, Larry M<br />

Lm Walker & Assoc<br />

4250 Faronia Rd #4<br />

Memphis, TN 38116<br />

Phone: 901‐348‐9600<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Cathey, Gene David<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Practice<br />

Peters, J Glenn<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Practice<br />

Suttle, Samuel Keith<br />

Louisville Medical Assoc<br />

564 E Main St<br />

Louisville, MS 39339<br />

Phone: 662‐773‐7500<br />

County: Winston<br />

Family Practice<br />

Webb, Kimberly L<br />

LS Of Memphis<br />

1714 W Massey Rd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐5433<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Lunceford, Travis E<br />

Lunceford Family Health Center<br />

7865 Educators Ln #300<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐9920<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Wilson, Fred P<br />

Lunceford Family Health Center<br />

7865 Educators Ln #300<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐9920<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Morris, Larry B<br />

Macon Primary Care Clinic<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Family Practice<br />

Mckee, Alice Roark<br />

Madison Clinic Corp<br />

379 Hospital Blvd #101<br />

Jackson, TN 38305<br />

Phone: 731‐984‐7005<br />

County: Madison<br />

Family Practice<br />

Bradley, Chauntay Yvette<br />

Magnolia Family Medicine Clinic<br />

703 Alcorn Dr #109<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Family Practice<br />

Cheatham, John Wayne<br />

Magnolia Family Medicine Clinic<br />

703 Alcorn Dr #109<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Family Practice<br />

Crane, Patricia G<br />

Main Street Family Medicine Inc<br />

1306 Hwy 45 N<br />

Henderson, TN 38340<br />

Phone: 731‐989‐9899<br />

County: Chester<br />

Family Practice<br />

Schwartz, Paul E<br />

Main Street Family Medicine Inc<br />

1306 Hwy 45 N<br />

Henderson, TN 38340<br />

Phone: 731‐989‐9899<br />

County: Chester<br />

Family Practice<br />

Marcy, William L<br />

Mantachie Rural Health Care Inc<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

Family Practice<br />

Ly, Phuong C<br />

Marianna Family Medicine Clinic<br />

29 W Tennessee St<br />

Marianna, AR 72360<br />

Phone: 870‐295‐2543<br />

County: Lee<br />

Family Practice<br />

Fletcher, Walter Frizzel<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

Family Practice<br />

Lowry, Susan S<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 68


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Shore, James W<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

Family Practice<br />

May, Jeffery A<br />

May Medical Group<br />

99 Doctors Dr #700<br />

Munford, TN 38058<br />

Phone: 901‐837‐7200<br />

County: Tipton<br />

Family Practice<br />

Mcclatchy, William H<br />

Mcclatchy Medical Center<br />

7235 Hacks Cross Rd<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐7878<br />

County: DeSoto<br />

Family Practice<br />

Pagoaga, Luis F<br />

Mckenzie Clinic Corp<br />

201 Hospital Dr<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐4127<br />

County: Carroll<br />

Family Practice<br />

Colotta, Terry A<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Practice<br />

Pomphrey, Robert James<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Practice<br />

Bishop, John M<br />

Mcknight Clinic<br />

25 Woodbridge Rd<br />

Somerville, TN 38068<br />

Phone: 901‐465‐6353<br />

County: Fayette<br />

Family Practice<br />

Burch, William E<br />

Mcknight Clinic<br />

25 Woodbridge Rd<br />

Somerville, TN 38068<br />

Phone: 901‐465‐6353<br />

County: Fayette<br />

Family Practice<br />

Mcknight, Frank S<br />

Mcknight Clinic<br />

25 Woodbridge Rd<br />

Somerville, TN 38068<br />

Phone: 901‐4656353<br />

County: Fayette<br />

Family Practice<br />

Laurence, Gregory Nathan<br />

Medical & Vascular Assoc Of Germantown<br />

7475 Poplar Pike<br />

Germantown, TN 38138<br />

Phone: 901‐759‐1717<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Sharma, Ruchika P<br />

Medicine & Obstetric Assoc Of The Mid‐<br />

South<br />

6005 Park Ave #310<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0833<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Carson, Rickey R<br />

Medicos Para La Familia<br />

3030 Covington Pike #100<br />

Memphis, TN 38128<br />

Phone: 901‐383‐8889<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Singh, Ravikumar Shivkumar<br />

Medicos Para La Familia<br />

3030 Covington Pike #100<br />

Memphis, TN 38128<br />

Phone: 901‐383‐8889<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Stuckey‐Schrock, Kimberly Sue<br />

Medicos Para La Familia<br />

3030 Covington Pike #100<br />

Memphis, TN 38128<br />

Phone: 901‐383‐8889<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Yibirin, Edmundo Humberto<br />

Medicos Para La Familia<br />

3030 Covington Pike #100<br />

Memphis, TN 38128<br />

Phone: 901‐383‐8889<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mirza, Abbas<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Memphis, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mosher, Keith A<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mullinix, Derek R<br />

Memphis Emergency Room Group<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7750<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Qureshi, Shoaib Shoaib<br />

Memphis Multi <strong>Specialty</strong> Associates<br />

3960 Knight Arnold Rd #102<br />

Memphis, TN 38118<br />

Phone: 901‐369‐6008<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Everson, Freddie L<br />

Memphis Primary Care Assoc<br />

1750 Madison Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2410<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Culbreth, Angela M<br />

Midsouth Family Care<br />

6005 Park Ave #310<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0833<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 69


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Jones‐Miller, Rosemary<br />

Miller Family Medical Center<br />

4707 Woodridge<br />

Memphis, TN 38116<br />

Phone: 901‐345‐5411<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Andrews‐Pirtle, Valencia M<br />

Miss Co Primary Care Physicians<br />

602 W Union #B<br />

Osceola, AR 72370<br />

Phone: 870‐563‐6504<br />

County: Mississippi<br />

Family Practice<br />

Pirtle, Stephen Scott<br />

Miss Co Primary Care Physicians<br />

602 W Union #B<br />

Osceola, AR 72370<br />

Phone: 870‐563‐6504<br />

County: Mississippi<br />

Family Practice<br />

Pearson, Philip E<br />

Mississippi State University<br />

360 Hardy Rd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Practice<br />

Story, Clifton Wayne<br />

Mississippi State University<br />

360 Hardy Rd.<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Practice<br />

Helmhout, Shaun L<br />

N Ms Family Medicine Group Inc<br />

1397 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐4675<br />

County: Lafayette<br />

Family Practice<br />

Kirk, Kecia Kitchens<br />

N Ms Family Medicine Group Inc<br />

1397 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐4675<br />

County: Lafayette<br />

Family Practice<br />

Spencer, William A.<br />

N Ms Family Medicine Group Inc<br />

1397 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐4675<br />

County: Lafayette<br />

Family Practice<br />

Leckie, Charles E<br />

N Ms Medical Clinics<br />

1301 N 2nd St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐2071<br />

County: Prentiss<br />

Family Practice<br />

Castle, Mona M<br />

N Ms Medical Clinics Inc<br />

2161 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1791<br />

County: Lafayette<br />

Family Practice<br />

Glasgow, Thomas S<br />

N Ms Medical Clinics Inc<br />

2161 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1791<br />

County: Lafayette<br />

Family Practice<br />

Stanback, John E<br />

N Ms Medical Clinics Inc<br />

4508 Hwy 45 N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐9702<br />

County: Lowndes<br />

Family Practice<br />

Bagwell, Michael Brian<br />

N Ms Medical Clinics Inc<br />

1771 Curtis Dr<br />

Iuka, MS 38852<br />

Phone: 662‐423‐6014<br />

County: Tishomingo<br />

Family Practice<br />

Gillespie, George E<br />

N Ms Medical Clinics Inc<br />

1771 Curtis Dr<br />

Iuka, MS 38852<br />

Phone: 662‐423‐6014<br />

County: Tishomingo<br />

Family Practice<br />

Dirmeyer, Steven N<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

Family Practice<br />

Hogue, Michael Stephen<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

Family Practice<br />

Koehler, Kevin Robert<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

Family Practice<br />

Montgomery, Joseph Brooks<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

Family Practice<br />

Montgomery, Stephen Q<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

Family Practice<br />

Warren, Andrea P<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

Family Practice<br />

Wing, Dale L<br />

N Ms Medical Clinics Inc<br />

345 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐7430<br />

County: Pontotoc<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 70


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Shirley, Stephen M<br />

N Ms Medical Clinics Inc<br />

400 Doctors Dr<br />

New Albany, MS 38652<br />

Phone: 662‐534‐5036<br />

County: Union<br />

Family Practice<br />

Thompson‐Davis, Jennifer L<br />

N Ms Medical Clinics Inc<br />

400 Doctors Dr<br />

New Albany, MS 38652<br />

Phone: 662‐534‐5036<br />

County: Union<br />

Family Practice<br />

Dukes, Erik Ward<br />

N Ms Medical Clinics Inc<br />

1301 N 2nd St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐2071<br />

County: Prentiss<br />

Family Practice<br />

Reynolds, Christopher Sean<br />

N Ms Medical Clinics Inc<br />

1301 N 2nd St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐2071<br />

County: Prentiss<br />

Family Practice<br />

Cabe, Annabelle Deang<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Family Practice<br />

Rodgers, Clifton<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Family Practice<br />

Blanco, Arturo Enrique<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Practice<br />

Eldred, Edward B<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: Desoto<br />

Family Practice<br />

Huling, Randall T<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Practice<br />

Jones, Melissa Michelle<br />

Olive Branch Family Medical Center<br />

9075 Sandidge Center Cv<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4949<br />

County: DeSoto<br />

Family Practice<br />

Nguyen, Tri Minh<br />

One Health Family Clinic<br />

6570 Stage Rd #245<br />

Bartlett, TN 38134<br />

Phone: 901‐570‐4744<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Bah, Mohammed M<br />

Park Ave. Emergency Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2056<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Scates, Paul E<br />

Paul Scates Md Family Practice<br />

12995 Hwy 64<br />

Somerville, TN 38068<br />

Phone: 901‐466‐0250<br />

County: Fayette<br />

Family Practice<br />

Acree, Martin Vernon<br />

Peabody Family Care<br />

1325 Eastmoreland Ave #150<br />

Memphis, TN 38104<br />

Phone: 901‐725‐0648<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Lindsey, Leticia Anne<br />

Peabody Family Care<br />

1325 Eastmoreland Ave #150<br />

Memphis, TN 38104<br />

Phone: 901‐725‐0648<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Kelley, Ralph H.<br />

Pemiscot Co Memorial Hospital<br />

712 N Hwy 61<br />

Portageville, MO 63873<br />

Phone: 573‐359‐3659<br />

County: New Madrid<br />

Family Practice<br />

Scheffer, Erica D<br />

Pemiscot Co Memorial Hospital<br />

106 W 12th St<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐2285<br />

County: Pemiscot<br />

Family Practice<br />

Rothrock, Perry C<br />

Perry C Rothrock Iii Md<br />

8055 Club Pkwy<br />

Cordova, TN 38016<br />

Phone: 901‐757‐9984<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Searcy, Edwin E<br />

Phc‐Cleveland Inc<br />

One Hospital Dr<br />

Cleveland, MS 38732<br />

Phone: 662‐721‐1208<br />

County: Bolivar<br />

Family Practice<br />

Pillow, James H<br />

Pillow Clinic<br />

101 Shirley Hicks Dr<br />

Helena, AR 72342<br />

Phone: 870‐572‐5996<br />

County: Phillips<br />

Family Practice<br />

Hayes, Kevin Curtis<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

502 Jackson St #5<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐9500<br />

County: Monroe<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 71


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Barker, Vincent B<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

502 Jackson St #6<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐9525<br />

County: Monroe<br />

Family Practice<br />

Carter, Robert L<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

502 Jackson St #4<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐9945<br />

County: Monroe<br />

Family Practice<br />

Leal, Gumersindo R<br />

Poplar Primary Care<br />

3445 Poplar Ave #1<br />

Memphis, TN 38111<br />

Phone: 901‐323‐7651<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Pratt, Joseph L<br />

Pratt Family Medical Clinic Inc<br />

121 Pratt Dr #1A<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5599<br />

County: Alcorn<br />

Family Practice<br />

Cappleman, Troy R<br />

Primary Care Clinic Of Ripley<br />

1009 City Ave N #A<br />

Ripley, MS 38663<br />

Phone: 662‐837‐1404<br />

County: Tippah<br />

Family Practice<br />

Elliott, Charles M<br />

Primary Care Clinic Of Ripley<br />

1009 City Ave N #A<br />

Ripley, MS 38663<br />

Phone: 662‐837‐1404<br />

County: Tippah<br />

Family Practice<br />

Antique, Maria Caroline<br />

Primary Care Ctr<br />

500 Hospital Dr<br />

Trenton, TN 38382<br />

Phone: 731‐855‐3510<br />

County: Gibson<br />

Family Practice<br />

Hunter, Joseph Samuel<br />

Primary Care Group<br />

7235 Hacks Cross Rd<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐7878<br />

County: DeSoto<br />

Family Practice<br />

Robinson, Jana Catherine<br />

Primary Care Group<br />

2961 Canada Rd #105<br />

Lakeland, TN 38002<br />

Phone: 901‐388‐0115<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Baker, Laurie M<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Ocain, Debbie T<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Berkenstock, Oran Lee<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Lemons, Robert Stanley<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Miller, Leona Arica<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Vanwinkle, Staci A<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Wang, Haiqiu Elaine<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Warren, Jeffery S<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mills, Sheryl May Alicia<br />

Primary Care Specia<strong>lists</strong> Inc<br />

3109 Walnut Grove Rd<br />

Memphis, TN 38111<br />

Phone: 901‐458‐0162<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Vinson, John W<br />

Prime Care Medical Ctr<br />

345 Hwy 64<br />

Adamsville, TN 38310<br />

Phone: 731‐632‐3383<br />

County: McNairy<br />

Family Practice<br />

Bartz, William Ryan<br />

Prime Care Medical Ctr<br />

One Prime Care Dr<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

Family Practice<br />

Eason, William A<br />

Prime Care Medical Ctr<br />

One Prime Care Dr<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 72


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

King, James D<br />

Prime Care Medical Ctr<br />

One Prime Care Dr<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

Family Practice<br />

Linder, Timothy F<br />

Prime Care Medical Ctr<br />

One Prime Care Dr<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

Family Practice<br />

Mccarver, Brian M<br />

Prime Care Medical Ctr<br />

One Prime Care Dr<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7932<br />

County: McNairy<br />

Family Practice<br />

Adams, Cecilia Dowsing<br />

Primehealth Medical Ctr<br />

6637 Summer Knoll Cir #101<br />

Bartlett, TN 38134<br />

Phone: 901‐372‐5260<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Marcy, William L<br />

Region Iv Mental Health Svcs<br />

2100 E Chambers Dr<br />

Booneville, MS 38829<br />

Phone: 662‐723‐3174<br />

County: Prentiss<br />

Family Practice<br />

Henderson, Adelaide F<br />

Regional Medical Assoc<br />

1503 Hwy 45 N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐9623<br />

County: Lowndes<br />

Family Practice<br />

Mullendore, William A<br />

Regional Medical Assoc<br />

1503 Hwy 45 N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐9623<br />

County: Lowndes<br />

Family Practice<br />

Rhea, Karl B<br />

Rhea Clinic<br />

17310 Hwy 64<br />

Somerville, TN 38068<br />

Phone: 901‐465‐2245<br />

County: Fayette<br />

Family Practice<br />

Hunt, Joe W<br />

Ripley Medical Clinic<br />

202 Tucker Ave<br />

Ripley, TN 38063<br />

Phone: 731‐635‐4741<br />

County: Lauderdale<br />

Family Practice<br />

Magee, Robert W<br />

Ripley Medical Clinic<br />

202 Tucker Ave<br />

Ripley, TN 38063<br />

Phone: 731‐635‐4741<br />

County: Lauderdale<br />

Family Practice<br />

Mcewan, Robert C<br />

Robert C Mcewan Md<br />

756 Ridge Lake Blvd #120<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2311<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mardis, Marlah Hubbard<br />

Robinson & Assoc<br />

1785 Nonconnah Blvd #120<br />

Memphis, TN 38132<br />

Phone: 901‐345‐6700<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Robinson, Lloyd E<br />

Robinson & Assoc<br />

1785 Nonconnah Blvd #120<br />

Memphis, TN 38132<br />

Phone: 901‐345‐6700<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Smith, Ronald D<br />

Ronald D Smith Md<br />

527 N 6th<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐4541<br />

County: Mississippi<br />

Family Practice<br />

Lewis, John W<br />

Rosedale Family Medical Ctr<br />

512 Levee St<br />

Rosedale, MS 38769<br />

Phone: 662‐759‐6806<br />

County: Bolivar<br />

Family Practice<br />

Russell, Richard<br />

Russell Medical Clinic<br />

402 Doctors Dr<br />

New Albany, MS 38652<br />

Phone: 662‐534‐2486<br />

County: Union<br />

Family Practice<br />

Nelson, Thomas H<br />

Rutherford Medical Clinic<br />

104 E Main St<br />

Rutherford, TN 38369<br />

Phone: 731‐665‐7741<br />

County: Gibson<br />

Family Practice<br />

Walker, Ramond R<br />

Saint Francis Hospital Inpatient Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3045<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Suneela, Gottumukkala<br />

Saint Francis Medical Partners<br />

8025 Highway 64 #101<br />

Bartlett, TN 38133<br />

Phone: 901‐382‐2044<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Smith, Michael L<br />

Savannah Medical Ctr<br />

255B Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐8016<br />

County: Hardin<br />

Family Practice<br />

Smith, Michael L<br />

Savannah Medical Ctr<br />

255 B Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐8016<br />

County: Hardin<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 73


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Segars, K Scott<br />

Segars Clinic<br />

1507 W Quitman<br />

Iuka, MS 38852<br />

Phone: 662‐423‐1000<br />

County: Tishomingo<br />

Family Practice<br />

Ruhl, Forster Gehring<br />

Senatobia Family Practice<br />

104 N Robinson St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐0411<br />

County: Tate<br />

Family Practice<br />

Folse, Timothy E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Mirza, Abbas<br />

Smz Specia<strong>lists</strong><br />

76 Doctors Dr<br />

Munford, TN 38058<br />

Phone: 901‐840‐4446<br />

County: Tipton<br />

Family Practice<br />

Robbins, Melissa A<br />

St. Francis Medical Partners<br />

8025 U S HIWAY 64 #101<br />

Memphis, TN 38133<br />

Phone: 901‐382‐2044<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Anthony, Michael D<br />

Starkville Family Practice<br />

100 Brandon Rd #S<br />

Starkville, MS 39759<br />

Phone: 662‐320‐3990<br />

County: Oktibbeha<br />

Family Practice<br />

Goewey, Stephen K<br />

Syed A A Zaidi Md<br />

326 Asbury Ave #101<br />

Ripley, TN 38063<br />

Phone: 731‐221‐1637<br />

County: Lauderdale<br />

Family Practice<br />

Tate, Crystal Lane<br />

Tate Family Medical Clinic<br />

375 Main St<br />

Ecru, MS 38841<br />

Phone: 662‐489‐5609<br />

County: Pontotoc<br />

Family Practice<br />

Thrasher, Barton Borg<br />

Thrasher Clinic<br />

214 Lakeview Dr #174<br />

Somerville, TN 38068<br />

Phone: 901‐465‐9955<br />

County: Fayette<br />

Family Practice<br />

Taylor, Horton G<br />

Tippah County Medical Group<br />

111A Hospital St<br />

Ripley, MS 38663<br />

Phone: 662‐512‐8844<br />

County: Tippah<br />

Family Practice<br />

Hampton, To<strong>by</strong> Andrew<br />

Tri‐County Family Medicine & Urgent Care<br />

600 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐2213<br />

County: Carroll<br />

Family Practice<br />

Parks, Rhonda Kay<br />

Tunica County Healthcare Authority<br />

1813 Hwy 61 N<br />

Tunica, MS 38676<br />

Phone: 662‐357‐0012<br />

County: Tunica<br />

Family Practice<br />

Shahid, Aamina<br />

Tunica County Healthcare Authority<br />

1813 Hwy 61 N<br />

Tunica, MS 38676<br />

Phone: 662‐357‐0012<br />

County: Tunica<br />

Family Practice<br />

Bhetwal, Narayan P<br />

Tutwiler Clinic Inc<br />

205 Alma<br />

Tutwiler, MS 38963<br />

Phone: 662‐345‐8334<br />

County: Tallahatchie<br />

Family Practice<br />

Rushing, Steven K<br />

Tyler Holmes Memorial Hospital<br />

700 Woodland Dr<br />

Winona, MS 38967<br />

Phone: 662‐283‐3060<br />

County: Montgomery<br />

Family Practice<br />

Gammel, Steven Dewayne<br />

Tyler Holmes Memorial Hospital<br />

408 Tyler Holmes Dr<br />

Winona, MS 38967<br />

Phone: 662‐283‐8205<br />

County: Montgomery<br />

Family Practice<br />

Gammel, Steven Dewayne<br />

Tyler Holmes Memorial Hospital<br />

408 Tyler Holmes Dr<br />

Winona, MS 38967<br />

Phone: 662‐283‐8205<br />

County: Montgomery<br />

Family Practice<br />

Coon, David T<br />

Urgent Care Clinic Of Oxford<br />

1487 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1090<br />

County: Lafayette<br />

Family Practice<br />

Dabbs, Willis Norwood<br />

Urgent Care Clinic Of Oxford<br />

1487 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1090<br />

County: Lafayette<br />

Family Practice<br />

Dahl, Eric P<br />

Urgent Care Clinic Of Oxford<br />

1487 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1090<br />

County: Lafayette<br />

Family Practice<br />

Patel, Chandrakant<br />

Urgent Medical Clinic Inc<br />

176 Goodman Rd W<br />

Southaven, MS 38671<br />

Phone: 662‐536‐1020<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 74


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Hoover, Robert M<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Hunter, Joseph<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Maness, David L<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Naren, Saraswathy<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Schrock, Steven D<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Stuckey‐Schrock, Kimberly S<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Thomas, Sheila M<br />

Ut Medical Group Inc<br />

66 N Pauline #300<br />

Memphis, TN 38105<br />

Phone: 901‐448‐5467<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Crown, Loren A<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Family Practice<br />

Potter, Angela P<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Family Practice<br />

Potter, Angela P<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S # A<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Family Practice<br />

Cho<strong>by</strong>, Beth<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Pean, Carl F<br />

Ut Medical Group Inc<br />

3530 HICKORY HILL ROAD<br />

Memphis, TN 38115<br />

Phone: 901‐881‐6686<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Maness, David L<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Goodfred, Jennifer C<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Lee, Kent Alan<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Crown, Loren A<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S #A<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Family Practice<br />

Khan, Muneeza<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Hoover, Robert Michael<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Bendel, Sarah Elizabeth<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Rajan, Subha<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Nelson, Susan F<br />

Ut Medical Group Inc<br />

718 Harbor Bend Rd<br />

Memphis, TN 38103<br />

Phone: 901‐522‐1555<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 75


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Ozoigbo, Valentine Chuks<br />

Valcee Medical Corp<br />

1620 White Station Rd<br />

Memphis, TN 38117<br />

Phone: 901‐767‐3871<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Hunt, Elbert A<br />

Wadsworth Clinic<br />

2240 Hwy 51 S<br />

Hernando, MS 38632<br />

Phone: 662‐429‐5231<br />

County: DeSoto<br />

Family Practice<br />

Graham, Jeffrey B<br />

Wagner Medical Clinic<br />

434 Hwy 18 Bypass<br />

Manila, AR 72442<br />

Phone: 870‐561‐3300<br />

County: Mississippi<br />

Family Practice<br />

Wagner, Tommy W<br />

Wagner Medical Clinic<br />

434 Hwy 18 Bypass<br />

Manila, AR 72442<br />

Phone: 870‐561‐3300<br />

County: Mississippi<br />

Family Practice<br />

Ramage, Jay Newton<br />

Walter P Griffey Jr Md<br />

430 S Lake St<br />

Paris, TN 38242<br />

Phone: 731‐642‐3024<br />

County: Henry<br />

Family Practice<br />

Dunagan, Stephanie C<br />

Walter P Griffey Jr Md<br />

430 S Lake St<br />

Paris, TN 38242<br />

Phone: 731‐642‐3024<br />

County: Henry<br />

Family Practice<br />

Nienaber, Kirk A<br />

Walter P Griffey Jr Md<br />

430 S Lake St<br />

Paris, TN 38242<br />

Phone: 731‐642‐3024<br />

County: Henry<br />

Family Practice<br />

Waller, Richard E<br />

Warrington Clinic<br />

1024 Martin Luther King Dr<br />

Marks, MS 38646<br />

Phone: 662‐326‐3502<br />

County: Quitman<br />

Family Practice<br />

Warrington, James E<br />

Warrington Clinic<br />

551 Medical Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐2531<br />

County: Coahoma<br />

Family Practice<br />

Milicevic, Dragica<br />

Water Valley Medical Clinic<br />

712 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐1140<br />

County: Yalobusha<br />

Family Practice<br />

Balke, Susan W<br />

Webber Family Practice<br />

207 W Chestnut St<br />

Marianna, AR 72360<br />

Phone: 870‐295‐2367<br />

County: Lee<br />

Family Practice<br />

Webber, David L<br />

Webber Family Practice<br />

504 Pecan St<br />

Helena, AR 72342<br />

Phone: 870‐338‐9244<br />

County: Phillips<br />

Family Practice<br />

Wells, Willie L<br />

Wells Medical Clinic Inc<br />

407 E Calhoun St<br />

Bruce, MS 38915<br />

Phone: 662‐983‐2171<br />

County: Calhoun<br />

Family Practice<br />

Richardson, Erik Scott<br />

White Oak Family Medicine Clinic<br />

1190 S 18th St Extd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐1927<br />

County: Lafayette<br />

Family Practice<br />

Fearnow, Daniel S<br />

Wickman Family Care<br />

8485 Hwy 64 #101<br />

Memphis, TN 38133<br />

Phone: 901‐377‐3001<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Bucy, William W<br />

William W Bucy Md<br />

2162 Judicial Dr<br />

Germantown, TN 38138<br />

Phone: 901‐756‐1050<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Dowling, Carrie L<br />

Wilson & Dowling Primary Care<br />

7140 Stage Rd #106<br />

Bartlett, TN 38133<br />

Phone: 901‐377‐2974<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Fowler, Gary Matthew<br />

Winfield Family & Occupational Medicine<br />

191 Carraway Dr #A<br />

Winfield, AL 35594<br />

Phone: 205‐487‐1586<br />

County: Marion<br />

Family Practice<br />

Beaton, James Trent<br />

Wynne Medical Clinic<br />

710 S Falls Blvd<br />

Wynne, AR 72396<br />

Phone: 870‐238‐2321<br />

County: Cross<br />

Family Practice<br />

Bradshaw, Mark S<br />

Wynne Medical Clinic<br />

710 S Falls Blvd<br />

Wynne, AR 72396<br />

Phone: 870‐238‐2321<br />

County: Cross<br />

Family Practice<br />

Cathey, James D<br />

Wynne Medical Clinic<br />

710 S Falls Blvd<br />

Wynne, AR 72396<br />

Phone: 870‐238‐2321<br />

County: Cross<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 76


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Hayes, Robert A<br />

Wynne Medical Clinic<br />

710 S Falls Blvd<br />

Wynne, AR 72396<br />

Phone: 870‐238‐2321<br />

County: Cross<br />

Family Practice<br />

Odom, Paul L<br />

Yalobusha General Hospital<br />

645 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Family Practice<br />

Pratt, Heidi D<br />

Yalobusha General Hospital<br />

606 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Family Practice<br />

Smith, Bruce C<br />

423 W Clay<br />

Clinton, KY 42031<br />

Phone: 270‐653‐0220<br />

County: Hickman<br />

Family Practice<br />

Riddell, Mal S<br />

1300 Sunset Dr #B<br />

Grenada, MS 38901<br />

Phone: 662‐226‐6430<br />

County: Grenada<br />

Family Practice<br />

Stanford, James K<br />

1117 Sunset Dr #101<br />

Grenada, MS 38901<br />

Phone: 662‐227‐1744<br />

County: Grenada<br />

Family Practice<br />

Frank‐Tarsi, Mary A<br />

1301 Sunset Dr #E<br />

Grenada, MS 38901<br />

Phone: 662‐229‐0069<br />

County: Grenada<br />

Family Practice<br />

Cain, George L<br />

506 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐0976<br />

County: Alcorn<br />

Family Practice<br />

Collins, Robert K<br />

Hardy Blvd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Practice<br />

Crowley, Sheila W<br />

Hardy Blvd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Practice<br />

Mabry, Michael S<br />

Hardy Blvd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Family Practice<br />

Kelly, Richard A<br />

210 Goodman Rd E #4<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2251<br />

County: DeSoto<br />

Family Practice<br />

Brown, Charles H<br />

3960 Knight Arnold Rd #400<br />

Memphis, TN 38118<br />

Phone: 662‐369‐6977<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Kitchens, Ben E<br />

302 Kaki St<br />

Iuka, MS 38852<br />

Phone: 662‐423‐3662<br />

County: Tishomingo<br />

Family Practice<br />

Horn, Victor<br />

1002 E Madison #2<br />

Houston, MS 38851<br />

Phone: 662‐456‐4277<br />

County: Chickasaw<br />

Family Practice<br />

Mettetal, Cary N<br />

401 E Lee St<br />

Sardis, MS 38666<br />

Phone: 662‐487‐0004<br />

County: Panola<br />

Family Practice<br />

Sojourner, Denise H<br />

353 Hwy 15 N<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐5999<br />

County: Pontotoc<br />

Family Practice<br />

Billington, William M<br />

731 Medical Center Dr<br />

West Point, MS 39773<br />

Phone: 662‐494‐6400<br />

County: Clay<br />

Family Practice<br />

Stone, Henry D<br />

109 Park St<br />

Batesville, MS 38606<br />

Phone: 662‐563‐7662<br />

County: Panola<br />

Family Practice<br />

Cartwright, Clifton C<br />

400B Washington<br />

Booneville, MS 38829<br />

Phone: 662‐728‐8136<br />

County: Prentiss<br />

Family Practice<br />

Longest, Tom Bruce<br />

128 Public Sq<br />

Bruce, MS 38915<br />

Phone: 662‐983‐3222<br />

County: Calhoun<br />

Family Practice<br />

Carter, Lee M<br />

641 R B Wilson Dr.<br />

Huntingdon, TN 38344<br />

Phone: 731‐286‐0490<br />

County: Carroll<br />

Family Practice<br />

Sumrok, Daniel D<br />

1894 Cedar St<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐0603<br />

County: Carroll<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 77


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Carr, Kenneth W<br />

115 Mt Pelia<br />

Martin, TN 38237<br />

Phone: 731‐587‐5353<br />

County: Weakley<br />

Family Practice<br />

Peeler, Harry L<br />

203 W Pharr Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐3434<br />

County: McNairy<br />

Family Practice<br />

Chase, Barton A<br />

3856 Hwy 57 W<br />

Ramer, TN 38367<br />

Phone: 731‐645‐6118<br />

County: McNairy<br />

Family Practice<br />

Spencer, Donald R<br />

107 N Lafayette Ave<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐1152<br />

County: Haywood<br />

Family Practice<br />

Schleifer, Grover F<br />

702 Sherrill St #B<br />

Union City, TN 38261<br />

Phone: 731‐886‐1240<br />

County: Obion<br />

Family Practice<br />

Sherman, Philip A<br />

1109 E Reelfoot Ave #K<br />

Union City, TN 38261<br />

Phone: 731‐886‐1252<br />

County: Obion<br />

Family Practice<br />

Davis, Gigi W<br />

1010 Wayne Rd #100<br />

Savannah, TN 38372<br />

Phone: 731‐926‐2766<br />

County: Hardin<br />

Family Practice<br />

Atkins, Jerry F<br />

3493 Veterans Dr N #C<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐2933<br />

County: Carroll<br />

Family Practice<br />

Conner, George L<br />

902 Holiday Dr #101<br />

Forrest City, AR 72335<br />

Phone: 870‐630‐1256<br />

County: Saint Francis<br />

Family Practice<br />

Pierce, Trent P<br />

301 W Polk<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐0833<br />

County: Crittenden<br />

Family Practice<br />

Wah, John C<br />

255 W Broadway<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐8246<br />

County: Crittenden<br />

Family Practice<br />

Miller, Logan E<br />

4707 Woodridge<br />

Memphis, TN 38116<br />

Phone: 901‐345‐5411<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Winfrey, Cheryl D<br />

1520 Bonnie Lane<br />

Cordova, TN 38016<br />

Phone: 901‐346‐2719<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Brown, Arthur<br />

401 S Chestnut St<br />

Aberdeen, MS 39730<br />

Phone: 901‐369‐8142<br />

County: Monroe<br />

Family Practice<br />

Seaton, David L<br />

213 Lakeview Dr<br />

Somerville, TN 38068<br />

Phone: 901‐465‐5337<br />

County: Fayette<br />

Family Practice<br />

Broffitt, Samuel<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐4526<br />

County: Tipton<br />

Family Practice<br />

Terhune, Ronald Lytle<br />

740 Bartlett Rd<br />

Memphis, TN 38122<br />

Phone: 901‐685‐8202<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Crupie, Marc J<br />

1025 Cordova Station<br />

Cordova, TN 38018<br />

Phone: 901‐755‐2120<br />

County: Shel<strong>by</strong><br />

Family Practice<br />

Murphy, Richard Louis<br />

3535 Chere Carol Rd<br />

Humboldt, TN 38343<br />

Phone: 901‐854‐8707<br />

County: Gibson<br />

Family Practice<br />

Lum, Brian David<br />

785 Ohio Ave #1D<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5485<br />

County: Coahoma<br />

Family Practice<br />

Pummer, Terry L<br />

Grenada Lake Medical Center<br />

965 Avent Dr #100A<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7444<br />

County: Grenada<br />

Family Practice<br />

Hawkins, Wesley Norbert<br />

Truecare Physicians Clinic Of Jackson<br />

2796 N Highland Ave #D<br />

Jackson, TN 38305<br />

Phone: 731‐736‐0970<br />

County: Madison<br />

Family Practice<br />

Hall, Michael Brandon<br />

Yalobusha General Hospital<br />

604 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 78


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Family Practice<br />

Sanchez, Rafael Mario<br />

Baptist Memorial Medical Group Inc<br />

641 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Family Practice<br />

Shipley, Sonya R<br />

Firstcare Medical Ctr<br />

1215 E College St<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐3442<br />

County: Haywood<br />

Family Practice / OB<br />

Davis, Brandy Alexis<br />

Brandy Davis Md<br />

904 Holiday Dr #406<br />

Forrest City, AR 72335<br />

Phone: 870‐494‐4000<br />

County: Saint Francis<br />

Family Practice / OB<br />

Weaver, Sima A<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Mullinax, William G<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Childers, Angie Jean<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Olabintan, Tolulope Mary<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8400<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Laurence, Gregory N<br />

Complete Medical Care<br />

7485 Poplar Pike<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4999<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Bryant, Michael Lee<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Family Practice / OB<br />

Lyn‐Boswell, Carla Geraldine<br />

Medicos Para La Familia<br />

3030 Covington Pike #100<br />

Memphis, TN 38128<br />

Phone: 901‐383‐8889<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Culbreth, Angela Michelle<br />

Midsouth Family Care<br />

6005 Park Ave #310<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0833<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Byrd, William G<br />

The Bridge Medical Services<br />

6073 Mt Moriah Rd Extd #14&15<br />

Memphis, TN 38115<br />

Phone: 901‐795‐4406<br />

County: Shel<strong>by</strong><br />

Family Practice / OB<br />

Nelson, Susan F<br />

Ut Medical Group Inc<br />

66 N Pauline #206<br />

Memphis, TN 38105‐5122<br />

Phone: 901‐448‐1480<br />

County: Shel<strong>by</strong><br />

Famly Nurse Practitioner<br />

Vaughn, Donald Davis<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Gastroenterology<br />

Nuako, Kofi W<br />

Advanced Gastroenterology<br />

1109 E Reelfoot Ave #C<br />

Union City, TN 38261<br />

Phone: 731‐884‐0600<br />

County: Obion<br />

Gastroenterology<br />

Bailey, Joseph Nathaniel<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #3<br />

Amory, MS 38821<br />

Phone: 662‐257‐2324<br />

County: Monroe<br />

Gastroenterology<br />

Benson, Christopher Charles<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #1F<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Gastroenterology<br />

Brownstein, Richard E<br />

Delta Gastroenterology Ctr<br />

9140 Hwy 51 N<br />

Southaven, MS 38671<br />

Phone: 662‐280‐8222<br />

County: DeSoto<br />

Gastroenterology<br />

Duncan, Ulric D<br />

Delta Gastroenterology Ctr<br />

9140 Hwy 51 N<br />

Southaven, MS 38671<br />

Phone: 662‐280‐8222<br />

County: DeSoto<br />

Gastroenterology<br />

Khan, Nabeel Hasan<br />

Delta Gastroenterology Ctr<br />

9140 Hwy 51 N<br />

Southaven, MS 38671<br />

Phone: 662‐280‐8222<br />

County: DeSoto<br />

Gastroenterology<br />

Lomas, Russell W<br />

Digestive Assoc<br />

1067 Vendall Rd<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5133<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 79


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Gastroenterology<br />

Nabhan, Said I<br />

Digestive Assoc<br />

1067 Vendall Rd<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5133<br />

County: Dyer<br />

Gastroenterology<br />

Johnson, Samuel A<br />

Gastroenterology Assoc Of Columbus<br />

600 Leigh Dr<br />

Columbus, MS 39702<br />

Phone: 662‐327‐7525<br />

County: Lowndes<br />

Gastroenterology<br />

Johnston, Richard Leake<br />

Gastroenterology Assoc Of Columbus<br />

600 Leigh Dr<br />

Columbus, MS 39702<br />

Phone: 662‐327‐7525<br />

County: Lowndes<br />

Gastroenterology<br />

Rawson, James S<br />

Gastroenterology Assoc Of Columbus<br />

600 Leigh Dr<br />

Columbus, MS 39702<br />

Phone: 662‐327‐7525<br />

County: Lowndes<br />

Gastroenterology<br />

Williams, Alan T<br />

Gastroenterology Assoc Of Columbus<br />

600 Leigh Dr<br />

Columbus, MS 39702<br />

Phone: 662‐327‐7525<br />

County: Lowndes<br />

Gastroenterology<br />

Bridgers, David Irwin<br />

Gastroenterology Assoc Of N Ms<br />

1208 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐9888<br />

County: Lafayette<br />

Gastroenterology<br />

Johnson, Henry Parker<br />

Gastroenterology Assoc Of N Ms<br />

1208 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐9888<br />

County: Lafayette<br />

Gastroenterology<br />

Threadgill, Stephen T<br />

Gastroenterology Assoc Of N Ms<br />

1208 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐9888<br />

County: Lafayette<br />

Gastroenterology<br />

Webb, John H<br />

Gastroenterology Assoc Of N Ms<br />

1208 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐9888<br />

County: Lafayette<br />

Gastroenterology<br />

Williams, Ernest Qualls<br />

Gastroenterology Assoc Of N Ms<br />

1208 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐9888<br />

County: Lafayette<br />

Gastroenterology<br />

Sloas, David<br />

Gastroenterology Center Of The Mid South<br />

1407 Union Ave #1400<br />

Memphis, TN 38104<br />

Phone: 901‐272‐9296<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Elsakr, Raif W<br />

Gastroenterology Center Of The Mid South<br />

3950 New Covington Pike #300<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Rutland, James H<br />

Gastroenterology Center Of The Mid South<br />

3950 New Covington Pike #300<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Surles, Carles R<br />

Gastroenterology Center Of The Mid South<br />

3950 New Covington Pike #300<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Griffin, Daniel E<br />

Gastroenterology Center Of The Mid South<br />

6005 Park Ave #323B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐5500<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Portis, Mary C<br />

Gastroenterology Center Of The Mid South<br />

6005 Park Ave #323B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐5500<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Taylor, William Z<br />

Gastroenterology Center Of The Mid South<br />

6005 Park Ave #323B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐5500<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Younes, Ziad H<br />

Gastroenterology Center Of The Mid South<br />

6005 Park Ave #323B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐5500<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Dragutsky, Michael S<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Leal, Rolando J<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Mccloy, Randolph M<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 80


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Gastroenterology<br />

Pop, Anca<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Remak, Geza<br />

Gastroenterology Center Of The Mid South<br />

7668 Airways Blvd #B<br />

Southaven, MS 38671<br />

Phone: 901‐755‐9110<br />

County: DeSoto<br />

Gastroenterology<br />

Samuels, Alan D<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Ward, John D<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Wooten, Robert S<br />

Gastroenterology Center Of The Mid South<br />

1324 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐755‐9110<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Griffith, Christopher M<br />

Gastroenterology Center Of The Mid South<br />

7668 Airways Blvd Bldg #2<br />

Southaven, MS 38671<br />

Phone: 901‐766‐9490<br />

County: DeSoto<br />

Gastroenterology<br />

Hardin, William<br />

Gastroenterology Center Of The Mid South<br />

7668 Airways Blvd #B<br />

Southaven, MS 38671<br />

Phone: 901‐766‐9490<br />

County: DeSoto<br />

Gastroenterology<br />

Ormseth, Eric J<br />

Gastroenterology Center Of The Mid South<br />

7668 Airways Blvd #B<br />

Southaven, MS 38671<br />

Phone: 901‐766‐9490<br />

County: DeSoto<br />

Gastroenterology<br />

Siddiq, Muhammad S<br />

Gastrointestinal & Liver Clinic<br />

6630 Summer Knoll Cir #101<br />

Bartlett, TN 38134<br />

Phone: 901‐266‐1080<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Bierman, Paul S<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Fields, Kenneth I<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Friedman, Edward S<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Jalfon, Isaac M<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Lieberman, Gerald J<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Center Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Smith, Randelon Dondrielle<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Ctr Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Miller, Alan Ira<br />

Hardin Co. Regional Health Ctr<br />

765 Florence Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Gastroenterology<br />

Dasaree, Lakshmi Kanakavali<br />

Lakshmi K Dasaree<br />

6005 Park Ave #720B<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0730<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Corder, Fredrick A<br />

Magnolia Gastroenterology Clinic<br />

3050 Corder Dr<br />

Corinth, MS 38834<br />

Phone: 662‐284‐9902<br />

County: Alcorn<br />

Gastroenterology<br />

Aycock, Richard S<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Baum, Alex E<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Cattau, Edward L<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 81


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Gastroenterology<br />

Frederick, Randall C<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Jackson, Terrence Lee<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Levinson, Michael J<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Lewis, Myron<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Miller, Christopher Daniel<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Thompson, Bryan Francis<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Towne, Thomas Carter<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Wruble, Gary A<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Wruble, Lawrence D<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Kerlan, Robert A<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Spiotta, Eugene J<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Bowden, Phillip R<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Orleans‐Lindsay, Kodwo Kuntu<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Khan, Tariq A<br />

Premier Gastroenterology<br />

7900 Airways Blvd Bldg A #3<br />

Southaven, MS 38671<br />

Phone: 662‐349‐6113<br />

County: DeSoto<br />

Gastroenterology<br />

Michael, Ronald Christopher<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Marino, Christopher R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Waters, Bradford<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Brownstein, Richard Earl<br />

Transsouth Healthcare<br />

9 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐661‐0086<br />

County: Madison<br />

Gastroenterology<br />

Menachem, Allan Michael<br />

Transsouth Healthcare<br />

9 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐661‐0086<br />

County: Madison<br />

Gastroenterology<br />

Souder, Bob T<br />

Transsouth Healthcare<br />

9 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐661‐0086<br />

County: Madison<br />

Gastroenterology<br />

Jones, Wesley E<br />

Tri State Gastroenterology<br />

1264 Wesley Dr #303<br />

Memphis, TN 38116<br />

Phone: 901‐398‐9574<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 82


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Gastroenterology<br />

Jackson, Barbara K<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Tombazzi, Claudio<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐8699<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Mansbach Ii, Charles M<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8807<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Smith, J Lacey<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Fleckenstein, Jaquelyn Fitch<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8807<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Nair, Satheesh P<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8807<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Chaudhry, Sufiyan Hafeez<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8807<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Nguyen, Toan D<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8807<br />

County: Shel<strong>by</strong><br />

Gastroenterology<br />

Davis, J. R.<br />

815 Childs St<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3341<br />

County: Alcorn<br />

General Practice<br />

Ball, David A<br />

Batesville Clinic<br />

107 Eureka St<br />

Batesville, MS 38606<br />

Phone: 662‐563‐7681<br />

County: Panola<br />

General Practice<br />

Bell, L J Patrick<br />

Bell‐Winston Clinic<br />

626 Poplar St<br />

Helena, AR 72342<br />

Phone: 870‐338‐8163<br />

County: Phillips<br />

General Practice<br />

Frost, Charles L<br />

Bolivar Medical Clinic<br />

407 Lafayette<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐7111<br />

County: Hardeman<br />

General Practice<br />

Jones, Clay V<br />

Brighton Medical Practice<br />

39 W Woodlawn Ave<br />

Brighton, TN 38011<br />

Phone: 901‐475‐1600<br />

County: Tipton<br />

General Practice<br />

Pettigrew, Jack G<br />

Brownsville Family Medicine<br />

2290 N Washington<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐5183<br />

County: Haywood<br />

General Practice<br />

Vitualla, Agustin V<br />

Camden Medical Clinic Inc<br />

160 Hospital Dr<br />

Camden, TN 38320<br />

Phone: 731‐279‐0600<br />

County: Benton<br />

General Practice<br />

Guess, Carol W<br />

Citizens Of Lake Co For Healthcare Inc<br />

215 S Court St<br />

Tiptonville, TN 38079<br />

Phone: 731‐253‐6690<br />

County: Lake<br />

General Practice<br />

Warrington, James E<br />

Cleveland Medical Clinic<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

General Practice<br />

Ballard, Robert C<br />

Collierville Medical Assoc Inc<br />

151 N Main<br />

Collierville, TN 38017<br />

Phone: 901‐853‐4747<br />

County: Shel<strong>by</strong><br />

General Practice<br />

Creekmore, Samuel J<br />

Creekmore Clinic<br />

216 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662534‐9042<br />

County: Union<br />

General Practice<br />

Mcdaniel, Marion A<br />

Cyperet Ridge Family Practice Clinic<br />

812 B Newman Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐8308<br />

County: Phillips<br />

General Practice<br />

Garbarini, Joseph Charles<br />

Dr. Robert Kulinski & Associates<br />

3787 Summer Ave<br />

Memphis, TN 38122<br />

Phone: 901‐452‐7391<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 83


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

General Practice<br />

Lemus‐Parada, Jesus<br />

Emergency Coverage Corp<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

General Practice<br />

Barker, Robert Crowe<br />

Family Care Walk In Clinic Inc<br />

176 W University Pkwy #C<br />

Jackson, TN 38305<br />

Phone: 731‐660‐6915<br />

County: Madison<br />

General Practice<br />

Blackwood, Donald J<br />

Family Medical Clinic<br />

803 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐2721<br />

County: Bolivar<br />

General Practice<br />

Appleton, James Roy<br />

Family Physicians Of Lexington<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

General Practice<br />

Ramer, Warren C<br />

Family Physicians Of Lexington<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

General Practice<br />

White, Charles W<br />

Family Physicians Of Lexington<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

General Practice<br />

Palmer, Herman Talmadge<br />

First Care Family Clinic<br />

529 S 4th St<br />

Baldwyn, MS 38824<br />

Phone: 662‐365‐2222<br />

County: Lee<br />

General Practice<br />

White, Richard H<br />

Hickman‐Fulton Co Medical Clinic<br />

2003 S Seventh St<br />

Hickman, KY 42050<br />

Phone: 270‐236‐3202<br />

County: Fulton<br />

General Practice<br />

Meredith, James T<br />

James T Meredith Jr Md<br />

921 Holiday Dr<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐4711<br />

County: Saint Francis<br />

General Practice<br />

Warren, Kenneth Russell<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

General Practice<br />

Sweat, Thomas L<br />

Magnolia Medical Clinic<br />

1001 S Harper Rd<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1680<br />

County: Alcorn<br />

General Practice<br />

Ross, William Marvin<br />

Magnolia Regional Health Center<br />

703 Alcorn Dr #109<br />

Corinth, MS 38834<br />

Phone: 662‐286‐1499<br />

County: Alcorn<br />

General Practice<br />

Beeman, Stephen Kenn<br />

Mantachie Rural Health Care Inc<br />

5500 Hwy 363<br />

Mantachie, MS 38855<br />

Phone: 662‐282‐4226<br />

County: Itawamba<br />

General Practice<br />

Winkler, Volker G<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

General Practice<br />

Carlota Jr, Lupo T<br />

Medical Acupuncture Research Inst Of Am<br />

Inc<br />

5180 Park Ave #175<br />

Memphis, TN 38119<br />

Phone: 901‐821‐8595<br />

County: Shel<strong>by</strong><br />

General Practice<br />

South, Dwalia<br />

N Benton County Health Care Inc<br />

Hwy 15 S<br />

Ripley, MS 38663<br />

Phone: 662‐837‐0000<br />

County: Tippah<br />

General Practice<br />

Justice, David A<br />

Nwmc‐Physician Services<br />

252 13th Ave W<br />

Guin, AL 35563<br />

Phone: 205‐468‐3355<br />

County: Marion<br />

General Practice<br />

Smith, O Kay<br />

Ok Smith Jr Md<br />

1109 E Reelfoot Ave #H<br />

Union City, TN 38261<br />

Phone: 731‐884‐1515<br />

County: Obion<br />

General Practice<br />

Prasad, Sudha Ramanna<br />

Park Highland Medical Clinic<br />

3836 Park Ave<br />

Memphis, TN 38111<br />

Phone: 901‐324‐3984<br />

County: Shel<strong>by</strong><br />

General Practice<br />

Brasfield, Joyce<br />

Peabody Family Care<br />

1325 Eastmoreland Ave #150<br />

Memphis, TN 38104<br />

Phone: 901‐725‐0648<br />

County: Shel<strong>by</strong><br />

General Practice<br />

Bernard, James W<br />

Pemiscot Co Memorial Hospital<br />

106 W 12th St<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐2285<br />

County: Pemiscot<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 84


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

General Practice<br />

Tucker, Patrick E<br />

Physicians Urgent Care Of Corinth<br />

2668 S Harper Rd #1<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7138<br />

County: Alcorn<br />

General Practice<br />

Williams, James Larry<br />

Primary Care Ctr<br />

500 Hospital Dr<br />

Trenton, TN 38382<br />

Phone: 731‐855‐3510<br />

County: Gibson<br />

General Practice<br />

Patterson, Joseph M<br />

Sentry Healthcare<br />

315 S Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1224<br />

County: Crittenden<br />

General Practice<br />

Barham, Harvey H<br />

Transsouth Healthcare<br />

622 W Market St #100<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐4500<br />

County: Hardeman<br />

General Practice<br />

Fowlkes, Thomas D<br />

Tunica County Healthcare Authority<br />

11273 Hwy 61 N<br />

Robinsonville, MS 38664<br />

Phone: 662‐363‐3224<br />

County: Tunica<br />

General Practice<br />

Gentry, Jerry L<br />

Tunica County Healthcare Authority<br />

11273 Hwy 61 N<br />

Robinsonville, MS 38664<br />

Phone: 662‐363‐3224<br />

County: Tunica<br />

General Practice<br />

Brooks, Anne<br />

Tutwiler Clinic Inc<br />

205 Alma<br />

Tutwiler, MS 38963<br />

Phone: 662‐345‐8334<br />

County: Tallahatchie<br />

General Practice<br />

Wadsworth, Henry M<br />

Wadsworth Clinic<br />

2240 Hwy 51 S<br />

Hernando, MS 38632<br />

Phone: 662‐429‐5231<br />

County: DeSoto<br />

General Practice<br />

Jackson, William G<br />

William G Jackson Md<br />

202 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐4481<br />

County: Alcorn<br />

General Practice<br />

Gore, Edward K<br />

Woodland Clinic<br />

120 Market St<br />

Woodland, MS 39776<br />

Phone: 662‐456‐0111<br />

County: Chickasaw<br />

General Practice<br />

Burks, Willard G<br />

Wynne Medical Clinic<br />

710 S Falls Blvd<br />

Wynne, AR 72396<br />

Phone: 870‐238‐2321<br />

County: Cross<br />

General Practice<br />

Pakkala, Nithyananda<br />

Y N Pakkala Md<br />

630 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐6011<br />

County: Hardeman<br />

General Practice<br />

Malik, Indu B<br />

227 Commercial<br />

Fulton, KY 42041<br />

Phone: 270‐472‐3262<br />

County: Fulton<br />

General Practice<br />

Cooper, Robert F<br />

2200 S Lamar Blvd #B<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1121<br />

County: Lafayette<br />

General Practice<br />

Welch, Carl C<br />

502 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5216<br />

County: Alcorn<br />

General Practice<br />

Petilos, Salvador N<br />

1024 Martin Luther King Dr<br />

Marks, MS 38646<br />

Phone: 662‐326‐3502<br />

County: Quitman<br />

General Practice<br />

Flannery, Alphonsus L<br />

1413 Quitman St<br />

Iuka, MS 38852<br />

Phone: 662‐423‐1067<br />

County: Tishomingo<br />

General Practice<br />

West, Flavia H<br />

183 S Main<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐5038<br />

County: Pontotoc<br />

General Practice<br />

Haire, William C<br />

107A Eureka St<br />

Batesville, MS 38606<br />

Phone: 662‐563‐4641<br />

County: Panola<br />

General Practice<br />

Johnson, Whitman B<br />

401 Pecan St<br />

Clarksdale, MS 38614<br />

Phone: 662‐728‐3535<br />

County: Coahoma<br />

General Practice<br />

Naifeh, James E<br />

640 Hwy 51 Bypass E #E<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐0250<br />

County: Dyer<br />

General Practice<br />

Mckenzie, Debra Kay<br />

509 Lake Rd<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐2022<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 85


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

General Practice<br />

Morgan, Joe Wesley<br />

145 Hospital Dr<br />

Camden, TN 38320<br />

Phone: 731‐584‐3141<br />

County: Benton<br />

General Practice<br />

Aristorenas, Juan T<br />

135 W Main St<br />

Adamsville, TN 38310<br />

Phone: 731‐632‐3373<br />

County: Mcnairy<br />

General Practice<br />

Walker, Charles A<br />

707 E Wood St<br />

Paris, TN 38242<br />

Phone: 731‐644‐0144<br />

County: Henry<br />

General Practice<br />

Peters, Joseph A<br />

8917 Hwy 57<br />

Counce, TN 38326<br />

Phone: 731‐689‐5232<br />

County: Hardin<br />

General Practice<br />

Jennings Jr, William G<br />

36 N Pleasant St<br />

Decaturville, TN 38329<br />

Phone: 731‐852‐2214<br />

County: Decatur<br />

General Practice<br />

Bruce, Daniel W<br />

780 Everett St<br />

Tiptonville, TN 38079<br />

Phone: 731‐882‐1135<br />

County: Lake<br />

General Practice<br />

Cullom, Sumner R<br />

700 W Keiser<br />

Osceola, AR 72370<br />

Phone: 870‐563‐6512<br />

County: Mississippi<br />

General Practice<br />

Sanchez, Ilsa M<br />

200 E Military Rd #1<br />

Marion, AR 72364<br />

Phone: 870‐739‐9300<br />

County: Crittenden<br />

General Practice<br />

Smith, James H<br />

132 W Houston Ave<br />

Selmer, TN 38375<br />

Phone: 870‐762‐1942<br />

County: McNairy<br />

General Practice<br />

Johnson, Dwight A<br />

609 W Church St<br />

Booneville, MS 38829<br />

Phone: 901‐272‐0700<br />

County: Prentiss<br />

General Practice<br />

Avgeris, John A<br />

756 Ridge Lake Blvd #120<br />

Memphis, TN 38120<br />

Phone: 901‐312‐1552<br />

County: Shel<strong>by</strong><br />

General Practice<br />

Brody, Jonathan G<br />

1750 Frayser Blvd #A<br />

Memphis, TN 38127<br />

Phone: 901‐358‐0326<br />

County: Shel<strong>by</strong><br />

General Practice<br />

Rawtani, Pallavi V<br />

910 Madison Ave #704<br />

Memphis, TN 38103<br />

Phone: 901‐527‐6556<br />

County: Shel<strong>by</strong><br />

General Practice<br />

Holcombe, Elizabeth Joyce<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

General Surgery<br />

Morisy, Lee R<br />

Drs Morisy & Wood<br />

6025 Walnut Grove Rd #201<br />

Memphis, TN 38120<br />

Phone: 901‐685‐6066<br />

County: Shel<strong>by</strong><br />

General Surgery<br />

Chukwuogo, Nonyelu Arize<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

General Surgery<br />

Lunsford, Kevin M<br />

Memphis Surgical Specia<strong>lists</strong><br />

3950 New Covington Pike #200<br />

Memphis, TN 38128<br />

Phone: 901‐382‐3333<br />

County: Shel<strong>by</strong><br />

General Surgery<br />

Jackson, Bryan S<br />

Memphis Surgical Specia<strong>lists</strong><br />

1325 Eastmoreland Ave #410<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1921<br />

County: Shel<strong>by</strong><br />

General Surgery<br />

Akbik, Mohamad J<br />

Mohamad J. Akbik, Md<br />

3960 Knight Arnold Rd # 215B<br />

Memphis, TN 38118<br />

Phone: 901‐369‐4655<br />

County: Shel<strong>by</strong><br />

General Surgery<br />

Wheat, Wendell T<br />

Wendell T. Wheat Md<br />

6005 Park Ave #601<br />

Memphis, TN 38119<br />

Phone: 901‐680‐9205<br />

County: Shel<strong>by</strong><br />

General Surgery<br />

Delk, Sam<br />

176 S Bellevue Blvd #505<br />

Memphis, TN 38104<br />

Phone: 901‐725‐0421<br />

County: Shel<strong>by</strong><br />

Genetics / Clinical<br />

Pivnick, Eniko Karman<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8818<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 86


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Genetics / Clinical<br />

Ward, Jewell C<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8818<br />

County: Shel<strong>by</strong><br />

Genetics / Clinical<br />

Wilroy, Robert Sidney<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8818<br />

County: Shel<strong>by</strong><br />

Geriatric Medicine<br />

Figures, Koyia Latrece<br />

Crittenden Regional Hospital<br />

304 S Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐733‐1240<br />

County: Crittenden<br />

Gynecologic Oncology<br />

Photopulos, Guy J<br />

Baptist Memorial Medical Group Inc.<br />

2100 Exeter Rd<br />

Germantown, TN 38138<br />

Phone: 901‐757‐3414<br />

County: Shel<strong>by</strong><br />

Gynecologic Oncology<br />

Santoso, Joseph T<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Gynecologic Oncology<br />

Smiley, Linda M<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Gynecologic Oncology<br />

Tillmanns, Todd D<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐0055<br />

County: Shel<strong>by</strong><br />

Gynecology<br />

Duncan‐Cody, Barbara Alfreda<br />

Duncan‐Cody Medical Group<br />

1174 Poplar Ave<br />

Memphis, TN 38105<br />

Phone: 901‐278‐1412<br />

County: Shel<strong>by</strong><br />

Gynecology<br />

Johnson‐Whitehurst, Janice Susan<br />

J Susan Johnsonwhitehurst Md<br />

702 Sherrill St #A<br />

Union City, TN 38261<br />

Phone: 731‐885‐2800<br />

County: Obion<br />

Gynecology<br />

Graves, Lester R<br />

Memphis Mid‐South Ob/Gyn Alliance<br />

6215 Humphreys Blvd #400<br />

Memphis, TN 38120<br />

Phone: 901‐685‐7342<br />

County: Shel<strong>by</strong><br />

Gynecology<br />

Ballenger, Peter L<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Gynecology<br />

Purohit, Purnima R<br />

Rc & Pr Purohit<br />

PO Box 602<br />

Batesville, MS 38606<br />

Phone: 662‐563‐4404<br />

County: Panola<br />

Gynecology<br />

Martin, Daniel C<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8220<br />

County: Shel<strong>by</strong><br />

Gynecology<br />

Alexander, Jr, Irl Thomas<br />

2010 Shiloh<br />

Corinth, MS 38834<br />

Phone: 662‐287‐2341<br />

County: Alcorn<br />

Gynecology<br />

Marascalco, Frank T<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7361<br />

County: Coahoma<br />

Gynecology<br />

Preston, William H<br />

402 W Church<br />

Booneville, MS 38829<br />

Phone: 662‐728‐5551<br />

County: Prentiss<br />

Gynecology<br />

Kline, Robert P<br />

6005 Park Ave #508<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2469<br />

County: Shel<strong>by</strong><br />

Gynecology / Surgery<br />

Defranco, Joseph A<br />

Joseph Defranco MD<br />

7400 STAGE RD<br />

Bartlett, TN 38133<br />

Phone: 901‐371‐9040<br />

County: Shel<strong>by</strong><br />

Gynecology / Surgery<br />

Martin, Dan C<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd # 320<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8331<br />

County: Shel<strong>by</strong><br />

Gynecology / Surgery<br />

Ho, Jiunn H<br />

1995 Hwy 51 S #201<br />

Covington, TN 38019<br />

Phone: 901‐476‐1442<br />

County: Tipton<br />

Hand Surgery<br />

Dolan, Michael Sean<br />

Mike Dolan<br />

705 Poplar Ave #101<br />

Selmer, TN 38375<br />

Phone: 731‐646‐0250<br />

County: McNairy<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 87


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Hematology<br />

Wright, Archie W<br />

Cancer Care Ctr Of Jackson<br />

322 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐668‐1668<br />

County: Madison<br />

Hematology<br />

Holbert, James M<br />

Hematology Consultants<br />

5220 Park Ave #150<br />

Memphis, TN 38119<br />

Phone: 901‐259‐7000<br />

County: Shel<strong>by</strong><br />

Hematology<br />

Holbert Jr, James M<br />

Hematology Consultants<br />

4277 Park Ave<br />

Memphis, TN 38117<br />

Phone: 901‐484‐3207<br />

County: Shel<strong>by</strong><br />

Hematology<br />

Chesney, Carolyn M<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Alnas, Wail<br />

BMHSI Of Ms<br />

345 Baptist Blvd<br />

Columbus, MS 39705<br />

Phone: 662‐244‐4673<br />

County: Lowndes<br />

Hematology / Oncology<br />

Minhas, Sohail Azam<br />

Boston Baskin Cancer Foundation Inc<br />

7900 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2442<br />

County: DeSoto<br />

Hematology / Oncology<br />

Verrier, Carmel S<br />

Boston Baskin Cancer Foundation Inc<br />

2996 Kate Bond Rd # 100<br />

Bartlett, TN 38133<br />

Phone: 901‐383‐5590<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Boston, Barry<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Ratliff, Thomas Warren<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Raza, Muhammad<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Smith, Kir<strong>by</strong> L<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Spiers, Kathleen D<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Yunus, Furhan<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Allen, Jeffrey W<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave # 800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Azmi, Syed Shehzad<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave #800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Baskin, Reed C<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave # 800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Goorha, Sailil<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave # 800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Osarogiagbon, Raymond U<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave # 800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Vasireddy, Sailendra<br />

Boston Baskin Cancer Foundation Inc<br />

1331 Union Ave # 800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Ramirez, Robert Allen<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd #300<br />

Germantown, TN 38138<br />

Phone: 901‐767‐4520<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Franz, Gregory Blasé<br />

Boston Baskin Cancer Foundation Inc<br />

7945 Wolf River Blvd #300<br />

Germantown, TN 38138<br />

Phone: 901‐767‐4520<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 88


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Hematology / Oncology<br />

West, Sharon<br />

Boston Cancer Group Ut Cancer Institute<br />

7900 Airways Blvd Bldg B #100<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2442<br />

County: DeSoto<br />

Hematology / Oncology<br />

Minhas, Sohail<br />

Boston Cancer Group Ut Cancer Institute<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Patil, Sadanand<br />

Boston Cancer Group Ut Cancer Institute<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Phillips, Mary Nell<br />

Boston Cancer Group Ut Cancer Institute<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Sachdev, Jasgit C<br />

Boston Cancer Group Ut Cancer Institute<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐684‐2400<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Dilawari, Asma A<br />

Boston Cancer Group Ut Cancer Institute<br />

1331 Union Ave #800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Lawson, Ronald D<br />

Boston Cancer Group Ut Cancer Institute<br />

1331 Union Ave #800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Mughal, Tariq I<br />

Boston Cancer Group Ut Cancer Institute<br />

1331 Union Ave #800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Patil, Sadanand Ishwarappa<br />

Boston Cancer Group Ut Cancer Institute<br />

1331 Union Ave #800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Weir, Alva<br />

Boston Cancer Group Ut Cancer Institute<br />

1331 Union Ave #800<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1785<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Walker, Brian Neal<br />

Cancer Care Ctr Of Jackson<br />

322 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐668‐1668<br />

County: Madison<br />

Hematology / Oncology<br />

Wilson, Paschal Peolia<br />

Family Cancer Ctr<br />

504 Azalea Dr #A<br />

Oxford, MS 38655<br />

Phone: 662‐236‐7738<br />

County: Lafayette<br />

Hematology / Oncology<br />

Sullivan, David Wayne<br />

Family Cancer Ctr<br />

391 Southcrest Cir #101<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0755<br />

County: DeSoto<br />

Hematology / Oncology<br />

Walsh, William K<br />

Family Cancer Ctr<br />

2996 Kate Bond Rd #207<br />

Bartlett, TN 38133<br />

Phone: 901‐379‐0703<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Jankov, Aleksandar<br />

Family Cancer Ctr<br />

6029 Walnut Grove Rd #301<br />

Memphis, TN 38120<br />

Phone: 901‐747‐9081<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Gore, Margaret<br />

Family Cancer Ctr<br />

1936 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐850‐0272<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Gravenor, Donald St Paul<br />

Family Cancer Ctr<br />

1936 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐850‐0272<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Obaji, Suhail M<br />

Family Cancer Ctr<br />

1936 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐850‐0272<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Ahmad, Omar<br />

Hematology Oncology Assoc<br />

322 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐234‐2425<br />

County: Madison<br />

Hematology / Oncology<br />

Weeks, Albert E<br />

Intergrity Oncology Foundation<br />

1936 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐853‐6012<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Jones, Clyde Michael<br />

Jones Clinic<br />

7710 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐685‐5969<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 89


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Hematology / Oncology<br />

Mullins, Brent A<br />

Jones Clinic<br />

7710 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐685‐5969<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Elhayek, Maroun Elie<br />

Medical Oncology Inc<br />

581 Medical Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7163<br />

County: Coahoma<br />

Hematology / Oncology<br />

Carter, Peter W<br />

Mid‐South Cancer Center<br />

8000 Wolf River Blvd #100<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0446<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Ewing, Gideon P<br />

N Ms Hematology / Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Hematology / Oncology<br />

Croot, Christopher C<br />

N Ms Hematology/Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Hematology / Oncology<br />

Moazzam, Nauman<br />

N Ms Hematology/Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Hematology / Oncology<br />

Morris, David Glenn<br />

N Ms Hematology/Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Hematology / Oncology<br />

Ginn, David C<br />

Oncology Hematology Consultants<br />

100 Kiana Ct<br />

Paducah, KY 42001<br />

Phone: 270‐554‐0011<br />

County: McCracken<br />

Hematology / Oncology<br />

Barnwell, Elizabeth B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Frederick, Vicki<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Gable, Kristine E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Muir, Edward S<br />

The Jones Clinic<br />

7710 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐685‐5969<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Richey, Sylvia S<br />

The West Clinic<br />

2001 State Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3694<br />

County: Alcorn<br />

Hematology / Oncology<br />

Arnold, Anita L<br />

The West Clinic<br />

100 N Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Benn, Sonia M<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Besh, Stephen A<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Blakely, Laura J<br />

The West Clinic<br />

1588 UNION AVE<br />

Memphis, TN 38104<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Cash, Darlene K<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Eed, Jarvis D<br />

The West Clinic<br />

1588 UNION AVE<br />

Memphis, TN 38104<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Heching, Norman<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Pallera, Arnel M<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 90


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Hematology / Oncology<br />

Portney, David<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Schwartzberg, Lee S<br />

The West Clinic<br />

100 N Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Somer, Bradley G<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Tian, Gary<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Dugdale, Marion<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Adams‐Graves, Patricia E<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Hematology / Oncology<br />

Whitecar, John P<br />

425 Hospital Dr #4<br />

Columbus, MS 39705<br />

Phone: 662‐240‐0650<br />

County: Lowndes<br />

Hepatology / Liver Disease<br />

Satapathy, Sanjaya K<br />

Ut Medical Group Inc<br />

1265 Union Ave 1 Sherard<br />

Memphis, TN 38104<br />

Phone: 901‐516‐9183<br />

County: Shel<strong>by</strong><br />

Home Healthcare<br />

Baptist Home Care & Hospice‐Batesville<br />

126 Highway 51, North<br />

Batesville, MS 38606<br />

Phone: 800‐345‐6928<br />

County: Panola<br />

Home Healthcare<br />

Baptist Home Care & Hospice‐Huntingdon<br />

631 R.B. Wilson Drive<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐3220<br />

County: Carroll<br />

Home Healthcare<br />

Baptist Home Care & Hospice‐Tipton<br />

1618‐C Highway 51 South<br />

Covington, TN 38019<br />

Phone: 901‐476‐0333<br />

County: Tipton<br />

Home Healthcare<br />

Baptist Trinity Homecare & Hospice<br />

6141 Walnut Grove Road<br />

Memphis, TN 38120<br />

Phone: 901‐767‐6767<br />

County: Shel<strong>by</strong><br />

Home Healthcare<br />

Crittenden Regional Hospital Home Health‐<br />

Forrest City<br />

1600 Lindauer Road<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐3553<br />

County: Saint Francis<br />

Home Healthcare<br />

Crittenden Regional Hospital Home Health‐<br />

Marked Tree<br />

48 Frisco<br />

Marked Tree, AR 72365<br />

Phone: 870‐358‐4018<br />

County: Poinsett<br />

Home Healthcare<br />

Crittenden Regional Hospital Home Health‐<br />

Osceola<br />

109 North Walnut Street<br />

Osceola, AR 72370<br />

Phone: 870‐563‐3755<br />

County: Mississippi<br />

Home Healthcare<br />

Crittenden Regional Hospital Home Health‐<br />

West Memphis<br />

200 Tyler Avenue<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐7777<br />

County: Crittenden<br />

Home Healthcare<br />

Crossridge Community Hospital Home<br />

Health<br />

732 East Eldridge<br />

Wynne, AR 72396<br />

Phone: 870‐208‐1140<br />

County: Cross<br />

Home Healthcare<br />

Extendicare Home Health Of Western<br />

Tennessee<br />

215 Hawks Road; Suite 5<br />

Martin, TN 38237‐2742<br />

Phone: 731‐587‐8195<br />

County: Weakley<br />

Home Healthcare<br />

Extendicare Home Health Of Western<br />

Tennessee<br />

701 E. Reelfoot Ave.; Suite 400<br />

Union City, TN 38261‐5889<br />

Phone: 731‐885‐0866<br />

County: Obion<br />

Home Healthcare<br />

Fayette Medical Center Home Care<br />

411 Fayette Square<br />

Fayette, AL 35555<br />

Phone: 205‐932‐5961<br />

County: Fayette<br />

Home Healthcare<br />

Gilbert's Home Health Agency Inc<br />

2633 Lawndale<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9725<br />

County: Lee<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 91


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Home Healthcare<br />

Gilbert's Home Health Agency Of Calhoun City<br />

104 Legion Avenue<br />

Calhoun City, MS 38916<br />

Phone: 662‐628‐6657<br />

County: Calhoun<br />

Home Healthcare<br />

Gilbert's Home Health Of Columbus<br />

189 Park Creek Drive<br />

Columbus, MS 39705<br />

Phone: 662‐327‐9560<br />

County: Lowndes<br />

Home Healthcare<br />

Gilbert's Home Health Of Columbus (Aberdeen)<br />

70 Highway 25 South<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐7685<br />

County: Monroe<br />

Home Healthcare<br />

Grenada Lake Medical Center Home Health<br />

Agency<br />

960 Avent Drive<br />

Grenada, MS 38901‐5094<br />

Phone: 662‐227‐7545<br />

County: Grenada<br />

Home Healthcare<br />

Hardin Medical Center Home Health<br />

983 Wayne Road, Suite A<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8215<br />

County: Hardin<br />

Home Healthcare<br />

Magnolia Regional Health Center Home<br />

Health & Hospice Agency<br />

2034 E. Shiloh Road<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1405<br />

County: Alcorn<br />

Home Healthcare<br />

Northeast Arkansas Home Care<br />

1712 Lindauer Rd.<br />

Forrest City, AR 72335‐2523<br />

Phone: 870‐261‐0188<br />

County: Saint Francis<br />

Home Healthcare<br />

Northeast Arkansas Home Care<br />

1028 North Missouri Street; Suite 6<br />

West Memphis, AR 72301‐2600<br />

Phone: 870‐733‐0058<br />

County: Crittenden<br />

Home Healthcare<br />

Northwest Home Health‐Winfield<br />

1530 US Hwy 43<br />

Winfield, AL 35594<br />

Phone: 205‐487‐7900<br />

County: Marion<br />

Home Healthcare<br />

Regional Home Care<br />

119 Hickory Hill<br />

Helena, AR 72342<br />

Phone: 870‐816‐3500<br />

County: Phillips<br />

Home Healthcare<br />

Regional Home Care‐Brownsville<br />

2545 N. Washington Avenue<br />

Brownsville, TN 38012<br />

Phone: 731‐779‐3544<br />

County: Haywood<br />

Home Healthcare<br />

Regional Home Care‐Dyersburg<br />

400 Tickle Street<br />

Dyersburg, TN 38024<br />

Phone: 800‐287‐2705<br />

County: Dyer<br />

Home Healthcare<br />

Regional Home Care‐Jackson<br />

37 Sandston Circle, 2nd Floor<br />

Jackson, TN 38305<br />

Phone: 800‐730‐6756<br />

County: Madison<br />

Home Healthcare<br />

Regional Home Care‐Lexington<br />

14‐C Monroe Avenue<br />

Lexington, TN 38351<br />

Phone: 800‐247‐3468<br />

County: Henderson<br />

Home Healthcare<br />

Regional Home Care‐Martin<br />

161 Mt. Pelia Road<br />

Martin, TN 38237<br />

Phone: 800‐925‐9066<br />

County: Weakley<br />

Home Healthcare<br />

Regional Home Care‐Selmer<br />

1040 Mulberry Ave.<br />

Selmer, TN 38375<br />

Phone: 731‐646‐2610<br />

County: Mcnairy<br />

Home Infusion<br />

Home Iv Specialist<br />

824 Cobb Street<br />

Jonesboro, AR 72401<br />

Phone: 870‐972‐1677<br />

County: Craighead<br />

Home Infusion<br />

Iv Solutions<br />

217 W. Maplewood Lane<br />

Nashville, TN 37207<br />

Phone: 615‐277‐5900<br />

County: Davidson<br />

Home Infusion<br />

Medical Alternatives<br />

4565 Shel<strong>by</strong> Road<br />

Millington, TN 38053<br />

Phone: 901‐872‐2200<br />

County: Shel<strong>by</strong><br />

Hospice Care<br />

Baptist Home Care & Hospice‐Union City<br />

1201 Bishop Street<br />

Union City, TN 38261<br />

Phone: 731‐884‐8617<br />

County: Obion<br />

Hospice Care<br />

Baptist Hospice‐Columbus<br />

525 Willowbrook Road<br />

Columbus, MS 39705<br />

Phone: 662‐243‐1173<br />

County: Lowndes<br />

Hospice Care<br />

Baptist Trinity Hospice<br />

6141 Walnut Grove Road<br />

Memphis, TN 38120<br />

Phone: 901‐767‐6767<br />

County: Shel<strong>by</strong><br />

Hospice Care<br />

Crittenden Regional Hospital‐Hospice<br />

308 South Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐3353<br />

County: Crittenden<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 92


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Hospice Care<br />

Gilbert's Hospice Care<br />

2633 Lawndale Drive<br />

Tupelo, MS 38803<br />

Phone: 662‐844‐9725<br />

County: Lee<br />

Hospice Care<br />

Patient's Choice Hospice<br />

1712 Lindauer Rd.<br />

Forrest City, AR 72335<br />

Phone: 870‐261‐0188<br />

County: Saint Francis<br />

Infectious Disease<br />

Mazumder, Shirin Asleha<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8808<br />

County: Shel<strong>by</strong><br />

Infectious Disease<br />

Brewer, Susan Crouch<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Echevarria, Leonor Adela<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3H<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐3003<br />

County: Coahoma<br />

Infectious Diseases<br />

George, David L<br />

David L George Md<br />

5050 Poplar Ave #1528<br />

Memphis, TN 38157<br />

Phone: 901‐767‐7829<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Jain, Manoj K<br />

Mid‐South Infectious Disease Assoc<br />

6027 Walnut Grove Rd #312<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0778<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Khan, Haroon Nasir<br />

Mid‐South Infectious Disease Assoc<br />

401 Southcrest Cir #201<br />

Southaven, MS 38671<br />

Phone: 901‐681‐0778<br />

County: DeSoto<br />

Infectious Diseases<br />

Mannan, Ghalib<br />

Mid‐South Infectious Disease Assoc<br />

6027 Walnut Grove Rd #312<br />

Memphis, TN 38120<br />

Phone: 901‐681‐0778<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Mason, William Jeffrey<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Omer, Imad<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Thomas‐Gosain, Neena F<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Threlkeld, Stephen Colin<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Infectious Diseases<br />

Lamothe, Margarita<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Infertility<br />

Askari, Raza<br />

Crittenden Hospital Assoc<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Cummings, Johnnie E<br />

Aaron E Henry Comm Health Svcs Ctr Inc<br />

216 Hwy 51 N<br />

Batesville, MS 38606<br />

Phone: 662‐563‐1858<br />

County: Panola<br />

Internal Medicine<br />

Smith, Adam Barrett<br />

Adam B Smith Md<br />

2321 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐328‐0220<br />

County: Lowndes<br />

Internal Medicine<br />

Mittal, Shalender<br />

Adult Medicine Clinic Of Blytheville<br />

519 N 6th Street<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐5800<br />

County: Mississippi<br />

Internal Medicine<br />

Abutineh, Mohammad Ibrahim<br />

Adult Primary Care Of Memphis<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Chowdhary, Yashwant<br />

Affordable Medical Care<br />

900 E Commerce St<br />

Hernando, MS 38632<br />

Phone: 662‐429‐9111<br />

County: DeSoto<br />

Internal Medicine<br />

Gayoso, Aileen Sanchez<br />

Aileen Gayoso Md<br />

391 Southcrest Cir #210<br />

Southaven, MS 38671<br />

Phone: 901‐537‐1892<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 93


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Pizzimenti, David Victor<br />

Alliance Healthcare System Inc<br />

538 J M Ash Rd<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐1599<br />

County: Marshall<br />

Internal Medicine<br />

Williams, Kenneth<br />

Alliance Healthcare System Inc<br />

538 J M Ash Rd<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐1599<br />

County: Marshall<br />

Internal Medicine<br />

Moore, Danny<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Internal Medicine<br />

Towles‐Moore, Stacy<br />

Amory Hma Physician Mgmt<br />

305 Hwy 145 N<br />

Aberdeen, MS 39730<br />

Phone: 662‐256‐7112<br />

County: Monroe<br />

Internal Medicine<br />

Mccomb, William Dwight<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #1<br />

Amory, MS 38821<br />

Phone: 662‐256‐9327<br />

County: Monroe<br />

Internal Medicine<br />

Ratliff, Roger<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #1<br />

Amory, MS 38821<br />

Phone: 662‐256‐9327<br />

County: Monroe<br />

Internal Medicine<br />

Rogers, William B<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #1<br />

Amory, MS 38821<br />

Phone: 662‐256‐9327<br />

County: Monroe<br />

Internal Medicine<br />

Funderburk, Amy Elise<br />

Amy Funderburk Md<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Riley, Angela Marie<br />

Angela Riley Md<br />

1300 Access Rd #13<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8005<br />

County: Lafayette<br />

Internal Medicine<br />

Apogee Medical Group Tn<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 866‐869‐2395<br />

County: Dyer<br />

Internal Medicine<br />

Hanissian, Ara James<br />

Ara James Hanissian Md<br />

1125 Schilling Blvd E #105<br />

Collierville, TN 38017<br />

Phone: 901‐853‐2021<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Hanissian, Gina Rhodes<br />

Ara James Hanissian Md<br />

1125 Schilling Blvd E #105<br />

Collierville, TN 38017<br />

Phone: 901‐853‐2021<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Enyenihi, Henry Nubung<br />

Arlington Medical Clinic<br />

11121 Hwy 70 #101<br />

Arlington, TN 38002<br />

Phone: 901‐867‐0211<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Durrani, Ehsan Ullah Khan<br />

Baptist Memorial Health Services Of MS Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Lampton, Brett C<br />

Baptist Memorial Health Services Of MS Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Pace, Sidney Kelton<br />

Baptist Memorial Health Services Of MS Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Thompson, James Willard<br />

Baptist Memorial Health Services Of MS Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Wall, Brian Keith<br />

Baptist Memorial Health Services Of MS Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Beezley, Alvin R<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Brown, Bradley P<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Carroll, William Steven<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 94


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

King, John J<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Morton, Lasongia Mcshal<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Wade, Matthew Joel<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Woodard, James S<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Collins, Christina Devillier<br />

Baptist Memorial Health Services Of MS Inc<br />

515 Willowbrook Rd. #1<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2960<br />

County: Lowndes<br />

Internal Medicine<br />

Hampton, Jacqueline L<br />

Baptist Memorial Health Services Of MS Inc<br />

255 Baptist Blvd #304<br />

Columbus, MS 39705<br />

Phone: 662‐327‐3494<br />

County: Lowndes<br />

Internal Medicine<br />

Brohawn, William Ensor<br />

Baptist Memorial Health Services Of MS Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐2425<br />

County: Union<br />

Internal Medicine<br />

Lewis, Allen K<br />

Baptist Memorial Health Services Of MS Inc<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐2425<br />

County: Union<br />

Internal Medicine<br />

Alfarawati, Mohammad N<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8100<br />

County: Lafayette<br />

Internal Medicine<br />

Bamgbelu, Olukayode Adeola<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Mangle, George M<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Otuseso, Eniola Oluyemisi<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Scott, Lensey Crashun<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Summers, Evan L<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Onyejekwe, Chike O<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Saxon, John Thomas<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Mccollum Iii, Charles Ramsey<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Brandy, Kadallah Zizwee<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Durrani, Ehsan Ullah Khan<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Glover Jr, Jack F<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Haddad, Hassan<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 95


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Haider, Syed Norman<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Hann, Matthew Christopher<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Herpich, Byron Kendall<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Kavanagh, Joel Brian<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Lewis Jr, Allen<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Nnadi, John O<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Raza, Shahnila<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: Desoto<br />

Internal Medicine<br />

Scott‐Bennett, Charletta Lashun<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: DeSoto<br />

Internal Medicine<br />

Stein, Jonathan H<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: Desoto<br />

Internal Medicine<br />

Wiener, Hillel E<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 6.62772e+009<br />

County: Desoto<br />

Internal Medicine<br />

Nedumthottathil, Thomas Joseph<br />

Baptist Memorial Medical Group Inc<br />

1109 E Reelfoot Ave #A<br />

Union City, TN 38261<br />

Phone: 731‐886‐0811<br />

County: Obion<br />

Internal Medicine<br />

Salazar, Sergio A<br />

Baptist Memorial Medical Group Inc<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7021<br />

County: Carroll<br />

Internal Medicine<br />

Dhar, Ujjwal<br />

Baptist Memorial Medical Group Inc<br />

631 R B Wilson Dr #G<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7400<br />

County: Carroll<br />

Internal Medicine<br />

Kamalov, German G<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mousselli, Hosam Abraham<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ogbeide, Egumnwendia Iguodala<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Spencer, Jason Bradley<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Hegedus, Steven Michael<br />

Baptist Memorial Medical Group Inc<br />

6025 Walnut Grove Rd #206<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3195<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Bower, Eric Alan<br />

Baptist Memorial Medical Group Inc<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Internal Medicine<br />

Afenya, Kenneth Kafui<br />

Baptist Memorial Medical Group Inc<br />

1995 Hwy 51 S #101<br />

Covington, TN 38019<br />

Phone: 901‐476‐9921<br />

County: Tipton<br />

Internal Medicine<br />

Mbu, Prudence Chia<br />

Baptist Memorial Medical Group Inc<br />

1995 Hwy 51 S #101<br />

Covington, TN 38019<br />

Phone: 901‐476‐9921<br />

County: Tipton<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 96


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Smith, Rachael E<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Webster, Stevan A<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Baburyan, Narina Yuri<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Dempsey Jr, Buckley Kinard<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Jia, Yi<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Wyatt, Felicie G<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Shaheen, Mazen Hussein<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Smith, Vincent D<br />

Baptist Memorial Medical Group Inc<br />

6027 Walnut Grove Rd #103<br />

Memphis, TN 38120<br />

Phone: 901‐763‐1695<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Vieron, Leonidas N<br />

Baptist Memorial Medical Group Inc<br />

6025 Walnut Grove Rd #627<br />

Memphis, TN 38120<br />

Phone: 901‐763‐1695<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Keeton, Kevin Lee<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Manns, Melantha Dorthea<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Matthews‐Smith, Velmalia Danette<br />

Baptist Memorial Medical Group Inc<br />

345 Baptist Blvd<br />

Columbus, MS 39705<br />

Phone: 662‐244‐4673<br />

County: Lowndes<br />

Internal Medicine<br />

Abai, Aja A<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Pastorek, Jordan Michael<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Wagas, Muhammad<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Osorio‐Figueroa, Ramon Luis<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Bond, Allyn Harris<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Stokes Jr, Donny Ray<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Bridges, James Kevin<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Staniewski, John Albert<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Mora, Marilyn Jean<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 97


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Amin, Sumaiya<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ellingson, Thomas<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Bryan, Kristy Lynn<br />

Baptist Memorial Medical Group Inc.<br />

1500 W Poplar Ave #202<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9090<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Balderama, Herminio B<br />

Bartlett Raleigh Internal Medicine<br />

2743 Summer Oaks Rd<br />

Bartlett, TN 38134<br />

Phone: 901‐371‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Corkern, Robert Stephen<br />

Batesville Hospital Mgmt Inc<br />

580 Hwy 6 E<br />

Batesville, MS 38606<br />

Phone: 662‐561‐0810<br />

County: Panola<br />

Internal Medicine<br />

Meacham, Robert R<br />

Baxter Clinic Of Hernando<br />

124 W Commerce St<br />

Hernando, MS 38632<br />

Phone: 662‐429‐5221<br />

County: DeSoto<br />

Internal Medicine<br />

Bell, Darl Vic<br />

Bell Internal Medicine Assoc<br />

11180 Hwy 51 #3<br />

Atoka, TN 38004<br />

Phone: 901‐837‐9910<br />

County: Tipton<br />

Internal Medicine<br />

Prasad, Bheerendra R<br />

Bheerendra Prasad<br />

3836 Park Ave<br />

Memphis, TN 38111<br />

Phone: 901‐324‐3984<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Brown, Brett O<br />

BMHSI Of Ms<br />

515 Willowbrook Rd #1<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2960<br />

County: Lowndes<br />

Internal Medicine<br />

Dill, Andrew Robert<br />

BMHSI Of MS<br />

515 Willowbrook Rd. #1<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2960<br />

County: Lowndes<br />

Internal Medicine<br />

Kim, Min Sang<br />

BMHSI Of MS<br />

515 Willowbrook Rd #1<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2960<br />

County: Lowndes<br />

Internal Medicine<br />

Patel, Pravin J<br />

Bolivar Medical Clinic<br />

407 Lafayette<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐7111<br />

County: Hardeman<br />

Internal Medicine<br />

Hughey, John R<br />

Brighton Medical Practice<br />

39 W Woodlawn Ave<br />

Brighton, TN 38011<br />

Phone: 901‐475‐1600<br />

County: Tipton<br />

Internal Medicine<br />

Nickelson, Connie L<br />

Brownsville Clinic Corp<br />

2545 N Washington Ave<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐4110<br />

County: Haywood<br />

Internal Medicine<br />

Richardson Iii, Robert L<br />

Camden Medical Clinic Inc<br />

160 Hospital Dr<br />

Camden, TN 38320<br />

Phone: 731‐279‐0600<br />

County: Benton<br />

Internal Medicine<br />

Hospital Assoc Pllc, Carroll<br />

Carroll Hospital Assoc<br />

631 R B Wilson Dr<br />

Huntington, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Internal Medicine<br />

Finn, Cary M<br />

Cary M Finn & Assoc<br />

6025 Walnut Grove Rd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3321<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Guthrie, David P<br />

Center For Adult Healthcare<br />

1629 Woodlawn Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Internal Medicine<br />

Mckee, William N<br />

Center For Adult Healthcare<br />

1629 Woodlawn Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Internal Medicine<br />

Hill, Robert P<br />

Ch Hill Clinic<br />

316 E Harper<br />

Troy, TN 38260<br />

Phone: 731‐536‐4624<br />

County: Obion<br />

Internal Medicine<br />

Olusanya, Ayodele<br />

Charicem Ventures<br />

120 Davy Crockett Mall<br />

Trenton, TN 38382<br />

Phone: 731‐855‐2803<br />

County: Gibson<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 98


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Newman, Jason Richard<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8400<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Murray, Andrea Joy<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8400<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Snader, Brent Michael<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Zsohar, Jeffrey<br />

Christ Community Health Svcs<br />

5366 Mendenhall Mall<br />

Memphis, TN 38115<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Moore, Gina M<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Carter, Bradley Paul<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐398‐2442<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Krishnan, Ruth Nisha<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐398‐2442<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Algee, Wyatt R<br />

Citizens Of Lake Co For Healthcare Inc<br />

130 N Main<br />

Ridgely, TN 38080<br />

Phone: 731‐264‐5518<br />

County: Lake<br />

Internal Medicine<br />

Woodard, Theresa L<br />

Clarey R Dowling Md<br />

2569 N Washington Ave<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐4411<br />

County: Haywood<br />

Internal Medicine<br />

Griffin, Alexander Darnesh<br />

Clarksdale Hma Physician Mgmt<br />

411 Poplar St<br />

Marks, MS 38646<br />

Phone: 662‐326‐9232<br />

County: Quitman<br />

Internal Medicine<br />

Ozua, Edwin Iyere<br />

Clarksdale Hma Physician Mgmt<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Internal Medicine<br />

Sherigar, Jagannath M<br />

Clarksdale Hma Physician Mgmt<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Internal Medicine<br />

Clark, Steven G<br />

Cleveland Medical Clinic<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

Internal Medicine<br />

Jeffers, Raymond C<br />

Collierville Medical Specia<strong>lists</strong> /<br />

Consolidated Medical Practices<br />

526 Halle Park Drive<br />

Collierville, TN 38018<br />

Phone: 901‐854‐1877<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Stamps, Henry B<br />

Collierville Medical Specia<strong>lists</strong> /<br />

Consolidated Medical Practices<br />

526 Halle Park Drive<br />

Collierville, TN 38017<br />

Phone: 901‐854‐1877<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Cromwell, Janet Lard<br />

Complete Care<br />

985A Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐926‐1502<br />

County: Hardin<br />

Internal Medicine<br />

Watson, Angela Denise<br />

Complete Health Care Center<br />

1750 Madison Ave #401<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2359<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Taylor, Ralph<br />

Complete Health Care Ctr<br />

1750 Madison Ave #401<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2357<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Patchen, Jay<br />

Consolidated Medical Practice Of Memphis<br />

1750 Madison Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2410<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Stoev, George T<br />

Consolidated Medical Practice Of Memphis<br />

526 Halle Park Drive<br />

Collierville, TN 38018<br />

Phone: 901‐854‐1877<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Lofton, William Bradley<br />

Cordova Internal Medicine<br />

8066 Walnut Run #200<br />

Cordova, TN 38018<br />

Phone: 901‐751‐9794<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 99


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Miller, Marvin Tyrone<br />

Cordova Internal Medicine<br />

8066 Walnut Run #200<br />

Cordova, TN 38018<br />

Phone: 901‐751‐9794<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wright, David B<br />

Cordova Internal Medicine<br />

8066 Walnut Run #200<br />

Cordova, TN 38018<br />

Phone: 901‐751‐9794<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Noyes, Timothy L<br />

Corinth Family Care Center<br />

2000 Shiloh Rd<br />

Corinth, MS 38834<br />

Phone: 662‐665‐1881<br />

County: Alcorn<br />

Internal Medicine<br />

Mckinney, Robert H<br />

Corinth Medical Specia<strong>lists</strong><br />

3301 Tinin Dr<br />

Corinth, MS 38835<br />

Phone: 662‐665‐9111<br />

County: Alcorn<br />

Internal Medicine<br />

Chambers, George W<br />

Covington Internal Physicians<br />

56 E Main St<br />

Munford, TN 38058<br />

Phone: 901‐837‐3735<br />

County: Tipton<br />

Internal Medicine<br />

Miller, Alvin James<br />

Covington Primary Care<br />

534 Munford Atoka Ave<br />

Munford, TN 38058<br />

Phone: 901‐840‐3540<br />

County: Tipton<br />

Internal Medicine<br />

Kathawala, Ahsan Hussain<br />

Crescent Medical Inc<br />

1264 Wesley Dr #501<br />

Memphis, TN 38116<br />

Phone: 901‐346‐1800<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Buttross, John B<br />

Cresthaven Internal Medicine Assoc<br />

6799 Great Oaks Rd #250<br />

Memphis, TN 38138<br />

Phone: 901‐821‐8300<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Campbell, Tommy J<br />

Cresthaven Internal Medicine Assoc<br />

6799 Great Oaks Rd #250<br />

Memphis, TN 38138<br />

Phone: 901‐821‐8300<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rushing, George Van<br />

Cresthaven Internal Medicine Assoc<br />

6799 Great Oaks Rd #250<br />

Memphis, TN 38138<br />

Phone: 901‐821‐8300<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Kale, Santosh Sudhir<br />

Crittenden Hospital Assoc<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Hashmi, Shakeb<br />

Crittenden Hospital Assoc<br />

310 Judge Smith Dr<br />

Marion, AR 72364<br />

Phone: 870‐735‐4025<br />

County: Crittenden<br />

Internal Medicine<br />

Washington, Latonya B<br />

Crittenden Hospital Assoc<br />

710 N Missouri St<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐4025<br />

County: Crittenden<br />

Internal Medicine<br />

Zaidi, Amna Ahmad<br />

Crittenden Hospital Assoc<br />

310 Judge Smith Dr<br />

Marion, AR 72364<br />

Phone: 870‐735‐4025<br />

County: Crittenden<br />

Internal Medicine<br />

Chachanidze, Vladimir<br />

Crittenden Regional Hospital<br />

228 Tyler #105<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐4025<br />

County: Crittenden<br />

Internal Medicine<br />

Issa, Nizar<br />

Crittenden Regional Hospital<br />

228 Tyler #105<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐4025<br />

County: Crittenden<br />

Internal Medicine<br />

Joves, Froilan Borja<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Internal Medicine<br />

Arunachalam, Rangarajan<br />

Delta Convenient Care<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Internal Medicine<br />

Brown, Charles Ellezy<br />

Desoto Adult Medicine Assoc<br />

7900 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2377<br />

County: DeSoto<br />

Internal Medicine<br />

Partovi, Kiandokht<br />

Dr Kiandokht Partovi Pc Inc<br />

425 E Commerce St<br />

Hernando, MS 38632<br />

Phone: 662‐449‐4308<br />

County: DeSoto<br />

Internal Medicine<br />

Kumar, Sudhir<br />

Dr Kumar's Medical Clinic<br />

1801 Lindauer Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐5016<br />

County: Saint Francis<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 100


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Hoover, Jeffery N<br />

Dr. Robert Kulinski & Associates<br />

3787 Summer Ave<br />

Memphis, TN 38122<br />

Phone: 901‐452‐7391<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Kulinski, Robert F<br />

Dr. Robert Kulinski & Associates<br />

3787 Summer Ave<br />

Memphis, TN 38122<br />

Phone: 901‐452‐7391<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Baba, Rauf M<br />

Dyersburg Clinic Corp<br />

101 N Main St<br />

Ridgely, TN 38080<br />

Phone: 731‐285‐1935<br />

County: Lake<br />

Internal Medicine<br />

Green, Daniel P<br />

Dyersburg Clinic Corp<br />

305 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2324<br />

County: Dyer<br />

Internal Medicine<br />

Haynes, Douglas B<br />

Dyersburg Clinic Corp<br />

305 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2324<br />

County: Dyer<br />

Internal Medicine<br />

Machra, Ravinder Kaur<br />

Dyersburg Clinic Corp<br />

462 S Church St<br />

Halls, TN 38040<br />

Phone: 731‐836‐1239<br />

County: Lauderdale<br />

Internal Medicine<br />

Chaudhary, Ranchhodbhai L<br />

Dyersburg Clinic Corp<br />

1067 Vendall Rd #A<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5513<br />

County: Dyer<br />

Internal Medicine<br />

Mccafferty, Linda<br />

Dynamic Directions Internal Medicine<br />

7655 Poplar Ave #350<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3447<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Agapos, Emmanuel Michael<br />

E Michael Agapos Md<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐757‐2345<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Dowell, Stanley W<br />

Eastmoreland Internal Medicine<br />

1325 Eastmoreland Ave #245<br />

Memphis, TN 38104<br />

Phone: 901‐729‐3700<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Motley, Thomas E<br />

Eastmoreland Internal Medicine<br />

1325 Eastmoreland Ave #245<br />

Memphis, TN 38104<br />

Phone: 901‐729‐3700<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Willis, Deborah Geneva<br />

Eastmoreland Internal Medicine<br />

1325 Eastmoreland Ave #245<br />

Memphis, TN 38104<br />

Phone: 901‐729‐3700<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Olalekan, David B<br />

Emergency Coverage Corp<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐886‐2410<br />

County: Obion<br />

Internal Medicine<br />

Winston, Robert Lee<br />

Emergency Coverage Corp<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Internal Medicine<br />

Scobey, Eugene C<br />

Eugene C Scobey Jr<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐853‐1007<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Eze, Gift E<br />

Eze Clinic<br />

2777 N Highland Ave<br />

Jackson, TN 38305<br />

Phone: 731‐661‐0067<br />

County: Madison<br />

Internal Medicine<br />

Atkins, Keith Lantrip<br />

Family Care Walk In Clinic Inc<br />

176 W University Pkwy #C<br />

Jackson, TN 38305<br />

Phone: 731‐660‐6915<br />

County: Madison<br />

Internal Medicine<br />

Walt, David L<br />

Family Medical Clinic<br />

803 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐2721<br />

County: Bolivar<br />

Internal Medicine<br />

Boone, Scott Alan<br />

Family Medical Clinic Of N Ms<br />

3451 Goodman Rd E #115<br />

Southaven, MS 38672<br />

Phone: 662‐890‐5555<br />

County: Desoto<br />

Internal Medicine<br />

Hester, Richard L<br />

Family Medicine Assoc Of Blytheville<br />

1521 N Tenth St #C<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐5360<br />

County: Mississippi<br />

Internal Medicine<br />

Lee, Marsha Victoria<br />

Family Physicians Grp<br />

8110 Cordova Rd #111<br />

Cordova, TN 38016<br />

Phone: 901‐752‐6963<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 101


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Aslam, Tanveer<br />

First Choice Medical Care<br />

1950 Cook St #D<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐7999<br />

County: Dyer<br />

Internal Medicine<br />

Yousuf, Mohammad<br />

First Choice Medical Care<br />

1950 Cook St #D<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐7999<br />

County: Dyer<br />

Internal Medicine<br />

Obi, Emmanuel<br />

Firstcare Medical Ctr<br />

1215 E College St<br />

Brownsville, TN 38012<br />

Phone: 731‐512‐0043<br />

County: Haywood<br />

Internal Medicine<br />

Montoya‐Chavez, Jaime E<br />

Firstcare Medical Ctr<br />

1215 E College St<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐3442<br />

County: Haywood<br />

Internal Medicine<br />

Vides‐Demontoya, Joaquina Elizabeth<br />

Firstcare Medical Ctr<br />

1215 E College St<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐3442<br />

County: Haywood<br />

Internal Medicine<br />

Chinta, Viswanatha Reddy<br />

Forrest City Clinic Co<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐261‐0000<br />

County: Saint Francis<br />

Internal Medicine<br />

Edmunds, Kenneth Osita<br />

Foundation Internal Medicine<br />

401 Southcrest Cir #207<br />

Southaven, MS 38671<br />

Phone: 662‐349‐9292<br />

County: DeSoto<br />

Internal Medicine<br />

Brown, Ann D<br />

Foundation Medical Group<br />

7690 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐756‐1231<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Freeland, Lynda J<br />

Foundation Medical Group<br />

7690 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐756‐1231<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Porter, Jolie Garcia<br />

Foundation Medical Group<br />

7690 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐756‐1231<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Taylor, Martha N<br />

Foundation Medical Group<br />

7690 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐756‐1231<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Schwartz, Frank R<br />

Frank R Schwartz Md<br />

902 Holiday Dr #103<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐0800<br />

County: Saint Francis<br />

Internal Medicine<br />

Jennings, Nicole<br />

Frix‐Jennings Clinic<br />

59 S Main St<br />

Memphis, TN 38103<br />

Phone: 901‐522‐2000<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Patel, Nikhil R<br />

Gastroenterology Associates<br />

148 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐587‐5170<br />

County: Weakley<br />

Internal Medicine<br />

Haque, Nasir Mainul<br />

Germantown Internal Medicine Assoc<br />

7645 Wolf River Cir #202<br />

Germantown, TN 38138<br />

Phone: 901‐348‐6487<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Zaman, Kazi Aftabuz<br />

Germantown Internal Medicine Assoc<br />

1264 Wesley Dr #405<br />

Memphis, TN 38116<br />

Phone: 901‐348‐6487<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Agbaosi, Oluwatoyin Jimmy<br />

Goodlife Medical Center<br />

756 Ridge Lake Blvd #228<br />

Memphis, TN 38120<br />

Phone: 901‐685‐1994<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Adebanjo, Olugbenga Alaba<br />

Goodlife Medical Center<br />

756 Ridge Lake Blvd #228<br />

Memphis, TN 38120<br />

Phone: 901‐850‐8616<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Green, Christopher Brian<br />

Green Clinic<br />

2725 Kir<strong>by</strong> Pkwy #1<br />

Memphis, TN 38119<br />

Phone: 901‐755‐2255<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Gondwe, Justice Aaron<br />

Grenada Adult Health Care Clinic<br />

965 Avent Dr #106<br />

Grenada, MS 38901<br />

Phone: 662‐227‐6450<br />

County: Grenada<br />

Internal Medicine<br />

Shujaat, Adil<br />

Grenada Lake Medical Center<br />

965 Avent Dr #102<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7492<br />

County: Grenada<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 102


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Mangle, George M<br />

Hardeman Co. Community Health Center<br />

17 First St East<br />

Stanton, TN 38069<br />

Phone: 731‐548‐2232<br />

County: Hardeman<br />

Internal Medicine<br />

Nwokolo, Ejikeme<br />

Harderman Co Comm Health Ctr Inc<br />

629 Nuckolls Road<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Internal Medicine<br />

Glisson, James Kevin<br />

Heartsouth<br />

2668 S Harper Rd #4<br />

Corinth, MS 38834<br />

Phone: 662‐287‐3100<br />

County: Alcorn<br />

Internal Medicine<br />

Hinds, Michael W<br />

Hinds Medical Clinic<br />

215 Hawks Rd #6<br />

Martin, TN 38237<br />

Phone: 731‐587‐3454<br />

County: Weakley<br />

Internal Medicine<br />

Hinds, Michael W<br />

Hinds Medical Clinic<br />

215 Hawks Rd #6<br />

Martin, TN 38237<br />

Phone: 731‐587‐3454<br />

County: Weakley<br />

Internal Medicine<br />

Chowdhary, Sushma C<br />

Horn Lake Family Practice<br />

3102 Goodman Rd<br />

Horn Lake, MS 38637<br />

Phone: 662‐342‐6677<br />

County: DeSoto<br />

Internal Medicine<br />

Eberle (Hospitalist), Louis V<br />

Inpatient Physicians Of The Mid South<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Fiedler (Hospitalist Only), Frederick A<br />

Inpatient Physicians Of The Mid South<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Long (Hospitalist), Celeste S<br />

Inpatient Physicians Of The Mid South<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Robinson ‐ Hospital Only, Wiley<br />

Inpatient Physicians Of The Mid South<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Betapudi, Bindu<br />

Inpatient Svcs Of Tn<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Fowler, John W<br />

Inpatient Svcs Of Tn<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mya, Min Min<br />

Inpatient Svcs Of Tn<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Yuan, Qing<br />

Inpatient Svcs Of Tn<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Weiss, Martin Jeffrey<br />

Primary Care Group<br />

6401 Poplar Ave #400<br />

Memphis, TN 38119<br />

Phone: 901‐525‐3086<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Harding, Eric D<br />

Internal Medicine & Pediatric Clinic Of New<br />

Albany<br />

488 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐0898<br />

County: Union<br />

Internal Medicine<br />

Scott, Michael Shane<br />

Internal Medicine & Pediatric Clinic Of New<br />

Albany<br />

488 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐0898<br />

County: Union<br />

Internal Medicine<br />

Jones, Joe V<br />

Internal Medicine Assoc<br />

605 N 2nd St<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐1520<br />

County: Mississippi<br />

Internal Medicine<br />

Dennis, Jeffrey Walter<br />

Internal Medicine Assoc Of Oxford<br />

551 Azalea Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0332<br />

County: Lafayette<br />

Internal Medicine<br />

Hill, Charles K<br />

Internal Medicine Assoc Of Oxford<br />

551 Azalea Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0332<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 103


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Hobbs, Milton D<br />

Internal Medicine Assoc Of Oxford<br />

551 Azalea Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0332<br />

County: Lafayette<br />

Internal Medicine<br />

Mcintosh, Cooper A<br />

Internal Medicine Assoc Of Oxford<br />

551 Azalea Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0332<br />

County: Lafayette<br />

Internal Medicine<br />

Lum, Diane L<br />

Internal Medicine Assoc Of W Memphis<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Nadeau, Kenneth R<br />

Internal Medicine Assoc Of W Memphis<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Peeples, Chester W<br />

Internal Medicine Assoc Of W Memphis<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Webb, Dan W<br />

Internal Medicine Assoc Of W Memphis<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Edwards, Mark S<br />

Internal Medicine East<br />

8138 Country Village Dr<br />

Cordova, TN 38016<br />

Phone: 901‐755‐5556<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Jenkins, Gregory K<br />

Internal Medicine East<br />

8138 Country Village Dr<br />

Cordova, TN 38016<br />

Phone: 901‐755‐5556<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Nease, H Howard<br />

Internal Medicine East<br />

8138 Country Village Dr<br />

Cordova, TN 38016<br />

Phone: 901‐755‐5556<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Banaji, Sudesh<br />

Internal Medicine Of Forrest City<br />

904 Holiday Dr #400<br />

Forrest City, AR 72335<br />

Phone: 870‐630‐2233<br />

County: Saint Francis<br />

Internal Medicine<br />

Gutti, Kumari V<br />

Internal Medicine Physicians Inc<br />

515 Simpson Dr<br />

Winona, MS 38967<br />

Phone: 662‐283‐9993<br />

County: Montgomery<br />

Internal Medicine<br />

Barkley, Thomas Ford<br />

Internal Medicine Rural Health Clinic<br />

300 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8166<br />

County: Union<br />

Internal Medicine<br />

Prater, Allie Lee<br />

Internal Medicine Rural Health Clinic<br />

300 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8166<br />

County: Union<br />

Internal Medicine<br />

Shands, Thomas Andrew<br />

Internal Medicine Rural Health Clinic<br />

300 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐8166<br />

County: Union<br />

Internal Medicine<br />

Boswell, James L<br />

James L Boswell Md<br />

6005 Park Ave #809<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2680<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Larkin, John K<br />

John K Larkin Md<br />

1995 Hwy 51 S #203<br />

Covington, TN 38019<br />

Phone: 901‐476‐7070<br />

County: Tipton<br />

Internal Medicine<br />

Roberts, Joseph F<br />

Joseph F Roberts Md Pa<br />

1117 Sunset Dr #101<br />

Grenada, MS 38901<br />

Phone: 662‐226‐1168<br />

County: Grenada<br />

Internal Medicine<br />

Rassoul (Hospitalist), Khalid S<br />

Khalid S Rassoul Md<br />

7948 Winchester #201<br />

Memphis, TN 38125<br />

Phone: 901‐497‐9232<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Yeh Kaptik, Melissa J<br />

Kidney Group Of Memphis<br />

2225 Union Ave #100<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1161<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mohan, Kamal Jit<br />

Laambda Healthcare Inc<br />

6025 Walnut Grove Rd #311<br />

Memphis, TN 38120<br />

Phone: 901‐767‐1100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mohan, Veena Sharma<br />

Laambda Healthcare Inc<br />

6025 Walnut Grove Rd #311<br />

Memphis, TN 38120<br />

Phone: 901‐767‐1100<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 104


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Jain, Mukesh<br />

Landmark Internal Medicine<br />

7615 Clarington Cv<br />

Southaven, MS 38671<br />

Phone: 662‐536‐2500<br />

County: DeSoto<br />

Internal Medicine<br />

Johnson, John Steven<br />

Leachville Primary Care Clinic Inc.<br />

111 S. Main<br />

Leachville, AR 72438<br />

Phone: 870‐539‐1115<br />

County: Mississippi<br />

Internal Medicine<br />

Khan, Saad U<br />

Lexington Clinic Corp<br />

270 W Church St #A<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Internal Medicine<br />

Mckee, Heather M<br />

Lexington Clinic Corp<br />

185 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Internal Medicine<br />

Siegel, Jerome S<br />

Lifesigns<br />

1714 W Massey Rd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐5433<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Robinson, Todd Vincent<br />

Lm Walker & Assoc<br />

4250 Faronia Rd #4<br />

Memphis, TN 38116<br />

Phone: 901‐348‐9600<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Robinson, Todd Vincent<br />

LS Of Memphis<br />

1714 W Massey Rd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐0782<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mirza, Imran<br />

Lunceford Family Health Center<br />

7865 Educators Ln #300<br />

Bartlett, TN 38133<br />

Phone: 901‐384‐9920<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rahman, Naim Ur<br />

Macon Primary Care Clinic<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Internal Medicine<br />

Goodwin, Stephen<br />

Madison Clinic Corp<br />

37 Sandstone Cir<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Internal Medicine<br />

Goodwin, Stephen<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

Internal Medicine<br />

Gray, Kevin G<br />

Madison Clinic Corp<br />

31 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9791<br />

County: Madison<br />

Internal Medicine<br />

Garcia, Noel Villarosa<br />

Madison East Internal Medicine<br />

1002 E Madison St #3<br />

Houston, MS 38851<br />

Phone: 662‐448‐6213<br />

County: Chickasaw<br />

Internal Medicine<br />

Pizzimenti, David Victor<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Batson, Harold H<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Bray, Gina V<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Dalati, Fakhari<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Lindsey, Linda<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Cruz, Marissa Ordonez<br />

Magnolia Hospitalist Group<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Pizzimenti, David Victor<br />

Magnolia Internal Medicine Clinic<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Mundorf, Lucinda Louise<br />

Magnolia Internal Medicine Clinic<br />

703 Alcorn Dr #102<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1690<br />

County: Alcorn<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 105


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Cruz, Marissa Ordonez<br />

Magnolia Internal Medicine Clinic<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Internal Medicine<br />

Pizzimenti, David Victor<br />

Magnolia Regional Community Care Clinic<br />

703 Alcorn Drive #109<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1680<br />

County: Alcorn<br />

Internal Medicine<br />

Cruz, Marissa Ordonez<br />

Magnolia Regional Community Care Clinic<br />

703 Alcorn Dr #109<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1680<br />

County: Alcorn<br />

Internal Medicine<br />

Singareddy, Sanjay N<br />

Martin Clinic Corp<br />

130 E Locust St<br />

Dresden, TN 38225<br />

Phone: 731‐364‐3196<br />

County: Weakley<br />

Internal Medicine<br />

Yogesh, Kumar P<br />

Martin Clinic Corp<br />

130 E Locust St<br />

Dresden, TN 38225<br />

Phone: 731‐364‐3196<br />

County: Weakley<br />

Internal Medicine<br />

Stipanuk, Gerald Stephen<br />

Martin Clinic Corp<br />

161 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐587‐4261<br />

County: Weakley<br />

Internal Medicine<br />

Jones, David D<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Internal Medicine<br />

Thota, Suresh<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Internal Medicine<br />

Hopla, Anna K<br />

Martin Medical Ctr<br />

117 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐9511<br />

County: Weakley<br />

Internal Medicine<br />

Cooper, Mark Anthony<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Internal Medicine<br />

Merrick, Bryan H<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Internal Medicine<br />

Perkins, Keith Lou Anthony<br />

Mcnairy Clinic Corp<br />

699 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐6777<br />

County: McNairy<br />

Internal Medicine<br />

Robinson, Eric<br />

Mcnairy Clinic Corp<br />

699 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐6777<br />

County: McNairy<br />

Internal Medicine<br />

Fitton, Conar Patrick<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Pelz, Frederick<br />

Memphis Internal Medicine<br />

6005 Park Ave #900B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐1322<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Posey, Michael E<br />

Memphis Internal Medicine<br />

6005 Park Ave #900B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐1322<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Sharfman, David M<br />

Memphis Internal Medicine<br />

6005 Park Ave #900B<br />

Memphis, TN 38119<br />

Phone: 901‐684‐1322<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ensor, James K<br />

Memphis Internal Medicine<br />

6005 Park Ave #900B<br />

Memphis, TN 38119<br />

Phone: 901‐821‐8300<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Gehi, Mohan M<br />

Memphis Internal Medicine<br />

6005 Park Ave #900B<br />

Memphis, TN 38119<br />

Phone: 901‐821‐8300<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Stiles, Allison Marie<br />

Memphis Internal Medicine & Pediatrics<br />

1325 Eastmoreland Ave #585<br />

Memphis, TN 38104<br />

Phone: 901‐276‐0249<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Naseer, Adnan<br />

Memphis Kidney Clinic<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐5000<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 106


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Okpor, Kenneth A<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Vraney, George Alvin<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Allmon, J Michelle<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Karmel, Douglas Lawrence<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Koplon, Michael David<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mays, Owita Renee<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rahmani, Shervin<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Shiffman, Stephen M<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Patchen, Jay<br />

Memphis Primary Care Assoc<br />

1750 Madison Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2410<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wilson, Fred Palmer<br />

Memphis Primary Care Assoc<br />

1750 Madison Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐276‐2410<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Harris, Kenneth W<br />

Metro‐Memphis Medical Specia<strong>lists</strong> Inc<br />

3960 Knight Arnold Rd #420<br />

Memphis, TN 38118<br />

Phone: 901‐366‐3883<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Chu, George<br />

Mid‐South Internal Medicine<br />

6027 Walnut Grove Rd #206<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5000<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Pruett, Michael R<br />

Mid‐South Internal Medicine<br />

6027 Walnut Grove Rd #206<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5000<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Talbert, Louis G<br />

Mid‐South Internal Medicine<br />

6027 Walnut Grove Rd #206<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5000<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Muzammil, Ayesha<br />

Midsouth Internal Medicine Physicians<br />

7736 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐3101<br />

County: DeSoto<br />

Internal Medicine<br />

Puchaev, Michael<br />

Midsouth Internal Medicine Physicians<br />

7736 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐3101<br />

County: DeSoto<br />

Internal Medicine<br />

Thakur, Tapan Kumar<br />

Midsouth Internal Medicine Physicians<br />

7736 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐3101<br />

County: DeSoto<br />

Internal Medicine<br />

Mishra, Ashutosh Kumar<br />

Midsouth Internists<br />

391 Southcrest Cir #210<br />

Southaven, MS 38671<br />

Phone: 662‐536‐1519<br />

County: DeSoto<br />

Internal Medicine<br />

Newman, Ciao Zheng<br />

Midsouth Medicine<br />

2149 Stateline Rd W<br />

Southaven, MS 38671<br />

Phone: 662‐342‐1112<br />

County: DeSoto<br />

Internal Medicine<br />

Natarajan, Monika L<br />

Mid‐South Physicians Group<br />

7645 Wolf River Cir<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Hussain, Irshad<br />

N Benton County Health Care Inc<br />

15921 Boundary Dr<br />

Ashland, MS 38603<br />

Phone: 662‐224‐8951<br />

County: Benton<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 107


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Somjee, Arif A<br />

N Benton County Health Care Inc<br />

15921 Boundary Dr<br />

Ashland, MS 38603<br />

Phone: 662‐224‐8951<br />

County: Benton<br />

Internal Medicine<br />

Kellough, Kenneth Wayne<br />

N Delta Medicine Clinic<br />

617 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2192<br />

County: Coahoma<br />

Internal Medicine<br />

Robertson, Donald Charles<br />

N Ms Medical Clinics Inc<br />

1771 Curtis Dr<br />

Iuka, MS 38852<br />

Phone: 662‐423‐6014<br />

County: Tishomingo<br />

Internal Medicine<br />

Moeller, Derek K<br />

N Ms Medical Clinics Inc<br />

208 Counrty Club Rd<br />

Houston, MS 38851<br />

Phone: 662‐456‐3437<br />

County: Chickasaw<br />

Internal Medicine<br />

Baldwin, Nathan W<br />

Nathan Baldwin Md<br />

100 Hospital St #100<br />

Booneville, MS 38829<br />

Phone: 662‐720‐1600<br />

County: Prentiss<br />

Internal Medicine<br />

Cabe, Lorenzo C<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Internal Medicine<br />

Woods, Amy R<br />

Ne Ms Health Care Inc<br />

12 E Brunswick St<br />

Byhalia, MS 38611<br />

Phone: 662‐838‐2163<br />

County: Marshall<br />

Internal Medicine<br />

Dennis, Laurence L<br />

Ne Ms Internal Medicine Pc<br />

100 Hospital Dr #D2<br />

Booneville, MS 38829<br />

Phone: 662‐720‐4000<br />

County: Prentiss<br />

Internal Medicine<br />

Odea, Douglas L<br />

North Internal Medicine<br />

4901 Raleigh Commons Drive #200<br />

Memphis, TN 38128<br />

Phone: 901‐387‐0193<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Slade, Whitney T<br />

North Internal Medicine<br />

4901 Raleigh Commons Drive #200<br />

Memphis, TN 38128<br />

Phone: 901‐387‐0193<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Islam, Syed M<br />

Noxubee General Critical Access Hospital<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Internal Medicine<br />

Elsea, Deanna Sills<br />

Oakland Medical<br />

7243 Hwy 64<br />

Oakland, TN 38060<br />

Phone: 901‐465‐2102<br />

County: Fayette<br />

Internal Medicine<br />

Warr, Otis S<br />

Otis S Warr Iii Md<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐278‐6734<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Gooch, Allen C<br />

Parkway Regional Medical Clinic Inc<br />

2002 Holiday Ln #500<br />

Fulton, KY 42041<br />

Phone: 270‐472‐8150<br />

County: Fulton<br />

Internal Medicine<br />

Burke, Pat S<br />

Pat S Burke Md<br />

645 Evelyn St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐2231<br />

County: Coahoma<br />

Internal Medicine<br />

Ahiabuike, Smithson O<br />

Pauker Inpatient Services<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 800‐344‐2470<br />

County: Obion<br />

Internal Medicine<br />

Flournoy, Durwood<br />

Pauker Inpatient Services<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 800‐344‐2470<br />

County: Obion<br />

Internal Medicine<br />

Inpatient Services, Pauker<br />

Pauker Inpatient Services<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 800‐344‐2470<br />

County: Obion<br />

Internal Medicine<br />

Baig, Abdullah<br />

Peabody Internal Medicine Inc<br />

8081 Hwy 51 N<br />

Millington, TN 38053<br />

Phone: 901‐873‐4194<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Kulpeksa, Joseph Martin<br />

Pemiscot Co Memorial Hospital<br />

106 W 12th St<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐2285<br />

County: Pemiscot<br />

Internal Medicine<br />

Arshad, Abdullah<br />

Pemiscot Co Memorial Hospital<br />

907 E Reed<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3660<br />

County: Pemiscot<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 108


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Mozie, Benjamin C<br />

Pemiscot County Memorial Hospital<br />

223 S. 3rd<br />

Hayti, MO 63851<br />

Phone: 573‐359‐2019<br />

County: Pemiscot<br />

Internal Medicine<br />

Katz, Paul Jay<br />

Pennmarc Internal Medicine Assoc<br />

6401 Poplar Ave #400<br />

Memphis, TN 38119<br />

Phone: 901‐525‐3086<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mitchell, Carol J<br />

Pennmarc Internal Medicine Assoc<br />

6401 Poplar Ave #400<br />

Memphis, TN 38119<br />

Phone: 901‐525‐3086<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Slutsky, Avron A<br />

Pennmarc Internal Medicine Assoc<br />

6401 Poplar Ave #400<br />

Memphis, TN 38119<br />

Phone: 901‐525‐3086<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Pillow, Edward L<br />

Pillow Clinic<br />

101 Shirley Hicks Dr<br />

Helena, AR 72342<br />

Phone: 870‐572‐5996<br />

County: Phillips<br />

Internal Medicine<br />

Pillow, Gill G<br />

Pillow Clinic<br />

101 Shirley Hicks Dr<br />

Helena, AR 72342<br />

Phone: 870‐572‐5996<br />

County: Phillips<br />

Internal Medicine<br />

Thomas, Harold Roy<br />

Pioneer Health Svcs Of Monroe Co Inc<br />

1506 Hwy 278 E #A<br />

Amory, MS 38821<br />

Phone: 662‐304‐4027<br />

County: Monroe<br />

Internal Medicine<br />

Pittman, Beau B<br />

Pittman Internal Medicine<br />

60 Germantown Ct #200<br />

Cordova, TN 38018<br />

Phone: 901‐756‐1216<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Herford, Baron V<br />

Pratt Family Medical Clinic<br />

121 Pratt Dr #1A<br />

Corinth, MS 38834<br />

Phone: 662‐287‐5599<br />

County: Alcorn<br />

Internal Medicine<br />

Patel, Pravin P<br />

Pravinchandra P Patel Md<br />

423 Central Ave<br />

Coldwater, MS 38618<br />

Phone: 662‐622‐7011<br />

County: Tate<br />

Internal Medicine<br />

Kraus, Gordon J<br />

Preventive Internal Medicine Group<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Kraus, Robert M<br />

Preventive Internal Medicine Group<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rawlinson, William T<br />

Preventive Internal Medicine Group<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Young, Mark S<br />

Preventive Internal Medicine Group<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Kraus, Gordon<br />

Preventive Internal Medicine Group‐<br />

Consolidated Medical Practice<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rawlinson, Thomas<br />

Preventive Internal Medicine Group‐<br />

Consolidated Medical Practice<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Young, Mark<br />

Preventive Internal Medicine Group‐<br />

Consolidated Medical Practice<br />

6005 Park Ave #728B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9097<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Prewitt, Darrion J<br />

Prewitt Medical Care Clinic<br />

503 Tickle St #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐7530<br />

County: Dyer<br />

Internal Medicine<br />

Hayden, Shawn Joseph<br />

Primary Care Group<br />

48 S Prescott<br />

Memphis, TN 38111<br />

Phone: 901‐454‐5117<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Jordan Ii, Oakley Carroll<br />

Primary Care Group<br />

3473 Poplar Ave #103<br />

Memphis, TN 38111<br />

Phone: 901‐454‐5117<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 109


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Patterson Iii, James O<br />

Primary Care Group<br />

48 S Prescott<br />

Memphis, TN 38111<br />

Phone: 901‐454‐5117<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Dang, Paul Huu<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Daniel, Chalmers B<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Hall, Tiffany T<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Whitlock, Lawrence W<br />

Primary Care Group<br />

3725 Champion Hills Dr #2000<br />

Memphis, TN 38125<br />

Phone: 901‐367‐9001<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Bailey, Lamar Edward<br />

Primary Care Group<br />

5182 Sanderlin Ave #3<br />

Memphis, TN 38117<br />

Phone: 901‐685‐0152<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Brantley, J Hays<br />

Primary Care Group<br />

5182 Sanderlin Ave #3<br />

Memphis, TN 38117<br />

Phone: 901‐685‐0152<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Smelser, Michael H<br />

Prime Care Medical Ctr<br />

347 E Main St<br />

Adamsville, TN 38310<br />

Phone: 731‐632‐3383<br />

County: McNairy<br />

Internal Medicine<br />

Khattak, Taslim Akhtar<br />

Prime Medical Group<br />

6005 Park Ave #433B<br />

Memphis, TN 38119<br />

Phone: 901‐255‐1140<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Naqvi, Haider Abbas<br />

Prime Medical Group<br />

6005 Park Ave #433B<br />

Memphis, TN 38119<br />

Phone: 901‐255‐1140<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Iloh, Emmanuel Chuka<br />

Primecare Clinics<br />

622 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐2120<br />

County: Hardeman<br />

Internal Medicine<br />

Faleye, Olu Olugbenga<br />

Primehealth Medical Ctr<br />

6637 Summer Knoll Cir<br />

Bartlett, TN 38134<br />

Phone: 901‐372‐5260<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Evans, Benjamin Franklin<br />

Primus Medical Group<br />

1264 Wesley Dr #206<br />

Memphis, TN 38116<br />

Phone: 901‐346‐6566<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Adesoji, Gafar Ajani<br />

Progressive Physicians Practice<br />

7900 Airways Blvd Bldg C #5B<br />

Southaven, MS 38671<br />

Phone: 662‐536‐2100<br />

County: DeSoto<br />

Internal Medicine<br />

Chioco, Ernesto P<br />

Purihin Clinic<br />

3535 Chere Carol Rd<br />

Humboldt, TN 38343<br />

Phone: 731‐784‐3323<br />

County: Gibson<br />

Internal Medicine<br />

Sikes, James C<br />

Raleigh‐Cordova Medical Group<br />

3809 Covington Pike<br />

Memphis, TN 38135<br />

Phone: 901‐386‐1625<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Villanueva, Randy Joseph Lee<br />

Randy J Villanueva Md<br />

3025 N Windstone Way Ln<br />

Germantown, TN 38138<br />

Phone: 901‐537‐1892<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Friloux, Mark A<br />

Regional Medical Assoc<br />

1503 Hwy 45 N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐9623<br />

County: Lowndes<br />

Internal Medicine<br />

Denton, Roy E<br />

Roy E Denton Md<br />

228 Tyler St #107<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐0073<br />

County: Crittenden<br />

Internal Medicine<br />

Ward, Forrest C<br />

Rubin Heart Center<br />

6644 Summer Knoll Cir<br />

Bartlett, TN 38134<br />

Phone: 901‐761‐9092<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Srivastava, Pankaj<br />

Rural Health Clinics Of W Tn<br />

211 Anthony St<br />

Ripley, TN 38063<br />

Phone: 731‐635‐2755<br />

County: Lauderdale<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 110


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Ali, Sheharyar<br />

Saint Francis Emergency Chest Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Abushaer, Muhammad B<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Laguardia, Stephen<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Zia, Ayhan<br />

Saint Francis Hospital Emergency Chest<br />

Pain Center<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2057<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Prasad, Sriranga V<br />

Saint Francis Hospital Inpatient Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3045<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ramsay, Kelinda P<br />

Saint Francis Hospital Inpatient Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3045<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Smith, Rachael<br />

Saint Francis Hospital Inpatient Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3045<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wyatt, Alisha<br />

Saint Francis Hospital Inpatient Physicians<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3045<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Crews, John T<br />

Saint Francis Senior Healthcare<br />

5084 Old Summer Rd<br />

Memphis, TN 38122<br />

Phone: 901‐888‐2646<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Allen, Joseph E<br />

Sanders Clinic<br />

6027 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐525‐1438<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Austin, John R<br />

Sanders Clinic<br />

6027 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐525‐1438<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Joglekar, Shirish S<br />

Shirish S Joglekar Md<br />

26 B Stonecreek Cir<br />

Jackson, TN 38305<br />

Phone: 731‐668‐1199<br />

County: Madison<br />

Internal Medicine<br />

Tesfau (Hosp), Simon H<br />

Simon H Tesfau Md<br />

2961 Canada Rd #105<br />

Arlington, TN 38002<br />

Phone: 901‐388‐0115<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Tesfau, Simon Haileselassie<br />

Simon H Tesfau Md<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐881‐4234<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Bessoff, Joel I<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Cleveland, Kerry O<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Gelfand, Michael S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Persons, Derek D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Khandekar, Sofia Haque<br />

Sofia Khandekar Md<br />

1251 Wesley Dr #100<br />

Memphis, TN 38116<br />

Phone: 901‐396‐3061<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wassef, Magdi Samuel<br />

Southaven Internal Medicine<br />

7680 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐1999<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 111


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Patel, Kunthavai S<br />

Southern Health Corp Of Houston Inc<br />

1002 E Madison #1<br />

Houston, MS 38851<br />

Phone: 662‐456‐2800<br />

County: Chickasaw<br />

Internal Medicine<br />

Patel, Shailesh V<br />

Southern Health Corp Of Houston Inc<br />

1002 E Madison #1<br />

Houston, MS 38851<br />

Phone: 662‐456‐2800<br />

County: Chickasaw<br />

Internal Medicine<br />

Castillo, Jaime Dupaya<br />

Southern Health Corp Of Houston Inc<br />

Hwy 8 E<br />

Vardaman, MS 38878<br />

Phone: 662‐682‐7555<br />

County: Calhoun<br />

Internal Medicine<br />

Locke, Susan Thomas<br />

St Francis Medical Partners East<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Fowlkes, Laura P<br />

Strong Heart Clinic<br />

1300 Access Rd #400<br />

Oxford, MS 38655<br />

Phone: 662‐281‐1115<br />

County: Lafayette<br />

Internal Medicine<br />

Zaidi, Syed A<br />

Syed A A Zaidi Md<br />

326 Asbury Ave #101<br />

Ripley, TN 38063<br />

Phone: 731‐221‐1637<br />

County: Lauderdale<br />

Internal Medicine<br />

Castellaw, Mark<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Group If Memphis, The Medical<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Jordan, Richard<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Over<strong>by</strong>, Steven T<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Pomykala, Lora A<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Thompson, Paul A<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Tyson, Jane F<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wener, Steven I<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wright, Dana J<br />

The Medical Group Of Memphis<br />

8040 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐726‐0200<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ward, Forest C<br />

The Rubin‐Ward Heart Center<br />

6644 Summer Knoll Cir<br />

Bartlett, TN 38134<br />

Phone: 901‐761‐9092<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Allan, Katherine<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Threlkeld, Michael G<br />

Threlkeld Threlkeld & Omer<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐685‐3490<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Teach, Guy Victor<br />

Tipton Co Internal Medicine<br />

1995 Hwy 51 S #206<br />

Covington, TN 38019<br />

Phone: 901‐476‐9115<br />

County: Tipton<br />

Internal Medicine<br />

Loden, Julian D<br />

Tupelo Medical Group<br />

1265 Cliff Gookin Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐2131<br />

County: Lee<br />

Internal Medicine<br />

Pace, Mary E<br />

Tupelo Medical Group<br />

1265 Cliff Gookin Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐2131<br />

County: Lee<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 112


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Parker, Donald R<br />

Tupelo Medical Group<br />

1265 Cliff Gookin Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐2131<br />

County: Lee<br />

Internal Medicine<br />

Taylor, Pami J<br />

Tupelo Medical Group<br />

1265 Cliff Gookin Blvd<br />

Tupelo, MS 38804<br />

Phone: 662‐840‐2131<br />

County: Lee<br />

Internal Medicine<br />

Cummings, John M<br />

Union City Internal Medicine<br />

1208 Edwards St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8800<br />

County: Obion<br />

Internal Medicine<br />

Breitling, Melissa Amelia<br />

Urgent Medical Clinic Inc<br />

176 Goodman Rd W<br />

Southaven, MS 38671<br />

Phone: 662‐536‐1020<br />

County: DeSoto<br />

Internal Medicine<br />

Drake, Sabra F<br />

Urgent Medical Clinic Inc<br />

176 Goodman Rd W<br />

Southaven, MS 38671<br />

Phone: 662‐536‐1020<br />

County: DeSoto<br />

Internal Medicine<br />

Sarwar, Salman<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6111<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Woods, Carolyn Owens<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Internal Medicine<br />

Woods, Carolyn Owens<br />

Ut Medical Group Inc<br />

1999 Hwy 51 S # A<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Dotson, Jimmie L<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Hayes, Burton Lucas<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8801<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Womack, Catherine Robilio<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8801<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Nace, Gary Stephen<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Lewis Jr, James B<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Norwood, John M<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8801<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Sprabery, Laura R<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ray, Mario Marquist<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Sullivan, Meghan Dale<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8801<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ismail, Mohammad K<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8807<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Thompson, Natascha Stone<br />

Ut Medical Group Inc<br />

2000 N Parkway<br />

Memphis, TN 38112<br />

Phone: 901‐843‐3895<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Kabra, Rajesh<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #440<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Canada, Robert Bradley<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8810<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 113


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Morrison, Robert E<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ost, Shelley Rae<br />

Ut Medical Group Inc<br />

718 Harbor Bend Rd<br />

Memphis, TN 38103<br />

Phone: 901‐522‐1555<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Dishmon, Dwight Anthony<br />

Ut Medical Group Inc<br />

1251 Wesley Dr #153<br />

Memphis, TN 38116<br />

Phone: 901‐259‐2000<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Vandeven, Gregory E<br />

Vein & Skin Specialist<br />

3960 Knight Arnold Rd #322<br />

Memphis, TN 38118<br />

Phone: 901‐369‐4949<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ungab, Ramon Tom<br />

Verzosa Ungab Internal Medicine Assoc<br />

2851 Stage Center Dr<br />

Bartlett, TN 38134<br />

Phone: 901‐388‐7711<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Verzosa, Samuel T<br />

Verzosa Ungab Internal Medicine Assoc<br />

2851 Stage Center Dr<br />

Bartlett, TN 38134<br />

Phone: 901‐388‐7711<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Wadsworth, William Manley<br />

Wadsworth Clinic<br />

2240 Hwy 51 S<br />

Hernando, MS 38632<br />

Phone: 662‐429‐5231<br />

County: DeSoto<br />

Internal Medicine<br />

Stewart, William C<br />

William C Stewart Jr Md<br />

8066 Walnut Run Rd #205<br />

Cordova, TN 38018<br />

Phone: 901‐275‐8280<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Light, William H<br />

William H Light Md<br />

7715 Wolf River<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Milligan, Kerry Lee<br />

William H Light Md<br />

7715 Wolf River<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Warr, Alston Graham<br />

William H Light Md<br />

7715 Wolf River<br />

Germantown, TN 38138<br />

Phone: 901‐328‐6031<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Weiss, William T<br />

William T Weiss<br />

1068 Cresthaven Rd #350<br />

Memphis, TN 38119<br />

Phone: 901‐761‐5542<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Walker, Joe W<br />

Yalobusha General Hospital<br />

606 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Internal Medicine<br />

Medicine Assoc Llc, Ms Inpatient<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 404‐851‐9394<br />

County: Lowndes<br />

Internal Medicine<br />

Nwora, John O<br />

1206 Ward Ave #B<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐4441<br />

County: Pemiscot<br />

Internal Medicine<br />

Messina, Joseph Samuel<br />

1300 Sunset Dr #A<br />

Grenada, MS 38901<br />

Phone: 662‐226‐1646<br />

County: Grenada<br />

Internal Medicine<br />

Health Services Of MS Inc, Baptist Memorial<br />

2301 S Lamar Blv<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Evans, Thomas P<br />

3493 Veterans Dr N #C<br />

Huntingdon, TN 38344<br />

Phone: 662‐236‐5773<br />

County: Carroll<br />

Internal Medicine<br />

Lowry, Slater B<br />

362 Park Creek Dr<br />

Columbus, MS 39705<br />

Phone: 662‐244‐8864<br />

County: Lowndes<br />

Internal Medicine<br />

Duckworth, Michael R<br />

2225 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐327‐0197<br />

County: Lowndes<br />

Internal Medicine<br />

Sumrall, Doyle F<br />

2225 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐327‐0197<br />

County: Lowndes<br />

Internal Medicine<br />

Nunez, Gregory R<br />

2104 5th St N #6<br />

Columbus, MS 39705<br />

Phone: 662‐327‐9512<br />

County: Lowndes<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 114


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Dailey, Frank H<br />

255 Baptist Blvd #303<br />

Columbus, MS 39705<br />

Phone: 662‐329‐1340<br />

County: Lowndes<br />

Internal Medicine<br />

Malhotra, Sunil<br />

470 Goodman Rd<br />

Southaven, MS 38671<br />

Phone: 662‐536‐3330<br />

County: DeSoto<br />

Internal Medicine<br />

Aftandilian, Amy<br />

300 Main St Plaza<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐8278<br />

County: Tate<br />

Internal Medicine<br />

Parekh, Kamlesh H<br />

300 Main St Plaza<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐8278<br />

County: Tate<br />

Internal Medicine<br />

Buckner, Irene S<br />

785 Ohio St #2B<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5481<br />

County: Coahoma<br />

Internal Medicine<br />

Greenhaw, David N<br />

100 Hospital St #200<br />

Booneville, MS 38829<br />

Phone: 662‐720‐3000<br />

County: Prentiss<br />

Internal Medicine<br />

Putnam, Thomas J<br />

100 Hospital Dr #200<br />

Booneville, MS 38829<br />

Phone: 662‐720‐3000<br />

County: Prentiss<br />

Internal Medicine<br />

Gbemudu, Edward I<br />

6953 Oak Forrest Dr<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐0450<br />

County: DeSoto<br />

Internal Medicine<br />

Smith, Andrea Lea<br />

785 Ohio Ave #1D<br />

Clarksdale, MS 38614<br />

Phone: 731‐645‐3476<br />

County: Coahoma<br />

Internal Medicine<br />

Owens, Curtis L<br />

3960 Knight Arnold Rd #200<br />

Memphis, TN 38118<br />

Phone: 731‐660‐5279<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Woods, John B<br />

207‐B Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐7949<br />

County: Madison<br />

Internal Medicine<br />

Mcdonald, Thomas C<br />

270 W Church St #D<br />

Lexington, TN 38351<br />

Phone: 731‐968‐9965<br />

County: Henderson<br />

Internal Medicine<br />

Tukivakala, Prabhakara R<br />

810‐A Newman Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐7441<br />

County: Phillips<br />

Internal Medicine<br />

Lin, Chingshan<br />

608 W Lee Ave<br />

Osceola, AR 72370<br />

Phone: 870‐563‐5096<br />

County: Mississippi<br />

Internal Medicine<br />

Peeples Jr, Chester W<br />

301 W Polk<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐0833<br />

County: Crittenden<br />

Internal Medicine<br />

Of Tn Pc, Inpatient Svcs<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Bowden, Marcia Renee<br />

1652 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐278‐9538<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rahman, Mahfuzur<br />

3960 Knight Arnold Rd #215C<br />

Memphis, TN 38118<br />

Phone: 901‐345‐2002<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Ali, Mahmood<br />

3294 Poplar Ave #100<br />

Memphis, TN 38111<br />

Phone: 901‐362‐8671<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Khan, Mohammed B<br />

3960 Knight Arnold Rd #110<br />

Memphis, TN 38118<br />

Phone: 901‐369‐6010<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Sanford, Martha H<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐372‐9133<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Guerrant, Richard P<br />

1995 Hwy 51 S #111<br />

Covington, TN 38019<br />

Phone: 901‐475‐6607<br />

County: Tipton<br />

Internal Medicine<br />

Northcross, Phillip R<br />

969 Peabody<br />

Memphis, TN 38104<br />

Phone: 901‐523‐7781<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Mirza (Hospitalist), Imran<br />

PO Box 172008<br />

Memphis, TN 38187‐2008<br />

Phone: 901‐539‐0815<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 115


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Jenkins, Willyn T<br />

4245 Cherry Center Dr #1<br />

Memphis, TN 38118<br />

Phone: 901‐542‐0600<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Siegel, Barry R<br />

5050 Poplar Ave #611<br />

Memphis, TN 38157<br />

Phone: 901‐682‐1639<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Akins, Derene E<br />

6027 Walnut Grove Rd #201<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0417<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Avila, Reuben W<br />

6027 Walnut Grove Rd #201<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0417<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Reaves, Edward M<br />

6027 Walnut Grove Rd #201<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0417<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Pagliarulo, Tony R<br />

333 S Bellevue<br />

Memphis, TN 38104<br />

Phone: 901‐729‐2708<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Gibson, Roger O<br />

1374 Cordova Cv #102<br />

Germantown, TN 38138<br />

Phone: 901‐751‐0150<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Franklin, E Arthur<br />

2215 West St<br />

Germantown, TN 38138<br />

Phone: 901‐756‐4338<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Blakney, Eric D<br />

2725 Kir<strong>by</strong> Pkwy #1<br />

Memphis, TN 38119<br />

Phone: 901‐756‐6991<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Boone, James E<br />

5575 Poplar Ave #504<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1850<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Vlasak, Mark C<br />

1164 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐853‐5551<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Rahman, Mahfuzur<br />

6890 Elmore Rd #1<br />

Southaven, MS 38671<br />

Phone: 901‐345‐2002<br />

County: DeSoto<br />

Internal Medicine<br />

Walker, Tracie A<br />

Truecare Physicians Clinic Of Jackson<br />

2796 N Highland Ave #D<br />

Jackson, TN 38305<br />

Phone: 731‐736‐0970<br />

County: Madison<br />

Internal Medicine<br />

Enyenihi, Henry Nubung<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Hamilton Iv, James Howard<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Mundorf, Lucinda Louise<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Internal Medicine<br />

Elliott, Elizabeth Carolyn<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8450<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Chaudhry, Fatima Sufian<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Internal Medicine<br />

Nadeau, Kenneth R<br />

Crittenden Hospital Assoc<br />

228 Tyler St #200<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1973<br />

County: Crittenden<br />

Internal Medicine<br />

Williams, Matthew Duane<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Asif, Meraj Mohiuddin<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Froutan, Neema<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 116


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Internal Medicine<br />

Asamoah, Owusu<br />

Baptist Memorial Medical Group Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Internal Medicine<br />

Jampana, Srinivasa Varma<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2488<br />

County: DeSoto<br />

Internal Medicine<br />

Pulusania, Deepika<br />

Deepika R Pulusani Md<br />

6005 Park Ave #511<br />

Memphis, TN 38119<br />

Phone: 901‐767‐0402<br />

County: Shel<strong>by</strong><br />

Interventional Cardiology<br />

King, John Joseph<br />

Baptist Memorial Medical Group Inc<br />

255 Baptist Blvd #402<br />

Columbus, MS 39705<br />

Phone: 662‐240‐1412<br />

County: Lowndes<br />

Interventional Cardiology<br />

Guest, Roland P<br />

BMHSI Of Ms<br />

255 Baptist Blvd #402<br />

Columbus, MS 39705<br />

Phone: 662‐240‐1412<br />

County: Lowndes<br />

Interventional Cardiology<br />

Smolin, Matthew Richard<br />

Cardiovascular Physicians Of Memphis Inc<br />

4901 Raleigh Common Drive #100<br />

Memphis, TN 38128<br />

Phone: 901‐371‐9040<br />

County: Shel<strong>by</strong><br />

Interventional Cardiology<br />

Paulus, Basil Mantas<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Interventional Cardiology<br />

Stout, Jeffrey Bunker<br />

Stern Cardiovascular Foundation Inc<br />

8060 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐271‐1000<br />

County: Shel<strong>by</strong><br />

Interventional Cardiology<br />

Khouzam, Rami N<br />

Ut Medical Group Inc<br />

1251 Wesley Dr #153<br />

Memphis, TN 38116<br />

Phone: 901‐259‐2000<br />

County: Shel<strong>by</strong><br />

Interventional Cardiology<br />

Alsafwah, Shadwan F<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Interventional Cardiology<br />

Ibebuogu, Uzoma Nwachukwu<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Interventional Radiology<br />

Interventional Assoc Of Memphis<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6110<br />

County: Shel<strong>by</strong><br />

Interventional Radiology<br />

Joshi, Salil S<br />

Interventional Assoc Of Memphis<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6110<br />

County: Shel<strong>by</strong><br />

Interventional Radiology<br />

Becker, Daniel J<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Interventional Radiology<br />

Duszak, Richard L<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Interventional Radiology<br />

Zeni, Phillip Thomas<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

7680 Airways Blvd.<br />

Southaven, MS 38671‐5304<br />

Phone: 662‐349‐0446<br />

County: Desoto<br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

1720 Reelfoot, Sute 101A<br />

Union City, TN 38261<br />

Phone: 731‐885‐5994<br />

County: Obion<br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

641 R B Wilson Dr.<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7208<br />

County: Carroll<br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

6029 Walnut Grove 1st Floor<br />

Memphis, TN 38120<br />

Phone: 901‐226‐5667<br />

County: Shel<strong>by</strong><br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

5846 Distribution Drive<br />

Memphis, TN 38141<br />

Phone: 901‐405‐8200<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 117


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

1325 Eastmoreland Ave #101<br />

Memphis, TN 38104<br />

Phone: 901‐516‐7171<br />

County: Shel<strong>by</strong><br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

2100 Exeter Rd.<br />

Germantown, TN 38138<br />

Phone: 901‐757‐3451<br />

County: Shel<strong>by</strong><br />

Laboratory Services<br />

American Esoteric Laboratories Of<br />

Memphis (AEL)<br />

2763 Summer Oaks Drive<br />

Bartlett, TN 38134<br />

Phone: 901‐937‐1910<br />

County: Shel<strong>by</strong><br />

Laboratory Services<br />

Ascendant Medical Laboratory<br />

80 Humphreys Center Dr #108<br />

Memphis, TN 38120<br />

Phone: 901‐786‐6126<br />

County: Shel<strong>by</strong><br />

Laboratory Services<br />

Dva Laboratory Services,<br />

Dva Laboratory Services, Inc.<br />

3951 SW 30th Ave<br />

Ft. Lauderdale, FL 33312<br />

Phone: 800‐688‐4522<br />

County: Broward<br />

Laboratory Services<br />

Oxford Diagnostic Center<br />

504 Azalea Drive<br />

Oxford, MS 38655<br />

Phone: 662‐513‐9600<br />

County: Lafayette<br />

Laboratory Services<br />

Oxford Diagnostic Center‐Lab (Medicare<br />

Only)<br />

504 Azalea Drive<br />

Oxford, MS 38655<br />

Phone: 662‐513‐9600<br />

County: Lafayette<br />

Laboratory Services<br />

Trumbull Labs<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Rohr, Michael E<br />

Behavioral & Counseling Svcs<br />

550 Lazen<strong>by</strong> Dr<br />

Somerville, TN 38068<br />

Phone: 901‐569‐0165<br />

County: Fayette<br />

Licensed Professional Counselor<br />

Haddow, Laurie T<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Martin, Lou<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Pekary, Christopher Ray<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Todd, Leila G<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Zarzaur, Marlo C<br />

Christian Psychological Center<br />

3950 Central Ave.<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Ahmed, Esra<br />

Desoto Family Counseling Center<br />

187 Stateline Rd #17<br />

Southaven, MS 38671<br />

Phone: 662‐342‐2700<br />

County: Desoto<br />

Licensed Professional Counselor<br />

Cash, Ruth Ouzts<br />

Desoto Family Counseling Center<br />

187 Stateline Rd #17<br />

Southaven, MS 38671<br />

Phone: 662‐342‐2700<br />

County: DeSoto<br />

Licensed Professional Counselor<br />

Storey, Elizabeth Linebarger<br />

Desoto Family Counseling Center<br />

187 Stateline Rd #17<br />

Southaven, MS 38671<br />

Phone: 662‐342‐2700<br />

County: DeSoto<br />

Licensed Professional Counselor<br />

Wood, Anthony Jerome<br />

Desoto Family Counseling Center<br />

187 Stateline Rd #17<br />

Southaven, MS 38671<br />

Phone: 662‐342‐2700<br />

County: DeSoto<br />

Licensed Professional Counselor<br />

Hopper, Patrick Hogan<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Hopper, Patrick Hogan<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Hopper, Patrick Hogan<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 118


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Licensed Professional Counselor<br />

Wade, Christine Marie<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Anderson, Meghan R<br />

Mental Wellness Ctr Of Oxford<br />

1207 Office Park Dr #B<br />

Oxford, MS 38655<br />

Phone: 662‐801‐5028<br />

County: Lafayette<br />

Licensed Professional Counselor<br />

Hartwell, Heather S<br />

Mental Wellness Ctr Of Oxford<br />

1207 Office Park Dr #B<br />

Oxford, MS 38655<br />

Phone: 662‐801‐5028<br />

County: Lafayette<br />

Licensed Professional Counselor<br />

Williams, Tajuana L<br />

New Directions Counseling Center<br />

8830 Centre St #6<br />

Southaven, MS 38671<br />

Phone: 662‐253‐8324<br />

County: DeSoto<br />

Licensed Professional Counselor<br />

Thompson, John C<br />

Nova Counseling Inc<br />

407 N Market St<br />

Paris, TN 38242<br />

Phone: 731‐642‐9026<br />

County: Henry<br />

Licensed Professional Counselor<br />

Williams, Larry<br />

Professional Care Svcs Of W TN Inc<br />

12615 S Main St<br />

Somerville, TN 38068<br />

Phone: 731‐465‐9831<br />

County: Fayette<br />

Licensed Professional Counselor<br />

Cook, David L<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Licensed Professional Counselor<br />

Mullins, Charles A<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Licensed Professional Counselor<br />

Gatlin, Rebecca D<br />

Professional Care Svcs Of W TN Inc<br />

5281 Navy Road<br />

Millington, TN 38053<br />

Phone: 901‐873‐0305<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Rayner, Jenny S<br />

Rayner Wellness<br />

1207 Office Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐380‐0577<br />

County: Lafayette<br />

Licensed Professional Counselor<br />

Fye, Leslie P<br />

Starkville Counseling Assoc<br />

519 Dr. Martin Luther King Jr Dr<br />

Starkville, MS 39759<br />

Phone: 662‐323‐5588<br />

County: Oktibbeha<br />

Licensed Professional Counselor<br />

Palmer, Cassandra<br />

Starkville Counseling Assoc<br />

519 Dr. Martin Luther King Jr Dr<br />

Starkville, MS 39759<br />

Phone: 662‐323‐5588<br />

County: Oktibbeha<br />

Licensed Professional Counselor<br />

Wright, Terri J<br />

Terri J Wright<br />

6 County Rd 236<br />

Oxford, MS 38655<br />

Phone: 662‐202‐7332<br />

County: Lafayette<br />

Licensed Professional Counselor<br />

Mitchell, Joyce S<br />

1207 Office Park Dr #B<br />

Oxford, MS 38655<br />

Phone: 662‐236‐9333<br />

County: Lafayette<br />

Licensed Professional Counselor<br />

Beals, George R<br />

806 Howard Rd<br />

Starkville, MS 39759<br />

Phone: 662‐312‐2099<br />

County: Oktibbeha<br />

Licensed Professional Counselor<br />

Wells, Debbie K<br />

200 6th St N #401<br />

Columbus, MS 39701<br />

Phone: 662‐327‐5600<br />

County: Lowndes<br />

Licensed Professional Counselor<br />

Woods, Wendie Wren<br />

322 University Dr<br />

Starkville, MS 39759<br />

Phone: 662‐338‐1880<br />

County: Oktibbeha<br />

Licensed Professional Counselor<br />

Lacey‐Godfrey, Lynette D<br />

299 S 9th St #103<br />

Oxford, MS 38655<br />

Phone: 662‐832‐6470<br />

County: Lafayette<br />

Licensed Professional Counselor<br />

Laney, Linda S<br />

25 Security Dr<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9119<br />

County: Madison<br />

Licensed Professional Counselor<br />

Cassius, Eric D<br />

815 Mt Moriah Rd<br />

Memphis, TN 38117<br />

Phone: 901‐685‐5491<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Scott, Janet E<br />

1331 Union Ave #742<br />

Memphis, TN 38104<br />

Phone: 901‐722‐8751<br />

County: Shel<strong>by</strong><br />

Licensed Professional Counselor<br />

Johnson, Nancy L<br />

1088 Rogers Rd<br />

Cordova, TN 38018<br />

Phone: 9.01755e+009<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 119


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Licensed Professional Counselor<br />

Lewis, Tammy L<br />

1088 Rogers Rd<br />

Cordova, TN 38018<br />

Phone: 901‐755‐1396<br />

County: Shel<strong>by</strong><br />

Magnetic Resonance Imaging (MRI)<br />

Campbell Clinic Mri<br />

1400 S. Germantown Road<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Magnetic Resonance Imaging (MRI)<br />

Semmes‐Murphey Clinic Mri<br />

6325 Humphreys Blvd.<br />

Memphis, TN 38120<br />

Phone: 901‐522‐7700<br />

County: Shel<strong>by</strong><br />

Mammography & Ultrasound<br />

Womens Health Center At Baptist<br />

Memorial Hospital For Women<br />

6215 Humphreys Blvd.,#100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9650<br />

County: Shel<strong>by</strong><br />

Mammography & Ultrasound<br />

Womens Health Center‐Collierville<br />

1500 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐861‐8900<br />

County: Shel<strong>by</strong><br />

Mammography & Ultrasound<br />

Womens Health Center‐Mobile<br />

Mammography Unit<br />

6215 Humphreys Blvd.,#100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9669<br />

County: Shel<strong>by</strong><br />

Mammography & Ultrasound<br />

Womens Health Center‐Oak Court<br />

4545 Poplar Ave<br />

Memphis, TN 38117<br />

Phone: 901‐766‐2383<br />

County: Shel<strong>by</strong><br />

Maternal Fetal Medicine<br />

Bors‐Koefoed, Roy<br />

Mid‐South Maternal Fetal Medicine<br />

6266 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2595<br />

County: Shel<strong>by</strong><br />

Maternal Fetal Medicine<br />

Schneider, Michael Benedict<br />

Mid‐South Maternal Fetal Medicine<br />

6266 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐682‐2595<br />

County: Shel<strong>by</strong><br />

Maternity Management Services<br />

Alere Women's And Children's Health<br />

1355 Lynnfield Drive, Suite 277<br />

Memphis, TN 38119<br />

Phone: 901‐767‐8802<br />

County: Shel<strong>by</strong><br />

MattressesPressure Ulcers<br />

Pressure Management Resources<br />

6935 Appling Farms Pkwy; Ste 106<br />

Memphis, TN 38133<br />

Phone: 901‐396‐5211<br />

County: Shel<strong>by</strong><br />

Medical Genetics<br />

Pivnick, Eniko K<br />

Ut Medical Group Inc<br />

777 Washington Ave #P110<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2805<br />

County: Shel<strong>by</strong><br />

Medical Genetics<br />

Ward, Jewell C<br />

Ut Medical Group Inc<br />

777 Washington Ave #P110<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2805<br />

County: Shel<strong>by</strong><br />

Medical Genetics<br />

Wilroy, Robert S<br />

Ut Medical Group Inc<br />

777 Washington Ave #P110<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2805<br />

County: Shel<strong>by</strong><br />

Medical Oncology<br />

Martin, Michael G<br />

The West Clinic<br />

1588 UNION AVE<br />

Memphis, TN 38104<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Koneru, Padmaja<br />

East Memphis Neonatology Assoc<br />

6215 Humphreys Blvd #310<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0291<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Naida, Abubakar M.<br />

Millington Pediatrics<br />

8222 US Hwy 51 N<br />

Millington, TN 38053<br />

Phone: 901‐873‐0711<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Ferguson, John M<br />

Ut Medical Group Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐4800<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Robinson, Marilyn B<br />

Ut Medical Group Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐4800<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Krishnan, Ramesh Kumar<br />

Ut Medical Group Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐4800<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Gomez, Raquel<br />

Ut Medical Group Inc<br />

853 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐5950<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 120


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Neonatal / Perinatal Medicine<br />

Kudumula, Ravi<br />

Ut Medical Group Inc<br />

853 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐5950<br />

County: Shel<strong>by</strong><br />

Neonatal / Perinatal Medicine<br />

Guthrie, Scott Osborn<br />

Ut Medical Group Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐4800<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

Arrindell, Esmond L<br />

East Memphis Neonatology Assoc<br />

6215 Humphreys Blvd #310<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0291<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

Hamlett, James M<br />

East Memphis Neonatology Assoc<br />

6215 Humphreys Blvd #310<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0291<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

Hayden, Jane Ellen<br />

East Memphis Neonatology Assoc<br />

6215 Humphreys Blvd #310<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0291<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

Sander, Craig J<br />

East Memphis Neonatology Assoc<br />

6215 Humphreys Blvd #310<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0291<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

Pourcyrous, Massroor<br />

Ut Medical Group Inc<br />

853 Jefferson Ave #201<br />

Memphis, TN 38103<br />

Phone: 901‐448‐5950<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

El Abiad, Mohamad Tammam<br />

Ut Medical Group Inc<br />

853 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐5950<br />

County: Shel<strong>by</strong><br />

Neonatology<br />

Dhanireddy, Ramasubbareddy<br />

Ut Medical Group Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐4800<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Reed, John E<br />

Baptist Memorial Health Services Of MS Inc<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2042<br />

County: Lowndes<br />

Nephrology<br />

Balamuthusamy, Saravanan<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #2D<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7726<br />

County: Coahoma<br />

Nephrology<br />

Morris, John Thomas<br />

John T Morris Iii Md<br />

7640 Wolf River Cir 2nd Fl<br />

Germantown, TN 38138<br />

Phone: 901‐755‐0208<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Massey, Jonathan Hurt<br />

Jonathan H Massey Md<br />

1300 Access Rd #300<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8005<br />

County: Lafayette<br />

Nephrology<br />

Alshallah, Zaher<br />

Kidney Care Consultants<br />

3950 New Covington Pike #300<br />

Memphis, TN 38128<br />

Phone: 901‐382‐5256<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Daher, Fadi<br />

Kidney Care Consultants<br />

3950 New Covington Pike #290<br />

Memphis, TN 38128<br />

Phone: 901‐382‐5256<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Hamze, Omar Oussama<br />

Kidney Care Consultants<br />

3950 New Covington Pike #290<br />

Memphis, TN 38128<br />

Phone: 901‐382‐5256<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Shafique, Rehan<br />

Kidney Care Consultants<br />

3950 New Covington Pike #300<br />

Memphis, TN 38128<br />

Phone: 901‐382‐5256<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Ballouk, Wesam F<br />

Kidney Group Of Memphis<br />

2225 Union Ave #100<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1161<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Mansour, Nawar E<br />

Kidney Specia<strong>lists</strong><br />

176 S Bellevue Blvd #502<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1199<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Mulay, Ramakant M<br />

Medical Nephrology Assoc<br />

1575 Parr Ave #B<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐1510<br />

County: Dyer<br />

Nephrology<br />

Swamy, Alagiri<br />

Memphis Nephrology Associates<br />

6005 Park Ave #1003B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4799<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 121


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Nephrology<br />

Deogaygay, Bernadette Abeledo<br />

Mid South Nephrology Consultants<br />

6490 Mt Moriah Ext #200<br />

Memphis, TN 38115<br />

Phone: 901‐565‐0244<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Hernandez, Jacinto A<br />

Mid South Nephrology Consultants<br />

401 Southcrest Cir #201<br />

Southaven, MS 38671<br />

Phone: 901‐565‐0244<br />

County: DeSoto<br />

Nephrology<br />

Kulu<strong>by</strong>a, Patrick Serwano<br />

Mid South Nephrology Consultants<br />

401 Southcrest Cir #201<br />

Southaven, MS 38671<br />

Phone: 901‐565‐0244<br />

County: DeSoto<br />

Nephrology<br />

Ruiz, Julio P<br />

Mid South Nephrology Consultants<br />

6490 Mt Moriah Ext #200<br />

Memphis, TN 38115<br />

Phone: 901‐565‐0244<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Stepniakowski, Konrad Tomasz<br />

Mid South Nephrology Consultants<br />

6490 Mt Moriah Ext #200<br />

Memphis, TN 38115<br />

Phone: 901‐565‐0244<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Mirza, Mashhud Munir<br />

Mid‐South Renal Clinic<br />

1120 Hwy 77 #1 2nd Fl<br />

Marion, AR 72364<br />

Phone: 870‐733‐1177<br />

County: Crittenden<br />

Nephrology<br />

George, Sajid Melvin<br />

Mittal Kidney & Dialysis<br />

6027 Walnut Grove Rd #402<br />

Memphis, TN 38120<br />

Phone: 901‐767‐0101<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Pathak, Minesh B<br />

Mittal Kidney & Dialysis<br />

6027 Walnut Grove Rd #402<br />

Memphis, TN 38120<br />

Phone: 901‐767‐0101<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Hamilton, Morris R<br />

Nephrology & Hypertension Assoc<br />

2301 S Lamar Blvd #130<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2900<br />

County: Lafayette<br />

Nephrology<br />

Lam, Son G<br />

Nephrology & Hypertension Assoc<br />

2301 S Lamar Blvd #130<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2900<br />

County: Lafayette<br />

Nephrology<br />

Britton, Marcus Louis<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Nephrology<br />

Kellum, Kenneth M<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Nephrology<br />

Lee, John M<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Nephrology<br />

Milev, Tzonko V<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Nephrology<br />

Miller, Christopher D<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Nephrology<br />

Wooldridge, Thomas D<br />

Nephrology & Hypertension Assoc<br />

1542 Medical Park Cir<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐4711<br />

County: Lee<br />

Nephrology<br />

Dunn, Thomas Jason<br />

Nephrology Assoc<br />

2104 5th St N #4<br />

Columbus, MS 39705<br />

Phone: 662‐329‐3838<br />

County: Lowndes<br />

Nephrology<br />

Lebrun, Christopher Jospeh<br />

Nephrology Assoc<br />

2104 5th St N #4<br />

Columbus, MS 39705<br />

Phone: 662‐329‐3838<br />

County: Lowndes<br />

Nephrology<br />

Kelley, Bob<strong>by</strong> J<br />

Nephrology Svcs Medical Group Of<br />

Memphis<br />

50 Humphreys Blvd #28<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3501<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Kraus, Alfred P<br />

Nephrology Svcs Medical Group Of<br />

Memphis<br />

50 Humphreys Blvd #28<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3501<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 122


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Nephrology<br />

Rivera (Hospitalist), Juan P<br />

The Ryman Clinic<br />

6570 Stage Rd #202<br />

Bartlett, TN 38134<br />

Phone: 901‐213‐4225<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Alabsi, Ahmed Ibrahim<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐448‐8637<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Almehmi, Ammar A<br />

Ut Medical Group Inc<br />

6490 Mt Moriah Extd #202<br />

Memphis, TN 38115<br />

Phone: 901‐866‐8425<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Gosmanova, Elvira O<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8810<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Quarles, Leigh Daryl<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8810<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Hastings, Margaret Colleen<br />

Ut Medical Group Inc<br />

777 Washington Ave #P110<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2870<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Siddiqui, Omer Muhammad Asif<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8810<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Banerjee, Satyaki<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #360<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8810<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Williams, Hugh H<br />

220 S Claybrook #314<br />

Memphis, TN 38104<br />

Phone: 901‐276‐6277<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Ebaugh, Lynn<br />

7640 Wolf River Cir 2nd Fl<br />

Germantown, TN 38138<br />

Phone: 901‐541‐5065<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Htike, Naing Lin<br />

Internal Medicine<br />

6490 Mt Moriah Ext #200<br />

Memphis, TN 38115<br />

Phone: 901‐565‐0244<br />

County: Shel<strong>by</strong><br />

Nephrology<br />

Mock, Gregory Paul<br />

Nephrology Assoc<br />

129 Brookmoore Dr<br />

Columbus, MS 39705<br />

Phone: 662‐329‐3838<br />

County: Lowndes<br />

Neurology<br />

Biswas, Debashis<br />

Adult Neurology Clinic<br />

401 Southcrest Cir #210<br />

Southaven, MS 38671<br />

Phone: 662536‐0577<br />

County: DeSoto<br />

Neurology<br />

Nadel, Alan<br />

Alan Nadel, Md<br />

6005 Park Ave #804<br />

Memphis, TN 38119<br />

Phone: 901‐680‐9377<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Roland, Malcolm M S<br />

Batesville Hma Medical Group<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐281‐0112<br />

County: Panola<br />

Neurology<br />

Ahmed, Mohammad A N<br />

Bolivar Physician Practices<br />

903 E Sunflower Rd #400<br />

Cleveland, MS 38732<br />

Phone: 662‐545‐3205<br />

County: Bolivar<br />

Neurology<br />

Butler, Darel Anthony<br />

Butler Neurology<br />

1264 Wesley Dr #209<br />

Memphis, TN 38116<br />

Phone: 901‐396‐4958<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Phoncharoensri, Dittana<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3H<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐3003<br />

County: Coahoma<br />

Neurology<br />

Hadidi, Mohamad Faseeh<br />

Delta Neurology Clinic<br />

785 Ohio Ave #2C<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐2544<br />

County: Coahoma<br />

Neurology<br />

Raquib, Farouk A<br />

Farouk A Raquib Md<br />

255 Medical Dr #3<br />

Winfield, AL 35594<br />

Phone: 205‐487‐4535<br />

County: Marion<br />

Neurology<br />

Ahmed, Shameela Neaz<br />

Gastrointestinal & Liver Clinic<br />

6630 Summer Knoll Cir #101<br />

Bartlett, TN 38134<br />

Phone: 901‐266‐1080<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 123


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Neurology<br />

Mccain, Reynolds P<br />

Golden Triangle Neurology Clinic<br />

516B Lincoln Rd<br />

Columbus, MS 39705<br />

Phone: 662‐327‐2700<br />

County: Lowndes<br />

Neurology<br />

Plunkett, Karen W<br />

Grenada Neurology Clinic<br />

1300 Sunset Dr O<br />

Grenada, MS 38901<br />

Phone: 662‐227‐0998<br />

County: Grenada<br />

Neurology<br />

Ker<strong>by</strong>, Andrew L<br />

Heartsouth<br />

2425 Proper St<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7785<br />

County: Alcorn<br />

Neurology<br />

Owens, William Earl<br />

Heartsouth<br />

2425 Proper St<br />

Corinth, MS 38834<br />

Phone: 662‐287‐7785<br />

County: Alcorn<br />

Neurology<br />

Adamolekun, Bolanle<br />

Madison Clinic Corp<br />

37 Sandstone Cir<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Neurology<br />

Ibrahim, Malik<br />

Madison Clinic Corp<br />

37 Sandstone Cir<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Neurology<br />

Sonmezturk, Hasan Huseyin<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Neurology<br />

Benameur, Karima<br />

Memphis Neurology<br />

7684 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 662‐536‐4426<br />

County: DeSoto<br />

Neurology<br />

Obrien, Barbara Cape<br />

Memphis Neurology<br />

7645 Wolf River Cir #100<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Sonone, Rahul Vasant<br />

Memphis Neurology<br />

401 Southcrest Cir #105<br />

Southaven, MS 38671<br />

Phone: 901‐405‐0275<br />

County: DeSoto<br />

Neurology<br />

Dick, Maroun T<br />

Mid‐South Neurology Clinic<br />

8584 Cordes Cir<br />

Germantown, TN 38139<br />

Phone: 901‐531‐7007<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Todorov, Alexandre B<br />

Neurology Clinic<br />

1325 McFarland Blvd #202<br />

Tuscaloosa, AL 35476<br />

Phone: 205‐333‐2999<br />

County: Tuscaloosa<br />

Neurology<br />

Hoos, Richard Tipton<br />

Neurology Group<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 615‐855‐1374<br />

County: Prentiss<br />

Neurology<br />

Alhamda, Ahmed Basem<br />

Neurology Outreach Clinics<br />

6005 Park Ave #722B<br />

Memphis, TN 38119<br />

Phone: 901‐683‐8448<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Roland, Malcolm M S<br />

Oxford Neuromuscular Assoc<br />

1300 Access Rd #200<br />

Oxford, MS 38655<br />

Phone: 662‐281‐0112<br />

County: Lafayette<br />

Neurology<br />

Grant‐Brown, Latai Ebrette<br />

Sentinel Neurological Svcs Inc<br />

1835 Union Ave #321<br />

Memphis, TN 38104<br />

Phone: 662‐363‐8156<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Petrinjac‐Nenadic, Rada<br />

Tri‐State Neurology<br />

1325 Eastmoreland Ave #460<br />

Memphis, TN 38104<br />

Phone: 901‐820‐0141<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Wang, James Jinxing<br />

Tri‐State Neurology<br />

6005 Park Ave #202<br />

Memphis, TN 38119<br />

Phone: 901‐820‐0141<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Ledoux, Mark Steven<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8811<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Kumar, Vishad<br />

Wesley Neurology Clinic<br />

3950 New Covington Pike #270<br />

Memphis, TN 38128<br />

Phone: 901‐387‐2120<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Pillai, Rekha<br />

Wesley Neurology Clinic<br />

3950 New Covington Pike #270<br />

Memphis, TN 38128<br />

Phone: 901‐387‐2120<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 124


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Neurology<br />

Bertorini, Tulio E<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Chai, Yaohui<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Condon, Gregory Josef<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Elahi, Hafiz Awais<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Landy, Stephen H<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Martinez, Jesus Felix<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Mitchell, Christopher Wesley<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Mortazavi, Hamid<br />

Wesley Neurology Clinic<br />

1211 Union Ave #400<br />

Memphis, TN 38104<br />

Phone: 901‐725‐8920<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Saeed, Salman<br />

West Tn Neurology<br />

6570 Stage Rd #202<br />

Bartlett, TN 38134<br />

Phone: 901‐213‐4225<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Assaf, Mohammad<br />

6005 Park Ave #722B<br />

Memphis, TN 38119<br />

Phone: 901‐683‐8448<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Cape, Charles A<br />

2100 Exeter Rd<br />

Germantown, TN 38138<br />

Phone: 901‐753‐8486<br />

County: Shel<strong>by</strong><br />

Neurology<br />

Swaminathan, T R<br />

Tri‐State Neurology<br />

5100 Sanderlin Ave #1800<br />

Memphis, TN 38117<br />

Phone: 901‐820‐0141<br />

County: Shel<strong>by</strong><br />

Neuropathology<br />

Ellison, David W<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Neuropsychology<br />

Brewer, Vickie Renea<br />

Center For Pediatric Neuropsychology<br />

777 Washington Ave #P235<br />

Memphis, TN 38105<br />

Phone: 901‐572‐5220<br />

County: Shel<strong>by</strong><br />

Neuropsychology<br />

Jain, Neelam<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Neuroradiology<br />

Currie, Charles M<br />

Imaging Assoc Of N MS Magnolia<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 662‐293‐1466<br />

County: Prentiss<br />

Neuroradiology<br />

Allred, John W<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Neuroradiology<br />

Patay, Zolton<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Neurosurgery<br />

Mendel, Richard C<br />

Baptist Memorial Medical Group Inc<br />

255 Baptist Blvd #301<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2781<br />

County: Lowndes<br />

Neurosurgery<br />

Walker, James Benning<br />

Baptist Memorial Medical Group Inc<br />

2301 S Lamar Blvd # 130<br />

Oxford, MS 38655<br />

Phone: 662‐513‐1300<br />

County: Lafayette<br />

Neurosurgery<br />

Cros<strong>by</strong>, Glenn Allen<br />

Cros<strong>by</strong> Clinic<br />

6027 Walnut Grove Rd #409<br />

Memphis, TN 38120<br />

Phone: 901‐683‐4594<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 125


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Neurosurgery<br />

Friedman, Harry<br />

Friedman Clinic<br />

50 Humphreys Ctr #32<br />

Memphis, TN 38120<br />

Phone: 901‐747‐4320<br />

County: Shel<strong>by</strong><br />

Neurosurgery<br />

Brophy, John D<br />

Kellett Brophy & Lovell Neurosurgical Clinic<br />

1325 Eastmoreland Ave #370<br />

Memphis, TN 38104<br />

Phone: 901‐726‐5300<br />

County: Shel<strong>by</strong><br />

Neurosurgery<br />

Lovell, Laverne Ray<br />

Kellett Brophy & Lovell Neurosurgical Clinic<br />

1325 Eastmoreland Ave #370<br />

Memphis, TN 38104<br />

Phone: 901‐726‐5300<br />

County: Shel<strong>by</strong><br />

Neurosurgery<br />

Feild, J Rodney<br />

Mid‐South Neurological Clinic<br />

234 Germantown Bend Cv<br />

Cordova, TN 38018<br />

Phone: 901‐757‐4199<br />

County: Shel<strong>by</strong><br />

Neurosurgery<br />

Parsioon, Fereidoon<br />

Phoenix Neurosurgery<br />

5673 S Rex Rd<br />

Memphis, TN 38119<br />

Phone: 901‐276‐6400<br />

County: Shel<strong>by</strong><br />

Neurosurgery<br />

Clark, Winston C<br />

The Neurosurgical Center<br />

55 Physicians Ln #1<br />

Southaven, MS 38671<br />

Phone: 662‐349‐5660<br />

County: DeSoto<br />

Neurosurgery<br />

Windham, Thomas L<br />

1203 Belk Blvd #110<br />

Oxford, MS 38655<br />

Phone: 662‐234‐5820<br />

County: Lafayette<br />

Nuclear Medicine<br />

Shulkin, Barry L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Austin, John L<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Chappell, B Todd<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Denbo, Miriah Beth<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Healy, Regina Gadomski<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Keegan, Mary Leigh<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

King, T Franklin<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Marshall, Michael R<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Odom, Lawrence Neil<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Stern, Jonathan Bradley<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Tonkin, Leah Carmen<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Williams, Judith Jordan<br />

Adams Patterson Gynecology & Obstetrics<br />

6215 Humphreys Blvd #301<br />

Memphis, TN 38120<br />

Phone: 901‐767‐3810<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Frohn, William Eric<br />

Advanced Obstetrics & Gynecology<br />

236 Starlyn Ave<br />

New Albany, MS 38652<br />

Phone: 662‐534‐4121<br />

County: Union<br />

Obstetrics and Gynecology<br />

Beer, Rodolfo Scott<br />

Alliance Health Partners<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5611<br />

County: Panola<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 126


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Davis, Charles Leon<br />

Alliance Health Partners<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5611<br />

County: Panola<br />

Obstetrics and Gynecology<br />

Slocki, Lawrence Michael<br />

Alliance Health Partners<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5611<br />

County: Panola<br />

Obstetrics and Gynecology<br />

Townsend, Arthur M<br />

Associates Obstetrics & Gynecology<br />

7655 Poplar Ave<br />

Germantown, TN 38138<br />

Phone: 901‐726‐4000<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Filetti, Lusia Cristina<br />

Baptist Memorial Medical Group Inc<br />

1995 Hwy 51 S #203A<br />

Covington, TN 38019<br />

Phone: 901‐475‐5480<br />

County: Tipton<br />

Obstetrics and Gynecology<br />

Dulaney, Bettyjo<br />

Betty Jo Dulaney Md<br />

2157 Judicial Dr<br />

Germantown, TN 38138<br />

Phone: 901‐385‐2639<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Daniels, Anthony E<br />

Blytheville Womans Group<br />

1100 Medical Dr.<br />

Blytheville, AR 72315<br />

Phone: 870‐780‐1363<br />

County: Mississippi<br />

Obstetrics and Gynecology<br />

Buchanan, Shantwania A<br />

Buchanan Womens Center<br />

616 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐0206<br />

County: Alcorn<br />

Obstetrics and Gynecology<br />

Lynn, Carol Ingraham<br />

Carol I Lynn Md Gynecology<br />

2136 Exeter Dr. #103<br />

Germantown, TN 38138<br />

Phone: 901‐755‐2900<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Johnson, William W<br />

Center For Womens Health<br />

403 Doctors Dr<br />

New Albany, MS 38652<br />

Phone: 662‐534‐0890<br />

County: Union<br />

Obstetrics and Gynecology<br />

Zavala, Carlos<br />

Centrosalud<br />

6063 Mt Moriah Ext #4<br />

Memphis, TN 38115<br />

Phone: 901‐531‐8800<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Cooley, Kira Mattison<br />

Christ Community Health Svcs<br />

5366 Mendenhall Mall<br />

Memphis, TN 38115<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Engbretson, Laura Lynne<br />

Christ Community Health Svcs<br />

5366 Mendenhall Mall<br />

Memphis, TN 38115<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Mcallister, Mitchell S<br />

Christ Community Health Svcs<br />

1211 Union Ave # 200<br />

Memphis, TN 38104<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Childrey, Gregory W<br />

Columbus Ob‐Gyn <strong>Specialty</strong> Center<br />

425 Hospital Dr #5<br />

Columbus, MS 39705<br />

Phone: 662‐240‐0095<br />

County: Lowndes<br />

Obstetrics and Gynecology<br />

Murch, Theresa A<br />

Columbus Ob‐Gyn <strong>Specialty</strong> Center<br />

425 Hospital Dr #5<br />

Columbus, MS 39705<br />

Phone: 662‐240‐0095<br />

County: Lowndes<br />

Obstetrics and Gynecology<br />

Ryan, Charles G<br />

Cornerstone Womens Ctr<br />

6831 Crumpler Blvd #100<br />

Olive Branch, MS 38654<br />

Phone: 662‐890‐5559<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Chin, Robert<br />

Crittenden Regional Hospital<br />

304 S Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐733‐1240<br />

County: Crittenden<br />

Obstetrics and Gynecology<br />

Baugh, Bradley R<br />

Delta Ob/Gyn<br />

801 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐0880<br />

County: Bolivar<br />

Obstetrics and Gynecology<br />

Blackwood, Mark E<br />

Delta Ob/Gyn<br />

801 First St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐0880<br />

County: Bolivar<br />

Obstetrics and Gynecology<br />

Joyner, Johnny B<br />

Dyersburg Clinic Corp<br />

315 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐1935<br />

County: Dyer<br />

Obstetrics and Gynecology<br />

Campbell, Rwanda D<br />

Dyersburg Clinic Corp<br />

315 E. Tickle St. #A<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2100<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 127


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Finan, Eugene Michael<br />

Dyersburg Clinic Corp<br />

315 E Tickle St #B<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2100<br />

County: Dyer<br />

Obstetrics and Gynecology<br />

Love, Beverly Ray<br />

Dyersburg Clinic Corp<br />

315 E Tickle St #A<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐2100<br />

County: Dyer<br />

Obstetrics and Gynecology<br />

Todd, Tanja L<br />

Germantown Ob‐Gyn Group<br />

7516 Capital Dr<br />

Germantown, TN 38138<br />

Phone: 901‐753‐4200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Bondurant, Sidney W<br />

Grenada Lake Medical Center<br />

1900 Grandview Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5121<br />

County: Grenada<br />

Obstetrics and Gynecology<br />

Brathwaite, Natalie R<br />

Grenada Lake Medical Center<br />

1900 Grandview Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5121<br />

County: Grenada<br />

Obstetrics and Gynecology<br />

Manuele, James Carl<br />

Grenada Lake Medical Center<br />

1900 Grandview Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5121<br />

County: Grenada<br />

Obstetrics and Gynecology<br />

Profilet, William B<br />

Grenada Lake Medical Center<br />

1900 Grandview Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐5121<br />

County: Grenada<br />

Obstetrics and Gynecology<br />

Thayer, Gilbert Michael<br />

Hardin Co Reg Health Ctr<br />

105 Davis St<br />

Savannah, TN 38372<br />

Phone: 731‐925‐8879<br />

County: Hardin<br />

Obstetrics and Gynecology<br />

Boxell, Sandra J<br />

Jackson Regional Womens Ctr<br />

72 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐4455<br />

County: Madison<br />

Obstetrics and Gynecology<br />

Micetich, Keith<br />

Jackson Regional Womens Ctr<br />

72 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐4455<br />

County: Madison<br />

Obstetrics and Gynecology<br />

Williams, Lane E<br />

Jackson Regional Womens Ctr<br />

72 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐668‐4455<br />

County: Madison<br />

Obstetrics and Gynecology<br />

Landrigan, John W<br />

John Landrigan Md<br />

5180 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2703<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Homsi, Riad Ibrahim<br />

Just For Women<br />

80 Humphreys Center Dr #201<br />

Memphis, TN 38120<br />

Phone: 901‐507‐8675<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Miller, Kristin M<br />

Kristen Miller Obstetrics & Gynecology<br />

6750 Poplar Ave #210<br />

Germantown, TN 38138<br />

Phone: 901‐756‐6522<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Stewart, Thulani<br />

Madison Clinic Corp<br />

344 N Hays Ave<br />

Jackson, TN 38301<br />

Phone: 731‐422‐3327<br />

County: Madison<br />

Obstetrics and Gynecology<br />

Wilburn Wren, Kristie Renee<br />

Madison Clinic Corp<br />

1020 E Main St<br />

Brownsville, TN 38012<br />

Phone: 731‐779‐0788<br />

County: Haywood<br />

Obstetrics and Gynecology<br />

Evans, Diane L<br />

Magnolia Physician Services Inc<br />

41 Mitchell Ave<br />

Walnut, MS 38683<br />

Phone: 662‐223‐4248<br />

County: Tippah<br />

Obstetrics and Gynecology<br />

Cesario, Jason Steven<br />

Magnolia Physician Services Inc<br />

3714 Hwy 72 E<br />

Corinth, MS 38834<br />

Phone: 662‐287‐6913<br />

County: Alcorn<br />

Obstetrics and Gynecology<br />

Logan, Quinisha Kayon<br />

Magnolia Physician Services Inc<br />

3714 Hwy 72 E<br />

Corinth, MS 38834<br />

Phone: 662‐287‐6913<br />

County: Alcorn<br />

Obstetrics and Gynecology<br />

Simpson, Don E<br />

Magnolia Womens Clinic<br />

512 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6090<br />

County: Alcorn<br />

Obstetrics and Gynecology<br />

Hassan, Randa M<br />

Martin Clinic Corp<br />

164 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐587‐8155<br />

County: Weakley<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 128


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Cole, Kristi Mcintyre<br />

Mcdonald Murrmann Womens Clinic<br />

7205 Wolf River Blvd #150<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4500<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Donato, Heather Ocain<br />

Mcdonald Murrmann Womens Clinic<br />

7205 Wolf River Blvd #150<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4500<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lee, Helen Seunglim<br />

Mcdonald Murrmann Womens Clinic<br />

7205 Wolf River Blvd #150<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4500<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Martin, Kyle Patterson<br />

Mcdonald Murrmann Womens Clinic<br />

7205 Wolf River Blvd #150<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4500<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Mcdonald, Mary N<br />

Mcdonald Murrmann Womens Clinic<br />

7205 Wolf River Blvd #150<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4500<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Murrmann, Susan G<br />

Mcdonald Murrmann Womens Clinic<br />

7205 Wolf River Blvd #150<br />

Germantown, TN 38138<br />

Phone: 901‐752‐4500<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Fornera, Gary R<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Obstetrics and Gynecology<br />

Baxter, James Daniel<br />

Mcnairy Clinic Corp<br />

705 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐646‐2181<br />

County: McNairy<br />

Obstetrics and Gynecology<br />

Fleming, Andrenette M<br />

Mcnairy Clinic Corp<br />

705 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐646‐2181<br />

County: McNairy<br />

Obstetrics and Gynecology<br />

Merski, Dennis W<br />

Mcnairy Clinic Corp<br />

705 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐646‐2181<br />

County: McNairy<br />

Obstetrics and Gynecology<br />

Haskins, Laura B<br />

Memphis Mid‐South Ob/Gyn Alliance<br />

6215 Humphreys Blvd #400<br />

Memphis, TN 38120<br />

Phone: 901‐685‐7342<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Reed, Cheston M<br />

Memphis Mid‐South Ob/Gyn Alliance<br />

6215 Humphreys Blvd #400<br />

Memphis, TN 38120<br />

Phone: 901‐685‐7342<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Sanford, Jack C<br />

Memphis Mid‐South Ob/Gyn Alliance<br />

6215 Humphreys Blvd #400<br />

Memphis, TN 38120<br />

Phone: 901‐685‐7342<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Cox, Sam J<br />

Memphis Mid‐South Ob/Gyn Alliance<br />

7705 Poplar Ave #240<br />

Germantown, TN 38138<br />

Phone: 901‐754‐6877<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Hoskins, Kelly Elizabeth<br />

Memphis Ob/Gyn Assoc<br />

7900 Airways Blvd #2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐5554<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Kumar, Alok<br />

Memphis Ob/Gyn Assoc<br />

7900 Airways Blvd #2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐5554<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Manejwala, Fazal Mehmood<br />

Memphis Ob/Gyn Assoc<br />

7900 Airways Blvd #2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐5554<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Mcadory, Jane Elizabeth<br />

Memphis Ob/Gyn Assoc<br />

7900 Airways Blvd #2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐5554<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Wilson, James A<br />

Memphis Ob/Gyn Assoc<br />

3775 Covington Pike<br />

Memphis, TN 38135<br />

Phone: 901‐373‐1682<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Geissler, Helena Marie<br />

Memphis Ob/Gyn Assoc<br />

7865 Educators Ln #200<br />

Bartlett, TN 38133<br />

Phone: 901‐373‐9221<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Mullenix, Jason Bryan<br />

Memphis Ob/Gyn Assoc<br />

7865 Educators Ln #200<br />

Bartlett, TN 38133<br />

Phone: 901‐373‐9221<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 129


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Albritton, John F<br />

Memphis Ob/Gyn Assoc<br />

7705 Poplar Ave #340<br />

Germantown, TN 38138<br />

Phone: 901‐755‐8696<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Moise, Claudia L<br />

Memphis Ob/Gyn Assoc<br />

7705 Poplar Ave #340<br />

Germantown, TN 38138<br />

Phone: 901‐755‐8696<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Thompson, Elaine Allen<br />

Memphis Ob/Gyn Assoc<br />

7705 Poplar Ave #340<br />

Germantown, TN 38138<br />

Phone: 901‐755‐8696<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Aycock, William W<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Bannister, Lea M<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Counce, Michael F<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Crisler, Crista L<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Gayden, John O<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Giddens, Gus Aric<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Giddens, Mary Andrea<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Harper, Julie Golden<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Joe, Penn Q<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Riseling, Elizabeth Mannwright<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Stack, Michael Lee<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Tinker, Cory Ray<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Wortham, George F<br />

Memphis Ob/Gyn Assoc<br />

6215 Humphreys Blvd #401<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8442<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Dewane, Joseph C<br />

Memphis Obstetrics & Gynecology<br />

6246 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4491<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Blackett, Melrose I<br />

Memphis Womens Consultants<br />

7655 Poplar Ave #130<br />

Germantown, TN 38138<br />

Phone: 901‐757‐0229<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Seymore, Melvinie E<br />

Memphis Womens Healthcare Inc<br />

6060 Primacy Pkwy #251<br />

Memphis, TN 38119<br />

Phone: 901‐272‐0060<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Mestemacher, Christine Smith<br />

Mestemacher Clinic For Women<br />

7918 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐624‐4444<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lewis, Torrance R<br />

Mid‐South Minimally Invasive Ob/Gyn Svcs<br />

8065 Club Pkwy #1<br />

Cordova, TN 38016<br />

Phone: 901‐336‐4797<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 130


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Carney, Judi Lynn<br />

Mid‐South Ob/Gyn Group<br />

80 Humphreys Center Dr #330<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Greenwell, Thomas D<br />

Mid‐South Ob/Gyn Group<br />

80 Humphreys Center Dr #330<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Neblett, Paul David<br />

Mid‐South Ob/Gyn Group<br />

80 Humphreys Center Dr #330<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Riedley‐Malone, Shannon E<br />

Mid‐South Ob/Gyn Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Taylor, Herbert A<br />

Mid‐South Ob/Gyn Group<br />

80 Humphreys Center Dr #330<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Moore, Pittman D<br />

Moore Clinic For Womens Health<br />

1801 Martin Luther King Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐2727<br />

County: Phillips<br />

Obstetrics and Gynecology<br />

Shahriari, Siamak<br />

Ms Co Womens Medical Ctr<br />

1521 N 10th #G<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐0222<br />

County: Mississippi<br />

Obstetrics and Gynecology<br />

Miles, Charles D<br />

N Ms Medical Clinics Inc<br />

2031 Hwy 45 N #4<br />

Columbus, MS 39705<br />

Phone: 662‐327‐5902<br />

County: Lowndes<br />

Obstetrics and Gynecology<br />

Blossom, Amy Paxton<br />

New Albany Ob‐Gyn Clinic<br />

117 Fairfield Dr<br />

New Albany, MS 38652<br />

Phone: 662‐534‐0029<br />

County: Union<br />

Obstetrics and Gynecology<br />

Mitchell, Gregory Eugene<br />

New Albany Ob‐Gyn Clinic<br />

117 Fairfield Dr<br />

New Albany, MS 38652<br />

Phone: 662‐534‐0029<br />

County: Union<br />

Obstetrics and Gynecology<br />

Henson, Barney J<br />

Nwmc‐Physician Services<br />

191 Carraway Dr Unit B<br />

Winfield, AL 35594<br />

Phone: 205‐487‐7979<br />

County: Marion<br />

Obstetrics and Gynecology<br />

Oraedu, Kingsley Ogonna<br />

OB GYN Consultants Of Memphis<br />

220 S Claybrook #403<br />

Memphis, TN 38104<br />

Phone: 901‐274‐9717<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Ehiremen, Stephen Eguabor<br />

OB GYN Ctrs Of Memphis<br />

1264 Wesley Dr #402<br />

Memphis, TN 38116<br />

Phone: 901‐396‐5577<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Hodges, Frederick Taliaferro<br />

OB GYN Ctrs Of Memphis<br />

1264 Wesley Dr #402<br />

Memphis, TN 38116<br />

Phone: 901‐396‐5577<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lawrence, Joseph K<br />

OB GYN Ctrs Of Memphis<br />

1264 Wesley Dr #402<br />

Memphis, TN 38116<br />

Phone: 901‐396‐5577<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Mcglothan, Corey Shane<br />

OB GYN Ctrs Of Memphis<br />

1264 Wesley Dr #402<br />

Memphis, TN 38116<br />

Phone: 901‐396‐5577<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Moore, Dwight M<br />

OB GYN Ctrs Of Memphis<br />

1264 Wesley Dr #402<br />

Memphis, TN 38116<br />

Phone: 901‐396‐5577<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lazar, Edward H<br />

OB/GYN Assoc Of The Mid‐South<br />

7705 Poplar Ave #240<br />

Germantown, TN 38138<br />

Phone: 901‐791‐9800<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Bronstein, Michael S<br />

OB/GYN Assoc Of The Mid‐South<br />

7705 Poplar Ave #240<br />

Germantown, TN 38138<br />

Phone: 901‐791‐9800<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Ham<strong>by</strong>, Donald L<br />

OB/GYN Assoc Of The Mid‐South<br />

7705 Poplar Ave #240<br />

Germantown, TN 38138<br />

Phone: 901‐791‐9800<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lacy, Susan N<br />

Ob/Gyn Specia<strong>lists</strong><br />

6401 Poplar Ave #530<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9368<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 131


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Mayo, Leslie Thompson<br />

Ob/Gyn Specia<strong>lists</strong><br />

6401 Poplar Ave #530<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9368<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Moise, Claudia L<br />

Ob/Gyn Specia<strong>lists</strong><br />

6401 Poplar Ave #530<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9368<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Moore, Yvonne Frank<br />

Ob/Gyn Specia<strong>lists</strong><br />

6401 Poplar Ave #530<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9368<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Pilgrim, Paula<br />

Ob/Gyn Specia<strong>lists</strong><br />

6401 Poplar Ave #530<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9368<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Ruffin, Jessica Minor<br />

Ob/Gyn Specia<strong>lists</strong><br />

6401 Poplar Ave #530<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9368<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Cole, Samuel Ward<br />

Oxford Clinic For Women<br />

2200 S Lamar Blvd #C<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1731<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Couey, Ira Lamar<br />

Oxford Clinic For Women<br />

2200 S Lamar Blvd #C<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1731<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Henderson, William E<br />

Oxford Clinic For Women<br />

2200 S Lamar Blvd #C<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1731<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Martin, Jerry Keith<br />

Oxford Clinic For Women<br />

2200 S Lamar Blvd #C<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1731<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Smith, Ronald Blake<br />

Oxford Clinic For Women<br />

2200 S Lamar Blvd #C<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1731<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Hunt, Marion Glenn<br />

Oxford Obstetrics & Gynecology Assoc<br />

1204 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐5717<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Patton, Gregory O<br />

Oxford Obstetrics & Gynecology Assoc<br />

1204 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐5717<br />

County: Lafayette<br />

Obstetrics and Gynecology<br />

Patterson, James K<br />

Patterson Ob/Gyn<br />

2671 Appling Rd<br />

Memphis, TN 38133<br />

Phone: 901‐213‐0505<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Guzman, Antonia J<br />

Pemiscot Co Memorial Hospital<br />

701 E Lincoln<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3550<br />

County: Pemiscot<br />

Obstetrics and Gynecology<br />

Guzman, Generoso R<br />

Pemiscot Co Memorial Hospital<br />

701 E Lincoln<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3550<br />

County: Pemiscot<br />

Obstetrics and Gynecology<br />

Luangjamekorn, Verachai<br />

Pemiscot Co Memorial Hospital<br />

907 E Reed<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3660<br />

County: Pemiscot<br />

Obstetrics and Gynecology<br />

Gonzalez, Ariel J<br />

Pemiscot Co Memorial Hospital<br />

106 W 12th St<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐2285<br />

County: Pemiscot<br />

Obstetrics and Gynecology<br />

Nieto Jr, Arthur<br />

Phillips Clinic Corp<br />

1803 Martin Luther King Dr #D<br />

Helena, AR 72342<br />

Phone: 870‐816‐3800<br />

County: Phillips<br />

Obstetrics and Gynecology<br />

Betcher, Raymond E<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

Obstetrics and Gynecology<br />

Brown, Leslie Michelle<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

Obstetrics and Gynecology<br />

Chaney, James P<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 132


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Lacy, Pamela<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

Obstetrics and Gynecology<br />

Otey, Stephen K<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

Obstetrics and Gynecology<br />

Pinkley, Leonard F<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

Obstetrics and Gynecology<br />

Wood, Duke J<br />

Physicians & Surgeons Clinic Ob/Gyn<br />

900 Earl Frye Blvd #A<br />

Amory, MS 38821<br />

Phone: 662‐256‐9331<br />

County: Monroe<br />

Obstetrics and Gynecology<br />

Caruthers Jr, Thomas J<br />

Premier Womens Care<br />

1995 Hwy 51 S #112<br />

Covington, TN 38019<br />

Phone: 901‐476‐9311<br />

County: Tipton<br />

Obstetrics and Gynecology<br />

Davis, Walter Lawrence<br />

Ridgeline Obstetrics & Gynecology<br />

1601 New Castle Rd<br />

Forrest City, AR 72335<br />

Phone: 901‐737‐3071<br />

County: Saint Francis<br />

Obstetrics and Gynecology<br />

Bishop, Laura Joanne<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Chauhan, Heather Pearson<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Crenshaw, Thomas H<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Cyrus, Rushelle Jones<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Kennedy, A Franklin<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Long, Diane M<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Peeler, George Huff<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Pickens, John H<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Sullivant, Henry P<br />

Ruch Clinic<br />

6215 Humphreys Blvd #500<br />

Memphis, TN 38120<br />

Phone: 901‐682‐0430<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Frayer, Craig A<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Obstetrics and Gynecology<br />

Lund, Elizabeth D<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Obstetrics and Gynecology<br />

Freeman, Robin<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Obstetrics and Gynecology<br />

Reed, Mark E<br />

The West Clinic<br />

100 N Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Haley, Charles T<br />

Tri‐Lakes Medical Center<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐712‐1518<br />

County: Panola<br />

Obstetrics and Gynecology<br />

Mehta, Usha Jagdish<br />

Usha J Mehta Md<br />

7600 Airways Blvd #A<br />

Southaven, MS 38671<br />

Phone: 662‐349‐1000<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 133


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Stanford, Edward Joseph<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8320<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Givens, Vanessa<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Harraway‐Smith, Carolyn H<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Azari, Ahmad<br />

Ut Medical Group Inc<br />

853 Jefferson Ave # E102<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6634<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Harraway‐Smith, Carolyn Loraine<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Jones‐Shephard, Claudette E<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lazarus, Edward Jay<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8220<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Mari, Giancarlo<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8220<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lipscomb, Gary H<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐866‐8812<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Thorpe, Edwin M<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Shier, Janice Marie<br />

Ut Medical Group Inc<br />

880 Madison Ave #3E01<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Wang, Jenny Qian<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Moses, Linda Fay<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8220<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Gomez, Luis Martin<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Flynt, Lynda Gioia<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Carter, Margaret F<br />

Ut Medical Group Inc<br />

6215 Humphreys Blvd #201<br />

Memphis, TN 38120<br />

Phone: 901‐866‐8085<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Elsaccar, Ossama A<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8220<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Phillips, Owen P<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Givens, Vanessa Mcmackin<br />

Ut Medical Group Inc<br />

880 Madison Ave #3E01<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Feldbaum, Victor M<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Crigler, Lakisha A<br />

Womans Clinic<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐4793<br />

County: Coahoma<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 134


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Balthrop, Erica R<br />

Womans Clinic<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7361<br />

County: Coahoma<br />

Obstetrics and Gynecology<br />

Cesare, Charles D<br />

Womans Clinic<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7361<br />

County: Coahoma<br />

Obstetrics and Gynecology<br />

Damallie, Kushna K<br />

Womans Clinic<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7361<br />

County: Coahoma<br />

Obstetrics and Gynecology<br />

Marley, Bouldin A<br />

Womans Clinic<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7361<br />

County: Coahoma<br />

Obstetrics and Gynecology<br />

Nieves, Paul Bryan<br />

Womans Clinic<br />

1312 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐5100<br />

County: Obion<br />

Obstetrics and Gynecology<br />

Simha, Samuel<br />

Womens Care Center<br />

1028 Cresthaven Rd #101<br />

Memphis, TN 38119<br />

Phone: 901‐680‐8146<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

David, Mary Stuart<br />

Womens Clinic Of Dyersburg<br />

1535 Parr Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐1319<br />

County: Dyer<br />

Obstetrics and Gynecology<br />

Williams, David J<br />

Womens Clinic Of New Albany<br />

460 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐4783<br />

County: Union<br />

Obstetrics and Gynecology<br />

Hord, Delphia M<br />

Womans Clinic<br />

2000 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7361<br />

County: Coahoma<br />

Obstetrics and Gynecology<br />

Cameron, Robert L<br />

Womans Clinic<br />

1312 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐5100<br />

County: Obion<br />

Obstetrics and Gynecology<br />

South, Christy D<br />

Womans Clinic<br />

1312 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐5100<br />

County: Obion<br />

Obstetrics and Gynecology<br />

Young, Robert R<br />

Womans Clinic<br />

1312 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐5100<br />

County: Obion<br />

Obstetrics and Gynecology<br />

Butcher, Sharon Ann<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Li, Sherri Xuan<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Ling, Frank W<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Stovall, Thomas Gregory<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Summitt, Margaret Z<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Summitt, Robert L<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Vogt, Val Yvette<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Edelson, Michael L<br />

Womens Health Specia<strong>lists</strong><br />

7800 Wolf Trail Cv<br />

Germantown, TN 38138<br />

Phone: 901‐682‐9222<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Hardy, Brenda Mozette<br />

Womens Healthcare Office Of OB/Gyn<br />

6825 Winchester Rd #1<br />

Memphis, TN 38115<br />

Phone: 901‐345‐4640<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 135


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Obstetrics and Gynecology<br />

Grandberry, Deidrea Latrice<br />

Womens Physicians Group<br />

7705 Poplar Ave #150<br />

Germantown, TN 38138<br />

Phone: 901‐273‐1190<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Lenahan, William L<br />

200 Carraway Dr #B‐2<br />

Winfield, AL 35594<br />

Phone: 205‐487‐2004<br />

County: Marion<br />

Obstetrics and Gynecology<br />

Hsu, Patrick S<br />

703 Alcorn Dr #110<br />

Corinth, MS 38834<br />

Phone: 662‐286‐0930<br />

County: Alcorn<br />

Obstetrics and Gynecology<br />

Witty, Joseph B<br />

2102 5th St N #1<br />

Columbus, MS 39705<br />

Phone: 662‐329‐1393<br />

County: Lowndes<br />

Obstetrics and Gynecology<br />

Holzhauer, James L<br />

505 Willowbrook Rd<br />

Columbus, MS 39705<br />

Phone: 662‐329‐9191<br />

County: Lowndes<br />

Obstetrics and Gynecology<br />

Dang, Hai V<br />

7640 Clarington Cv #B<br />

Southaven, MS 38671<br />

Phone: 662‐349‐3355<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Whaley, Lance Dewey<br />

60 Physician Ln #2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐7045<br />

County: DeSoto<br />

Obstetrics and Gynecology<br />

Evans, Pamela R<br />

300 Hospital Cir #102<br />

Paris, TN 38242<br />

Phone: 731‐644‐7662<br />

County: Henry<br />

Obstetrics and Gynecology<br />

Ganapathy, Lakshmanan<br />

211 E Court<br />

Selmer, TN 38375<br />

Phone: 731‐645‐3216<br />

County: McNairy<br />

Obstetrics and Gynecology<br />

Sarinoglu, Cem<br />

902 Holiday Dr #102<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐0091<br />

County: Saint Francis<br />

Obstetrics and Gynecology<br />

Chin, Robert<br />

312 S Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐733‐1240<br />

County: Crittenden<br />

Obstetrics and Gynecology<br />

Patterson, Rushton E<br />

2671 Appling Rd<br />

Memphis, TN 38133<br />

Phone: 901‐213‐0505<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Fleming, Andrenette M<br />

9005 Hwy 64 #101<br />

Arlington, TN 38002<br />

Phone: 901‐383‐7445<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Tejwani, Indurani<br />

6005 Park Ave #508<br />

Memphis, TN 38119<br />

Phone: 901‐683‐7319<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Pasley, Monica Armstead<br />

6027 Walnut Grove Rd #216<br />

Memphis, TN 38120<br />

Phone: 901‐685‐6815<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Dirghangi, Jayanta K<br />

7655 Poplar Ave #360<br />

Germantown, TN 38138<br />

Phone: 901‐752‐5666<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Byrd, Kenneth N<br />

315 Walnut Bend S<br />

Cordova, TN 38018<br />

Phone: 901‐755‐8880<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Stinson, William David<br />

315 Walnut Bend S<br />

Cordova, TN 38018<br />

Phone: 901‐755‐8880<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Asaju, Sunday Olanrewaju<br />

Allaince Health Partners<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5611<br />

County: Panola<br />

Obstetrics and Gynecology<br />

Hinote, Candace Denise<br />

Mid‐South Ob/Gyn Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1200<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology<br />

Zavala, Carlos<br />

Clinic Para La Mujer<br />

4274 Faronia Rd #1<br />

Memphis, TN 38116<br />

Phone: 901‐332‐0012<br />

County: Shel<strong>by</strong><br />

Obstetrics and Gynecology (High Risk Only)<br />

Meyer, Norman L<br />

Ut Medical Group Inc<br />

880 Madison Ave #3C<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8814<br />

County: Shel<strong>by</strong><br />

Occupational Medicine<br />

Mcafee, James E<br />

Columbus Occupational Medicine<br />

915 Alabama St<br />

Columbus, MS 39702<br />

Phone: 662‐241‐5390<br />

County: Lowndes<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 136


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Occupational Medicine<br />

Wren, Kelvin<br />

Occutran Treatment Center<br />

6570 Stage Rd #255<br />

Memphis, TN 38134<br />

Phone: 901‐388‐3600<br />

County: Shel<strong>by</strong><br />

Occupational Medicine<br />

Kirkpatrick, Robert<br />

Ut Medical Group Inc<br />

1301 Primacy Pkwy<br />

Memphis, TN 38119<br />

Phone: 901‐448‐0275<br />

County: Shel<strong>by</strong><br />

Ocular Prosthetics<br />

Thomas Ocular Prosthetics, Inc.<br />

1900 Kir<strong>by</strong> Parkway, Suite 102<br />

Germantown, TN 38138<br />

Phone: 901‐753‐4724<br />

County: Shel<strong>by</strong><br />

Oncology<br />

Carter, Peter W<br />

Boston Cancer Group Ut Cancer Institute<br />

7945 Wolf River Blvd # 300<br />

Germantown, TN 38138<br />

Phone: 901‐722‐0539<br />

County: Shel<strong>by</strong><br />

Oncology<br />

Morgan, Dennis Paul<br />

Family Cancer Ctr<br />

504 Azalea Dr #A<br />

Oxford, MS 38655<br />

Phone: 662‐236‐7738<br />

County: Lafayette<br />

Oncology<br />

Sultani, Mtanius A<br />

Medical Oncology Inc<br />

581 Medical Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐7163<br />

County: Coahoma<br />

Oncology<br />

Hill, Julian B<br />

N Ms Hematology/Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Oncology<br />

Kellum, Andrew H<br />

N Ms Hematology/Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Oncology<br />

Montgomery, Charles W<br />

N Ms Hematology/Oncology Assoc<br />

961 S Gloster St<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐9166<br />

County: Lee<br />

Oncology<br />

Conkright, William Aubrey<br />

Oncology Hematology Consultants<br />

100 Kiana Ct<br />

Paducah, KY 42001<br />

Phone: 270‐554‐0011<br />

County: McCracken<br />

Oncology<br />

Winkler, Charles Frank<br />

Oncology Hematology Consultants<br />

100 Kiana Ct<br />

Paducah, KY 42001<br />

Phone: 270‐554‐0011<br />

County: McCracken<br />

Oncology<br />

Johnson, Robert A<br />

The West Clinic<br />

100 N Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Oncology<br />

Tauer, Kurt<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Oncology<br />

Wheeler, Benton M<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Bennett, James D<br />

Bennett Ophthalmology Group<br />

2475 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1254<br />

County: Lowndes<br />

Ophthalmology<br />

Cape, Richard C<br />

Cape Regional Eye Ctr<br />

401 Tickle Street<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐2801<br />

County: Dyer<br />

Ophthalmology<br />

Calzada, Jorge Ignacio<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Charles, Steven T<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Girschek, Brendan Paul<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Hancock, Heather A<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Hyatt, John David<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 137


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Ophthalmology<br />

Randolph, John Carlton<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Sigler, Eric James<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Bradley, Scott T<br />

Columbus Eye Clinic & Refractive Surgery Ctr<br />

425 Hospital Dr #8<br />

Columbus, MS 39705<br />

Phone: 662‐328‐2061<br />

County: Lowndes<br />

Ophthalmology<br />

Gillespie, William M<br />

Columbus Eye Clinic & Refractive Surgery Ctr<br />

425 Hospital Dr #8<br />

Columbus, MS 39705<br />

Phone: 662‐328‐2061<br />

County: Lowndes<br />

Ophthalmology<br />

Cooper, Tom Smythe<br />

Cooper‐Pang Eye Clinic<br />

561 Medical Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐5256<br />

County: Coahoma<br />

Ophthalmology<br />

Pang, Victor<br />

Cooper‐Pang Eye Clinic<br />

561 Medical Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐5256<br />

County: Coahoma<br />

Ophthalmology<br />

Wooten, Darwin B<br />

Crossroads Eye Center<br />

3035 Corder Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐9292<br />

County: Alcorn<br />

Ophthalmology<br />

Schaeffer, Alan R<br />

Desoto Eye Care<br />

726 Goodman Rd E #B<br />

Southaven, MS 38671<br />

Phone: 662‐349‐1959<br />

County: DeSoto<br />

Ophthalmology<br />

Wertheimer, Michael Leonard<br />

Desoto Eyecare Inc<br />

726 Goodman Rd #B<br />

Southaven, MS 38671<br />

Phone: 662‐349‐1959<br />

County: DeSoto<br />

Ophthalmology<br />

Currey, Thomas A<br />

Eye Specia<strong>lists</strong> Assoc<br />

1900 Kir<strong>by</strong> Pkwy #100<br />

Germantown, TN 38138<br />

Phone: 901‐754‐0930<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Duncan, Kristen Taylor<br />

Eye Specia<strong>lists</strong> Assoc<br />

1900 Kir<strong>by</strong> Pkwy #100<br />

Germantown, TN 38138<br />

Phone: 901‐754‐0930<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Smith, Robert Porter<br />

Eye Surgery Consultants<br />

2210 Barron Rd #114<br />

Poplar Bluff, MO 63901<br />

Phone: 573‐686‐4800<br />

County: Butler<br />

Ophthalmology<br />

Goode, Fletcher<br />

Fletcher H Goode Md<br />

4759 Easley<br />

Millington, TN 38053<br />

Phone: 901‐872‐2206<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Garrett, Jennifer Hussey<br />

Heartsouth<br />

1804 Shiloh Rd<br />

Corinth, MS 38834<br />

Phone: 662‐212‐9001<br />

County: Alcorn<br />

Ophthalmology<br />

Hammond, Stephen D<br />

Jackson Clinic<br />

2863 Hwy 45 Bypass<br />

Jackson, TN 38305<br />

Phone: 731‐660‐8355<br />

County: Madison<br />

Ophthalmology<br />

Byrd, Kathryn W<br />

Kathryn W Byrd Md<br />

6515 Poplar Ave #112<br />

Memphis, TN 38119<br />

Phone: 901‐681‐9600<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Randolph, John Carlton<br />

Loden Vision Ctr Of Paris<br />

1024 Kelly Drive<br />

Paris, TN 38242<br />

Phone: 731‐884‐7562<br />

County: Henry<br />

Ophthalmology<br />

Doherty, Terrence James<br />

Loden Vision Ctr Of Paris<br />

1024 Kelley Dr<br />

Paris, TN 38242<br />

Phone: 731‐642‐5003<br />

County: Henry<br />

Ophthalmology<br />

Loden, James C<br />

Loden Vision Ctr Of Paris<br />

1024 Kelley Dr<br />

Paris, TN 38242<br />

Phone: 731‐642‐5003<br />

County: Henry<br />

Ophthalmology<br />

Bailey, Thomas D<br />

Loden Vision Ctr Of Paris<br />

1024 Kelley Dr<br />

Paris, TN 38242<br />

Phone: 731‐642‐5003<br />

County: Henry<br />

Ophthalmology<br />

Freeman, James F<br />

Memphis Eye & Cataract Assoc<br />

6485 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3937<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 138


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Ophthalmology<br />

Freeman, Jerre M<br />

Memphis Eye & Cataract Assoc<br />

6485 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3937<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Freeman, John Macklin<br />

Memphis Eye & Cataract Assoc<br />

6485 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3937<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Gettelfinger, Thomas C<br />

Memphis Eye & Cataract Assoc<br />

6485 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3937<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Irvine, William D<br />

Memphis Eye & Cataract Assoc<br />

6485 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3937<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Wright, Harvey Banks<br />

Memphis Eye & Cataract Assoc<br />

6485 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3937<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Flores, Ana L<br />

Memphis Eye Clinic<br />

6029 Walnut Grove Rd #101<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3900<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Yoser, Seth L<br />

Memphis Retina<br />

1264 Wesley Dr #302<br />

Memphis, TN 38116<br />

Phone: 901‐348‐0415<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Meyer, David<br />

Meyer Eye Group<br />

1068 Cresthaven Rd #400<br />

Memphis, TN 38119<br />

Phone: 901‐522‐6520<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Khamapirad, Tawan Sunny<br />

Mid South Retina Assoc<br />

6005 Park Ave #624B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐1100<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Priester, William Bradford<br />

Mid‐South Retina Assoc<br />

609 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐682‐1100<br />

County: Madison<br />

Ophthalmology<br />

Gordon, Lawrence Wooten<br />

Mid‐South Retina Assoc<br />

6005 Park Ave #624B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐1100<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Sievers, Richard E<br />

Mid‐South Retina Assoc<br />

6005 Park Ave #624B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐1100<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Beale, Howard L<br />

Ophthalmic Plastic Surgical Assoc.<br />

6060 Primacy Pkwy #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4620<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Echols, James Robert<br />

Passons Eye Center<br />

909 Ridgeway Loop Rd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐1112<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Passons, Gary A<br />

Passons Eye Center<br />

909 Ridgeway Loop Rd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐1112<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Randolph, John Carlton<br />

Rayner Eye Clinic<br />

1308 Belk Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

Ophthalmology<br />

Booth, Blake August<br />

Rayner Eye Clinic<br />

1308 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

Ophthalmology<br />

Farmer, William D<br />

Rayner Eye Clinic<br />

1308 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

Ophthalmology<br />

Richardson, Randy K<br />

Rayner Eye Clinic<br />

1308 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

Ophthalmology<br />

Russell, Randy H<br />

Rayner Eye Clinic<br />

1308 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

Ophthalmology<br />

Tann, Thomas Meredith<br />

Rayner Eye Clinic<br />

1308 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 139


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Ophthalmology<br />

Hamilton, Ralph F<br />

Rice Eye Assoc<br />

6238 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4292<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Irvine, David<br />

Rice Eye Assoc<br />

6238 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4292<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Rice, Kevin Eric<br />

Rice Eye Assoc<br />

6238 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4292<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Deshaies, Roger L<br />

Roger L. Deshaies Md<br />

3980 New Covington Pike #308<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Shipp, Bernard L<br />

Shipp Eye Clinic<br />

3302‐C W Linden St<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6068<br />

County: Alcorn<br />

Ophthalmology<br />

Shipp, John R<br />

Shipp Eye Clinic<br />

3302‐C W Linden St<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6068<br />

County: Alcorn<br />

Ophthalmology<br />

Battles, Michele Miller<br />

Sidney H Kriger Md<br />

6401 Poplar Ave #340<br />

Memphis, TN 38119<br />

Phone: 901‐683‐5500<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Kriger, Sidney H<br />

Sidney H Kriger Md<br />

6401 Poplar Ave #340<br />

Memphis, TN 38119<br />

Phone: 901‐683‐5500<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Jernigan, Jerry M<br />

Skyline Eye Clinic<br />

350 E Parkview<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐1888<br />

County: Dyer<br />

Ophthalmology<br />

Bateman, Mark R<br />

Skyline Eye Clinic<br />

668 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐2414<br />

County: Madison<br />

Ophthalmology<br />

Grissom, Hilary Carol<br />

Skyline Eye Clinic<br />

668 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐2414<br />

County: Madison<br />

Ophthalmology<br />

Herron, Bruce E<br />

Skyline Eye Clinic<br />

668 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐2414<br />

County: Madison<br />

Ophthalmology<br />

Neel, Sean Torin<br />

Skyline Eye Clinic<br />

668 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐2414<br />

County: Madison<br />

Ophthalmology<br />

Sullivan, Jason Murray<br />

Skyline Eye Clinic<br />

668 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐2414<br />

County: Madison<br />

Ophthalmology<br />

Woods, Arthur H<br />

Skyline Eye Clinic<br />

668 Skyline Dr<br />

Jackson, TN 38301<br />

Phone: 731‐424‐2414<br />

County: Madison<br />

Ophthalmology<br />

Ngakeng, Vanessa E<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Schanzer, Mary Cathleen<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Kavoussi, Harold Peter<br />

Southern Tn Eye Specia<strong>lists</strong> Inc<br />

336 Poplar View Pkwy #1<br />

Collierville, TN 38017<br />

Phone: 901‐854‐6220<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Campbell, Mike C<br />

T Kevin Braswell Md<br />

990 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐2030<br />

County: Grenada<br />

Ophthalmology<br />

Braswell, Thomas K<br />

T Kevin Braswell Md<br />

990 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐2030<br />

County: Grenada<br />

Ophthalmology<br />

Beasley, Thomas J<br />

Thomas J Beasley Md<br />

1204 N Washington<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐7742<br />

County: Saint Francis<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 140


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Ophthalmology<br />

Beale, Howard L<br />

Total Eye Care<br />

6060 Primacy Pkwy #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4620<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Linn, John E<br />

Total Eye Care<br />

6060 Primacy Pkwy #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4620<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Mclaurin, Eugene Bramlett<br />

Total Eye Care<br />

6060 Primacy Pkwy #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4620<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Brawner, William C<br />

Tupelo Eye Clinic<br />

610 Brunson Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐7211<br />

County: Lee<br />

Ophthalmology<br />

Chappell, Joseph J<br />

Tupelo Eye Clinic<br />

610 Brunson Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐7211<br />

County: Lee<br />

Ophthalmology<br />

Fleming, James C<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd # 240<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8331<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Chaum, Edward<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Hoehn, Mary E<br />

Ut Medical Group Inc<br />

930 Madison Ave #400<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Kanner, Elliott M<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Kerr, Natalie C<br />

Ut Medical Group Inc<br />

930 Madison Ave #400<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Lawrence, Scott D<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Netland, Peter<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Oester, Alan E<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Partel, Andreea E<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Salim, Sarwat<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Shildkrot, Yevgeniy<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Iannaccone, Alessandro<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Partal, Andreea Evelin<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Haik, Barrett George<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Chaum, Edward<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Kanner, Elliott M<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 141


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Ophthalmology<br />

Graves, Emily Taylor<br />

Ut Medical Group Inc<br />

930 Madison Ave #400<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Hart, James C<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Wesberry Jr, Jesse M<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Phillips, Margaret Elizabeth<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Hoehn, Mary Ellen<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Wilson, Matthew Walls<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Litch Jr, Melvin<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Walton, Robert Christopher<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Salim, Sarwat<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Odonnell, Thomas James<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Morris, William R<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Beale, Howard L<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Brown, Calvin Christopher<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Brown, Larry Dale<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd.<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Elfervig, John L<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Gollamudi, Subba Rao<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Krauss, Andrew M<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Lagonigro, Paul Joseph<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Linn, John E<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Pan, Jane Chichun<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Savage, James Amos<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd.<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 142


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Ophthalmology<br />

Shukla, Salil<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Vaidya, Nadeem N<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Bryant, G Edward<br />

W Memphis Eye Ctr<br />

303 W Polk<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐2100<br />

County: Crittenden<br />

Ophthalmology<br />

Underwood, David Wayne<br />

W Tn Eye Assoc<br />

112 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐1994<br />

County: Madison<br />

Ophthalmology<br />

Toyos, Rolando<br />

W Tn Eye Care<br />

795 Ridge Lake Blvd #103<br />

Memphis, TN 38120<br />

Phone: 901‐683‐7255<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Wesson, Matthew B<br />

Wesson Ophthalmology Assoc<br />

3353 N Gloster St<br />

Tupelo, MS 38804<br />

Phone: 662‐844‐3555<br />

County: Lee<br />

Ophthalmology<br />

Mayo, William S<br />

2890 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐3937<br />

County: Lafayette<br />

Ophthalmology<br />

Peltan, Harold L<br />

425‐B N Davis Ave<br />

Cleveland, MS 38732<br />

Phone: 662‐545‐4600<br />

County: Bolivar<br />

Ophthalmology<br />

Wesson, Thomas W<br />

612 Brunson Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐842‐7372<br />

County: Lee<br />

Ophthalmology<br />

Frederick, William R<br />

126 Hickory Hill Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐9882<br />

County: Phillips<br />

Ophthalmology<br />

Furr, Philip M<br />

920 Madison Ave #605<br />

Memphis, TN 38103<br />

Phone: 901‐522‐1700<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Holliday, James N<br />

4571 Summer Ave<br />

Memphis, TN 38122<br />

Phone: 901‐680‐0043<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Smith, Constance H<br />

529 N 10th St<br />

Blytheville, AR 72315<br />

Phone: 901‐680‐0080<br />

County: Mississippi<br />

Ophthalmology<br />

Linder, James Samuel<br />

6258 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐680‐1990<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Usdan, David A<br />

6005 Park Ave #830B<br />

Memphis, TN 38119<br />

Phone: 901‐685‐1886<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Wilkes, Byron Nicholas<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Ophthalmology<br />

Irvine, David<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Bright, Sandra Lynn<br />

Batesville Vision Clinic<br />

365 Hwy 51 N<br />

Batesville, MS 38606<br />

Phone: 662‐563‐9880<br />

County: Panola<br />

Optometry<br />

Stone, Glen Henry<br />

Batesville Vision Clinic<br />

365 Hwy 51 N<br />

Batesville, MS 38606<br />

Phone: 662‐563‐9880<br />

County: Panola<br />

Optometry<br />

Brooks, James E<br />

Brooks Eye Center Inc<br />

3545 Bluecutt Rd<br />

Columbus, MS 39705<br />

Phone: 662‐327‐2020<br />

County: Lowndes<br />

Optometry<br />

Brown, James Edward<br />

Bruce Eye Clinic Inc<br />

208 W Calhoun St<br />

Bruce, MS 38915<br />

Phone: 662‐983‐2323<br />

County: Calhoun<br />

Optometry<br />

Rafieetary, Mohammad<br />

Charles Retina Institute<br />

6401 Poplar Ave #190<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4499<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 143


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Conner, Emily Rhetta<br />

Coldwater Vision Center<br />

412 Central Ave<br />

Coldwater, MS 38618<br />

Phone: 662‐622‐5173<br />

County: Tate<br />

Optometry<br />

May, Kristopher A<br />

Coldwater Vision Center<br />

412 Central Ave<br />

Coldwater, MS 38618<br />

Phone: 662‐622‐5173<br />

County: Tate<br />

Optometry<br />

Schoen, Allan George<br />

Coldwater Vision Center<br />

412 Central Ave<br />

Coldwater, MS 38618<br />

Phone: 662‐622‐5173<br />

County: Tate<br />

Optometry<br />

Weeden, Michael Leslie<br />

Corinth Eye Clinic Inc<br />

3201 Gaines Rd<br />

Corinth, MS 38834<br />

Phone: 662‐286‐8860<br />

County: Alcorn<br />

Optometry<br />

Curtis, David H<br />

Curtis Optometry Clinic & Dispensary<br />

1823 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐5225<br />

County: Lowndes<br />

Optometry<br />

Ramshur, Ashley M<br />

Dr. Ashley M Ramshur<br />

2431 N. Germantown Pkwy<br />

Cordova, TN 38016<br />

Phone: 901‐214‐0014<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Hughes, Marty Lee<br />

Drs Whitley & Hughes<br />

312 S Main St<br />

Covington, TN 38019<br />

Phone: 901‐476‐8614<br />

County: Tipton<br />

Optometry<br />

Whitley, Stan J<br />

Drs Whitley & Hughes<br />

312 S Main St<br />

Covington, TN 38019<br />

Phone: 901‐476‐8614<br />

County: Tipton<br />

Optometry<br />

Manning, Thomas Earl<br />

Dyersburg Family Eye Care<br />

401 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5411<br />

County: Dyer<br />

Optometry<br />

Schroeder, Justin Michael<br />

Dyersburg Family Eye Care<br />

401 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5411<br />

County: Dyer<br />

Optometry<br />

Davis, Donnie Ray<br />

Eye Care Ctr<br />

107 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐3555<br />

County: Weakley<br />

Optometry<br />

Donaldson Ii, Daniel Wayne<br />

Eye Care Ctr<br />

107 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐3555<br />

County: Weakley<br />

Optometry<br />

Gilliam, Russell M<br />

Eye Care Ctr<br />

107 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐3555<br />

County: Weakley<br />

Optometry<br />

Anderson, Kristin Kay<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Burke, James H<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Campbell, John B<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Chang, Freddy Wilfred<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Cisarik, Patricia Michelle<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Connor, Charles G<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Damari, David Armand<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Drescher, Robin J<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 144


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Dumas, Janette Daniele<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Duncan, Jason Dean<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Edmondson Ii, William<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Elkins, Lindsay M<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Ensor, Michael S<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Ervin, Cheryl Elaine<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Eubank, Tressa Fay<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Fors, Lawrence Allen<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Fuller, Daniel G<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Gibson, Frank S<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Goldring, Glenn I<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Gray, Keith<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Harville, Betty J<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Heard, Cynthia<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Jackson, John Mark<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Jones, Jennifer L<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Kerr, Aaron Mckeever<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Kress, William D<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Lebowitz, Carrie D<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Lee, Soyeon<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Lievens, Christopher William<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 145


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Maples, Willis C<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Mulliniks, Haylie Lynn<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Neal, John Michael<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Neiberg, Maryke Nijhuis<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Newman, Erin Davis<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Newman, James M<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Nicks, Zakiya Oni<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Pitts, Jennifer Jill<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Rixon, Andrew John<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Sanderson, Jennifer<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Savoy, Richard S<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Schlesselman, Anna J<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Sharpe, John S<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Smith, Daniel Erin<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Smith, Janna Zbozien<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Sparks, Bernard I<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Sparrow, Sylvia Elizabeth<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Steel, Scott A<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Steele, Glen T<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Taub, Marc B<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Taylor, Daniel Arnett<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 146


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Utech, Marlon Ray<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Venable, James E<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Walker, Patricia E<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Williamson, James Allan<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Ridings, Clifton Wayne<br />

Eyecare For You<br />

3964 Elvis Presley Blvd<br />

Memphis, TN 38116<br />

Phone: 901‐346‐4733<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Henderson, Kenya<br />

Henderson Vision Center<br />

2600 McIngvale<br />

Hernando, MS 38632<br />

Phone: 662‐429‐7099<br />

County: DeSoto<br />

Optometry<br />

Hill, Adam Tate<br />

Hill Family Eye Center Inc<br />

108 S Main<br />

Booneville, MS 38829<br />

Phone: 662‐720‐1910<br />

County: Prentiss<br />

Optometry<br />

Randle, Eric Dale<br />

Holly Springs Eyecare<br />

130 W Van Dorn Ave<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐3323<br />

County: Marshall<br />

Optometry<br />

Gore, Martha F<br />

Lifetime Vision Center<br />

330 Dillard Ave<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐1174<br />

County: Saint Francis<br />

Optometry<br />

Morris, Dale Lynn<br />

Lifetime Vision Center<br />

330 Dillard Ave<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐1174<br />

County: Saint Francis<br />

Optometry<br />

Carrico, David O<br />

Loden Vision Ctr Of Paris<br />

1024 Kelley Dr<br />

Paris, TN 38242<br />

Phone: 731‐642‐5003<br />

County: Henry<br />

Optometry<br />

Lumpkin, Ross Ballard<br />

Loden Vision Ctr Of Paris<br />

1024 Kelley Dr<br />

Paris, TN 38242<br />

Phone: 731‐642‐5003<br />

County: Henry<br />

Optometry<br />

Powelson, Jared Thomas<br />

Midtown Eye Care<br />

16 N McLean Blvd<br />

Memphis, TN 38104<br />

Phone: 901‐725‐3937<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Lee, William Paul<br />

Millington Eye Care<br />

7773 Church St<br />

Millington, TN 38053<br />

Phone: 901‐872‐3937<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Bynum, Frances Dickson<br />

Nw Tn Eye Clinic<br />

105 Hwy 431<br />

Martin, TN 38237<br />

Phone: 731‐587‐2022<br />

County: Weakley<br />

Optometry<br />

Strickland, William Me<br />

Oxford Eye Clinic<br />

2167 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6683<br />

County: Lafayette<br />

Optometry<br />

Turner, Michael G<br />

Oxford Family Vision Clinic Inc<br />

1110 N Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0400<br />

County: Lafayette<br />

Optometry<br />

Johnson, Warren Stephen<br />

Professional Eyecare Optical/Eyewear<br />

Gallery<br />

428 Perkins Ext<br />

Memphis, TN 38117<br />

Phone: 901‐763‐2020<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Taylor, Lana L<br />

Rayner Eye Clinic<br />

1308 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐6551<br />

County: Lafayette<br />

Optometry<br />

Graham, Philip Randle<br />

Shannon & Graham Eye Clinic<br />

14 E Marion St<br />

Pontotoc, MS 38863<br />

Phone: 662‐489‐4741<br />

County: Pontotoc<br />

Optometry<br />

Smith, James P<br />

Skyline Eye Clinic<br />

138 W Houston<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7255<br />

County: McNairy<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 147


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Scarbrough Jr., Hughlon Brown<br />

Skyline Eye Clinic<br />

19028 Main St W<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4162<br />

County: Carroll<br />

Optometry<br />

Smith, Thomas K<br />

Smith & Smith<br />

592 N Main St<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐2020<br />

County: Carroll<br />

Optometry<br />

Smith, Christina M<br />

Smith Eyecare Ctr Inc<br />

5255 Elvis Presley Blvd<br />

Memphis, TN 38116<br />

Phone: 901‐395‐0990<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Hellums, Michael Shawn<br />

Southaven Vision Ctr Inc<br />

484 Church Rd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐3737<br />

County: DeSoto<br />

Optometry<br />

Hellums, Michael Shawn<br />

Southaven Vision Ctr Inc<br />

484 Church Rd<br />

Southaven, MS 38671<br />

Phone: 662‐349‐3737<br />

County: DeSoto<br />

Optometry<br />

Holdinghausen, Karmen<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Salley, Seth Aaron<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Smoak, Sonya<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Wetick, Stephen M<br />

Southern Eye Assoc<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Dew, Tara Leanne<br />

T Kevin Braswell Md<br />

990 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 662‐226‐2030<br />

County: Grenada<br />

Optometry<br />

Smith, Mark T<br />

Th Smith Od & Thomas K Smith Od<br />

592 N Main St<br />

Carroll, TN 38201<br />

Phone: 731‐352‐2020<br />

County: Carroll<br />

Optometry<br />

Evans, David G<br />

Total Eye Care<br />

6060 Primacy Pkwy #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4620<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Gayso, Don W<br />

Total Eye Care<br />

6060 Primacy Pkwy #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐4620<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Russell, Ryan D<br />

Tupelo Eye Clinic<br />

610 Brunson Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐7211<br />

County: Lee<br />

Optometry<br />

Brown, Rose Mary L<br />

Urban Eye<br />

412 Oil Well Rd<br />

Jackson, TN 38305<br />

Phone: 731‐554‐3333<br />

County: Madison<br />

Optometry<br />

Mathews, Dennis E<br />

Vrf Eye <strong>Specialty</strong> Group<br />

5146 Stage Rd #101<br />

Memphis, TN 38134<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Mcquirter, Henry G<br />

Vrf Eye <strong>Specialty</strong> Group<br />

825 Ridge Lake Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐685‐2200<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Davis, Cayce W<br />

W Tn Eye Assoc<br />

112 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐1994<br />

County: Madison<br />

Optometry<br />

Hughes, Matthew P<br />

W Tn Eye Assoc<br />

112 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐1994<br />

County: Madison<br />

Optometry<br />

Nordtvedt, Elizabeth G<br />

W Tn Eye Assoc<br />

112 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐1994<br />

County: Madison<br />

Optometry<br />

Mulliniks, Haylie Lynn<br />

W Tn Eye Care<br />

391 Southcrest Cir #104<br />

Southaven, MS 38671<br />

Phone: 901‐683‐7255<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 148


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Hauser, Whitney Hargrove<br />

W Tn Eye Care<br />

795 Ridge Lake Blvd #103<br />

Memphis, TN 38120<br />

Phone: 901‐683‐7255<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Dorkowski, Michael Thomas<br />

West Tennessee Eye<br />

2070 Whitney Ave<br />

Memphis, TN 38127<br />

Phone: 901‐357‐0371<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Horton, Matthew Frank<br />

West Tennessee Eye<br />

2070 Whitney Ave<br />

Memphis, TN 38127<br />

Phone: 901‐357‐0371<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Cooper, Christopher Hathran<br />

West Tennessee Eye<br />

8120 Hwy 51 N #7<br />

Millington, TN 38053<br />

Phone: 901‐873‐1122<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Talley, David Keith<br />

West Tennessee Eye<br />

8120 Hwy 51 N #7<br />

Millington, TN 38053<br />

Phone: 901‐873‐1122<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Davis, Cayce W<br />

West Tn Eye Association<br />

112 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐1994<br />

County: Madison<br />

Optometry<br />

Hughes, Matthew P<br />

West Tn Eye Association<br />

112 Stonebridge Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐664‐1994<br />

County: Madison<br />

Optometry<br />

Gray, Phillip Adam<br />

105 S Fulton St<br />

Iuka, MS 38852<br />

Phone: 662‐423‐3785<br />

County: Tishomingo<br />

Optometry<br />

Scott, Sallye S<br />

119 S Main St<br />

Sardis, MS 38666<br />

Phone: 662‐487‐1316<br />

County: Panola<br />

Optometry<br />

Harper, Joe John<br />

479 S Washington<br />

Ripley, TN 38063<br />

Phone: 731‐635‐1369<br />

County: Lauderdale<br />

Optometry<br />

Walters, George W<br />

725 W Market St<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐5197<br />

County: Hardeman<br />

Optometry<br />

Childers, Kerry Dale<br />

618 Julia Ave<br />

Wynne, AR 72396<br />

Phone: 870‐238‐9407<br />

County: Cross<br />

Optometry<br />

Meyer‐Jackson, Julia Rebecca<br />

618 Julia Ave<br />

Wynne, AR 72396<br />

Phone: 870‐238‐9407<br />

County: Cross<br />

Optometry<br />

Sandy, Michael M<br />

3775 Hacks Cross Rd<br />

Memphis, TN 38125<br />

Phone: 901‐214‐0065<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Norton, Leroy<br />

4557 Millbranch Rd<br />

Memphis, TN 38116<br />

Phone: 901‐346‐8222<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Barr, Janice A<br />

5366 Estate Office Dr. #1<br />

Memphis, TN 38119<br />

Phone: 901‐683‐9183<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Tharp, Linda<br />

1750 Madison Ave #270<br />

Memphis, TN 38104<br />

Phone: 901‐722‐8598<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Nelms, Brandon Van<br />

2109 West St #1<br />

Germantown, TN 38138<br />

Phone: 901‐754‐6020<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Shum, Steven R<br />

2109 West St #1<br />

Germantown, TN 38138<br />

Phone: 901‐754‐6020<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Mcmillian, Jeffrey A<br />

185 Wesley Reed Dr<br />

Atoka, TN 38004<br />

Phone: 901‐840‐3937<br />

County: Tipton<br />

Optometry<br />

Cox, Erika Patrice<br />

465 N Germantown Pkwy<br />

Cordova, TN 38018<br />

Phone: 901‐881‐8748<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Edwards, Stephen P<br />

302 Railroad St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐2181<br />

County: Yalobusha<br />

Optometry<br />

Utley, Dustin Kyle<br />

Professional Eyecare & Optical<br />

2118 E Main St<br />

Humboldt, TN 38343<br />

Phone: 731‐784‐1973<br />

County: Gibson<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 149


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Optometry<br />

Newman, Christina Michelle<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Cleveland, Craig Webster<br />

Craig W Cleveland Od<br />

202 N Second St<br />

Booneville, MS 38829<br />

Phone: 662‐728‐6191<br />

County: Prentiss<br />

Optometry<br />

Kim, Jeung Hyoun<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Dasinger, Kelley<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Dasinger, Michael C<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Dorkowski, Michael Thomas<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Harris, Paul Alan<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Optometry<br />

Mcgriff, Wilson W<br />

Eye Ctr At Southern College Of Optometry<br />

1225 Madison Ave<br />

Memphis, TN 38104<br />

Phone: 901‐722‐3385<br />

County: Shel<strong>by</strong><br />

Oral/Maxillofacial Surgery<br />

Williams, Micheal Anthony<br />

Ctr For Oral & Facial Surgery Of Memphis<br />

2900 Kir<strong>by</strong> Pkwy #10<br />

Memphis, TN 38119<br />

Phone: 901‐398‐0793<br />

County: Shel<strong>by</strong><br />

Oral/Maxillofacial Surgery<br />

Gerard, Nicholas Oscar<br />

Dental Implant Aesthetic Center<br />

5575 Poplar Ave #512<br />

Memphis, TN 38119<br />

Phone: 901‐767‐7741<br />

County: Shel<strong>by</strong><br />

Oral/Maxillofacial Surgery<br />

Ligon, Thomas Allen<br />

Dr Allen Ligon Oral & Maxillofacial Surgery<br />

1121 Mimosa Dr<br />

Oxford, MS 38655<br />

Phone: 662‐236‐5300<br />

County: Lafayette<br />

Oral/Maxillofacial Surgery<br />

Wilson, Gary Trent<br />

Mcrae‐Wilson Oral & Maxillofacial Surgery<br />

Grp<br />

5565 Murray Rd<br />

Memphis, TN 38119<br />

Phone: 901‐767‐0088<br />

County: Shel<strong>by</strong><br />

Oral/Maxillofacial Surgery<br />

Bauer, Frederick S<br />

N Ms Oral/Maxillofacial Surgery Assoc<br />

207 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐8299<br />

County: Alcorn<br />

Oral/Maxillofacial Surgery<br />

Chrisman, James Leland<br />

N Ms Oral/Maxillofacial Surgery Assoc<br />

1043 S Madison St<br />

Tupelo, MS 38801<br />

Phone: 662‐842‐8200<br />

County: Lee<br />

Oral/Maxillofacial Surgery<br />

Roberts, Steven Bradford<br />

N Ms Oral/Maxillofacial Surgery Assoc<br />

1043 S Madison St<br />

Tupelo, MS 38801<br />

Phone: 662‐842‐8200<br />

County: Lee<br />

Oral/Maxillofacial Surgery<br />

West, William F<br />

N Ms Oral/Maxillofacial Surgery Assoc<br />

1043 S Madison St<br />

Tupelo, MS 38801<br />

Phone: 662‐842‐8200<br />

County: Lee<br />

Oral/Maxillofacial Surgery<br />

Wikle, Charles W<br />

N Ms Oral/Maxillofacial Surgery Assoc<br />

1043 S Madison St<br />

Tupelo, MS 38801<br />

Phone: 662‐842‐8200<br />

County: Lee<br />

Oral/Maxillofacial Surgery<br />

Griffin, John E<br />

Oral & Facial Surgical Ctr<br />

300 Hospital Dr<br />

Columbus, MS 39701<br />

Phone: 662‐327‐2100<br />

County: Lowndes<br />

Oral/Maxillofacial Surgery<br />

Whitaker, Scott D<br />

Oxford Maxillofacial Surgery Center<br />

2886 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐7888<br />

County: Lafayette<br />

Oral/Maxillofacial Surgery<br />

Everitt, William F<br />

William F Everitt Iii Dds<br />

218 S Thomas #122<br />

Tupelo, MS 38801<br />

Phone: 662‐690‐5354<br />

County: Lee<br />

Oral/Maxillofacial Surgery<br />

Spencer, Timothy Eugene<br />

9370 Goodman Rd<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4070<br />

County: DeSoto<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 150


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedic Surgery<br />

Speca, John Michael<br />

Baptist Memorial Medical Group Inc<br />

1999 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐4457<br />

County: Tipton<br />

Orthopaedic Surgery<br />

Olson, Randy Lloyd<br />

Dyersburg Clinic Corp<br />

1718 Parr Ave #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Orthopaedic Surgery<br />

Hennessey, Barry J<br />

Hmc Physicians Svcs Inc<br />

340 Main St<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8090<br />

County: Hardin<br />

Orthopaedic Surgery<br />

Ehlert, Kurt Jonathan<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0200<br />

County: Shel<strong>by</strong><br />

Orthopaedic Surgery<br />

Taylor, John Charles<br />

<strong>Specialty</strong> Orthopedics<br />

5210 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐682‐9161<br />

County: Shel<strong>by</strong><br />

Orthopaedic Surgery<br />

Caudle, Robert Joseph<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7535 Airways Blvd #201<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics<br />

Galjour, George Christopher<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Orthopaedics<br />

Lheureux, Guy J<br />

Crittenden Hospital Assoc<br />

228 Tyler #105<br />

West Memphis, AR 72301<br />

Phone: 870‐733‐9347<br />

County: Crittenden<br />

Orthopaedics & Surgery<br />

Calfee, Michael David<br />

Advanced Orthopedics & Sports Medicine<br />

641 R B Wilson Dr.<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐2000<br />

County: Carroll<br />

Orthopaedics & Surgery<br />

Turba, John Edward<br />

Amory Hma Physician Mgmt<br />

1127 Earl Frye Blvd #B<br />

Amory, MS 38821<br />

Phone: 662‐256‐6227<br />

County: Monroe<br />

Orthopaedics & Surgery<br />

Houseworth, Stephen Wayne<br />

Armory Hma Physician Mgmt<br />

1127 Earl Frye Blvd #B<br />

Amory, MS 38821<br />

Phone: 662‐256‐6227<br />

County: Monroe<br />

Orthopaedics & Surgery<br />

Austin, Susan Marguerite<br />

Austin Center<br />

1500 W Poplar Ave #312<br />

Collierville, TN 38017<br />

Phone: 901‐850‐9543<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Dotson, Wayne A<br />

Bolivar Physician Practices<br />

907 E Sunflower Rd #102<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐8885<br />

County: Bolivar<br />

Orthopaedics & Surgery<br />

Chandler, Gerald Blake<br />

Bone & Joint Specialist<br />

1004 Cornerstone Dr<br />

Paris, TN 38242<br />

Phone: 731‐644‐0474<br />

County: Henry<br />

Orthopaedics & Surgery<br />

Albers, William E<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Azar, Frederick M<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Beaty Jr, James H<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Bloomstein, Larry Zients<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Burrow, Jamey Walcott<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Calandruccio, James H<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Camillo, Francis Xavier<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 151


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedics & Surgery<br />

Canale, S Terry<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Cannon, David Lorne<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Cleveland, Kevin Bron<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Conoley, Jack Autrey<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Crenshaw Jr, Andrew H<br />

Campbell Clinic<br />

7545 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 901‐759‐3100<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Dabov, Gregory David<br />

Campbell Clinic<br />

7545 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 901‐759‐3100<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Dockery, John Dee<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Gardocki, Raymond Joseph<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Guyton, James L<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Harkess, James W<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Heck Jr, Robert Kurt<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Jobe, Mark T<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Kelly, Derek M<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Lavelle, David G<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Martinez, Santos F<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Mascioli, Anthony Andrew<br />

Campbell Clinic<br />

7545 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 901‐759‐3100<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Mihalko, Marc Jeffrey<br />

Campbell Clinic<br />

7545 Airways Blvd<br />

Southaven, MS 38671<br />

Phone: 901‐759‐3100<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Mihalko, William M<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Murphy, Garnett Andrew<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Park, Ashley Lewis<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Perez, Edward A<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 152


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedics & Surgery<br />

Phillips, Barry B<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Richardson, David Reynolds<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Richardson, E Greer<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Rivera‐Tavarez, Carlos Eric<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Rudloff, Matthew Ian<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Russell, Thomas A<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Sawyer, Jeffrey Raymond<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Throckmorton, Thomas Ward<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Toy, Patrick Christopher<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Warner Jr, William C<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Whittle, Allison Paige<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Williams, Keith D<br />

Campbell Clinic<br />

1400 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Wood Ii, George W<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Younas, Shiraz Ahmad<br />

Campbell Clinic<br />

1211 Union Ave #500<br />

Memphis, TN 38104<br />

Phone: 901‐759‐3100<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Conquest, Catherine A<br />

Campbell Clinic<br />

1458 W Poplar Ave #100<br />

Collierville, TN 38017<br />

Phone: 901‐759‐5571<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Crockarell Jr, John Reams<br />

Campbell Clinic<br />

1458 W Poplar Ave #100<br />

Collierville, TN 38017<br />

Phone: 901‐759‐5571<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Freeman Iii, Barney L<br />

Campbell Clinic<br />

1458 W Poplar Ave #100<br />

Collierville, TN 38017<br />

Phone: 901‐759‐5571<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Ishikawa, Susan Naomi<br />

Campbell Clinic<br />

1458 W Poplar Ave #100<br />

Collierville, TN 38017<br />

Phone: 901‐759‐5571<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Miller Iii, Robert H<br />

Campbell Clinic<br />

1458 W Poplar Ave #100<br />

Collierville, TN 38017<br />

Phone: 901‐759‐5571<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Tauxe, Gary Louis<br />

Campbell Clinic<br />

1458 W Poplar Ave #100<br />

Collierville, TN 38017<br />

Phone: 901‐759‐5571<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Huff, Carl W<br />

Carl Huff Md<br />

1855 Hwy 51 Bypass #B<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐1585<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 153


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedics & Surgery<br />

Elizondo, Philip A<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #1H<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2438<br />

County: Coahoma<br />

Orthopaedics & Surgery<br />

Evans, John Ellis<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #1H<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2438<br />

County: Coahoma<br />

Orthopaedics & Surgery<br />

Fisher, Edward Herbert<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #1H<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2438<br />

County: Coahoma<br />

Orthopaedics & Surgery<br />

Sandifer, Fred Monroe<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #1H<br />

Clarksdale, MS 38614<br />

Phone: 662‐621‐2438<br />

County: Coahoma<br />

Orthopaedics & Surgery<br />

Micek, Timothy J<br />

Collierville Orthopedics & Sports Medicine<br />

1458 W. Poplar Ave #200<br />

Collierville, TN 38017<br />

Phone: 901‐850‐1150<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Palmieri, Ana Katarina<br />

Collierville Orthopedics & Sports Medicine<br />

1458 W Poplar Ave #200<br />

Collierville, TN 38017<br />

Phone: 901‐850‐1150<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Altmyer, Chad Steele<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Orthopaedics & Surgery<br />

Jones, Gordon S<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Orthopaedics & Surgery<br />

Linton, Russell C<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Orthopaedics & Surgery<br />

Rhea, Charles S<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Orthopaedics & Surgery<br />

Metz, Eric B<br />

Dyersburg Clinic Corp<br />

1718 Parr Ave #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Orthopaedics & Surgery<br />

Bourland, Robert L<br />

East Memphis Orthopaedic Group<br />

6005 Park Ave #309<br />

Memphis, TN 38119<br />

Phone: 901‐682‐5642<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Fly, William R<br />

East Memphis Orthopaedic Group<br />

6005 Park Ave #309<br />

Memphis, TN 38119<br />

Phone: 901‐682‐5642<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Galyon, James T<br />

East Memphis Orthopaedic Group<br />

6005 Park Ave #309<br />

Memphis, TN 38119<br />

Phone: 901‐682‐5642<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Lindy, Peter B<br />

East Memphis Orthopaedic Group<br />

6005 Park Ave #309<br />

Memphis, TN 38119<br />

Phone: 901‐682‐5642<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Moffatt Iii, William L<br />

East Memphis Orthopaedic Group<br />

6005 Park Ave #309<br />

Memphis, TN 38119<br />

Phone: 901‐682‐5642<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Maleki, Khosrow<br />

Forrest City Clinic Co<br />

902 Holiday Dr. #106<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐1061<br />

County: Saint Francis<br />

Orthopaedics & Surgery<br />

Barr, William M<br />

Grenada Lake Medical Center<br />

965 Avent Dr #101<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7794<br />

County: Grenada<br />

Orthopaedics & Surgery<br />

Dipaolo, Daneca M<br />

Grenada Lake <strong>Specialty</strong> Orthopedics<br />

204 Eighth St<br />

Greenwood, MS 38930<br />

Phone: 662‐453‐0504<br />

County: Leflore<br />

Orthopaedics & Surgery<br />

Gladwell, Heather Anne<br />

Henry Co Orthopaedic Surgery & Sports<br />

Medicine Inc<br />

1015 Kelley Dr #200<br />

Paris, TN 38242<br />

Phone: 731‐644‐2271<br />

County: Henry<br />

Orthopaedics & Surgery<br />

Downs, Daniel M<br />

Magnolia Orthopaedic & Sports Medicine Clinic<br />

611 Alcorn Dr #100<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6369<br />

County: Alcorn<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 154


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedics & Surgery<br />

Foropoulos, John E<br />

Magnolia Orthopaedic & Sports Medicine Clinic<br />

611 Alcorn Dr #100<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6369<br />

County: Alcorn<br />

Orthopaedics & Surgery<br />

Frazier, Randall P<br />

Magnolia Orthopaedic & Sports Medicine Clinic<br />

611 Alcorn Dr #100<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6369<br />

County: Alcorn<br />

Orthopaedics & Surgery<br />

Pratt, Edward S<br />

Memphis Spine Center<br />

2120 Exeter Rd #130<br />

Germantown, TN 38138<br />

Phone: 901‐507‐2225<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Bowman, John Michael<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Dolan, James Bailey<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Engelking, Jon H<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7535 Airways Blvd #201<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: Desoto<br />

Orthopaedics & Surgery<br />

Karpitskaya, Yekaterina<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Paynter, Thomas B<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Phillips, Earl Lynn<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

6025 Walnut Grove Rd #304<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0200<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Ringel, Stephen J<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Sellman, Daniel C<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

7535 Airways Blvd #201<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: Desoto<br />

Orthopaedics & Surgery<br />

Gabel, Steven James<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

6025 Walnut Grove Rd #304<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0200<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Hudson Iii, Jim Kyle<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

6025 Walnut Grove Rd # 304<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0200<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Posman, Clifford Lewis<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

6025 Walnut Grove Rd # 304<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0200<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Botero, Herman G<br />

Mid‐South Orthopedic Hospita<strong>lists</strong><br />

6025 Walnut Grove Rd #304<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0200<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Christian, Claiborne Ash<strong>by</strong><br />

Ms Orthopaedics & Sports Medicine<br />

391 Southcrest Cir #205<br />

Southaven, MS 38671<br />

Phone: 662‐536‐0900<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Morris, John Thomas<br />

Ms Orthopaedics & Sports Medicine<br />

391 Southcrest Cir #205<br />

Southaven, MS 38671<br />

Phone: 662‐536‐0900<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Varner, James C<br />

Ms Orthopaedics & Sports Medicine<br />

391 Southcrest Cir #205<br />

Southaven, MS 38671<br />

Phone: 662‐536‐0900<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Lonergan, Robert P<br />

Msk Group, Tabor Orthopedics<br />

6005 Park Ave #608<br />

Memphis, TN 38119<br />

Phone: 901‐767‐8662<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Saenz, Jay M<br />

Msk Group, Tabor Orthopedics<br />

6005 Park Ave #608<br />

Memphis, TN 38119<br />

Phone: 901‐767‐8662<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Tabor, Owen<br />

Msk Group, Tabor Orthopedics<br />

6005 Park Ave #608<br />

Memphis, TN 38119<br />

Phone: 901‐767‐8662<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 155


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedics & Surgery<br />

Tabor (Emeritus), Owen<br />

Msk Group, Tabor Orthopedics<br />

6005 Park Ave #608<br />

Memphis, TN 38119<br />

Phone: 901‐767‐8662<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Wolf, Frederick G<br />

Msk Group, Tabor Orthopedics<br />

6005 Park Ave #608<br />

Memphis, TN 38119<br />

Phone: 901‐767‐8662<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Mitias, Hanna Johnny M<br />

Orthoone Orthopaedics & Sports Medicine<br />

206 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐2227<br />

County: Union<br />

Orthopaedics & Surgery<br />

Dlabach, Jeffrey Alan<br />

Orthoone Orthopaedics & Sports Medicine<br />

1500 W Poplar Ave #301<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9610<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Pickering, Robert Mitchell<br />

Orthoone Orthopaedics & Sports Medicine<br />

1500 W Poplar Ave #301<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9610<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Heromin, Ronald J<br />

Orthopaedic Ctr Of Henderson Co<br />

202 W Church St<br />

Lexington, TN 38351<br />

Phone: 731‐450‐2663<br />

County: Henderson<br />

Orthopaedics & Surgery<br />

Boyd, Daniel Lee<br />

Oxford Surgical Specia<strong>lists</strong><br />

497 Azalea Dr #102<br />

Oxford, MS 38655<br />

Phone: 662‐513‐2000<br />

County: Lafayette<br />

Orthopaedics & Surgery<br />

Luber, Kurre T<br />

Oxford Surgical Specia<strong>lists</strong><br />

497 Azalea Dr #102<br />

Oxford, MS 38655<br />

Phone: 662‐513‐2000<br />

County: Lafayette<br />

Orthopaedics & Surgery<br />

Pickering, Trevor R<br />

Oxford Surgical Specia<strong>lists</strong><br />

497 Azalea Dr #102<br />

Oxford, MS 38655<br />

Phone: 662‐513‐2000<br />

County: Lafayette<br />

Orthopaedics & Surgery<br />

Terry, Cooper L<br />

Oxford Surgical Specia<strong>lists</strong><br />

497 Azalea Dr #102<br />

Oxford, MS 38655<br />

Phone: 662‐513‐2000<br />

County: Lafayette<br />

Orthopaedics & Surgery<br />

Bibighaus, Alexander Joseph<br />

Pain Mgmt Center Of N Ms<br />

2089 Southridge Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐407‐0801<br />

County: Lee<br />

Orthopaedics & Surgery<br />

Meredith, Samuel Gilbert<br />

Samuel G Meredith Md<br />

228 Tyler #301<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐4400<br />

County: Crittenden<br />

Orthopaedics & Surgery<br />

Curlee, Patrick Matthew<br />

Southern Spine Specia<strong>lists</strong><br />

1500 W Poplar Ave #201<br />

Collierville, TN 38017<br />

Phone: 901‐818‐2168<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Bobo, Robert T<br />

<strong>Specialty</strong> Orthopedics<br />

6005 Park Ave #430B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐9161<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Ennis, Richard L<br />

<strong>Specialty</strong> Orthopedics<br />

6005 Park Ave #430B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐9161<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Simard, Jean<br />

<strong>Specialty</strong> Orthopedics<br />

6005 Park Ave #430B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐9161<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Taylor, John C<br />

<strong>Specialty</strong> Orthopedics<br />

6005 Park Ave #430B<br />

Memphis, TN 38119<br />

Phone: 901‐682‐9161<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Lund, Peter J<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Orthopaedics & Surgery<br />

Ragsdale, Keener Blake<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Orthopaedics & Surgery<br />

Dalal, Apurva R<br />

Tri‐State Orthopaedics<br />

1264 Wesley Dr #502<br />

Memphis, TN 38116<br />

Phone: 901‐346‐5488<br />

County: Shel<strong>by</strong><br />

Orthopaedics & Surgery<br />

Field, Edward D<br />

Univ Sports Medicine<br />

1190 S 18th St Extd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0424<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 156


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Orthopaedics & Surgery<br />

Schwartz, Laurence Williamson<br />

W Tn Orthopaedics & Sports Medicine<br />

1720 E Reelfoot Ave #103<br />

Union City, TN 38261<br />

Phone: 731‐559‐9766<br />

County: Obion<br />

Orthopaedics & Surgery<br />

Lamar, Wayne Terry<br />

Wayne T Lamar Md<br />

2168 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐8432<br />

County: Lafayette<br />

Orthopaedics & Surgery<br />

Whalley, Kevin M<br />

965 Avent Dr #103<br />

Grenada, MS 38901<br />

Phone: 662‐226‐4088<br />

County: Grenada<br />

Orthopaedics & Surgery<br />

Hospita<strong>lists</strong> Llc, Mid South Orthopaedic<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0248<br />

County: DeSoto<br />

Orthopaedics & Surgery<br />

Stclair, Deborah Sue<br />

1100 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐885‐0111<br />

County: Obion<br />

Orthopaedics & Surgery<br />

Yao, Joseph<br />

526 Chickasawba St<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐2447<br />

County: Mississippi<br />

Orthopaedics & Surgery<br />

Kent, Vincent Carl<br />

107 W Pleasant Ave<br />

Covington, TN 38019<br />

Phone: 901‐475‐9229<br />

County: Tipton<br />

Orthopaedics & Surgery<br />

Janovich, John R<br />

1995 Hwy 51 S #102<br />

Covington, TN 38019<br />

Phone: 901‐476‐3424<br />

County: Tipton<br />

Orthopaedics & Surgery<br />

Edwards, Kenny Bernard<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Orthotics<br />

Anderson Brace & Limb<br />

300 East Parkview<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐6006<br />

County: Dyer<br />

Orthotics<br />

Jonesboro Prosthetic & Orthotic Laboratory<br />

Highway 61 & Lee, PT Department<br />

Hayti, MO 63851<br />

Phone: 800‐232‐6436<br />

County: Pemiscot<br />

Orthotics<br />

Jonesboro Prosthetic & Orthotic Laboratory<br />

306 Recovery Road<br />

Kennett, MO 63857<br />

Phone: 800‐232‐6436<br />

County: Dunklin<br />

Orthotics<br />

Jonesboro Prosthetic & Orthotic Laboratory<br />

526 Chickasawba<br />

Blytheville, AR 72315<br />

Phone: 800‐232‐6436<br />

County: Mississippi<br />

Orthotics<br />

Jonesboro Prosthetic & Orthotic Laboratory<br />

3150 Eldridge Road, Suite 1<br />

Forrest City, AR 72335<br />

Phone: 800‐232‐6436<br />

County: Saint Francis<br />

Orthotics<br />

Jonesboro Prosthetic & Orthotic Laboratory<br />

116 Hickory Hill Drive<br />

Helena, AR 72342<br />

Phone: 800‐232‐6436<br />

County: Phillips<br />

Orthotics<br />

Jonesboro Prosthetic & Orthotic Laboratory<br />

820 Professional Acres<br />

Jonesboro, AR 72401<br />

Phone: 800‐232‐6436<br />

County: Craighead<br />

Orthotics<br />

Spears ‐ Popa<br />

100 Peeler Road<br />

Covington, TN 38019<br />

Phone: 866‐763‐6999<br />

County: Tipton<br />

Orthotics<br />

Spears ‐ Popa<br />

470 Mall Boulevard, Suite D<br />

Dyersburg, TN 38025<br />

Phone: 866‐763‐6999<br />

County: Dyer<br />

Orthotics<br />

Spears ‐ Popa<br />

326 Asbury Road<br />

Ripley, TN 38063<br />

Phone: 866‐763‐6999<br />

County: Lauderdale<br />

Orthotics<br />

Spears ‐ Popa<br />

300 Hospital Circle, Suite 202<br />

Paris, TN 38242<br />

Phone: 866‐763‐6999<br />

County: Henry<br />

Orthotics<br />

Spears ‐ Popa<br />

32 Garland Drive<br />

Jackson, TN 38305<br />

Phone: 866‐763‐6999<br />

County: Madison<br />

Orthotics<br />

Spears ‐ Popa<br />

722 North White Station Road<br />

Memphis, TN 38122<br />

Phone: 901‐763‐6999<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 157


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Otolaryngology<br />

Sprehe, Samuel E<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #1<br />

Amory, MS 38821<br />

Phone: 662‐256‐9327<br />

County: Monroe<br />

Otolaryngology<br />

Tucker, Byron Shane<br />

BMHSI Of Ms<br />

452 Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐3724<br />

County: Union<br />

Otolaryngology<br />

Walker, James Hammond<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3F<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5026<br />

County: Coahoma<br />

Otolaryngology<br />

Bosch, Charles W<br />

Delta Ear Nose Throat & Allergy<br />

785 Ohio Ave #2H<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐3884<br />

County: Coahoma<br />

Otolaryngology<br />

Colvin, Greene Berry<br />

Desoto Ear Nose & Throat<br />

5960 Getwell Rd #212D<br />

Southaven, MS 38672<br />

Phone: 662‐895‐6455<br />

County: DeSoto<br />

Otolaryngology<br />

Cunningham, Jeffrey Jordan<br />

Desoto Ear Nose & Throat<br />

5960 Getwell Rd #212D<br />

Southaven, MS 38672<br />

Phone: 662‐895‐6455<br />

County: DeSoto<br />

Otolaryngology<br />

Lim, Victoria Lynn<br />

Desoto Ear Nose & Throat<br />

5960 Getwell Rd #212D<br />

Southaven, MS 38672<br />

Phone: 662‐895‐6455<br />

County: DeSoto<br />

Otolaryngology<br />

Schlesinger, Victor A<br />

Drs Schlesinger & Weems<br />

6005 Park Ave #908<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2170<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Duberstein, Aaron Joel<br />

Duberstein Sinus Center<br />

3068 Covington Pike #1<br />

Memphis, TN 38128<br />

Phone: 901‐382‐3501<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Duberstein, Larry E<br />

Duberstein Sinus Center<br />

3068 Covington Pike #1<br />

Memphis, TN 38128<br />

Phone: 901‐382‐3501<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Dye, Bradford J<br />

Ear Nose & Throat Consultants Of N Ms<br />

497 Azalea Dr #101<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1337<br />

County: Lafayette<br />

Otolaryngology<br />

Laurenzo, John F<br />

Ear Nose & Throat Consultants Of N Ms<br />

497 Azalea Dr #101<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1337<br />

County: Lafayette<br />

Otolaryngology<br />

Windham, Byron P<br />

Ear Nose & Throat Consultants Of N Ms<br />

497 Azalea Dr #101<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1337<br />

County: Lafayette<br />

Otolaryngology<br />

Franklin, Edgar R<br />

Ear Nose & Throat Group Inc<br />

5625 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Hall, Christopher James<br />

Ear Nose & Throat Group Inc<br />

5625 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Ruleman, C Allan<br />

Ear Nose & Throat Group Inc<br />

5625 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Williams, Glenn Blake<br />

Ear Nose & Throat Group Inc<br />

5625 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Wright, Leonard D<br />

Ear Nose & Throat Group Inc<br />

5625 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Peery, Michael L<br />

Ear Nose & Throat Physicians Of N Ms<br />

611 Alcorn Dr #110<br />

Corinth, MS 38834<br />

Phone: 662‐396‐4104<br />

County: Alcorn<br />

Otolaryngology<br />

Berry, James Montgomery<br />

Ear Nose & Throat Physicians Of N Ms<br />

618 Pegram Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐6513<br />

County: Lee<br />

Otolaryngology<br />

Mcauley, James R<br />

Ear Nose & Throat Physicians Of N Ms<br />

618 Pegram Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐6513<br />

County: Lee<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 158


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Otolaryngology<br />

Mcauley, Malcolm D<br />

Ear Nose & Throat Physicians Of N Ms<br />

618 Pegram Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐6513<br />

County: Lee<br />

Otolaryngology<br />

Simmons, Ryan Curtis<br />

Ear Nose & Throat Physicians Of N Ms<br />

618 Pegram Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐6513<br />

County: Lee<br />

Otolaryngology<br />

Yarber, Robert H<br />

Ear Nose & Throat Physicians Of N Ms<br />

618 Pegram Dr<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐6513<br />

County: Lee<br />

Otolaryngology<br />

Mccalla, Mary R<br />

Mccalla Ear Nose & Throat<br />

1719 Kir<strong>by</strong> Pkwy<br />

Memphis, TN 38120<br />

Phone: 901‐274‐5786<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Duncan, Thane E<br />

Mid‐South Ear Nose & Throat<br />

8090 Walnut Run Rd<br />

Cordova, TN 38018<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Klug, Dean A<br />

Mid‐South Ear Nose & Throat<br />

6286 Briarcrest Ave #300<br />

Memphis, TN 38120<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Milburn, Mark Andrew<br />

Mid‐South Ear Nose & Throat<br />

6286 Briarcrest Ave #300<br />

Memphis, TN 38120<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Naidu, Srikanth Injeti<br />

Mid‐South Ear Nose & Throat<br />

8090 Walnut Run Rd<br />

Cordova, TN 38018<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Rains, B Manrin<br />

Mid‐South Ear Nose & Throat<br />

8090 Walnut Run Rd<br />

Cordova, TN 38018<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Shea, Martin Coyle<br />

Mid‐South Ear Nose & Throat<br />

6286 Briarcrest Ave #300<br />

Memphis, TN 38120<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Touliatos, John Spero<br />

Mid‐South Ear Nose & Throat<br />

6286 Briarcrest Ave #300<br />

Memphis, TN 38120<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Fisher, Robert M<br />

Mid‐South Otolaryngology Assoc<br />

6890 Elmore Rd #2<br />

Southaven, MS 38671<br />

Phone: 662‐349‐4250<br />

County: DeSoto<br />

Otolaryngology<br />

Boggess, Joseph S<br />

Otolaryngology Assoc<br />

2430 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐327‐4432<br />

County: Lowndes<br />

Otolaryngology<br />

Cos<strong>by</strong>, Walter N<br />

Otolaryngology Assoc<br />

2430 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐327‐4432<br />

County: Lowndes<br />

Otolaryngology<br />

Garner, Justin M<br />

Otolaryngology Assoc<br />

2430 5th St N<br />

Columbus, MS 39701<br />

Phone: 662‐327‐4432<br />

County: Lowndes<br />

Otolaryngology<br />

Beckford, Neal S<br />

Otolaryngology Assoc Of The Mid‐South<br />

7675 Wolf River Cir #202<br />

Germantown, TN 38138<br />

Phone: 901‐737‐3021<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Long, Thomas E<br />

Otolaryngology Assoc Of The Mid‐South<br />

7675 Wolf River Cir #202<br />

Germantown, TN 38138<br />

Phone: 901‐737‐3021<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Petri, Jan H<br />

Otolaryngology Assoc Of The Mid‐South<br />

7675 Wolf River Cir #202<br />

Germantown, TN 38138<br />

Phone: 901‐737‐3021<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Lazar, Rande H<br />

Otolaryngology Consultants Of Memphis<br />

791 Estate Pl<br />

Memphis, TN 38120<br />

Phone: 901‐821‐4300<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Resser, John Randall<br />

Purchase Derm‐Ent<br />

225 Medical Center Dr #304<br />

Paducah, KY 42003<br />

Phone: 270‐441‐4301<br />

County: McCracken<br />

Otolaryngology<br />

Shea, Paul Flanagan<br />

Shea Clinic<br />

6133 Poplar Pike<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9720<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 159


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Otolaryngology<br />

Staffel, Jon Gregory<br />

Shea Clinic<br />

6133 Poplar Pike<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9720<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Macdonald, C Bruce<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐287‐4400<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Preston, Todd W<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Vieira, Francisco O<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Samant, Sandeep<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8220<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Massey, W Boyd<br />

W Boyd Massey Md<br />

1300 Sunset Dr #R<br />

Grenada, MS 38901<br />

Phone: 662‐227‐1695<br />

County: Grenada<br />

Otolaryngology<br />

Bulkley, William Jennison<br />

William J Bulkley Md<br />

1000 W Kings Hwy<br />

Paragould, AR 72450<br />

Phone: 870‐240‐8020<br />

County: Greene<br />

Otolaryngology<br />

Hans, Osvaldo<br />

100 Norman Rd<br />

Corinth, MS 38834<br />

Phone: 662‐287‐8035<br />

County: Alcorn<br />

Otolaryngology<br />

Meeks, Edwin D<br />

2403 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐327‐0901<br />

County: Lowndes<br />

Otolaryngology<br />

Bindra, Gurpal S<br />

1716 Parr Ave #B<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐0149<br />

County: Dyer<br />

Otolaryngology<br />

Lewis, David M<br />

621 E Matthews<br />

Jonesboro, AR 72401<br />

Phone: 870‐932‐6799<br />

County: Craighead<br />

Otolaryngology<br />

Clemons, Mark P<br />

6616 Kir<strong>by</strong> Center Cv<br />

Memphis, TN 38115<br />

Phone: 901‐363‐8400<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Rosenberg, Zachary<br />

5118 Park Ave #602<br />

Memphis, TN 38117<br />

Phone: 901‐682‐1113<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Templeton, Terry P<br />

2120 Exeter Rd #210<br />

Germantown, TN 38138<br />

Phone: 901‐757‐9500<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Shires, Courtney Brooke<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8570<br />

County: Shel<strong>by</strong><br />

Otolaryngology<br />

Mcgarrah, Pamela Denise<br />

Forrest City Clinic Co<br />

902 Holiday Dr #103<br />

Forrest City, AR 72335<br />

Phone: 888‐547‐9821<br />

County: Saint Francis<br />

Otology<br />

Fetterman, Bruce Leroy<br />

Mid‐South Ear Nose & Throat<br />

6286 Briarcrest Ave #300<br />

Memphis, TN 38120<br />

Phone: 901‐755‐5300<br />

County: Shel<strong>by</strong><br />

Otology<br />

Emmett, John R<br />

Shea Clinic<br />

6133 Poplar Pike<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9720<br />

County: Shel<strong>by</strong><br />

Otology<br />

Shea, John J<br />

Shea Clinic<br />

6133 Poplar Pike<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9720<br />

County: Shel<strong>by</strong><br />

Otology<br />

Shea, John J<br />

Shea Ctr For Ears Hearing & Balance Inc<br />

6401 Poplar Ave #300<br />

Memphis, TN 38119<br />

Phone: 901‐763‐1234<br />

County: Shel<strong>by</strong><br />

Pain Management<br />

Gipson, Stephen L<br />

Gipson <strong>Specialty</strong> Ctr<br />

6005 Park Ave #400<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9500<br />

County: Shel<strong>by</strong><br />

Pain Management<br />

Mays And Schnapp Pain Clinic &<br />

Rehabilitation Center<br />

55 Humphreys Center Drive, Suite 200<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0040<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 160


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pain Management<br />

Richey, Steven Thomas<br />

Michael E Steuer Md<br />

122 Airways Pl<br />

Southaven, MS 38671<br />

Phone: 662‐349‐9990<br />

County: DeSoto<br />

Pain Management<br />

Mays, Kit S<br />

Pain Clinic Associates<br />

55 Humphreys Ctr #200<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0040<br />

County: Shel<strong>by</strong><br />

Pain Management<br />

Schnapp, Moacir<br />

Pain Clinic Associates<br />

55 Humphreys Ctr #200<br />

Memphis, TN 38120<br />

Phone: 901‐747‐0040<br />

County: Shel<strong>by</strong><br />

Pain Management<br />

Parker, Autry J<br />

Pain Services<br />

6005 Park Ave #802<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0037<br />

County: Shel<strong>by</strong><br />

Pain Management<br />

Nasir, Syed M<br />

Pemiscot Co Memorial Hospital<br />

946 E Reed St<br />

Hayti, MO 63851<br />

Phone: 573‐359‐1782<br />

County: Pemiscot<br />

Pain Management<br />

Kaufman, Seth I<br />

The West Clinic<br />

100 N Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐683‐0055<br />

County: Shel<strong>by</strong><br />

Pain Management<br />

Kraus, Alan J<br />

2120 Exeter Rd #100<br />

Germantown, TN 38138<br />

Phone: 901‐754‐3365<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Lewis, James Wilton<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Pathology<br />

Lazar, Robert S<br />

Anatomical Pathology Consortium<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐1912<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Osborn, Frank David<br />

Anatomical Pathology Consortium<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐1912<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Alberhasky, Mark T<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Alberhasky, Robert C<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Battles, Oscar<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Baxter, Jere<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Boden, Donna J<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Bruner, Kathy S<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Cachia, Richard<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Casey, Terrence T<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Chand, Eric M<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Coleman, Paul H<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Connor, Dan Ellis<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 161


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pathology<br />

Davis, Ben W<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Orucevic, Amila<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Wallen, Ellen B<br />

Associated Pathologists<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Sparacino, Maria G<br />

Bolivar Pathology Services<br />

901 Hwy 8 E<br />

Cleveland, MS 38732<br />

Phone: 662‐846‐2519<br />

County: Bolivar<br />

Pathology<br />

Anasari, Sikander J<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Dunnington, James<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Eisenstein, Warren<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Erickson, Douglas J<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Farthing, William H<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Gibbs, Jerry L<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Graham, Larry G<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Hall, Graves Scott<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Hanes, Thomas E<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Harboldt, Samuel L<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Hessler, Richard B<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Jaramillo, Mike David<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Kirchberg, Roy W<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Knapp, Richard M<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Lennington, Wayne Jacob<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Metcalfe, James K<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Nelson, Eugene H<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 162


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pathology<br />

Ollapally, Elsie P<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Papuchis, Trudy<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Parveen, Talat<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Piech, Kenneth S<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Pierce, Edgar<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Rietz, Heather Marguerite<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Schatz, Mary<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Seibert, Louis<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Shamsuddin, Abdul<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Silvernagel, Sean Wyatt<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Slemmer, James<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Smith, Samuel A<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Soldo, Catherine<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Stevenson, Alan<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Taylor, Dean G<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Templeton, John<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Thomison, John B<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Thomison, Rena Melton<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Wahl, Robert W<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Warner, Harrison F<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Wearner, Neal<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 163


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pathology<br />

Welch, Derek Christopher<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Wright, Amy<br />

Dyersburg Hospital Corp<br />

400 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐3606<br />

County: Dyer<br />

Pathology<br />

Thompson, Andre<br />

Gastrointestinal Specia<strong>lists</strong><br />

80 Humphreys Ctr Dr #200<br />

Memphis, TN 38120<br />

Phone: 901‐578‐2538<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Husted, Gerald S<br />

Gerald S Husted Md<br />

PO Box 108<br />

Blytheville, AR 72316‐0108<br />

Phone: 870‐838‐7319<br />

County: Mississippi<br />

Pathology<br />

White, Barry James<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Onyeagocha, Chukwuma Onwumere<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐1912<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Alkhawaja, Maha<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Alvarez‐Paiva, Gustavo Alejandro<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Arnold, Bruce F<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Berg, Karin Diane<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Doucette, Saryn<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Gates, Jay Alan<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Goldstein, Adrian Michael<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Goodman, Susan C<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Gui, Xianyong<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Ibrahim, Fadi<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Kingma, Douglas William<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Onciu, Mihaela A<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Perrizo, Karla Marie<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Purdy, Julianne K<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Rabaa, Ehab<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 164


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pathology<br />

Rai, Har Pratap<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Rund, Chad Richard<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Budke, Amy Jo<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Hanna, Atef<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Clark, Bradley Douglas<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Nightingale, Daniel Ray<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Dean, Patrick J<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7477<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Makapugay, Lydia M<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7477<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Moody, Laura O<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7477<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Williams, Susan T<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7477<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Wang, Gordon Guan<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Dolz, Mark Stephen<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Bieniek, Radoslaw<br />

Gi Pathology<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Fullenwider, John P<br />

Jpb Pathology Inc<br />

PO Box 428<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8121<br />

County: Lafayette<br />

Pathology<br />

Chandler, Lisa L<br />

Oxford Pathology Inc<br />

1207 Office Park Dr #A<br />

Oxford, MS 38655<br />

Phone: 662‐513‐5747<br />

County: Lafayette<br />

Pathology<br />

Bugg, Michael Frederick<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Callihan, Thomas R<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Chesney, Thomas M<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Dress, Matthew Alan<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Groshart, Kenneth D<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Hall, J Cameron<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 165


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pathology<br />

Lyda, Mark Harry<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Moinuddin, Shamim M<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Montes, Carolina M<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Patton, Kurt Thoreau<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Spencer, G David<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Thomison Iii, John Brown<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Wang, Weihua<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Xie, Huiwen Bill<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Zhang, Yanlong Michael<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Bramlett, Charles B<br />

Pca Southeast<br />

1602 Hatcher Ln<br />

Columbia, TN 38401<br />

Phone: 931‐388‐0777<br />

County: Maury<br />

Pathology<br />

Dehaven, Howard T<br />

Pca Southeast<br />

1602 Hatcher Ln<br />

Columbia, TN 38401<br />

Phone: 931‐388‐0777<br />

County: Maury<br />

Pathology<br />

Ferrell, Harold W<br />

Pca Southeast<br />

1602 Hatcher Ln<br />

Columbia, TN 38401<br />

Phone: 931‐388‐0777<br />

County: Maury<br />

Pathology<br />

Moore, Joseph C<br />

Pca Southeast<br />

1602 Hatcher Ln<br />

Columbia, TN 38401<br />

Phone: 931‐388‐0777<br />

County: Maury<br />

Pathology<br />

Olson, John R<br />

Pca Southeast<br />

1602 Hatcher Ln<br />

Columbia, TN 38401<br />

Phone: 931‐388‐0777<br />

County: Maury<br />

Pathology<br />

Pearson, Jack T<br />

Pca Southeast<br />

1602 Hatcher Ln<br />

Columbia, TN 38401<br />

Phone: 931‐388‐0777<br />

County: Maury<br />

Pathology<br />

Johns, Camelia D<br />

Phillip R Bowden Md<br />

1417 Monroe Ave<br />

Memphis, TN 38104<br />

Phone: 901‐272‐7200<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Tennenbaum, Joshua Brett<br />

Poplar Healthcare<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Bergmann, Karin Diane<br />

Poplar Healthcare<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Lewis, Rodger P<br />

Rodger P Lewis Md<br />

1201 Bishop St<br />

Union City, TN 38281<br />

Phone: 731‐885‐9231<br />

County: Obion<br />

Pathology<br />

Campana, Dario<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Debelenko, Larisa V<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 166


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pathology<br />

Downing, James R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Geiger, Terrence L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Hayden, Randall T<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Jenkins, Jesse J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Kundu, Mondira<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Onciu, Mihaela A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Berry, Allen D<br />

The Pathology Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2131<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Johnston, Gina A<br />

The Pathology Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2131<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Adler, Justin C<br />

The Pathology Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2131<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Glotzbach, Raymond<br />

The Pathology Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2131<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Stockstill, Ronald<br />

The Pathology Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2131<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Balazs, Louisa<br />

University Pathology Group<br />

930 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐7020<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Jordan, Anne M<br />

University Pathology Group<br />

930 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐7020<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Osborne, Pamela T<br />

University Pathology Group<br />

930 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐7020<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Inc, Ameripath Mississippi<br />

306 Hospital Dr<br />

Columbus, MS 39705<br />

Phone: 662‐327‐1262<br />

County: Lowndes<br />

Pathology<br />

Todd, Michael A<br />

200 Hwy 30 W<br />

New Albany, MS 38652<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Pathology<br />

Pathologists Plc, Associated<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Pathology<br />

Southeast, Pca<br />

BMH‐Booneville<br />

Booneville, MS 38829<br />

Phone: 931‐388‐0777<br />

County: Prentiss<br />

Pathology<br />

Baldwin, Heather Sehnert<br />

Pathology Grp Of The Mid‐South Inc<br />

7550 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐542‐6800<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Golembeski, Christopher Paul<br />

Poplar Healthcare<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

Pathology<br />

Kinsey, Richard Shawn<br />

Poplar Healthcare<br />

150 Collins St<br />

Memphis, TN 38112<br />

Phone: 901‐526‐7444<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 167


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Allergy / Immunology<br />

Stout, Richard H<br />

Allergy & Asthma Clinic Of W Ky<br />

2957 US Hwy 641 N<br />

Murray, KY 42071<br />

Phone: 270‐753‐7451<br />

County: Calloway<br />

Pediatric Allergy / Immunology<br />

Conley, Mary Ellen<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Allergy / Immunology<br />

Lew, Betty<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # 400<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6046<br />

County: Shel<strong>by</strong><br />

Pediatric Allergy / Immunology<br />

Michael, Christie Farris<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washigton Ave # 400<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6046<br />

County: Shel<strong>by</strong><br />

Pediatric Allergy / Immunology<br />

Lieberman, Jay Adam<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave #400<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6046<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Douglas, Dane E<br />

Pediatric Cardiology Consultants<br />

6401 Poplar Ave #402<br />

Memphis, TN 38119<br />

Phone: 901‐682‐7774<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Alpert, Bruce S<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Anthony Jr, Courtney L<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Becker, Judith Anne<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Chin, Thomas Kiang<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Joshi, Vijaya M<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Stamps, James Kevin<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Waller, Benjamin Rush<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Wetzel, Glenn Thomas<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Alsheikhali, Mohammed H<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Ballweg, Jeanclaude A<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Figueroa, Mayte I<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Arevalo, Alejandro R<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level L400<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Jones, Ryan C<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level L400<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Chin, Thomas<br />

Ut Medical Group Inc<br />

777 Washington Ave #P<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2020<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Joshi, Vijaya M<br />

Ut Medical Group Inc<br />

777 Washington Ave #P<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2020<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 168


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Cardiology<br />

Waller Iii, Benjamin R<br />

Ut Medical Group Inc<br />

777 Washington Ave #P110<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2020<br />

County: Shel<strong>by</strong><br />

Pediatric Cardiology<br />

Chase, Nancy A<br />

805 Estate Pl #1<br />

Memphis, TN 38120<br />

Phone: 901‐287‐4150<br />

County: Shel<strong>by</strong><br />

Pediatric Child / Adolescent Psychiatry<br />

Durbin, Constance L<br />

Child & Adolescent Psychiatric Assoc<br />

1135 Cully Rd #100<br />

Cordova, TN 38016<br />

Phone: 901‐752‐1980<br />

County: Shel<strong>by</strong><br />

Pediatric Child / Adolescent Psychiatry<br />

Heston, Jerry D<br />

Child & Adolescent Psychiatric Assoc<br />

1135 Cully Rd #100<br />

Cordova, TN 38016<br />

Phone: 901‐752‐1980<br />

County: Shel<strong>by</strong><br />

Pediatric Child / Adolescent Psychiatry<br />

Battaile, Najiba Abulhush<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Pediatric Child / Adolescent Psychiatry<br />

Arnold, Valerie K<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Pediatric Child / Adolescent Psychiatry<br />

Shaw, Jonathan David<br />

1384 Cordova Cv #1<br />

Germantown, TN 38138<br />

Phone: 901‐753‐7700<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Elbahlawan, Lama<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Frantz, Melinda<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Lamptey, Aubrey A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Morrison, Raymond R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Rajasekaran, Surender<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Fernandez‐Nievas, Ignacio F<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Ocain, Peggy<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Schwingshackl, Andreas<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Shah, Samir H<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Spentzas, Thomas<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Anand, Kanwaljeet S<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level 4th Fl<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6132<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Bugnitz, Mark<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level 4th Fl<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6132<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Mazel, Mary K<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level 4th Fl<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6132<br />

County: Shel<strong>by</strong><br />

Pediatric Critical Care<br />

Storgion, Stephanie A<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level 4th Fl<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6132<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 169


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Developmental/Behavioral<br />

Eastmead, Donald Joseph<br />

Memphis Neurology<br />

7645 Wolf River Cir #100<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Pediatric Endocrinology<br />

Karabell, Ana H<br />

Endocrine Clinic<br />

55 Physicians Ln. #2<br />

Southaven, MS 38671<br />

Phone: 901‐763‐3636<br />

County: DeSoto<br />

Pediatric Endocrinology<br />

Burghen, George A<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatric Endocrinology<br />

Ferry, Robert J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Endocrinology<br />

Shelso, John Howard<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Endocrinology<br />

Ferry Jr, Robert J<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2030<br />

County: Shel<strong>by</strong><br />

Pediatric Gastroenterology<br />

Black, Dennis D<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8821<br />

County: Shel<strong>by</strong><br />

Pediatric Gastroenterology<br />

Corkins, Mark R<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8821<br />

County: Shel<strong>by</strong><br />

Pediatric Gastroenterology<br />

Eshun, John Kraku<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8821<br />

County: Shel<strong>by</strong><br />

Pediatric Gastroenterology<br />

Lazar, Linda F<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8821<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Armstrong, Gregory T<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Aygun, Banu<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Baker, Justin N<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Bhojwani, Deepa<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Broniscer, Alberto<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Campbell, Patrick K<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Cash, Darlene Kaye<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Daw, Najat C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Fritts, Sherry B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Furman, Wayne L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Gajjar, Amar J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 170


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Hematology / Oncology<br />

Green, Daniel M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Hankins, Jane S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Hartford, Christine Mary<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Howard, Scott Charles<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Hudson, Melissa M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Inaba, Hiroto<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Jeha, Sima<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Kane, Javier R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Kaplan, Stuart Joel<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Kastan, Michael B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Laver, Joseph H<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Leung, Winghang E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Mcgregor, Lisa M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Metzger, Monika<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Mirro, Joseph<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Navid, Fariba<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Pillai, Asha B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Pui, Chinghon A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Reiss, Ulrike M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Ribeiro, Raul Correa<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Rodriguez‐Galindo, Carlos<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 171


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Hematology / Oncology<br />

Rubnitz, Jeffrey E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Sandlund, John T<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Santana, Victor M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Spunt, Sheri L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Wang, Winfred C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Ware, Russell<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Wilimas, Judith A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Woodard, Joseph P<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Cunningham, Melody J<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Hematology / Oncology<br />

Presbury, Gerald J<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Adderson, Elisabeth E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Caniza, Miguela A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Flynn, Patricia M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Gaur, Aditya H<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Knapp, Katherine M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Mccullers, Jonathan E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Patel, Nehali M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Shenep, Jerry Lynn<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Slobod, Karen S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Tuomanen, Elaine I<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Arnold, Sandra<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 172


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Infectious Disease<br />

Bagga, Bindiya<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave 4th Floor<br />

Memphis, TN 38105<br />

Phone: 901‐866‐8827<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Chesney, Patricia Joan<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8827<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

English, Boyce Keith<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8827<br />

County: Shel<strong>by</strong><br />

Pediatric Infectious Disease<br />

Miyairi, Isao<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8827<br />

County: Shel<strong>by</strong><br />

Pediatric Nephrology<br />

Chesney, Russell W<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8822<br />

County: Shel<strong>by</strong><br />

Pediatric Nephrology<br />

Delos‐Santos, Noel Mores<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8822<br />

County: Shel<strong>by</strong><br />

Pediatric Nephrology<br />

Wyatt, Robert Jethro<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8822<br />

County: Shel<strong>by</strong><br />

Pediatric Neurodevelopmental<br />

Disabilities<br />

Palmer, Frederick Bristol<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Neurodevelopmental<br />

Disabilities<br />

Whitaker, Toni Michele<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Jabbour, J T<br />

Memphis Neurology<br />

7645 Wolf River Cir #100<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Lynn, Ronald Banks<br />

Memphis Neurology<br />

7645 Wolf River Cir #100<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Natarajan, Shiva Shanker<br />

Memphis Neurology<br />

7645 Wolf River Cir #100<br />

Germantown, TN 38138<br />

Phone: 901‐405‐0275<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Shah, Namrata S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Bhattarai, Paras Mani<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐4571<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Ault, Bettina Harman<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8822<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Fulton, Stephen Parker<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level L400<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Igarashi, Masanori<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Mcgregor, Amy Lee<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Mcvicar, Kathryn Anne<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Morgan, Robin Lynne<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 173


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Neurology<br />

Perkins Jr, Freedom Frederick<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Vanpoppel, Katherine Cyran<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap Level L400<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Neurology<br />

Wheless, James W<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8823<br />

County: Shel<strong>by</strong><br />

Pediatric Oncology<br />

Morris, Brannon E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Oncology<br />

Qaddoumi, Ibrahim A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Oncology<br />

Sjcrh,<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Ophthalmology<br />

Pandya‐Lipman, Rashmi K<br />

Pandya‐Lipman Eye Specialist<br />

3964 Goodman Rd #125<br />

Southaven, MS 38672<br />

Phone: 662‐890‐7361<br />

County: DeSoto<br />

Pediatric Ophthalmology<br />

Kerr, Natalie C<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Pediatric Ophthalmology<br />

Hidaji, Faramarz Fred<br />

Visionary Eye Care<br />

6252 Poplar Ave<br />

Memphis, TN 38119<br />

Phone: 901‐754‐3937<br />

County: Shel<strong>by</strong><br />

Pediatric Otolaryngology<br />

Chanin, Louis R<br />

Childrens Ear Nose & Throat Care<br />

60 Physicians Ln #1<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0707<br />

County: DeSoto<br />

Pediatric Otolaryngology<br />

Mclevy, Jennifer Dawn<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # G10<br />

Memphis, TN 38105<br />

Phone: 901‐287‐4400<br />

County: Shel<strong>by</strong><br />

Pediatric Otolaryngology<br />

Stocks, Rosemary S<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # G10<br />

Memphis, TN 38105<br />

Phone: 901‐287‐4400<br />

County: Shel<strong>by</strong><br />

Pediatric Otolaryngology<br />

Thompson, Jerome W<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # G10<br />

Memphis, TN 38105<br />

Phone: 901‐287‐4400<br />

County: Shel<strong>by</strong><br />

Pediatric Pulmonary Medicine<br />

Schoumacher, Robert A<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5545<br />

County: Shel<strong>by</strong><br />

Pediatric Pulmonary Medicine<br />

Srinivasan, Saumini<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5545<br />

County: Shel<strong>by</strong><br />

Pediatric Pulmonary Medicine<br />

Stokes, Dennis Clifton<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5545<br />

County: Shel<strong>by</strong><br />

Pediatric Pulmonary Medicine<br />

Tutor, James D<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P110<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5545<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Riggs, W Webster<br />

Pediatric Radiology Associates<br />

806 Estate Pl<br />

Memphis, TN 38119<br />

Phone: 901‐681‐4000<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Kaufman, Robert A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Boulden, Thomas F<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Cohen, Harris L<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 174


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatric Radiology<br />

Lederman, Henrique<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Smothers, Chandrea<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Whitehead, Matthew Thomas<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Radiology<br />

Young, George<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatric Rheumatology<br />

Brown, Monica Lashell<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washigton Ave # 400<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6046<br />

County: Shel<strong>by</strong><br />

Pediatric Rheumatology<br />

Myers, Linda K<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washigton Ave # 400<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6046<br />

County: Shel<strong>by</strong><br />

Pediatric Surgery<br />

Hixson, Sherman Douglas<br />

Pediatric Surgical Group Inc<br />

777 Washington Ave #P230<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6031<br />

County: Shel<strong>by</strong><br />

Pediatric Surgery<br />

Huang, Eunice Yueedean<br />

Pediatric Surgical Group Inc<br />

777 Washington Ave #P230<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6031<br />

County: Shel<strong>by</strong><br />

Pediatric Surgery<br />

Langham, Max Raymond<br />

Pediatric Surgical Group Inc<br />

777 Washington Ave #P230<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6031<br />

County: Shel<strong>by</strong><br />

Pediatric Surgery<br />

Davidoff, Andrew Michael<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Surgery<br />

Rao, Bhaskar Narayan<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Surgery<br />

Shochat, Stephen J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatric Thoracic / CV Surgery<br />

Boston, Umar Sekoutoure<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Thoracic / CV Surgery<br />

Goldberg, Steven Peter<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Thoracic / CV Surgery<br />

Knott‐Craig, Christopher J<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐287‐5995<br />

County: Shel<strong>by</strong><br />

Pediatric Urology<br />

Giel, Dana W<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

770 Estate Pl<br />

Memphis, TN 38120<br />

Phone: 901‐287‐4030<br />

County: Shel<strong>by</strong><br />

Pediatric Urology<br />

Williams, Mark Alan<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

770 Estate Pl<br />

Memphis, TN 38120<br />

Phone: 901‐287‐4030<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Verma, Satish C<br />

All Childrens Clinic<br />

103 Halls Cv<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐9003<br />

County: Tate<br />

Pediatrics<br />

Adedipe, Olugbenga M<br />

Alliance Health Partners<br />

435 Hwy 6 E<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5632<br />

County: Panola<br />

Pediatrics<br />

Algodi, Zhear<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #5<br />

Amory, MS 38821<br />

Phone: 662‐257‐6705<br />

County: Monroe<br />

Pediatrics<br />

Ewing, Alicia P<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #5<br />

Amory, MS 38821<br />

Phone: 662‐257‐6705<br />

County: Monroe<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 175


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Sheffield, Mary Ann<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #5<br />

Amory, MS 38821<br />

Phone: 662‐257‐6705<br />

County: Monroe<br />

Pediatrics<br />

Wang, Zhengyi<br />

Amory Hma Physician Mgmt<br />

1107 Earl Frye Blvd #5<br />

Amory, MS 38821<br />

Phone: 662‐257‐6705<br />

County: Monroe<br />

Pediatrics<br />

Dillon, Joshua Lee<br />

Baptist Memorial Medical Group Inc<br />

1995 Hwy 51 S #203B<br />

Covington, TN 38019<br />

Phone: 901‐475‐5422<br />

County: Tipton<br />

Pediatrics<br />

Assfoura, Rana<br />

Bartlett Childrens Clinic<br />

6385 Stage Rd #2<br />

Bartlett, TN 38134<br />

Phone: 901‐386‐1683<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Kassees, Laila I<br />

Bartlett Childrens Clinic<br />

6385 Stage Rd #2<br />

Bartlett, TN 38134<br />

Phone: 901‐386‐1683<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Espinal, Ronald Rafael<br />

Centrosalud<br />

2900 Kir<strong>by</strong> Rd #11<br />

Memphis, TN 38119<br />

Phone: 901‐737‐7393<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Mangrem, Carole L<br />

Childrens Clinic Of Clarksdale<br />

2245 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐4131<br />

County: Coahoma<br />

Pediatrics<br />

Mitchell, Julia Lane<br />

Childrens Clinic Of Clarksdale<br />

2245 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐4131<br />

County: Coahoma<br />

Pediatrics<br />

Wells, Peggy J<br />

Childrens Clinic Of Clarksdale<br />

2245 N State St<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐4131<br />

County: Coahoma<br />

Pediatrics<br />

Harris, Joe T<br />

Childrens Clinic Of Oxford<br />

2888 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐8286<br />

County: Lafayette<br />

Pediatrics<br />

Buckle, Raphael Augustine<br />

Childrens Health Ctr Of Columbus Inc<br />

114 Lehmburg Rd<br />

Columbus, MS 39701<br />

Phone: 662‐329‐2955<br />

County: Lowndes<br />

Pediatrics<br />

Skiwski, Jacob<br />

Childrens Health Ctr Of Columbus Inc<br />

114 Lehmburg Rd<br />

Columbus, MS 39701<br />

Phone: 662‐329‐2955<br />

County: Lowndes<br />

Pediatrics<br />

Skiwski, Jason J<br />

Childrens Health Ctr Of Columbus Inc<br />

114 Lehmburg Rd<br />

Columbus, MS 39701<br />

Phone: 662‐329‐2955<br />

County: Lowndes<br />

Pediatrics<br />

Donlon, Richard N<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Snider, Mark Andrew<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Erbele, Phillip Wayne<br />

Christ Community Health Svcs<br />

3124 N Thomas St<br />

Memphis, TN 38127<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Cazalas, Christi Lee<br />

Christ Community Health Svcs<br />

1211 Union Ave #200<br />

Memphis, TN 38104<br />

Phone: 901‐260‐8551<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Chipman, Lauren T<br />

Christ Community Health Svcs<br />

2569 Douglass Ave<br />

Memphis, TN 38114<br />

Phone: 901‐271‐6200<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Algea, William David<br />

Christ Community Health Svcs<br />

1211 Union Ave #200<br />

Memphis, TN 38104<br />

Phone: 901‐271‐0330<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Sykes, Pamela O<br />

Columbus Childrens Clinic Inc<br />

2402 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐327‐8410<br />

County: Lowndes<br />

Pediatrics<br />

Sweeten, Bianca J<br />

Comprehensive Medical Assoc<br />

1407 Union Ave #305<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1762<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 176


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Barnes, Grover W<br />

Contemporary Pediatrics<br />

4250 Faronia<br />

Memphis, TN 38116<br />

Phone: 901‐345‐0202<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Odum, Erica P Nevilles<br />

Cordova Pediatrics<br />

1665 Bonnie Ln #101<br />

Cordova, TN 38016<br />

Phone: 901‐531‐8555<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Wright, Monica Latrece<br />

Cordova Pediatrics<br />

1665 Bonnie Ln #101<br />

Cordova, TN 38016<br />

Phone: 901‐531‐8555<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Alsaek, Yaser<br />

Crittenden Hospital Assoc<br />

228 Tyler #304<br />

West Memphis, AR 72301<br />

Phone: 870‐733‐9347<br />

County: Crittenden<br />

Pediatrics<br />

Hasan, Mohamed N<br />

Crittenden Hospital Assoc<br />

2921 Hwy 77 #20<br />

Marion, AR 72364<br />

Phone: 870‐739‐5311<br />

County: Crittenden<br />

Pediatrics<br />

Rangaswami, Narayanaswami<br />

Crittenden Regional Hospital<br />

2921 Hwy 77 #20<br />

Marion, AR 72364<br />

Phone: 870‐739‐5311<br />

County: Crittenden<br />

Pediatrics<br />

Vaidya, Pankaj<br />

Crittenden Regional Hospital<br />

2921 Hwy 77 #20<br />

Marion, AR 72364<br />

Phone: 870‐739‐5311<br />

County: Crittenden<br />

Pediatrics<br />

George, Beena R<br />

Drs George & John<br />

6005 Park Ave #306<br />

Memphis, TN 38119<br />

Phone: 901‐685‐9640<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Eiseman, Robert M<br />

Drs Segal Parker Kronenberg Tsiu Eiseman<br />

920 Estate Dr #3<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3620<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Kronenberg, Joel I<br />

Drs Segal Parker Kronenberg Tsiu Eiseman<br />

920 Estate Dr #3<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3620<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Segal, Jack<br />

Drs Segal Parker Kronenberg Tsiu Eiseman<br />

920 Estate Dr #3<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3620<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Shahbaz, Fatima<br />

Drs Segal Parker Kronenberg Tsiu Eiseman<br />

920 Estate Dr #3<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3620<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Tsiu, Willie<br />

Drs Segal Parker Kronenberg Tsiu Eiseman<br />

920 Estate Dr #3<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3620<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Odom, Terry<br />

Drs Sisson & Odom<br />

900 Earl Frye Blvd #B<br />

Amory, MS 38821<br />

Phone: 662‐256‐9391<br />

County: Monroe<br />

Pediatrics<br />

Sisson, Jr, Charles A<br />

Drs Sisson & Odom<br />

900 Earl Frye Blvd #B<br />

Amory, MS 38821<br />

Phone: 662‐256‐9391<br />

County: Monroe<br />

Pediatrics<br />

Patton, William C<br />

E Arkansas Childrens Clinic<br />

901 Holiday Dr<br />

Forrest City, AR 72335<br />

Phone: 870633‐0880<br />

County: Saint Francis<br />

Pediatrics<br />

Perel, Christy<br />

E Arkansas Childrens Clinic<br />

901 Holiday Dr<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐0880<br />

County: Saint Francis<br />

Pediatrics<br />

Shafer‐Franks, Candace D<br />

E Arkansas Childrens Clinic<br />

901 Holiday Dr<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐0880<br />

County: Saint Francis<br />

Pediatrics<br />

Hester, Karen C<br />

Family Medicine Assoc Of Blytheville<br />

1521 N Tenth St #C<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐5360<br />

County: Mississippi<br />

Pediatrics<br />

Huidor, Francisco<br />

Francisco Huidor Md<br />

255 Medical Dr #1<br />

Winfield, AL 35594<br />

Phone:<br />

County: Marion<br />

Pediatrics<br />

Asafo‐Boakye, Benjamin<br />

Great River Pediatric Clinic<br />

1521 N Tenth St #F<br />

Blytheville, AR 72315<br />

Phone: 870‐780‐6832<br />

County: Mississippi<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 177


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Suara, Rahaman O<br />

Hardeman Co. Community Health Center<br />

629 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Pediatrics<br />

Igbinedion, Adesuwa<br />

Hardin Co Reg Health Ctr<br />

150 E End Dr<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Pediatrics<br />

Newhouse, Patricia Ann<br />

Hardin Co Reg Health Ctr<br />

150 E End Dr<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Pediatrics<br />

King, Tanya Jean Fitts<br />

Lafayette Pediatric Clinic<br />

2166 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐3939<br />

County: Lafayette<br />

Pediatrics<br />

Hanson, Charles Christopher<br />

Laurelwood Pediatrics<br />

5050 Sanderlin Ave<br />

Memphis, TN 38117<br />

Phone: 901‐683‐9371<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Magdovitz, Nouth Chanmanivone<br />

Laurelwood Pediatrics<br />

5050 Sanderlin Ave<br />

Memphis, TN 38117<br />

Phone: 901‐683‐9371<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Miller, Ashley B<br />

Laurelwood Pediatrics<br />

5050 Sanderlin Ave<br />

Memphis, TN 38117<br />

Phone: 901‐683‐9371<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Siegel, Joel Israel<br />

Laurelwood Pediatrics<br />

5050 Sanderlin Ave<br />

Memphis, TN 38117<br />

Phone: 901‐683‐9371<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Yanishevski, Svetlana<br />

Laurelwood Pediatrics<br />

5050 Sanderlin Ave<br />

Memphis, TN 38117<br />

Phone: 901‐683‐9371<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Lentz, Jonathan David<br />

Lentz Pediatrics<br />

9486 Hwy 412 W<br />

Lexington, TN 38351<br />

Phone: 731‐968‐0984<br />

County: Henderson<br />

Pediatrics<br />

Kearney, Nicole S<br />

Madison Clinic Corp<br />

37 Sandstone Cir<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Pediatrics<br />

Kuhl, Douglas Michael<br />

Madison Clinic Corp<br />

60 Physicians Dr<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Pediatrics<br />

Martin, Laurence F<br />

Madison Clinic Corp<br />

37 Sandstone Cir<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Pediatrics<br />

Fowler, Blakley Atkins<br />

Magnolia Pediatric Clinic<br />

401 Alcorn Dr #2B<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Pediatrics<br />

Thomas, Jackson S<br />

Magnolia Pediatric Clinic<br />

401 Alcorn Dr #2B<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Pediatrics<br />

Brewer‐Mcdaniel, Susan C<br />

Martin Pediatric & Adolescent Clinic<br />

142 Mt Pelia Rd<br />

Martin, TN 38237<br />

Phone: 731‐587‐9542<br />

County: Weakley<br />

Pediatrics<br />

Williams, Tavares K<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Pediatrics<br />

Feeney, Sandra Nichole Holzhauer<br />

Mcnairy Clinic Corp<br />

699 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐645‐6777<br />

County: McNairy<br />

Pediatrics<br />

Porat, Shimshon<br />

Mcnairy Clinic Corp<br />

705 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐646‐2181<br />

County: McNairy<br />

Pediatrics<br />

Carter, James Edward<br />

Memphis & Shel<strong>by</strong> Co Pediatric Grp<br />

1444 E Shel<strong>by</strong> Dr #317<br />

Memphis, TN 38116<br />

Phone: 901‐396‐8281<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Terrell, William<br />

Memphis & Shel<strong>by</strong> Co Pediatric Grp<br />

1444 E Shel<strong>by</strong> Dr #317<br />

Memphis, TN 38116<br />

Phone: 901‐396‐8281<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 178


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Christian, Aimee M<br />

Memphis Pediatrics<br />

1255 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐432‐1591<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Delamerens‐Pratt, Maite T<br />

Memphis Pediatrics<br />

1255 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐432‐1591<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Dellinger, Janet W<br />

Memphis Pediatrics<br />

1255 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐432‐1591<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Dick, Charlotte Jane<br />

Memphis Pediatrics<br />

1255 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐432‐1591<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Reed, Patrice Cowan<br />

Memphis Pediatrics<br />

1255 S Germantown Rd<br />

Germantown, TN 38138<br />

Phone: 901‐432‐1591<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Caudill, Jonathan Sheperd<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr.<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Pediatrics<br />

Dennis, David Michael<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Pediatrics<br />

Sanford, William D.<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Pediatrics<br />

Singletary, Molly S<br />

Oxford Pediatric Group<br />

1203 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐513‐4399<br />

County: Lafayette<br />

Pediatrics<br />

Higgins, Megan Janette<br />

Paris Pediatrics<br />

243 Jim Adams Dr<br />

Paris, TN 38242<br />

Phone: 731‐644‐2747<br />

County: Henry<br />

Pediatrics<br />

Folz, Tamara Paskowitz<br />

Pediatric & Adolescent Med Of E Memphis<br />

1102 Brookfield Rd 2nd Fl<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1880<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Ware, Julie Lynne<br />

Pediatric & Adolescent Med Of E Memphis<br />

1102 Brookfield Rd 2nd Fl<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1880<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Welch, Susan Kay<br />

Pediatric & Adolescent Med Of E Memphis<br />

1102 Brookfield Rd 2nd Fl<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1880<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Abraham, Anes W<br />

Pediatric & Teen Medical Ctr<br />

1521 N 10th St #H<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐1700<br />

County: Mississippi<br />

Pediatrics<br />

Campbell, Douglas Turner<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

Pediatrics<br />

Chandrashekaran, Rama<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

Pediatrics<br />

Evans, Loraine J<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

Pediatrics<br />

Glover, Suzanne Elizabeth<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, TN 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

Pediatrics<br />

Goodman, David A<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

Pediatrics<br />

Mallare, Johanna Trinidad<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

Pediatrics<br />

Shah, Ayesha S<br />

Pediatric Assoc Of W Memphis<br />

108 W Tyler<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐1191<br />

County: Crittenden<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 179


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Choueiry, Mona A<br />

Pediatric Assoc<br />

1501 Brayton Ave<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐4111<br />

County: Dyer<br />

Pediatrics<br />

Dellinger, Hubert L<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Holland, Nancy Elizabeth<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Holtzman, Lori Rae<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Hubbard, Amy Elizabeth<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Norman, Johnita K<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Pender, John V<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Schulz, Angela Marie<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Slagle, Stephanie K<br />

Pediatric Assoc<br />

3876 New Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐377‐2111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Best, Jara Lavonda<br />

Pediatric Consultants<br />

1458 W Poplar Ave #201<br />

Collierville, TN 38017<br />

Phone: 901‐457‐2880<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Ellis, John W<br />

Pediatric Consultants<br />

1458 W Poplar Ave #201<br />

Collierville, TN 38017<br />

Phone: 901‐457‐2880<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Alvord, Katherine Mason<br />

Pediatric Consultants<br />

777 Washington Ave #410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Frizzell, Noel K<br />

Pediatric Consultants<br />

777 Washington Ave #P410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Huggins, Marybeth H<br />

Pediatric Consultants<br />

777 Washington Ave #410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Lankford, Ann Catherine<br />

Pediatric Consultants<br />

777 Washington Ave #P410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Livingston, Leon O<br />

Pediatric Consultants<br />

777 Washington Ave #410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Mathis, Christopher Lynn<br />

Pediatric Consultants<br />

777 Washington Ave #410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Pendergrass, Landon B<br />

Pediatric Consultants<br />

777 Washington Ave #P410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Scott, Dawn Heather<br />

Pediatric Consultants<br />

777 Washington Ave #410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Sepulveda, Vanessa S<br />

Pediatric Consultants<br />

777 Washington Ave #410<br />

Memphis, TN 38105<br />

Phone: 901‐523‐2945<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Bergeron, Christian Blake<br />

Pediatric Consultants<br />

6215 Humphreys Blvd #300<br />

Memphis, TN 38120<br />

Phone: 901‐821‐9990<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 180


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Jones, Brinders<br />

Pediatric Partners Of Memphis<br />

6063 Mt Moriah Rd Extd #13<br />

Memphis, TN 38115<br />

Phone: 901‐366‐0080<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Watson, Deborah D<br />

Pediatric Partners Of Memphis<br />

6063 Mt Moriah Rd Extd #13<br />

Memphis, TN 38115<br />

Phone: 901‐366‐0080<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Saino, James D<br />

Pediatric Physicians<br />

1172 Vickery Ln<br />

Cordova, TN 38016<br />

Phone: 901‐757‐0095<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Snapp, Sharon Marie<br />

Pediatric Physicians<br />

1172 Vickery Ln<br />

Cordova, TN 38016<br />

Phone: 901‐757‐0095<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Ziebarth, David M<br />

Pediatric Physicians<br />

1172 Vickery Ln<br />

Cordova, TN 38016<br />

Phone: 901‐757‐0095<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Bates, John B<br />

Pediatric Place Of Union City<br />

1117 S Miles Ave #3<br />

Union City, TN 38261<br />

Phone: 731‐885‐4338<br />

County: Obion<br />

Pediatrics<br />

Nearn, Andrew Buchman<br />

Pediatrics East Inc<br />

8110 Walnut Run<br />

Cordova, TN 38018<br />

Phone: 901‐754‐9600<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Gubin, Alan S<br />

Pemiscot Co Memorial Hospital<br />

106 W 12th St<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐2285<br />

County: Pemiscot<br />

Pediatrics<br />

Oyefeso, Olumide<br />

Pemiscot Co Memorial Hospital<br />

907 E Reed<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3660<br />

County: Pemiscot<br />

Pediatrics<br />

Pillow, Jill<br />

Pillow Clinic<br />

101 Shirley Hicks Dr<br />

Helena, AR 72342<br />

Phone: 870‐572‐5996<br />

County: Phillips<br />

Pediatrics<br />

Algea, Janice S<br />

Primary Care Pediatrics<br />

8081 Hwy 51 N<br />

Millington, TN 38053<br />

Phone: 901‐873‐4242<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Adesoji, Remilekun Subedat<br />

Progressive Physicians Practice<br />

7900 Airways Blvd Bldg C #5B<br />

Southaven, MS 38671<br />

Phone: 662‐536‐2100<br />

County: DeSoto<br />

Pediatrics<br />

Flores‐Perkins, Silvia Patricia<br />

Raleigh Group<br />

2860 Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐252‐6034<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Hillebert, Susan A<br />

Raleigh Group<br />

2860 Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐252‐6034<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Macgaw, Douglas M<br />

Raleigh Group<br />

2860 Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐252‐6034<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Mink, Jennifer Dayle<br />

Raleigh Group<br />

2860 Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐252‐6034<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Ragland, David K<br />

Raleigh Group<br />

2860 Covington Pike<br />

Memphis, TN 38128<br />

Phone: 901‐252‐6034<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Abbasi, Seema<br />

River City Pediatrics<br />

6401 Poplar Ave #610<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1280<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Geiger, Janet Dang<br />

River City Pediatrics<br />

6401 Poplar Ave #610<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1280<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Stecker, Ellen Jane<br />

River City Pediatrics<br />

6401 Poplar Ave #610<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1280<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Glynn, Margaret M<br />

Segars Clinic<br />

1507 W Quitman<br />

Iuka, MS 38852<br />

Phone: 662‐423‐1000<br />

County: Tishomingo<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 181


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Granados, Javel Maningat<br />

Senatobia Childrens Clinic<br />

104 Court St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐4418<br />

County: Tate<br />

Pediatrics<br />

Krasin, Audrey Leigh<br />

Senatobia Childrens Clinic<br />

104 Court St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐4418<br />

County: Tate<br />

Pediatrics<br />

Levine, Robert D<br />

Senatobia Childrens Clinic<br />

104 Court St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐4418<br />

County: Tate<br />

Pediatrics<br />

Metin, Nuray<br />

Senatobia Childrens Clinic<br />

104 Court St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐4418<br />

County: Tate<br />

Pediatrics<br />

Shaiju, Aneesha<br />

Senatobia Childrens Clinic<br />

104 Court St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐4418<br />

County: Tate<br />

Pediatrics<br />

Sidhu, Desh D<br />

Senatobia Childrens Clinic<br />

104 Court St<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐4418<br />

County: Tate<br />

Pediatrics<br />

Sheffield, Nicole M<br />

Sheffield Pediatrics<br />

1750 MADISON #280<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1094<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Johnson, Rhonda Charlene<br />

Shel<strong>by</strong> County Healthcare<br />

2574 Frayser Blvd<br />

Memphis, TN 38127<br />

Phone: 901‐515‐5300<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Stender, Sarah R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Ugorji, Nneoma A<br />

Tipton Pediatrics<br />

1995 Hwy 51 S #108<br />

Covington, TN 38019<br />

Phone: 901‐476‐7600<br />

County: Tipton<br />

Pediatrics<br />

Gautier, Kenneth Bryan<br />

Tri‐Lakes Medical Center<br />

564 Hwy 6 East<br />

Batesville, MS 38606<br />

Phone: 662‐563‐7873<br />

County: Panola<br />

Pediatrics<br />

Whitaker, Toni Michele<br />

Univ Of TN Boling Ctr For DD‐Uap<br />

711 Jefferson Ave<br />

Memphis, TN 38105<br />

Phone: 901‐448‐6111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Kube, David Arnold<br />

UT Boling Ctr For Dd<br />

711 Jefferson Ave<br />

Memphis, TN 38105<br />

Phone: 901‐448‐6111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Palmer, Frederick Bristol<br />

UT Boling Ctr For DD<br />

711 Jefferson Ave<br />

Memphis, TN 38105<br />

Phone: 901‐448‐6111<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Cross, Cynthia Denise<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Hanna, Debra Lee<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Imsand, Laurie E<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Litra, Florentina<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Pishko, Stephen Darryl<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Slagle, Stephanie K<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Assfoura, Rana<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 182


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Beeman, Helen Gail<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Buckingham, Steven Charles<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Hare, Marion E<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Hill, John R<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Jameson, Valerie P<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Lakin, Karen L<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Sevier, Georgette Rochelle<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave # P350<br />

Memphis, TN 38103<br />

Phone: 901‐866‐8815<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Diaz‐Thomas, Alicia Marie<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8820<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Sinha, Sunil Kumar<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

777 Washington Ave #240<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6959<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Bradshaw, Elizabeth Pleasants<br />

Wynne Medical Clinic<br />

710 S Falls Blvd<br />

Wynne, AR 72396<br />

Phone: 870‐238‐2321<br />

County: Cross<br />

Pediatrics<br />

Fitzwater, Douglas S<br />

412 Ward Ave<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐0033<br />

County: Pemiscot<br />

Pediatrics<br />

Fite, James W<br />

340 Van Dorn St<br />

Grenada, MS 38901<br />

Phone: 662‐226‐0325<br />

County: Grenada<br />

Pediatrics<br />

Simmons, Harold D<br />

340 Van Dorn St<br />

Grenada, MS 38901<br />

Phone: 662‐226‐0325<br />

County: Grenada<br />

Pediatrics<br />

Hans, Marta E<br />

102 Norman Rd<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6997<br />

County: Alcorn<br />

Pediatrics<br />

Benveniste, Harvey S<br />

453 W Madison St<br />

Houston, MS 38851<br />

Phone: 662‐456‐9090<br />

County: Chickasaw<br />

Pediatrics<br />

Googe, Jim<br />

462 W Bankhead St<br />

New Albany, MS 38652<br />

Phone: 662‐534‐2020<br />

County: Union<br />

Pediatrics<br />

Ramgoolam, Andres<br />

800 Ohio Ave<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐2504<br />

County: Coahoma<br />

Pediatrics<br />

Tibbs, Robert C<br />

One Hospital Dr<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐8314<br />

County: Bolivar<br />

Pediatrics<br />

Narayanan, Manoj N<br />

3964 Goodman Rd #133<br />

Southaven, MS 38672<br />

Phone: 662‐895‐9498<br />

County: DeSoto<br />

Pediatrics<br />

Vaghela, Rachana Vanrajsinh<br />

3964 Goodman Rd #133<br />

Southaven, MS 38672<br />

Phone: 662‐895‐9498<br />

County: DeSoto<br />

Pediatrics<br />

Yates, Virgil D<br />

1101 Chickasaw<br />

S Fulton, TN 38257<br />

Phone: 731‐479‐1301<br />

County: Obion<br />

Pediatrics<br />

Reddy, Dubbaka D<br />

305 E Main St<br />

Adamsville, TN 38310<br />

Phone: 731‐632‐0901<br />

County: McNairy<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 183


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pediatrics<br />

Fattah, Emad Abdel<br />

1109 E Reelfoot Ave #D<br />

Union City, TN 38261<br />

Phone: 731‐884‐2140<br />

County: Obion<br />

Pediatrics<br />

Crisler, Herman Andrew<br />

5660 Mt Moriah Rd<br />

Memphis, TN 38115<br />

Phone: 901‐363‐6823<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Hamilton, Derrick<br />

213 Lakeview Dr<br />

Somerville, TN 38068<br />

Phone: 901‐465‐5466<br />

County: Fayette<br />

Pediatrics<br />

Beasley, Jimmie L<br />

1998 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐1155<br />

County: Tipton<br />

Pediatrics<br />

Gossett, Gail J<br />

1407 Union Ave #305<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1762<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Williams‐Neal, Ethelyn J<br />

1407 Union Ave #305<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1762<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Chidester, Catherine Ann<br />

1355 W Brierbrook Rd<br />

Germantown, TN 38138<br />

Phone: 901‐755‐8300<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Yukon, Charles L<br />

1355 W Brierbrook Rd<br />

Germantown, TN 38138<br />

Phone: 901‐755‐8300<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Pride‐Boone, Janice<br />

7460 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0200<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Venkataraman, Jaya<br />

2028 Poplar Ave #112<br />

Collierville, TN 38017<br />

Phone: 901‐854‐5455<br />

County: Shel<strong>by</strong><br />

Pediatrics<br />

Casama, Dorothy Joy<br />

Baptist Memorial Medical Group Inc<br />

36 Capital Way #E<br />

Atoka, TN 38004<br />

Phone: 901‐837‐6801<br />

County: Tipton<br />

Pediatrics<br />

Liu, Joyce L<br />

Christ Community Health Svcs<br />

3362 S Third St<br />

Memphis, TN 38109<br />

Phone: 901‐271‐6300<br />

County: Shel<strong>by</strong><br />

Pediatrics / Neonatology<br />

John, Isaac<br />

Isaac John, Md<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2645<br />

County: Shel<strong>by</strong><br />

Physical Medicine / Rehabilitation<br />

Aaron, Ryan Christopher<br />

Columbus Orthopaedic Clinic<br />

670 Leigh Dr<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1012<br />

County: Lowndes<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Hinton, Danielle L<br />

Baptist Memorial Medical Group Inc<br />

2110 Exeter Rd #240<br />

Germantown, TN 38138<br />

Phone: 901‐757‐1350<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation At Desoto Athletic<br />

Club‐Olive Branch<br />

7037 Hacks Cross Road<br />

Olive Branch, MS 38654<br />

Phone: 662‐890‐2615<br />

County: Desoto<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation At Desoto Athletic<br />

Club‐Southaven<br />

3121 Creech Drive, Suite 1<br />

Southaven, MS 38672<br />

Phone: 662‐349‐7329<br />

County: Desoto<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation Germantown At<br />

Bartlett<br />

7424 US Hwy 64; Suite 112<br />

Memphis, TN 38133<br />

Phone: 901‐385‐3877<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation Germantown At<br />

Cordova<br />

7950 Club Center Cove<br />

Cordova, TN 38018<br />

Phone: 901‐754‐0384<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation Germantown At<br />

Midtown<br />

1111 Union Avenue<br />

Memphis, TN 38104<br />

Phone: 901‐529‐4045<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐Collierville<br />

440 West Powell<br />

Collierville, TN 38017<br />

Phone: 901‐850‐2128<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 184


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐Desoto<br />

401 Southcrest Circle, #101<br />

Southaven, MS 38671<br />

Phone: 662‐772‐2120<br />

County: Desoto<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐East<br />

50 Humphreys Center Dr #23<br />

Memphis, TN 38120<br />

Phone: 901‐226‐4522<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐Golden Triangle<br />

525 Willowbrook Road<br />

Columbus, MS 39701<br />

Phone: 662‐244‐2074<br />

County: Lowndes<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐North Mississippi<br />

703A North Lamar<br />

Oxford, MS 38655<br />

Phone: 662‐236‐9294<br />

County: Lafayette<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐Tipton<br />

100 Peeler Rd<br />

Covington, TN 38019<br />

Phone: 901‐475‐9292<br />

County: Tipton<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐Union City<br />

711 E Reelfoot<br />

Union City, TN 38261<br />

Phone: 731‐885‐9099<br />

County: Obion<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Baptist Rehabilitation‐Union County<br />

123 Fairfield Drive<br />

New Albany, MS 38652<br />

Phone: 662‐539‐4044<br />

County: Union<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Mcgavock, Jennifer S<br />

Cornerstone Rehabilitation Inc<br />

50 S Main St<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐4777<br />

County: Yalobusha<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Buglewicz, Andrew A<br />

Cornerstone Rehabilitation Of Oxford Inc<br />

2205 Jeff Davis<br />

Oxford, MS 38655<br />

Phone: 662‐238‐2800<br />

County: Lafayette<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Clancy, Sally O<br />

Cornerstone Rehabilitation Of Oxford Inc<br />

2205 Jeff Davis<br />

Oxford, MS 38655<br />

Phone: 662‐238‐2800<br />

County: Lafayette<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Shinall, Kelly D<br />

Cornerstone Rehabilitation Of Oxford Inc<br />

2205 Jeff Davis<br />

Oxford, MS 38655<br />

Phone: 662‐238‐2800<br />

County: Lafayette<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Wicker, Brian K<br />

Cornerstone Rehabilitation Of Oxford Inc<br />

2205 Jeff Davis<br />

Oxford, MS 38655<br />

Phone: 662‐238‐2800<br />

County: Lafayette<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Hope, Dereck B<br />

Cornerstone Rehabilitation Of Senatobia<br />

102 N Robinson<br />

Senatobia, MS 38668<br />

Phone: 662‐560‐0602<br />

County: Tate<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Murry, James W<br />

Eastern Ar Physical Therapy<br />

300 Eldridge Rd #1<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐3278<br />

County: Saint Francis<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Bingham, Ronald C<br />

EMG Clinics Of Tn<br />

3035 N Highland Ave<br />

Jackson, TN 38305<br />

Phone: 800‐224‐1807<br />

County: Madison<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Johnson, Miles M<br />

EMG Clinics Of TN<br />

3035 N Highland Ave<br />

Jackson, TN 38305<br />

Phone: 800‐224‐1807<br />

County: Madison<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Magnolia Regional Health Center Physical<br />

Therapy<br />

1001 South Harper Road<br />

Corinth, MS 38834<br />

Phone: 662‐287‐1400<br />

County: Alcorn<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Lee‐Sigler, Judith Rae<br />

Memphis Spine Center<br />

2120 Exeter Rd #130<br />

Germantown, TN 38138<br />

Phone: 901‐507‐2225<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 185


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Gray, Bob<strong>by</strong> Joseph<br />

Mississippi State University<br />

360 Hardy Rd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐2431<br />

County: Oktibbeha<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Tait, John R<br />

Oxford Physical Medicine & Rehab<br />

705 N Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐7070<br />

County: Lafayette<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Ellen, Jonathan<br />

Saint Francis Rehab<br />

5959 Park Ave‐Rehab<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2400<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Merritt, Belinda Ann<br />

<strong>Specialty</strong> Clinic<br />

201 W Main Office Plaza #G<br />

Union City, TN 38261<br />

Phone: 731‐885‐0063<br />

County: Obion<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Rizk, Tewfik<br />

Tewfik Rizk, M.D.<br />

920 Madison #921<br />

Memphis, TN 38103<br />

Phone: 901‐527‐8865<br />

County: Shel<strong>by</strong><br />

Physical Therapy / Rehabilitation<br />

Services<br />

Curwen, Davidson Clive<br />

West Tn Rehab Group<br />

60 Lynoak Cv<br />

Jackson, TN 38305<br />

Phone: 731‐664‐7744<br />

County: Madison<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Randall, Kevin L<br />

Hardy Blvd<br />

Mississippi State, MS 39762<br />

Phone: 662‐325‐7543<br />

County: Oktibbeha<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Cunningham, Mark L<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐349‐4000<br />

County: DeSoto<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Moye, Jeff<br />

5271 Getwell Rd<br />

Southaven, MS 38672<br />

Phone: 662‐510‐5694<br />

County: DeSoto<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Gray, Laura A<br />

905 Garfield St<br />

Tupelo, MS 38801<br />

Phone: 662‐842‐9677<br />

County: Lee<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Valdivia, Remy<br />

3363 N Highland Ave<br />

Jackson, TN 38305<br />

Phone: 731‐668‐9899<br />

County: Madison<br />

Physical Therapy / Rehabilitation<br />

Services<br />

Sullivan, Donald James<br />

4100 Austin Peay<br />

Memphis, TN 38128<br />

Phone: 901‐213‐5460<br />

County: Shel<strong>by</strong><br />

Physician Assistant<br />

Fulbright, Anne<br />

Delta Convenient Care<br />

17 Centre Plaza Dr<br />

Jackson, TN 38305<br />

Phone: 731‐512‐0104<br />

County: Madison<br />

Physicians Assistant<br />

Gunderson, Karen M<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Noble, Janine K<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Root, Sarah L<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Walker, John G<br />

Christ Community Health Svcs<br />

2861 Broad Ave<br />

Memphis, TN 38112<br />

Phone: 901‐260‐8500<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Wilbert, David J<br />

Martin Clinic Corp<br />

801 S Meridian<br />

Greenfield, TN 38230<br />

Phone: 731‐235‐0555<br />

County: Weakley<br />

Physicians Assistant<br />

Burns, Anna Marie<br />

Oxford Surgical Specia<strong>lists</strong><br />

497 Azalea Dr #102<br />

Oxford, MS 38655<br />

Phone: 662‐513‐2000<br />

County: Lafayette<br />

Physicians Assistant<br />

Lawrence, Ashley Lee<br />

Shappley Clinic<br />

7705 Poplar Ave #310B<br />

Germantown, TN 38138<br />

Phone: 901‐759‐0101<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 186


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Physicians Assistant<br />

Heinsch, Stephanie Nicole<br />

<strong>Specialty</strong> Physician Group<br />

7655 Poplar Ave #350<br />

Germantown, TN 38138<br />

Phone: 901‐761‐2470<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Rains, Jessica R<br />

Syed A A Zaidi Md<br />

326 Asbury Ave #101<br />

Ripley, TN 38063<br />

Phone: 731‐221‐1637<br />

County: Lauderdale<br />

Physicians Assistant<br />

Blaine, Clinton Jed<br />

Advanced Orthopedics & Sports Medicine<br />

641 RB Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐2000<br />

County: Carroll<br />

Physicians Assistant<br />

Badura, Kelly Marie<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Blaine, Clinton Jed<br />

Baptist Memorial Medical Group Inc.<br />

631 RB Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7021<br />

County: Carroll<br />

Physicians Assistant<br />

Lewis, Jeannie Lakay<br />

Dermatology Clinic Of N Ms<br />

7585 Clarington Cv<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0200<br />

County: DeSoto<br />

Physicians Assistant<br />

Gibson, Alycia D<br />

Dogwood Clinic Inc<br />

405 Tyson Ave #B<br />

Paris, TN 38242<br />

Phone: 731‐644‐3339<br />

County: Henry<br />

Physicians Assistant<br />

Sims, Larry<br />

Dyersburg Clinic Corp<br />

575 E. Tickle St.<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐4104<br />

County: Dyer<br />

Physicians Assistant<br />

Booth, Robert D<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Physicians Assistant<br />

Miller, Stephanie Rachel<br />

Emergency Coverage Corp<br />

1995 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Physicians Assistant<br />

Adams, Gene Dewayne<br />

Hardeman Co. Community Health Center<br />

629 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Physicians Assistant<br />

Amajoyi‐Anable, Cecilia<br />

Hardeman Co. Community Health Center<br />

629 Nuckolls Rd<br />

Bolivar, TN 38008<br />

Phone: 731‐658‐3388<br />

County: Hardeman<br />

Physicians Assistant<br />

Alexander, Marty M<br />

Hmc Physicians Svcs Inc<br />

935 Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8090<br />

County: Hardin<br />

Physicians Assistant<br />

Weatherford, Alan D<br />

Lexington Family Physicians<br />

250 Boswell St<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2006<br />

County: Henderson<br />

Physicians Assistant<br />

Marascalco, Ronald Frank<br />

Marascalco Dermatology Clinic<br />

1300 Sunset Dr #A<br />

Grenada, MS 38901<br />

Phone: 662‐227‐4463<br />

County: Grenada<br />

Physicians Assistant<br />

Castle, John Paul<br />

Martin Clinic Corp<br />

130 E Locust St<br />

Dresden, TN 38225<br />

Phone: 731‐364‐3196<br />

County: Weakley<br />

Physicians Assistant<br />

Dierkes, Susan P<br />

Martin Clinic Corp<br />

811 Morrow St #208<br />

Dresden, TN 38225<br />

Phone: 731‐364‐3353<br />

County: Weakley<br />

Physicians Assistant<br />

Scates, Michael Trent<br />

Martin Medical Ctr<br />

230 N Front<br />

Greenfield, TN 38230<br />

Phone: 731‐678‐0130<br />

County: Weakley<br />

Physicians Assistant<br />

Blount, Gary Chris<br />

Mckenzie Clinic Corp<br />

45 Hurst St<br />

Trezevant, TN 38258<br />

Phone: 731‐669‐3993<br />

County: Carroll<br />

Physicians Assistant<br />

Foust, Daphne Lynn<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Physicians Assistant<br />

Ridley, Michael Joe<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 187


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Physicians Assistant<br />

Robles, Bertha Izaura<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Physicians Assistant<br />

Sass, Kirsten Ingeborg<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Physicians Assistant<br />

Schwamb, Holly A<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Physicians Assistant<br />

Gibson, Leslie E<br />

Mckenzie Medical Ctr<br />

136 S Wilson St<br />

Dresden, TN 38225<br />

Phone: 731‐364‐4900<br />

County: Weakley<br />

Physicians Assistant<br />

Jackson, Amy Shannon<br />

Memphis Gastroenterology Group<br />

8000 Wolf River Blvd #200<br />

Germantown, TN 38138<br />

Phone: 901‐747‐3630<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Scott, Mark J<br />

Mid‐South Cancer Center<br />

8000 Wolf River Blvd #100<br />

Germantown, TN 38138<br />

Phone: 901‐763‐0446<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Page, Michael Brady<br />

Orthoone Orthopaedics & Sports Medicine<br />

206 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐2227<br />

County: Union<br />

Physicians Assistant<br />

Robbins, David B<br />

Orthoone Orthopaedics & Sports Medicine<br />

206 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐2227<br />

County: Union<br />

Physicians Assistant<br />

Wendt, Natalie Lanette<br />

Primary Care Ctr<br />

500 Hospital Dr<br />

Trenton, TN 38382<br />

Phone: 731‐855‐3510<br />

County: Gibson<br />

Physicians Assistant<br />

Marlar, Audie B<br />

Sharon Clinic<br />

5320 Hwy 45<br />

Sharon, TN 38255<br />

Phone: 731‐456‐2006<br />

County: Weakley<br />

Physicians Assistant<br />

Clark, Karen<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Hansbury, Ellen N<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Mortier, Nicole A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Newman, Jerry L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Parker, Susan E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Rochester, Richard J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Schultz, William<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Shelton, Susan<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Physicians Assistant<br />

Barker, Linda Ann<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Plastic Surgery<br />

Adams, William M<br />

Clinic Of Plastic & Reconstructive Surgery<br />

1000 Brookfield Dr #100<br />

Memphis, TN 38119<br />

Phone: 901‐765‐4700<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Murphy, James Garnett<br />

Clinic Of Plastic & Reconstructive Surgery<br />

1000 Brookfield Dr #100<br />

Memphis, TN 38119<br />

Phone: 901‐765‐4700<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 188


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Plastic Surgery<br />

Aldea, Peter A<br />

Cosmetic Surgery Specialist Of Memphis<br />

6401 Poplar Ave #360<br />

Memphis, TN 38119<br />

Phone: 901‐752‐1412<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

E<strong>by</strong>, Patricia L<br />

Cosmetic Surgery Specialist Of Memphis<br />

6401 Poplar Ave #360<br />

Memphis, TN 38119<br />

Phone: 901‐752‐1412<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Barton, Melissa L<br />

Hand Surgery Clinic<br />

1365 Flowering Dogwood Ln #F<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐1119<br />

County: Dyer<br />

Plastic Surgery<br />

Koleyni, Asghar<br />

Memphis Plastic Surgery Group<br />

6005 Park Ave #1007B<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2400<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Shell, Dan H<br />

Oxford Plastic Surgery<br />

1306 Belk Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐236‐6465<br />

County: Lafayette<br />

Plastic Surgery<br />

Adams, R Louis<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Burruss, George L<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Chandler, Robert Gregory<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Cooper, Laura Beth<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Ctr Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Goshorn, Neumon T<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Luce, Edward Andrew<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Quigley, Karen K<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Tavin, Ellis<br />

Plastic Surgery Group Of Memphis<br />

80 Humphreys Center Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐761‐9030<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Pernia, Luis R<br />

Southeastern Plastic Surgery Assoc<br />

255 Baptist Blvd #306<br />

Columbus, MS 39705<br />

Phone: 662‐327‐9788<br />

County: Lowndes<br />

Plastic Surgery<br />

Verhalen, Jon P<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8290<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Wallace, Robert D<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8290<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Lachica, Roberto Danilo<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8290<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Hickerson, William L<br />

Ut Medical Group Inc<br />

890 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐8999<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Stewart, Sherrill B<br />

508 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3280<br />

County: Alcorn<br />

Plastic Surgery<br />

Stevenson, Robin M<br />

6401 Poplar Ave #505<br />

Memphis, TN 38119<br />

Phone: 901‐682‐0423<br />

County: Shel<strong>by</strong><br />

Plastic Surgery<br />

Efird, Walter G<br />

1329 Cordova Cv<br />

Germantown, TN 38138<br />

Phone: 901‐737‐2345<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 189


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Podiatry<br />

Knowles, Antonio Lavale<br />

Adult & Pediatric Foot Center<br />

5362 Estate Office Park Dr #1<br />

Memphis, TN 38119<br />

Phone: 901‐537‐0078<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Lucas, Nathan<br />

Advanced Foot & Ankle Care Of Memphis<br />

2900 Kir<strong>by</strong> Pkwy #5<br />

Memphis, TN 38119<br />

Phone: 901‐309‐8898<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Raich, Allen K<br />

Allen K Raich Dpm<br />

920 Estate Dr #1<br />

Memphis, TN 38119<br />

Phone: 901‐767‐3480<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Croft, Darrell G<br />

Associated Foot Surgeons Of Memphis<br />

2120 Exeter Rd #200<br />

Germantown, TN 38138<br />

Phone: 901‐756‐1680<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Varva, Chris A<br />

Chris A Varva Dpm<br />

2168 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐832‐3338<br />

County: Lafayette<br />

Podiatry<br />

Hicks, Charles E<br />

Cleveland Foot Clinic Inc<br />

140 North St<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3668<br />

County: Bolivar<br />

Podiatry<br />

Lyons, Michael George<br />

Dr Michael Lyons<br />

425 E Commerce St<br />

Hernando, MS 38632<br />

Phone: 662‐449‐3663<br />

County: DeSoto<br />

Podiatry<br />

Wenzler, Robert J<br />

Dr Michael Lyons<br />

928 E Goodman Rd<br />

Southaven, MS 38671<br />

Phone: 662‐470‐4608<br />

County: DeSoto<br />

Podiatry<br />

Cook, Joel M<br />

Drs Gold & Cook<br />

3804 Elvis Presley Blvd<br />

Memphis, TN 38116<br />

Phone: 901‐396‐2277<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Mantell, Gary M<br />

E Memphis Podiatry Group<br />

5180 Park Ave #220<br />

Memphis, TN 38119<br />

Phone: 901‐682‐4668<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Long, David H<br />

East Wood Clinic<br />

1323 E Wood St<br />

Paris, TN 38242<br />

Phone: 731‐642‐2011<br />

County: Henry<br />

Podiatry<br />

Bell, John E<br />

Excelsior Podiatry Clinic<br />

214 Lakeview Dr<br />

Somerville, TN 38068<br />

Phone: 901‐516‐4005<br />

County: Fayette<br />

Podiatry<br />

Protzel, Hugh R<br />

Foot & Ankle Center Of SE Mo<br />

522 Virginia St<br />

Sikeston, MO 63801<br />

Phone: 573‐472‐2202<br />

County: Scott<br />

Podiatry<br />

Caldwell, Eddy L<br />

Foot Care Of NE Ar<br />

406 E Washington<br />

Jonesboro, AR 72401<br />

Phone: 870‐933‐8900<br />

County: Craighead<br />

Podiatry<br />

Bradley Jr., Jesse H<br />

Foot Specia<strong>lists</strong> Of Ms<br />

1107 Earl Frye Blvd #2<br />

Amory, MS 38821<br />

Phone: 662‐257‐2357<br />

County: Monroe<br />

Podiatry<br />

Christensen, Vern M<br />

Foot Specia<strong>lists</strong> Of Ms<br />

1107 Earl Frye Blvd #2<br />

Amory, MS 38821<br />

Phone: 662‐257‐2357<br />

County: Monroe<br />

Podiatry<br />

Boles, Preston<br />

Greenwood Leflore Foot Ctr<br />

309 W Church St<br />

Greenwood, MS 38930<br />

Phone: 662‐453‐9004<br />

County: Leflore<br />

Podiatry<br />

Kirk, Patricia A<br />

Lexington Clinic Corp<br />

270 W Church St #A<br />

Lexington, TN 38351<br />

Phone: 731‐968‐2421<br />

County: Henderson<br />

Podiatry<br />

Nethery, Wendy M<br />

Magnolia Orthopaedic & Sports Medicine Clinic<br />

611 Alcorn Dr #100<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6369<br />

County: Alcorn<br />

Podiatry<br />

Webster, Chad Eric<br />

Mid‐South Foot & Ankle Specia<strong>lists</strong><br />

76 Capital Way Ste#E<br />

Atoka, TN 38004<br />

Phone: 901‐309‐7700<br />

County: Tipton<br />

Podiatry<br />

Webster, Julie Cathleen<br />

Mid‐South Foot & Ankle Specia<strong>lists</strong><br />

76 Capital Way Ste#E<br />

Atoka, TN 38004<br />

Phone: 901‐309‐7700<br />

County: Tipton<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 190


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Podiatry<br />

Herbstrith, Ami<br />

Mid‐South Foot & Ankle Specia<strong>lists</strong><br />

8200 Old Dexter Rd Ste#106<br />

Cordova, TN 38016<br />

Phone: 901‐309‐7700<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Herbstrith, Ami L<br />

Mid‐South Foot & Ankle Specia<strong>lists</strong><br />

8200 Old Dexter Rd Ste#106<br />

Cordova, TN 38016<br />

Phone: 901‐309‐7700<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Day Iii, Frederick Nicholas<br />

Ms County Hospital System<br />

1100 Medical Dr<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7523<br />

County: Mississippi<br />

Podiatry<br />

Williams, Carey Craig<br />

N Ms Foot Specia<strong>lists</strong><br />

1210 Office Park Dr #201<br />

Oxford, MS 38655<br />

Phone: 662‐513‐6600<br />

County: Lafayette<br />

Podiatry<br />

Lu, Elizabeth T<br />

Nw Tn Foot Clinic<br />

600 Hwy 51 Bypass<br />

Dyersburg, TN 38024<br />

Phone: 731‐589‐2602<br />

County: Dyer<br />

Podiatry<br />

Hutchison, Paul W<br />

Paul W. Hutchison Dpm<br />

7878 Winchester<br />

Memphis, TN 38125<br />

Phone: 901‐365‐3668<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Moinester, David M<br />

Podiatry Centers Of Memphis<br />

6575 Stage Rd<br />

Memphis, TN 38134<br />

Phone: 901‐382‐0393<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Kiel, Brian N<br />

Podiatry Centers Of Memphis<br />

995 S Yates Rd #2<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0461<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Horowitz, Brian<br />

Poplar Podiatry<br />

228 W Tyler #208<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐6500<br />

County: Crittenden<br />

Podiatry<br />

Ashbery, Thomas E.<br />

Poplar Podiatry<br />

1038 S Yates Rd<br />

Memphis, TN 38119<br />

Phone: 901‐681‐9141<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Shainberg, David G<br />

Poplar Podiatry<br />

1038 S Yates Rd<br />

Memphis, TN 38119<br />

Phone: 901‐681‐9141<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Zimmerman, Stephen H<br />

Poplar Podiatry<br />

1038 S Yates Rd<br />

Memphis, TN 38119<br />

Phone: 901‐681‐9141<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Martin, Carla Arnette<br />

Prime Foot Care<br />

9065 Sandidge Ctr Cv #C<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐0533<br />

County: DeSoto<br />

Podiatry<br />

Martin, Carla Arnette<br />

Prime Foot Care<br />

9065 Sandidge Ctr Cv #C<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐0533<br />

County: DeSoto<br />

Podiatry<br />

Steely, William M<br />

Steely Foot Clinic<br />

575 Mall Blvd #L2<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐3338<br />

County: Dyer<br />

Podiatry<br />

Raines, Stephen D<br />

Stephen D Raines Dpm<br />

1415 Reelfoot Ave<br />

Union City, TN 38261<br />

Phone: 731‐885‐0220<br />

County: Obion<br />

Podiatry<br />

Davis, Tyrone T<br />

Total Foot Care, Inc. Of Tn<br />

1204 Madison<br />

Memphis, TN 38104<br />

Phone: 901‐523‐7698<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Siciliano, Carl J<br />

Wolf River Family Footcare<br />

7424 Hwy 64 #119<br />

Bartlett, TN 38133<br />

Phone: 901‐381‐2800<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Tait, Laurel A<br />

Yalobusha General Hospital<br />

604 S Main St<br />

West Valley, MS 38965<br />

Phone: 662‐473‐4050<br />

County: Yalobusha<br />

Podiatry<br />

Juchheim, A M<br />

1300 Sunset Dr #P<br />

Grenada, MS 38901<br />

Phone: 662‐226‐3333<br />

County: Grenada<br />

Podiatry<br />

Calvert, Henry Earl<br />

713 Terry St<br />

Ripley, MS 38663<br />

Phone: 662‐837‐6083<br />

County: Tippah<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 191


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Podiatry<br />

Cawthon, Anthony Jerome<br />

2033 Greystone Park<br />

Jackson, TN 38305<br />

Phone: 731‐660‐3664<br />

County: Madison<br />

Podiatry<br />

Boyd, Bruce K<br />

1950 Pickwick St<br />

Savannah, TN 38372<br />

Phone: 731‐925‐3342<br />

County: Hardin<br />

Podiatry<br />

Hurst, Robert Darrin<br />

425 Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐9788<br />

County: Hardin<br />

Podiatry<br />

Khumalo, Bhekumuzi M<br />

302 S Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐732‐3131<br />

County: Crittenden<br />

Podiatry<br />

Duncan, Tracy<br />

511 N 6th<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐2326<br />

County: Mississippi<br />

Podiatry<br />

Robinson, Ricky L<br />

5145 Millbranch Ave<br />

Memphis, TN 38116<br />

Phone: 901‐332‐1567<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Langford, Jerry H<br />

1100 Halle Park Cir #101<br />

Collierville, TN 38017<br />

Phone: 901‐360‐0990<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Shwer, Brian I<br />

3051 Kir<strong>by</strong> Whitten Pkwy #5<br />

Bartlett, TN 38134<br />

Phone: 901‐383‐7272<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Chase, Steven K<br />

4387 Stage Rd<br />

Memphis, TN 38128<br />

Phone: 901‐386‐0525<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Erali, Richard P<br />

2120 Exeter Rd #200<br />

Germantown, TN 38138<br />

Phone: 901‐755‐3380<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Ognibene, Frank A<br />

2120 Exeter Rd #220<br />

Germantown, TN 38138<br />

Phone: 901‐757‐0045<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Rosenberg, Ronald E<br />

920 Estate Dr<br />

Memphis, TN 38119<br />

Phone: 901‐767‐7666<br />

County: Shel<strong>by</strong><br />

Podiatry<br />

Kirk, Patricia A<br />

270 W Church St #D<br />

Lexington, TN 38351<br />

Phone: 731‐249‐5230<br />

County: Henderson<br />

Podiatry<br />

Appling, Robert W<br />

3051 Kir<strong>by</strong> Whitten Pkwy #5<br />

Bartlett, TN 38134<br />

Phone: 901‐383‐7272<br />

County: Shel<strong>by</strong><br />

Prosthetics<br />

Precision Prosthetics<br />

1505 S. Perkins Rd.<br />

Memphis, TN 38117<br />

Phone: 901‐682‐1006<br />

County: Shel<strong>by</strong><br />

Psychiatric and Substance Abuse<br />

Treatment<br />

Parkwood Olive Branch Iop Office<br />

6911 Parkwood Dr.<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐7038<br />

County: Desoto<br />

Psychiatric and Substance Abuse<br />

Treatment<br />

Willowbrook Services‐ Columbus<br />

525 Willowbrook Road, Suite C<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2560<br />

County: Lowndes<br />

Psychiatry<br />

Blotner, Adrian Brian<br />

Adrian B Blotner Md<br />

6401 Poplar Ave #316<br />

Memphis, TN 38119<br />

Phone: 901‐761‐3255<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Binford, R Bailey<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Psychiatry<br />

Rich, Anthony<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Psychiatry<br />

Ryan, Colleen<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Psychiatry<br />

Beatus Jr., Benjamin L<br />

Baptist Memorial Medical Group Inc.<br />

2100 Exeter Rd<br />

Germantown, TN 38138<br />

Phone: 901‐757‐3414<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Jackson, Anthony W<br />

Batesville Hma Medical Group<br />

155 Keating Rd<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5636<br />

County: Panola<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 192


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychiatry<br />

Kumar, Parveen<br />

Batesville Hma Medical Group<br />

155 Keating Rd<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5636<br />

County: Panola<br />

Psychiatry<br />

Gantz‐Pannel, Sarah K<br />

Batesville Hma Medical Group<br />

155 Keating Rd<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5636<br />

County: Panola<br />

Psychiatry<br />

Black, Audria Kaye<br />

Black Holdings Group<br />

8000 Centerview Pkwy #104<br />

Cordova, TN 38018<br />

Phone: 901‐755‐6280<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Mukatira, Shubi Razdan<br />

Blues City Psychiatry<br />

5050 Poplar Ave #618<br />

Memphis, TN 38119<br />

Phone: 901‐682‐3535<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Ali, Saleem Akber<br />

Bmh‐Golden Triangle Inc<br />

525 Willowbrook Rd #C<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2560<br />

County: Lowndes<br />

Psychiatry<br />

Vydas, Saul<br />

Bmh‐Golden Triangle Inc<br />

525 Willowbrook Rd #C<br />

Columbus, MS 39705<br />

Phone: 662‐244‐2560<br />

County: Lowndes<br />

Psychiatry<br />

Smith, Stephen Keith<br />

Bmh‐Golden Triangle Inc<br />

2520 5th St N<br />

Columbus, MS 39703<br />

Phone: 662‐241‐5454<br />

County: Lowndes<br />

Psychiatry<br />

Digaetano, Dolores M<br />

Chamberlin Clinic<br />

8316 Macon Terrace #103<br />

Cordova, TN 38018<br />

Phone: 901‐757‐0568<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Augustus, Valerie Louise<br />

Christian Psychiatric Svcs<br />

2645 Appling Rd #103<br />

Memphis, TN 38133<br />

Phone: 901‐372‐0914<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Overstreet, Raymond G<br />

Community Counseling Services<br />

1001 Main St<br />

Columbus, MS 39701<br />

Phone: 662‐328‐9225<br />

County: Lowndes<br />

Psychiatry<br />

Akinwumiju, Olayinka Olaniyi<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Britton, Ernest L<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Britton, Ernest L<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Brtton, Ernest L<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Rao, Ashok B<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Rao, Ashok B<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Rao, Ashok B<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Saini, Tejinder S<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Saini, Tejinder S<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Saini, Tejinder S<br />

Healthquest<br />

58 Timber Creek Dr<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Sun, Zhiqiang<br />

Healthquest<br />

58 Timber Creek Dr.<br />

Cordova, TN 38018<br />

Phone: 901‐566‐1002<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 193


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychiatry<br />

Ali, Irfan<br />

Irfan Ali Md<br />

1715 Aaron Brenner Dr #326<br />

Memphis, TN 38120<br />

Phone: 901‐747‐2335<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Harris, John J<br />

John J Harris Md<br />

6263 Poplar Ave #535<br />

Memphis, TN 38119<br />

Phone: 901‐682‐3035<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Berry, Karen W<br />

Karen Berry Md<br />

1715 Aaron Brenner Dr #326<br />

Memphis, TN 38120<br />

Phone: 901‐405‐6474<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Rayudu, Subbulaxmi L<br />

Magnolia Counseling Assoc<br />

590 Hwy 6 E<br />

Batesville, MS 38606<br />

Phone: 662‐563‐8703<br />

County: Panola<br />

Psychiatry<br />

Morgan, Jack Colbert<br />

Medical Psychiatric Assoc<br />

6005 Park Ave #509<br />

Memphis, TN 38119<br />

Phone: 901‐766‐7500<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Ennis, Kenneth A<br />

Mental Health Resources<br />

1037 Cresthaven Rd<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6136<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Virk, Ejaz S<br />

Mid South Psychiatry<br />

3173 Kir<strong>by</strong> Whitten Rd #104<br />

Bartlett, TN 38134<br />

Phone:<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Salgueiro, Carlos A<br />

Midsouth Medicine‐Psychiatry<br />

208 N 5th St<br />

Blytheville, AR 72315<br />

Phone: 870‐763‐2461<br />

County: Mississippi<br />

Psychiatry<br />

Seay, Michael Bruce<br />

Midsouth Mental Health Svcs Inc<br />

1835 Union Ave #101<br />

Memphis, TN 38104<br />

Phone: 901‐319‐4942<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Lorenzo, Edilberto B<br />

New Medico Healthcare Corp<br />

1231 First St #2<br />

Kennett, MO 63857<br />

Phone: 870‐630‐8244<br />

County: Dunklin<br />

Psychiatry<br />

Singleton, Margaret<br />

Pemiscot Co Memorial Hospital<br />

907 E Reed<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3660<br />

County: Pemiscot<br />

Psychiatry<br />

Chandel, Vijaya K<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Psychiatry<br />

Katz, Gilbert M<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Psychiatry<br />

Rhodes, Charles T<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Psychiatry<br />

Swamy, Usha B<br />

Professional Care Svcs Of W TN Inc<br />

1997 Hwy 51 S<br />

Covington, TN 38019<br />

Phone: 901‐476‐8967<br />

County: Tipton<br />

Psychiatry<br />

Altaher, Mohammed Taher<br />

Psychiatry Group<br />

3173 Kir<strong>by</strong> Whitten Rd #104<br />

Bartlett, TN 38134<br />

Phone: 901‐384‐8040<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Smith, Eric L<br />

Psychiatry Group<br />

3173 Kir<strong>by</strong> Whitten Rd #104<br />

Bartlett, TN 38134<br />

Phone: 901‐384‐8040<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Woods, James R<br />

Psychiatry Group<br />

3173 Kir<strong>by</strong> Whitten Rd #104<br />

Bartlett, TN 38135<br />

Phone: 901‐384‐8040<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Akinwumiju, Olayinka Olaniyi<br />

Riverdale Behavioral Health<br />

8135 Goodman Rd<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4900<br />

County: DeSoto<br />

Psychiatry<br />

Buchalter, Robert<br />

Robert Buchalter Md & Assoc<br />

6005 Park Ave #524B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐0500<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Klosky, James L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 194


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychiatry<br />

Ahmed, Bilal<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Allen, David<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Grimaldi, John A<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Sakauye, Kenneth M<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Snyder, Linda B<br />

Ut Medical Group Inc<br />

135 N Pauline St<br />

Memphis, TN 38105<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Bell Jr, Iverson C<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Greene, James Allen<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Allen, David M<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2482<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Jaramillo, Juan Ramiro<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Sakauye, Kenneth M<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Williams, Susannah Taylor<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Rice, Steven N<br />

Vogelfanger & Struble Clinic<br />

6005 Park Ave #630B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐1136<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Struble, David<br />

Vogelfanger & Struble Clinic<br />

6005 Park Ave #630B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐1136<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Vogelfanger, Roger<br />

Vogelfanger & Struble Clinic<br />

6005 Park Ave #524B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐1136<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Wolters, William Clay<br />

William Wolters Md<br />

3173 Kir<strong>by</strong> Whitten Rd #104<br />

Bartlett, TN 38134<br />

Phone: 901‐384‐8040<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Evans, Isham Harrison<br />

401 E Jackson Ave<br />

Oxford, MS 38655<br />

Phone: 731‐986‐2933<br />

County: Lafayette<br />

Psychiatry<br />

Pang, Jim<br />

1601 Newcastle Rd<br />

Forrest City, AR 72335<br />

Phone: 870‐261‐0000<br />

County: Saint Francis<br />

Psychiatry<br />

King, Paul<br />

9075 Sandidge Rd<br />

Olive Branch, MS 38654<br />

Phone: 901‐277‐3053<br />

County: DeSoto<br />

Psychiatry<br />

Boyd, Daniel S<br />

2911 Brunswick Rd<br />

Memphis, TN 38133<br />

Phone: 901‐309‐3195<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Levitch, Melvyn A<br />

3960 Knight Arnold Rd #301<br />

Memphis, TN 38118<br />

Phone: 901‐369‐6933<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Brunt, C Hal<br />

2911 Brunswick Rd<br />

Memphis, TN 38133<br />

Phone: 901‐373‐0999<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Smith, Leslie E<br />

1540 Appling Care Ln #100<br />

Cordova, TN 38018<br />

Phone: 901‐377‐5891<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 195


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychiatry<br />

Tullis, Kenneth F<br />

5158 Stage Rd #120<br />

Memphis, TN 38134<br />

Phone: 901‐383‐1924<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Hill, Paul B<br />

1715 Aaron Brenner Dr #326<br />

Memphis, TN 38120<br />

Phone: 901‐405‐6440<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Safarik‐Grimmig, Jana E<br />

2670 Union Extd #1121<br />

Memphis, TN 38112<br />

Phone: 901‐458‐2960<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Goldin, Melvin L<br />

6401 Poplar Ave #318<br />

Memphis, TN 38119<br />

Phone: 901‐683‐0030<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Haykal, Radwan F<br />

6263 Poplar Ave #402<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4500<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Dacunha, Carl Maclin<br />

1715 Aaron Brenner Dr #326<br />

Memphis, TN 38120<br />

Phone: 901‐747‐2335<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Gordon, Martha Ann<br />

150 Timber Creek #6<br />

Cordova, TN 38018<br />

Phone: 901‐751‐4430<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Hoehn, Robert Gardell<br />

1384 Cordova Cv #1<br />

Germantown, TN 38138<br />

Phone: 901‐753‐7700<br />

County: Shel<strong>by</strong><br />

Psychiatry<br />

Anderson, Otis<br />

Batesville Hma Medical Group<br />

155 Keating Rd<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5636<br />

County: Panola<br />

Psychiatry<br />

Sidhu, Savira<br />

Wellness Clinic<br />

5740 Getwell Rd Bldg 4C<br />

Southaven, MS 38672<br />

Phone: 662‐892‐5000<br />

County: DeSoto<br />

Psychological Counseling<br />

Daybreak Treatment Center<br />

2262 South Germantown Road<br />

Germantown, TN 38138<br />

Phone: 901‐753‐4300<br />

County: Shel<strong>by</strong><br />

Psychological Counseling<br />

Mental Health Resources,<br />

1037 Cresthaven<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6136<br />

County: Shel<strong>by</strong><br />

Psychological Counseling<br />

Parkwood Batesville Outreach Office<br />

160 Highway 51 North<br />

Batesville, MS 38605<br />

Phone: 662‐563‐5407<br />

County: Panola<br />

Psychological Counseling<br />

Parkwood Cleveland Outreach Office<br />

201 East Sunflower #1<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐9999<br />

County: Bolivar<br />

Psychological Counseling<br />

Parkwood Grenada Outreach Office<br />

1321 II Sunset Drive<br />

Grenada, MS 38901<br />

Phone: 662‐227‐9733<br />

County: Grenada<br />

Psychological Counseling<br />

Parkwood Tupelo Outreach Office<br />

302‐C South Spring<br />

Tupelo, MS 38802<br />

Phone: 662‐287‐7574<br />

County: Lee<br />

Psychology<br />

Aronov, Neil E<br />

Associates In Psychology & Psychiatry<br />

5170 Sanderlin #204<br />

Memphis, TN 38117<br />

Phone: 901‐761‐2622<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Lee, Roland N<br />

Associates In Psychology & Psychiatry<br />

5170 Sanderlin #204<br />

Memphis, TN 38117<br />

Phone: 901‐761‐2622<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Serino, Robert M<br />

Associates In Psychology & Psychiatry<br />

5170 Sanderlin #204<br />

Memphis, TN 38117<br />

Phone: 901‐761‐2622<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Hollis, Allan R<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop St<br />

Union City, TN 38261<br />

Phone: 731‐884‐8203<br />

County: Obion<br />

Psychology<br />

Walls, Nanetta R<br />

Chamberlin Clinic<br />

8316 Macon Terrace #103<br />

Cordova, TN 38018<br />

Phone: 901‐757‐0568<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Baldick, Theodore L<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 196


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychology<br />

Deason, David M<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Garrott, Allison M<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Haynes, Bradley B<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Neal, Paul J<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Stenberg, Brent E<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Wood, Nikel Ar<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Long, Tonia L<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Rothwall, Priscilla<br />

Family Services Of North Ms<br />

2885 McCullough Blvd #F<br />

Tupelo, MS 38826<br />

Phone: 662‐796‐0700<br />

County: Lee<br />

Psychology<br />

Bishop, Geraldine Louise<br />

Geraldine Bishop Phd Inc<br />

1540 Appling Care Ln #100<br />

Cordova, TN 38016<br />

Phone: 901‐388‐1893<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Angelillo, Joseph C<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Crouse, Russell D<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Greenberg, Roy D<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Luscomb, Richard L<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Smith, Matthew Paul<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Wright, Patricia M<br />

Germantown Psychological Assoc<br />

7516 Enterprise Ave #1<br />

Germantown, TN 38138<br />

Phone: 901‐755‐5802<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Zaplac, Trudi<br />

Germantown Psychological Assoc<br />

832 W Poplar Ave #1<br />

Collierville, TN 38017<br />

Phone: 901‐757‐3520<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Little‐Hendren, Marsha<br />

Little & Assoc<br />

8830 Centre St #5<br />

Southaven, MS 38671<br />

Phone: 662‐510‐3986<br />

County: DeSoto<br />

Psychology<br />

Mealer, William F<br />

Mealer Psychological<br />

5668 S Rex Rd #101<br />

Memphis, TN 38119<br />

Phone: 901‐487‐4788<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Mealer, Cynthia Ziegler<br />

Mealer Psychological<br />

245 Germantown Bend Cv<br />

Cordova, TN 38018<br />

Phone: 901‐833‐1746<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Richie, Sarah D<br />

Memphis Neuropsychology<br />

8000 Centerview Pkwy #103<br />

Cordova, TN 38018<br />

Phone: 901‐737‐6677<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Wise, Edward A<br />

Mental Health Resources<br />

1037 Cresthaven<br />

Memphis, TN 38119<br />

Phone: 901‐682‐6136<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 197


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychology<br />

Lau, Sarah Bennett<br />

Midsouth Behavioral Health<br />

6810 Crumpler Blvd #302<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐1707<br />

County: DeSoto<br />

Psychology<br />

Amos, W Edward<br />

Optimum Behavioral Health Inc<br />

5384 Poplar Ave #313<br />

Memphis, TN 38119<br />

Phone: 901‐237‐0261<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Pourmotabbed, Tahere<br />

Psychiatry Group<br />

3173 Kir<strong>by</strong> Whitten Rd #104<br />

Bartlett, TN 38134<br />

Phone: 901‐384‐8040<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Conklin, Heather M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Crabtree, Valerie M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Garvie, Patricia A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Jurbergs, Andrea N<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Krull, Kevin R<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Lee, Elizabeth B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Miles, Mark A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Phipps, Sean<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Tyc, Vida L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Wilkins, Megan L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Yopp, Justin M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Murphy, Laura E<br />

UT Boling Ctr For Dd<br />

711 Jefferson Ave<br />

Memphis, TN 38105<br />

Phone: 901‐448‐6111<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Battle, Allen O<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Page, Ina J<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Coday, Mace C<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Rosenthal, Renate H<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Kores, Robert C<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Murphy, William D<br />

Ut Medical Group Inc<br />

920 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2400<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 198


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychology<br />

Marshall, Cecilia M<br />

426 S Lamar Blvd #3<br />

Oxford, MS 38655<br />

Phone: 662‐236‐2011<br />

County: Lafayette<br />

Psychology<br />

Wilson, Shirley A<br />

7160 Tchulahoma Bldg B #1<br />

Southaven, MS 38671<br />

Phone: 662‐349‐6658<br />

County: DeSoto<br />

Psychology<br />

Johnson, Joel I<br />

6244 Poplar Ave #200<br />

Memphis, TN 38119<br />

Phone: 662‐624‐5458<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Koranek, Margaret Elizabeth<br />

144 S Thomas St #104A<br />

Tupelo, MS 38801<br />

Phone: 662‐840‐2711<br />

County: Lee<br />

Psychology<br />

Vinick, Barry A<br />

6911 Parkwood Dr<br />

Olive Branch, MS 38654<br />

Phone: 662‐893‐7135<br />

County: DeSoto<br />

Psychology<br />

West‐Willette, Carolyn<br />

174 Murray Guard Dr #B<br />

Jackson, TN 38305<br />

Phone: 731‐668‐1137<br />

County: Madison<br />

Psychology<br />

Cox, Jane S<br />

5154 Stage Rd #102<br />

Memphis, TN 38134<br />

Phone: 731‐668‐5000<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Murphy, Philip E<br />

3238 Players Club Cir #65<br />

Memphis, TN 38125<br />

Phone: 731‐784‐5542<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Ziolko, Mary E<br />

206 N Fifth St<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐1883<br />

County: Mississippi<br />

Psychology<br />

Campbell, Matthew Warren<br />

2005 Harris Dr<br />

Oxford, MS 38655<br />

Phone: 870‐763‐0855<br />

County: Lafayette<br />

Psychology<br />

Hester, Samuel B<br />

260 Southwest Dr<br />

Jonesboro, AR 72401<br />

Phone: 870‐932‐1707<br />

County: Craighead<br />

Psychology<br />

Bailey, J Jolene<br />

2022 Exeter Rd #1<br />

Germantown, TN 38138<br />

Phone: 901‐218‐1835<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Delconte, Garry S<br />

2262 Germantown Rd S<br />

Germantown, TN 38138<br />

Phone: 901‐276‐8470<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Zinkus, Peter W<br />

777 Washington Ave #360<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6352<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Camp, Diane E<br />

5100 Poplar Ave #2700<br />

Memphis, TN 38137<br />

Phone: 901‐322‐6066<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Paul, Connie S<br />

5154 Stage Rd #102<br />

Memphis, TN 38134<br />

Phone: 901‐372‐9133<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Martin, Carolyn C<br />

1540 Appling Care Ln #100<br />

Cordova, TN 38016<br />

Phone: 901‐388‐1893<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Nichols, Wyatt Lee<br />

1540 Appling Care Ln #100<br />

Cordova, TN 38018<br />

Phone: 901‐388‐1893<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Winborn, Lisa C<br />

1540 Appling Care Ln #100<br />

Cordova, TN 38018<br />

Phone: 901‐388‐1893<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Smith, Judy Lynn<br />

5370 Estate Office Park Dr #1<br />

Memphis, TN 38119<br />

Phone: 901‐396‐4200<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Armstrong, David R<br />

6263 Poplar Ave #535<br />

Memphis, TN 38119<br />

Phone: 901‐428‐4810<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Weiss, Mark H<br />

2400 Poplar Ave #328<br />

Memphis, TN 38104<br />

Phone: 901‐454‐0205<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Leonard, Paul S<br />

7075 Golden Oaks Loop W<br />

Southaven, MS 38671<br />

Phone: 901‐485‐1848<br />

County: DeSoto<br />

Psychology<br />

Dermon, Joan F<br />

4646 Poplar Ave #413<br />

Memphis, TN 38117<br />

Phone: 901‐491‐1446<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 199


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychology<br />

Norvell, Roxanne<br />

5575 Poplar Ave #320<br />

Memphis, TN 38119<br />

Phone: 901‐550‐5376<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Malone, Christine M<br />

5600 Goodman Rd #B<br />

Olive Branch, MS 38654<br />

Phone: 901‐619‐7173<br />

County: DeSoto<br />

Psychology<br />

Foster, Dale S<br />

758 Walnut Knoll #101<br />

Cordova, TN 38018<br />

Phone: 901‐624‐0100<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Landau, Denise L<br />

65 Germantown Ct #417<br />

Cordova, TN 38018<br />

Phone: 901‐624‐3939<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Lyons, Beth A<br />

65 Germantown Ct #417<br />

Cordova, TN 38018<br />

Phone: 901‐624‐3939<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Johnston, Rose M<br />

4646 Poplar Ave #320<br />

Memphis, TN 38117<br />

Phone: 901‐682‐1477<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Parrish, J Kip<br />

5100 Poplar Ave #2700<br />

Memphis, TN 38137<br />

Phone: 901‐682‐4199<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Kara, Ashok<br />

5050 Poplar Ave #1610<br />

Memphis, TN 38157<br />

Phone: 901‐682‐7310<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Lemond, Carolyn<br />

5100 Poplar Ave #2740<br />

Memphis, TN 38137<br />

Phone: 901‐682‐7901<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Capooth, Roseanna P<br />

641 Oakleaf Office Ln #2<br />

Memphis, TN 38117<br />

Phone: 901‐685‐2148<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Siegel, Gloria S<br />

6263 Poplar Ave #940<br />

Memphis, TN 38119<br />

Phone: 901‐685‐2148<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Davis, Anna F<br />

3173 Kir<strong>by</strong> Pkwy #106<br />

Bartlett, TN 38134<br />

Phone: 901‐685‐9341<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Leech, Shirley J<br />

1331 Union Ave #847<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1284<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Donelson, Earle Garret<br />

35 S Auburndale<br />

Memphis, TN 38104<br />

Phone: 901‐729‐3900<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Thompson, Sharon Smith<br />

200 E Parkway N<br />

Memphis, TN 38112<br />

Phone: 901‐729‐3900<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Hawkes, Martha Nan<br />

7655 Poplar Ave #365<br />

Germantown, TN 38138<br />

Phone: 901‐751‐3571<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Cohen, Sheila L<br />

150 Timber Creek #6<br />

Cordova, TN 38018<br />

Phone: 901‐751‐4430<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Gentry, Sonny<br />

4646 Poplar Ave #326<br />

Memphis, TN 38117<br />

Phone: 901‐754‐9688<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Agostin, Tracy M<br />

8134 Country Village Dr #102<br />

Cordova, TN 38018<br />

Phone: 901‐756‐8398<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Clark, Lisa L<br />

8134 Country Village Dr #102<br />

Cordova, TN 38018<br />

Phone: 901‐756‐8398<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Henking, Barbara T<br />

8134 Country Village Dr #102<br />

Cordova, TN 38016<br />

Phone: 901‐756‐8398<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Mcphail, Ricky L<br />

8134 Country Village Dr #102<br />

Cordova, TN 38016<br />

Phone: 901‐756‐8398<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Murphy, Dan Q<br />

4646 Poplar Ave #413<br />

Memphis, TN 38117<br />

Phone: 901‐757‐0042<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Rose, Sheena E<br />

1922 Exeter Rd #106<br />

Germantown, TN 38138<br />

Phone: 901‐759‐0984<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 200


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Psychology<br />

Harris, Elizabeth A<br />

6263 Poplar Ave #932<br />

Memphis, TN 38119<br />

Phone: 901‐761‐1119<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Gentry, William R<br />

1922 Exeter Rd #7<br />

Germantown, TN 38138<br />

Phone: 901‐761‐1520<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Lawhead, Catherine A<br />

4646 Poplar Ave #326<br />

Memphis, TN 38117<br />

Phone: 901‐761‐1520<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Pate, Leanne<br />

4646 Poplar Ave #326<br />

Memphis, TN 38117<br />

Phone: 901‐761‐1520<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Jacobson, Howard A<br />

6005 Park Ave #512<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2370<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Kelley, Patricia A<br />

6005 Park Ave #512<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2370<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Sanford, Caroline G<br />

5154 Stage Rd #102<br />

Memphis, TN 38134<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Kronenberg, Mindy E<br />

5583 Murray Rd #208<br />

Memphis, TN 38119<br />

Phone: 901‐762‐4488<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Worley, Patricia J<br />

6263 Poplar Ave #932<br />

Memphis, TN 38119<br />

Phone: 901‐763‐0717<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Ross, Susan A<br />

6263 Poplar Ave #932<br />

Memphis, TN 38119<br />

Phone: 901‐763‐2188<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Winborn, Mark D<br />

5050 Poplar Ave #1633<br />

Memphis, TN 38157<br />

Phone: 901‐766‐1890<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Mccoy, John W<br />

4515 Poplar Ave #404<br />

Memphis, TN 38117<br />

Phone: 901‐767‐5782<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Chapman, Joel W<br />

1000 S Cooper St<br />

Memphis, TN 38104<br />

Phone: 901‐844‐4357<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Covey, Floyd L<br />

328 Poplar View Ln E #1<br />

Collierville, TN 38017<br />

Phone: 901‐854‐9030<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Kara, Ashok<br />

5050 Poplar Ave #1610<br />

Memphis, TN 38157<br />

Phone: 901‐682‐7310<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Stone, Jennifer A<br />

1000 S Cooper St<br />

Memphis, TN 38104<br />

Phone: 901‐844‐4357<br />

County: Shel<strong>by</strong><br />

Psychology<br />

Hart, Douglas J<br />

Christian Psychological Center<br />

3950 Central Ave<br />

Memphis, TN 38111<br />

Phone: 901‐458‐6291<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Evans, Jeffrey N<br />

BMHSI Of Ms<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐232‐8568<br />

County: Lafayette<br />

Pulmonary Medicine<br />

Shubair, Mohammed Kandil<br />

BMHSI Of MS<br />

2301 S Lamar Blvd #100<br />

Oxford, MS 38655<br />

Phone: 662‐234‐0119<br />

County: Lafayette<br />

Pulmonary Medicine<br />

Munir, Aman U<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3H<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐3003<br />

County: Coahoma<br />

Pulmonary Medicine<br />

Taylor, Susan G<br />

Columbus Lung Physicians<br />

425 Hospital Dr #1<br />

Columbus, MS 39705<br />

Phone: 662‐327‐8455<br />

County: Lowndes<br />

Pulmonary Medicine<br />

Busch, Lance E<br />

Columbus Pulmonary Clinic<br />

255 Baptist Blvd #302<br />

Columbus, MS 39705<br />

Phone: 662‐327‐3195<br />

County: Lowndes<br />

Pulmonary Medicine<br />

Mcalpin, B Wayne<br />

Corinth Pulmonary Clinic<br />

209 N Harper Rd<br />

Corinth, MS 38834<br />

Phone: 662‐286‐1901<br />

County: Alcorn<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 201


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pulmonary Medicine<br />

Mcgehee, John L<br />

Inpatient Physicians Of The Mid South<br />

6263 Poplar Ave #1052<br />

Memphis, TN 38119<br />

Phone: 901‐761‐6157<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Mccartney, Jeffrey P<br />

Madison Clinic Corp<br />

174 Murray Guard Dr<br />

Jackson, TN 38305<br />

Phone: 731‐660‐6168<br />

County: Madison<br />

Pulmonary Medicine<br />

Dalvi, Anant G<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Pulmonary Medicine<br />

Adams, James Bo W<br />

Memphis Critical Care Associates<br />

3960 Knight Arnold Rd #215A<br />

Memphis, TN 38118<br />

Phone: 901‐369‐6015<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Hofmann, Marc Eugene<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Panton‐Latouche, Suzetteann Denise<br />

Memphis Lung Physicians Foundation Inc<br />

401 Southcrest Cir #212<br />

Southaven, MS 38671<br />

Phone: 901‐767‐5864<br />

County: DeSoto<br />

Pulmonary Medicine<br />

Ratnakant, Sanjay<br />

Memphis Lung Physicians Foundation Inc<br />

401 Southcrest Cir #212<br />

Southaven, MS 38671<br />

Phone: 901‐767‐5864<br />

County: DeSoto<br />

Pulmonary Medicine<br />

Wollak, Istvan David<br />

Memphis Lung Physicians Foundation Inc<br />

401 Southcrest Cir #212<br />

Southaven, MS 38671<br />

Phone: 901‐767‐5864<br />

County: DeSoto<br />

Pulmonary Medicine<br />

Burbeck, Joy Carol<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Golden, Emmel B<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Richards, William S<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Smith, C Michael<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Trew, Gary F<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Wilons, Michael D<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Wright, Jeffrey Glen<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Schriner, Robert W<br />

Memphis Lung Physicians Foundation Inc<br />

1500 W Poplar Ave #206<br />

Collierville, TN 38017<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Abouchala, Nabil<br />

Memphis Lung Physicians Foundation Inc<br />

6025 Walnut Grove Rd #508<br />

Memphis, TN 38120<br />

Phone: 901‐767‐5864<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Chase, David G<br />

N Ms Pulmonology Clinic Inc<br />

100 Hospital St #300<br />

Booneville, MS 38829<br />

Phone: 662‐728‐2147<br />

County: Prentiss<br />

Pulmonary Medicine<br />

Shirazee, Syed H<br />

Smz Specia<strong>lists</strong><br />

76 Doctors Dr<br />

Munford, TN 38058<br />

Phone: 901‐840‐4446<br />

County: Tipton<br />

Pulmonary Medicine<br />

Headley, A Stacey<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Freire, Amado Xavier<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 202


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Pulmonary Medicine<br />

Meduri, G Umberto<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Yataco, Joseph C<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8803<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Muthiah, Muthiah Pugazhenthi<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Sinclair, Scott E<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Soskel, Norman<br />

6005 Park Ave #501<br />

Memphis, TN 38119<br />

Phone: 901‐761‐5877<br />

County: Shel<strong>by</strong><br />

Pulmonary Medicine<br />

Henderson, Todd M<br />

Memphis Lung Physicians Foundation Inc<br />

401 Southcrest Cir #212<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0488<br />

County: DeSoto<br />

Radiation Oncology<br />

Lee, Jea Youl<br />

Baptist Memorial Medical Group Inc<br />

55 Humphreys Ctr Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0340<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Marks, Michael Edward<br />

Baptist Memorial Medical Group Inc<br />

55 Humphreys Ctr Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0340<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Burnett, John Arthur<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 901‐683‐0055<br />

County: Desoto<br />

Radiation Oncology<br />

Monaghan, Thomas Walker<br />

Baptist Memorial Medical Group Inc<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 901‐683‐0055<br />

County: Desoto<br />

Radiation Oncology<br />

Kumar, P Pradeep<br />

Baptist Memorial Medical Group Inc<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Ghandour, Omar Faruk<br />

Boston Baskin Cancer Foundation Inc<br />

2996 Kate Bond Rd # 100<br />

Bartlett, TN 38133<br />

Phone: 901‐383‐5590<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Koerner, Paul D<br />

Cancer Care Ctr Of Jackson<br />

322 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐668‐1668<br />

County: Madison<br />

Radiation Oncology<br />

Permenter, William D<br />

Cancer Care Ctr Of Jackson<br />

322 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐668‐1668<br />

County: Madison<br />

Radiation Oncology<br />

Tibbs, Martha K<br />

Radiation Oncology Memphis<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2050<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Chen, Quan<br />

Radiation Oncology Memphis<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3213<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Krasin, Matthew J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Kun, Larry E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Merchant, Thomas Edward<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Pai‐Panandiker, Atmaram Shambhu<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiation Oncology<br />

Roberge, David<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 203


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiation Oncology<br />

Peacock, Loverd<br />

William F Richards Md<br />

271 W Polk<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐5912<br />

County: Crittenden<br />

Radiation Oncology<br />

Jones, Robert H<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐4673<br />

County: Lowndes<br />

Radiation Oncology<br />

Cantrell, John E<br />

504 Azalea<br />

Oxford, MS 38655<br />

Phone: 662‐513‐9650<br />

County: Lafayette<br />

Radiation Oncology<br />

Richards, William F<br />

581 Medical Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8731<br />

County: Coahoma<br />

Radiation Oncology<br />

Triplett, Jeffrey T<br />

1201 Bishop St<br />

Union City, TN 38261‐5403<br />

Phone: 731‐884‐8611<br />

County: Obion<br />

Radiation Oncology<br />

Cotter, Gregory William<br />

Baptist Memorial Medical Group<br />

55 Humphreys Ctr Dr #100<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0340<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Decosta, Brian Richard<br />

Advanced Radiology<br />

367 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 800‐274‐7777<br />

County: Madison<br />

Radiology<br />

Lundy, Michael M<br />

Advanced Radiology<br />

367 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 800‐274‐7777<br />

County: Madison<br />

Radiology<br />

Mccrudden, Brian E<br />

Advanced Radiology<br />

367 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 800‐274‐7777<br />

County: Madison<br />

Radiology<br />

Perchik, Joel<br />

Advanced Radiology<br />

367 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 800‐274‐7777<br />

County: Madison<br />

Radiology<br />

Perkins, Charles Lee<br />

Advanced Radiology<br />

367 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 800‐274‐7777<br />

County: Madison<br />

Radiology<br />

Allison, Jack R<br />

Clinical Radiologist<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7355<br />

County: Carroll<br />

Radiology<br />

Borders, Trent Wade<br />

Clinical Radiologist<br />

631 R B Wilson Dr<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐7355<br />

County: Carroll<br />

Radiology<br />

Radiology, Delta<br />

Delta Radiology<br />

901 Hwy 8 E<br />

Cleveland, MS 38732<br />

Phone: 662‐846‐0061<br />

County: Bolivar<br />

Radiology<br />

Atkinson, Edward<br />

Diagnostic Imaging<br />

6401 Poplar Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐387‐2340<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Duke, Robert A<br />

Diagnostic Imaging<br />

6401 Poplar Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐387‐2340<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Herrington, Clarence G<br />

Diagnostic Imaging<br />

6401 Poplar Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐387‐2340<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Parvey, Louis S<br />

Diagnostic Imaging<br />

6401 Poplar Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐387‐2340<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Murray, Ian F<br />

Diagnostic Imaging<br />

200 Tyler St<br />

West Memphis, AR 72301<br />

Phone: 901‐766‐0969<br />

County: Crittenden<br />

Radiology<br />

Flinn, George S<br />

Diagnostic Ultrasound Consultants<br />

1300 Wolf Park Dr<br />

Germantown, TN 38138<br />

Phone: 901‐756‐5141<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Bhushan, Vikas<br />

Dunne Medical<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7369<br />

County: Mississippi<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 204


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiology<br />

Dunne, James Patrick<br />

Dunne Medical<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7369<br />

County: Mississippi<br />

Radiology<br />

Hudkins, Matthew G<br />

Dunne Medical<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7369<br />

County: Mississippi<br />

Radiology<br />

Schulze, Eric S<br />

Dunne Medical<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7369<br />

County: Mississippi<br />

Radiology<br />

Dahlke, Charles B<br />

Golden Triangle Radiology<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐1000<br />

County: Lowndes<br />

Radiology<br />

Ellis, Mark L<br />

Golden Triangle Radiology<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐244‐1000<br />

County: Lowndes<br />

Radiology<br />

Kochanski, Sandra C<br />

Helena Radiology Inc<br />

1801 Martin Luther King Dr<br />

Helena, AR 72342<br />

Phone: 870‐816‐3920<br />

County: Phillips<br />

Radiology<br />

Crandell, Donna C<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Crandell, Merwyn M<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Derr, David R<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Edwards, Michael Ernest<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Lohmeier, Justin R<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Schaff, David C<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Sexton, Robert Graham<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Skelton, Brandon Wayne<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Tidwell, William Dean<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Williams, Ralph Edward<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1466<br />

County: Alcorn<br />

Radiology<br />

Bergmann, Christoph A<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐821‐1831<br />

County: Alcorn<br />

Radiology<br />

Waits, Samuel Jacob<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐821‐1831<br />

County: Alcorn<br />

Radiology<br />

Cole, Richard K<br />

Imaging Assoc Of N MS Magnolia<br />

611 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐821‐1831<br />

County: Alcorn<br />

Radiology<br />

Jones, Mark Allen<br />

Independent Radiology Assoc<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

Radiology<br />

Legan, John M<br />

Independent Radiology Assoc<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 205


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiology<br />

Thompson, Thomas R<br />

Independent Radiology Assoc<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

Radiology<br />

Wolfe, James H<br />

Independent Radiology Assoc<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

Radiology<br />

Cohen, David B<br />

Lexington Hospital Corporation<br />

200 W Church St<br />

Lexington, TN 38351<br />

Phone: 877‐848‐1463<br />

County: Henderson<br />

Radiology<br />

Green, John A<br />

Lexington Hospital Corporation<br />

200 W Church St<br />

Lexington, TN 38351<br />

Phone: 877‐848‐1463<br />

County: Henderson<br />

Radiology<br />

Bristow, Arthur B<br />

Medical Imaging Of Grenada<br />

960 Avent Dr<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7082<br />

County: Grenada<br />

Radiology<br />

Brady, Michael B<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Cowles, Stefan J<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Hamilton, Fred H<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Owens, Donald<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Pinstein, Martin L<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Roberts, Larry<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Roney, Ronald S<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Thomas, James E<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Thompson, Terry L<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Vu, Loi T<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Warner, Ronnie<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2190<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Mills, Mark R<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐2191<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Green, Jeffrey W<br />

Memphis Physicians Radiological Group<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐3213<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Acker, James D<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Barr, John Dean<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Buchignani, John S<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 206


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiology<br />

Didier, Scott David<br />

Midsouth Imaging & Therapeutics<br />

6305 Humphreys Blvd #205<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Eggers, Frank M<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Eisenberg, Alan D<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Ellzey, John Andrew<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Gallimore, George W<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Garner, Dewey Duane<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Horras, Randy Joseph<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Krisle, Joe R<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Lewis, Errol<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Lipman, Craig Laurence<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Machin, James E<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Magill, H Lynn<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Mcleod, Alan J<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Moinuddin, Mohammed<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Nauert, Timothy C<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Optican, Robert J<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Owen, Virginia S<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Parthasarathy, Ranganathan<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Sherwood, Scot Hamilton<br />

Midsouth Imaging & Therapeutics<br />

6305 Humphreys Blvd #205<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Tanner, Paul R<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Thomas, Lloyd R<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 207


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiology<br />

Tonkin, Allen K<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Witte, Dexter H<br />

Midsouth Imaging & Therapeutics<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Boughner, Brice<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Gray, Robert L<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Gunn, Mark G<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Jordan, B J<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Jordan, Covin Mckinley<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Lawrence, William Keith<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Norris, Virgil L<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Sneed, Thomas A<br />

Radiology Assoc Of Oxford<br />

2301 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Abraham, Jacob<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Amminger, Peter B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Creasy, Jeffrey L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Ferraro, Francis<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Fletcher, Barry D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Getachew, Mekasha M<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Gold, Robert E<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Harr, David L<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Helton, Kathleen J<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Kaste, Sue C<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Mallampati, Gautham<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 208


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiology<br />

Mcallister, Ashford<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Mccarville, Mary B<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Miller, Anna<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Payne, Steven D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Pretorius, Eugene S<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Sabin, Noah D<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Salazar, Jorge A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Stephenson, Carol A<br />

Sjcrh<br />

262 Danny Thomas Pl<br />

Memphis, TN 38105<br />

Phone: 901‐595‐4055<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Choudhri, Asim F<br />

UT Lebonheur Pediatric Specia<strong>lists</strong> Inc<br />

50 N Dunlap St<br />

Memphis, TN 38103<br />

Phone: 901‐287‐6041<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Hadley, Jonathan<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Shankar, Sridhar<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Ut Medical Group Inc, (Radiology)<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐2300<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Cramer, Timothy Jay<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐8699<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Peeler, David W<br />

Vascular Access Of Memphis<br />

401 Getwell Dr.<br />

Senatobia, MS 38668<br />

Phone: 901‐619‐2068<br />

County: Tate<br />

Radiology<br />

Dougan, Max R<br />

Vascular Access Of Memphis<br />

401 Getwell Dr.<br />

Senatobia, MS 38668<br />

Phone: 901‐619‐2068<br />

County: Tate<br />

Radiology<br />

Lee, Bonmyong Bora<br />

Womans Diagnostic Group<br />

50 Humphreys Blvd # 23<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0810<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Buckley Jr, Madison H<br />

Womans Diagnostic Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9600<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Lee, Bonmyong Bora<br />

Womans Diagnostic Group<br />

50 Humphreys Blvd # 23<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9600<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Orcutt, Marsha J<br />

Womans Diagnostic Group<br />

50 Humphreys Blvd # 23<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0810<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Armstrong, Marsha Christine<br />

Womens Diagnostic Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9600<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Gayden, Evelyn W<br />

Womens Diagnostic Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9600<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 209


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Radiology<br />

Glenn, Martha Elizabeth<br />

Womens Diagnostic Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9600<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Mize, Anna E<br />

Womens Diagnostic Group<br />

6215 Humphreys Blvd #100<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9600<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Miles, Brendan M<br />

411B S Main St<br />

Amory, MS 38821<br />

Phone: 662‐256‐5807<br />

County: Monroe<br />

Radiology<br />

Radiology Pa, Golden Triangle<br />

2520 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐328‐2476<br />

County: Lowndes<br />

Radiology<br />

Radiology Assoc Plc, Independent<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

Radiology<br />

Radiology Pc, Advanced<br />

367 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 800‐274‐7777<br />

County: Madison<br />

Radiology<br />

Of Arkansas Pllc, Ntnl Radiology Group<br />

Division & Highland Sts<br />

Blytheville, AR 72315<br />

Phone: 870‐261‐7000<br />

County: Mississippi<br />

Radiology<br />

Ferguson, Edgar Scott<br />

200 S Rhodes #B<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐5555<br />

County: Crittenden<br />

Radiology<br />

Of Arkansas Pllc, Ntnl Radiology Group<br />

1‐40 at Hwy 284<br />

Forrest City, AR 72335<br />

Phone: 870‐838‐7300<br />

County: Saint Francis<br />

Radiology<br />

Medical Ltd, Dunne<br />

1520 N Division St<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7369<br />

County: Mississippi<br />

Radiology<br />

Corporation, Lexington Hospital<br />

200 W Church St<br />

Lexington, TN 38351<br />

Phone: 877‐848‐1463<br />

County: Henderson<br />

Radiology<br />

And Therapeutics Pa, Mid South Imaging<br />

6305 Humphreys Blvd #205<br />

Memphis, TN 38120<br />

Phone: 901‐747‐1000<br />

County: Shel<strong>by</strong><br />

Radiology<br />

Of Oxford, Radiology Assoc<br />

2301 S Lamar<br />

Oxford, MS 38655<br />

Phone: 901‐755‐7001<br />

County: Lafayette<br />

Radiology<br />

Gray, Richard Ian<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Radiology / Diagnostic<br />

Gaycken, Bettina Anne Margaret<br />

Womans Diagnostic Group<br />

50 Humphreys Blvd # 23<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0810<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Aelion, Jacob A<br />

Arthritis Clinic<br />

371 N Parkway #400<br />

Jackson, TN 38305<br />

Phone: 731‐664‐0002<br />

County: Madison<br />

Rheumatology<br />

Dayal, Nimesh<br />

Arthritis Clinic<br />

371 N Parkway #400<br />

Jackson, TN 38305<br />

Phone: 731‐664‐0002<br />

County: Madison<br />

Rheumatology<br />

Odhav, Satish K<br />

Arthritis Clinic<br />

371 N Parkway #400<br />

Jackson, TN 38305<br />

Phone: 731‐664‐0002<br />

County: Madison<br />

Rheumatology<br />

Eddleman, Kirk Cooper<br />

Family Cancer Ctr<br />

504 Azalea Dr. #A<br />

Oxford, MS 38655<br />

Phone: 662‐236‐7738<br />

County: Lafayette<br />

Rheumatology<br />

Lodhi, Abdul<br />

Macon Primary Care Clinic<br />

606 N Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4264<br />

County: Noxubee<br />

Rheumatology<br />

Marker, Howard W<br />

Memphis Medical Specia<strong>lists</strong> Inc<br />

6005 Park Ave #200<br />

Memphis, TN 38119<br />

Phone: 901‐761‐2100<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 210


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Rheumatology<br />

Pattanaik, Debendra N<br />

Midsouth Internists<br />

6025 Walnut Grove Rd #417<br />

Memphis, TN 38120<br />

Phone: 901‐537‐1892<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Chapman, Cathy M<br />

Rheumatology & Dermatology Assoc<br />

5210 Poplar Ave #150<br />

Memphis, TN 38119<br />

Phone: 901‐683‐9926<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Ganguli, Sudha N<br />

Rheumatology <strong>Specialty</strong> Clinic<br />

7660 Poplar Pike<br />

Germantown, TN 38138<br />

Phone: 901‐753‐8633<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Ganguli, Sudha N<br />

Rheumatology <strong>Specialty</strong> Clinic<br />

7660 Poplar Pike<br />

Germantown, TN 38138<br />

Phone: 901‐753‐8633<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Alissandratos, Jane K<br />

Rheumatology/Osteoporosis Ctr Of<br />

Memphis<br />

540 Trinity Creek Cv<br />

Cordova, TN 38018<br />

Phone: 901‐309‐5000<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Arkin, Charles R<br />

Rheumatology/Osteoporosis Ctr Of<br />

Memphis<br />

540 Trinity Creek Cv<br />

Cordova, TN 38018<br />

Phone: 901‐309‐5000<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Ash, Judy D<br />

Rheumatology/Osteoporosis Ctr Of<br />

Memphis<br />

540 Trinity Creek Cv<br />

Cordova, TN 38018<br />

Phone: 901‐309‐5000<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Boatright, Michael David<br />

Rheumatology/Osteoporosis Ctr Of<br />

Memphis<br />

540 Trinity Creek Cv<br />

Cordova, TN 38018<br />

Phone: 901‐309‐5000<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Holt, Huey T<br />

Rheumatology/Osteoporosis Ctr Of<br />

Memphis<br />

540 Trinity Creek Cv<br />

Cordova, TN 38018<br />

Phone: 901‐309‐5000<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Pattanaik, Debendra N<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐448‐7000<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Kang, Andrew H<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Carbone, Laura D<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #365<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8810<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Menon, Yamini<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8809<br />

County: Shel<strong>by</strong><br />

Rheumatology<br />

Gupta, Ramesh C<br />

6005 Park Ave #409<br />

Memphis, TN 38119<br />

Phone: 901‐681‐9670<br />

County: Shel<strong>by</strong><br />

Spine Surgery<br />

Linville, Douglas A<br />

Spine <strong>Specialty</strong> Center<br />

6005 Park Ave #400<br />

Memphis, TN 38119<br />

Phone: 901‐767‐9500<br />

County: Shel<strong>by</strong><br />

Sports Medicine<br />

Lendermon, Laura Nell<br />

Collierville Orthopedics & Sports Medicine<br />

1458 W Poplar Ave #200<br />

Collierville, TN 38017<br />

Phone: 901‐850‐1150<br />

County: Shel<strong>by</strong><br />

Surgery / Colon / Rectal<br />

Fox, Michael M<br />

Midsouth Rectal Clinic Corp<br />

3960 Knight Arnold Rd #206<br />

Memphis, TN 38118<br />

Phone: 901‐362‐5252<br />

County: Shel<strong>by</strong><br />

Surgery / CV / Thoracic<br />

Herrera, Fernando A<br />

Fernando A Herrera Md<br />

6027 Walnut Grove Rd #318<br />

Memphis, TN 38120<br />

Phone: 901‐761‐1181<br />

County: Shel<strong>by</strong><br />

Surgery / CV / Thoracic<br />

Parsons, Billy D<br />

Magnolia Cardiovascular & Thoracic Clinic<br />

611 Alcorn Dr #200<br />

Corinth, MS 38834<br />

Phone: 662‐665‐4660<br />

County: Alcorn<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 211


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / CV / Thoracic<br />

Khandekar, Alim<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #220<br />

Memphis, TN 38104<br />

Phone: 901‐725‐9450<br />

County: Shel<strong>by</strong><br />

Surgery / CV / Thoracic<br />

Yoon, Pyongsoo David<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #220<br />

Memphis, TN 38104<br />

Phone: 901‐725‐9450<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Gross, Russell J<br />

Baptist Memorial Medical Group Inc<br />

1995 Hwy 51 S #101<br />

Covington, TN 38019<br />

Phone: 901‐476‐9921<br />

County: Tipton<br />

Surgery / General<br />

Grisham, Andre D<br />

Baptist Memorial Medical Group Inc<br />

1500 W Poplar Ave #308<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Feller, Joseph H<br />

Baptist Memorial Medical Group Inc<br />

100 Hospital St #100A<br />

Booneville, MS 38829<br />

Phone: 662‐720‐3035<br />

County: Prentiss<br />

Surgery / General<br />

Katz, Peter L<br />

Baptist Memorial Medical Group Inc.<br />

1109 E. Reelfoot Ave #A<br />

Union City, TN 38261<br />

Phone: 731‐886‐0811<br />

County: Obion<br />

Surgery / General<br />

Pedigo, Phillip A<br />

Baptist Memorial Medical Group Inc.<br />

2100 Exeter Rd<br />

Germantown, TN 38138<br />

Phone: 901‐757‐3414<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Smith, Lovell Bernard<br />

Baptist Memorial Medical Group Inc.<br />

1500 W Poplar Ave #308<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Farmer, Guy R<br />

BMHSI Of Ms<br />

232 Starlyn Ave<br />

New Albany, MS 38652<br />

Phone: 662‐534‐5891<br />

County: Union<br />

Surgery / General<br />

Oliphant, Jason Lee<br />

Christ Community Health Svcs<br />

1211 Union Ave #200<br />

Memphis, TN 38104<br />

Phone: 901‐271‐0330<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Schultz, Sarah E<br />

Christ Community Health Svcs<br />

1211 Union Ave #200<br />

Memphis, TN 38104<br />

Phone: 901‐271‐0330<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Adeleye, Jaiyeola O<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3F<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5026<br />

County: Coahoma<br />

Surgery / General<br />

Cathey, Reginald Lamont<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3F<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5026<br />

County: Coahoma<br />

Surgery / General<br />

Cathey, Reginald Lamont<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3F<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5026<br />

County: Coahoma<br />

Surgery / General<br />

Major, James W<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #1G<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐8000<br />

County: Coahoma<br />

Surgery / General<br />

Burnsed, David W<br />

Clarksdale Hma Physician Mgmt<br />

785 Ohio Ave #3B<br />

Clarksdale, MS 38614<br />

Phone: 662‐624‐5026<br />

County: Coahoma<br />

Surgery / General<br />

Stennett, Jerry L<br />

Columbus Surgery<br />

255 Baptist Blvd #307<br />

Columbus, MS 39705<br />

Phone: 662‐328‐1862<br />

County: Lowndes<br />

Surgery / General<br />

Edmonson, James D<br />

Corinth Surgical Clinic Inc<br />

703 Alcorn Dr #111<br />

Corinth, MS 38834<br />

Phone: 662‐286‐3735<br />

County: Alcorn<br />

Surgery / General<br />

Wood, Janice C<br />

Drs Morisy & Wood Plc<br />

6025 Walnut Grove Rd #201<br />

Memphis, TN 38120<br />

Phone: 901‐685‐6066<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Brunson, Bernie Lee<br />

Dyersburg Clinic Corp<br />

1716 Parr Ave #F<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Surgery / General<br />

Hartzheim, Paul David<br />

Dyersburg Clinic Corp<br />

1716 Parr Ave #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐288‐7250<br />

County: Dyer<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 212


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / General<br />

Mcwhirt, Edward B<br />

Edward B Mcwhirt Md<br />

1029 Medical Ctr Cir #401B<br />

Mayfield, KY 42066<br />

Phone: 270‐251‐4400<br />

County: Graves<br />

Surgery / General<br />

Jackson, Steven M<br />

Forrest City Clinic Co<br />

904 Holiday Dr #402<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐5500<br />

County: Saint Francis<br />

Surgery / General<br />

Woodman, George Ellis<br />

George E Woodman Md<br />

6029 Walnut Grove Rd #100<br />

Memphis, TN 38120<br />

Phone: 901‐869‐2000<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Miller, George Maurice<br />

George M Miller Jr Md<br />

1300 Sunset Dr #R<br />

Grenada, MS 38901<br />

Phone: 662‐226‐7540<br />

County: Grenada<br />

Surgery / General<br />

Stokes, Myron C<br />

Grenada Lake Medical Center<br />

965 Avent Dr #102<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7492<br />

County: Grenada<br />

Surgery / General<br />

Smith, Chadwick P<br />

Hardin Co Reg Health Ctr<br />

765 Florence Rd<br />

Savannah, TN 38372<br />

Phone: 731‐925‐2300<br />

County: Hardin<br />

Surgery / General<br />

Rao, Gade S<br />

Hmc Physicians Svcs Inc<br />

935 Wayne Rd<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8090<br />

County: Hardin<br />

Surgery / General<br />

Carty, Calphor Stanford<br />

Huntingdon Surgical<br />

641 R B Wilson Dr #J<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐8623<br />

County: Carroll<br />

Surgery / General<br />

Jernigan, Thomas W<br />

Jernigan Surgery Clinic<br />

1205 Russell St<br />

Union City, TN 38261<br />

Phone: 731‐884‐0002<br />

County: Obion<br />

Surgery / General<br />

Jonas, Karl C<br />

Karl C Jonas Jr Md<br />

1995 Hwy 51 S #204<br />

Covington, TN 38019<br />

Phone: 901‐476‐9087<br />

County: Tipton<br />

Surgery / General<br />

Grimm, Leander M<br />

Lee M Grimm Md<br />

7580 Clarington Cv #3<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0311<br />

County: DeSoto<br />

Surgery / General<br />

Edwards, George T<br />

Madison Clinic Corp<br />

379 Hospital Blvd<br />

Jackson, TN 38305<br />

Phone: 731‐660‐3476<br />

County: Madison<br />

Surgery / General<br />

Tozer Ii, Kenneth H<br />

Madison Clinic Corp<br />

4022 Liberty St<br />

Milan, TN 38358<br />

Phone: 731‐686‐7004<br />

County: Gibson<br />

Surgery / General<br />

Saridakis, Michael A<br />

Madison Clinic Corp<br />

379 Hospital Blvd #101<br />

Jackson, TN 38305<br />

Phone: 731‐984‐7005<br />

County: Madison<br />

Surgery / General<br />

Thomas, George E<br />

Madison Clinic Corp<br />

379 Hospital Blvd #101<br />

Jackson, TN 38305<br />

Phone: 731‐984‐7005<br />

County: Madison<br />

Surgery / General<br />

Johnson, Mathew B<br />

Magnolia Professional Assoc<br />

703 Alcorn Dr #105<br />

Corinth, MS 38834<br />

Phone: 662‐286‐2522<br />

County: Alcorn<br />

Surgery / General<br />

Gregory, Ray N<br />

Magnolia Surgical Group<br />

618 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐286‐6901<br />

County: Alcorn<br />

Surgery / General<br />

Caceres, Manuel<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Surgery / General<br />

Davis, Dennis Allan<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Surgery / General<br />

Sutton, Herbert Lee<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Surgery / General<br />

Thompson, Keith E<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 213


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / General<br />

Mason, Harvey F<br />

Mason Surgical Clinic<br />

301 Oxford Rd<br />

New Albany, MS 38652<br />

Phone: 662‐534‐7474<br />

County: Union<br />

Surgery / General<br />

Mcclanahan, Jan T<br />

Mcclanahan & Vallette Surgical Assoc<br />

2600 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐241‐4223<br />

County: Lowndes<br />

Surgery / General<br />

Vallette, Richard C<br />

Mcclanahan & Vallette Surgical Assoc<br />

2600 5th St N<br />

Columbus, MS 39705<br />

Phone: 662‐241‐4223<br />

County: Lowndes<br />

Surgery / General<br />

Avenel, Paul A<br />

Mcnairy Clinic Corp<br />

705 E Poplar Ave<br />

Selmer, TN 38375<br />

Phone: 731‐646‐2181<br />

County: McNairy<br />

Surgery / General<br />

Edwards, Norma M<br />

Memphis Surgery Assoc<br />

6005 Park Ave #821B<br />

Memphis, TN 38119<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Fleming, Martin D<br />

Memphis Surgery Assoc<br />

1325 Eastmoreland Ave #580<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Francis, Hugh<br />

Memphis Surgery Assoc<br />

6005 Park Ave #821B<br />

Memphis, TN 38119<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Gibson, David Benjamin<br />

Memphis Surgery Assoc<br />

2996 Kate Bond Rd #309<br />

Memphis, TN 38134<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Gibson, William Cary<br />

Memphis Surgery Assoc<br />

6005 Park Ave #821B<br />

Memphis, TN 38119<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Hammond, Douglas Alan<br />

Memphis Surgery Assoc<br />

6005 Park Ave #821B<br />

Memphis, TN 38119<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

King, William Scott<br />

Memphis Surgery Assoc<br />

6005 Park Ave #821B<br />

Memphis, TN 38119<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Laughlin, Albert E<br />

Memphis Surgery Assoc<br />

6005 Park Ave #821B<br />

Memphis, TN 38119<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Mcdaniel, Carter E<br />

Memphis Surgery Assoc<br />

1325 Eastmoreland Ave #580<br />

Memphis, TN 38104<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Monroe, Justin<br />

Memphis Surgery Assoc<br />

6029 Walnut Grove Rd #404<br />

Memphis, TN 38120<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Payne, Melvin Pelletier<br />

Memphis Surgery Assoc<br />

2996 Kate Bond Rd #309<br />

Memphis, TN 38134<br />

Phone: 901‐726‐1056<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Berry, Michael Allen<br />

Michael A Berry Md<br />

255 Baptist Blvd #307<br />

Columbus, MS 39705<br />

Phone: 662‐329‐9302<br />

County: Lowndes<br />

Surgery / General<br />

Mattison, Ronald E<br />

Mroz‐Baier Breast Care Clinic<br />

6005 Park Ave #700<br />

Memphis, TN 38119<br />

Phone: 901‐527‐3391<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Mroz, Christine T<br />

Mroz‐Baier Breast Care Clinic<br />

6005 Park Ave #700<br />

Memphis, TN 38119<br />

Phone: 901‐527‐3391<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Oswaks, Roy Michael<br />

Mroz‐Baier Breast Care Clinic<br />

6005 Park Ave #700<br />

Memphis, TN 38119<br />

Phone: 901‐527‐3391<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Fergus, Raymond Scott<br />

Ms County Surgical Assn<br />

608 W Union<br />

Osceola, AR 72370<br />

Phone: 870‐563‐3248<br />

County: Mississippi<br />

Surgery / General<br />

Bullwinkel, Bruce A<br />

New Albany Surgical Group<br />

226 Starlyn Ave<br />

New Albany, MS 38652<br />

Phone: 662‐534‐5057<br />

County: Union<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 214


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / General<br />

Foreman, Thomas<br />

North Oak Regional Hospital Inc<br />

401 Getwell Dr.<br />

Senatobia, MS 38668<br />

Phone: 662‐612‐0013<br />

County: Tate<br />

Surgery / General<br />

Caylor, James A<br />

O Fred Moore Md<br />

503 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5244<br />

County: Dyer<br />

Surgery / General<br />

Moore, Olyn Fred<br />

O Fred Moore Md<br />

503 Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐5244<br />

County: Dyer<br />

Surgery / General<br />

Byars, Richard Walker<br />

Oxford Surgical & Bariatric Clinic<br />

506 Azalea Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐4744<br />

County: Lafayette<br />

Surgery / General<br />

Eubanks, James W Trey<br />

Pediatric Surgical Group Inc<br />

777 Washington Ave #P230<br />

Memphis, TN 38105<br />

Phone: 901‐287‐6031<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Puangsuvan, Somporn<br />

Pemiscot Co Memorial Hospital<br />

106 W 12th St<br />

Caruthersville, MO 63830<br />

Phone: 573‐333‐2285<br />

County: Pemiscot<br />

Surgery / General<br />

Oladiran, Babatunde<br />

Pemiscot Co Memorial Hospital<br />

907 E Reed<br />

Hayti, MO 63851<br />

Phone: 573‐359‐3660<br />

County: Pemiscot<br />

Surgery / General<br />

Major, James W<br />

Phillips Clinic Corp<br />

1805 Martin Luther King Dr<br />

Helena, AR 72342<br />

Phone: 870‐338‐8682<br />

County: Phillips<br />

Surgery / General<br />

Purohit, Ramesh C<br />

Rc & Pr Purohit<br />

PO Box 602<br />

Batesville, MS 38606<br />

Phone: 662‐563‐4404<br />

County: Panola<br />

Surgery / General<br />

Escarcega, Rogelio<br />

Rogelio Escarcega Md<br />

1720 E Reelfoot Ave #204<br />

Union City, TN 38261<br />

Phone: 731‐885‐4500<br />

County: Obion<br />

Surgery / General<br />

Ford, David W<br />

Schoettle & Lanford Surgical Clinic<br />

300 S Rhodes St<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐3664<br />

County: Crittenden<br />

Surgery / General<br />

Huffstutter, Paul J<br />

Schoettle & Lanford Surgical Clinic<br />

300 S Rhodes St<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐3664<br />

County: Crittenden<br />

Surgery / General<br />

Peeples, Guy Langley<br />

Schoettle & Lanford Surgical Clinic<br />

300 S Rhodes St<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐3664<br />

County: Crittenden<br />

Surgery / General<br />

Staten, James Ronald<br />

Southern Health Corp Of Houston Inc<br />

105 Hillcrest Dr<br />

Houston, MS 38851<br />

Phone: 662‐456‐5008<br />

County: Chickasaw<br />

Surgery / General<br />

Smith, Stanley L<br />

Stanley L Smith Jr Md<br />

6027 Walnut Grove Rd #116<br />

Memphis, TN 38120<br />

Phone: 901‐761‐1155<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Kirk, Henry Alden<br />

Surgery Consultants Of Oxford<br />

2169 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1530<br />

County: Lafayette<br />

Surgery / General<br />

Spears, Hubert E<br />

Surgery Consultants Of Oxford<br />

2169 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1530<br />

County: Lafayette<br />

Surgery / General<br />

Duncan, William L<br />

Surgical Assoc Of Martin<br />

300 W Peach St<br />

Martin, TN 38237<br />

Phone: 731‐587‐2525<br />

County: Weakley<br />

Surgery / General<br />

Martin, Rodney A<br />

Surgical Associates<br />

1286 Peabody<br />

Memphis, TN 38104<br />

Phone: 901‐276‐6000<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

King, Michael L<br />

Surgical Clinic Of N Ms<br />

2215 Jefferson Davis Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐3303<br />

County: Lafayette<br />

Surgery / General<br />

Rebeiro, Egbert<br />

Surgical Specia<strong>lists</strong><br />

143 Kennedy Dr #B<br />

Martin, TN 38237<br />

Phone: 731‐587‐3030<br />

County: Weakley<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 215


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / General<br />

Rosenkrans, Ramon H<br />

Tri‐Lakes Medical Center<br />

303 Medical Center Dr<br />

Batesville, MS 38606<br />

Phone: 662‐712‐1518<br />

County: Panola<br />

Surgery / General<br />

Mathew, Alexander<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Hou, Betty Ws<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Webb, David Louis<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Powell, Benjamin Scott<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #410<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1921<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Pritchard, Frances Elizabeth<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Voeller, Guy R<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8425<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Eason, James David<br />

Ut Medical Group Inc<br />

1265 Union Ave 1 Sherard<br />

Memphis, TN 38104<br />

Phone: 901‐516‐9183<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Munene, Gitonga<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #410<br />

Memphis, TN 38104<br />

Phone: 901‐725‐1921<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Vanatta, Jason Michael<br />

Ut Medical Group Inc<br />

1265 Union Ave 1 Sherard<br />

Memphis, TN 38104<br />

Phone: 901‐516‐9183<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Weinberg, Jordan Allan<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

De La Borbolla, Luis Campos<br />

Ut Medical Group Inc<br />

1265 Union Ave 1 Sherard<br />

Memphis, TN 38104<br />

Phone: 901‐516‐9183<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Fleming, Martin D<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Rohrer, Michael J<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #310<br />

Memphis, TN 38104<br />

Phone: 901‐448‐4100<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Stoikes, Nathaniel Floyd Nicolas<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Nezakatgoo, Nosratollah<br />

Ut Medical Group Inc<br />

1265 Union Ave 1 Sherard<br />

Memphis, TN 38104<br />

Phone: 901‐516‐9183<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Behrman, Stephen Wheeler<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8270<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Tosh, William Matthew<br />

West Tn Surgical<br />

1150 Hwy 51 Bypass W #C<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐4345<br />

County: Dyer<br />

Surgery / General<br />

Wright, Bennie B<br />

Wright Medical Service<br />

810 E Sunflower Rd #100‐A<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐3606<br />

County: Bolivar<br />

Surgery / General<br />

Monaghan, Brooks Varner<br />

226 Bethlehem St<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐1674<br />

County: Marshall<br />

Surgery / General<br />

Brand, Woodrow W<br />

806 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐8479<br />

County: Monroe<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 216


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / General<br />

Hoang, Hoat M<br />

806 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐8479<br />

County: Monroe<br />

Surgery / General<br />

Mathis, Robert P<br />

611 Alcorn Dr #210<br />

Corinth, MS 38834<br />

Phone: 662‐284‐9910<br />

County: Alcorn<br />

Surgery / General<br />

Smith, Robert J<br />

1067 E Raines Rd<br />

Memphis, TN 38116<br />

Phone: 662‐321‐9145<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Fortune, James E<br />

7580 Clarington Cv #1<br />

Southaven, MS 38671<br />

Phone: 662‐349‐1940<br />

County: DeSoto<br />

Surgery / General<br />

Bakeer, Mohammed S<br />

714 Federal Dr<br />

Selmer, TN 38375<br />

Phone: 731‐645‐7952<br />

County: McNairy<br />

Surgery / General<br />

Iskander, Henein<br />

BMH Prof Bldg<br />

Forrest City, AR 72335<br />

Phone: 870‐633‐7940<br />

County: Saint Francis<br />

Surgery / General<br />

Benitone, Jerry D<br />

2144 Monroe<br />

Memphis, TN 38104<br />

Phone: 901‐274‐9046<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Loiseau, Jeanclaude<br />

1264 Wesley Dr #304<br />

Memphis, TN 38116<br />

Phone: 901‐398‐1990<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Patterson, Russell H<br />

6215 Humphreys Blvd #505<br />

Memphis, TN 38120<br />

Phone: 901‐747‐7001<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Ellis, Richard A<br />

7655 Poplar Ave #230<br />

Germantown, TN 38138<br />

Phone: 901‐753‐6163<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Miller, Mark P<br />

7655 Poplar Ave #230<br />

Germantown, TN 38138<br />

Phone: 901‐753‐6163<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Andrews, Charles R<br />

6027 Walnut Grove Rd #212<br />

Memphis, TN 38120<br />

Phone: 901‐761‐5031<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Kiledjian, Vartkes K<br />

6005 Park Ave #1004B<br />

Memphis, TN 38119<br />

Phone: 901‐767‐6181<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Dunavant, W David<br />

6027 Walnut Grove Rd #118<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8301<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Dunavant, William David<br />

6027 Walnut Grove Rd #118<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8301<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Sellars, John Robert<br />

6005 Park Ave #601<br />

Memphis, TN 38119<br />

Phone: 901‐821‐0073<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Bratvold, Jared<br />

Baptist Memorial Medical Group<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Hindman, Jason Wayne<br />

Baptist Memorial Medical Group<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120<br />

Phone: 901‐226‐3190<br />

County: Shel<strong>by</strong><br />

Surgery / General<br />

Buechter, Kennan J<br />

Phillips Clinic Corp<br />

1803 Martin Luther King Dr #A<br />

Helena, AR 72342<br />

Phone: 870‐816‐3800<br />

County: Phillips<br />

Surgery / Ophthalmic Plastic<br />

Fleming, James C<br />

Ut Medical Group Inc<br />

930 Madison Ave #200<br />

Memphis, TN 38103<br />

Phone: 901‐448‐6650<br />

County: Shel<strong>by</strong><br />

Surgery / Thoracic<br />

Ninan, Mathew<br />

Mid South Reg Thoracic Ctr<br />

6029 Walnut Grove Rd #100<br />

Memphis, TN 38120<br />

Phone: 901‐259‐4130<br />

County: Shel<strong>by</strong><br />

Surgery / Thoracic<br />

Cole Jr, F Hammond<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Surgery / Vascular<br />

Craig, John Michael<br />

Baptist Memorial Medical Group Inc<br />

6029 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐226‐0456<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 217


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery / Vascular<br />

Dias‐Perera, Anton Surath Nisetus<br />

Cardiovascular Surgery Clinic<br />

6029 Walnut Grove Rd #401<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3066<br />

County: Shel<strong>by</strong><br />

Surgery / Vascular<br />

Gebhart, James R<br />

Dyersburg Clinic Corp<br />

1718 Parr Ave #A<br />

Dyersburg, TN 38024<br />

Phone: 731‐286‐4445<br />

County: Dyer<br />

Surgery / Vascular<br />

Lovelace, Michael H<br />

Surgery Consultants Of Oxford<br />

2169 S Lamar Blvd<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1530<br />

County: Lafayette<br />

Surgery / Vascular<br />

Byrne, Christopher H<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #310<br />

Memphis, TN 38104<br />

Phone: 901‐448‐4100<br />

County: Shel<strong>by</strong><br />

Surgery / Vascular<br />

Schoettle Jr, Glenn P<br />

Ut Medical Group Inc<br />

1325 Eastmoreland Ave #220<br />

Memphis, TN 38104<br />

Phone: 901‐725‐9450<br />

County: Shel<strong>by</strong><br />

Surgical / Critical Care<br />

Zarzaur Jr, Ben<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Surgical Critical Care<br />

Maish Iii, George O<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Surgical Critical Care<br />

Savage, Stephanie Ann<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐8699<br />

County: Shel<strong>by</strong><br />

Surgical Oncology<br />

Dickson, Paxton V<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐866‐8520<br />

County: Shel<strong>by</strong><br />

Surgical Oncology / Breast<br />

Berry, Michael Paul<br />

Michael P Berry Md<br />

1385 W Brierbrook Rd<br />

Germantown, TN 38138<br />

Phone: 901‐692‐9600<br />

County: Shel<strong>by</strong><br />

Transplant Surgery<br />

Modanlou, Kian A<br />

Ut Medical Group Inc<br />

1265 Union Ave 1 Sherard<br />

Memphis, TN 38104<br />

Phone: 901‐516‐9183<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Minard, Gayle<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Magnotti, Louis J<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐448‐4454<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Croce, Martin A<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Parks, Nancy Ann<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Schroeppel, Thomas John<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Bee, Tiffany K<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Trauma Surgery<br />

Brocker, Jason A<br />

Ut Medical Group Inc<br />

877 Jefferson Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Urgent Care<br />

Kyles, Tracye Denise<br />

Baptist Memorial Medical Group Inc<br />

5220 Park Ave #100<br />

Memphis, TN 38119<br />

Phone: 901‐685‐8245<br />

County: Shel<strong>by</strong><br />

Urgent Care<br />

Zhou, Fang<br />

Baptist Memorial Medical Group Inc<br />

8970 Winchester Rd<br />

Memphis, TN 38125<br />

Phone: 901‐794‐5806<br />

County: Shel<strong>by</strong><br />

Urgent Care<br />

Naren, Saraswathy B<br />

Collierville Family Health<br />

2028 W Poplar Ave #115<br />

Collierville, TN 38017<br />

Phone: 901‐221‐8983<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 218


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Urgent Care<br />

Brahmadevi, Sowmya<br />

Baptist Memorial Medical Group Inc.<br />

1500 W Poplar Ave #308<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9270<br />

County: Shel<strong>by</strong><br />

Urology<br />

Pearson, Richard M<br />

Amory Hma Physician Mgmt<br />

1105 Earl Frye Blvd<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Urology<br />

Newman, Larry B<br />

Associated Urologists Of Memphis<br />

995 S Yates #1<br />

Memphis, TN 38119<br />

Phone: 901‐527‐7100<br />

County: Shel<strong>by</strong><br />

Urology<br />

Marsidi, Paul J<br />

Baptist Memorial Medical Group Inc<br />

1109 E Reelfoot Ave #I<br />

Union City, TN 38261<br />

Phone: 731‐884‐0023<br />

County: Obion<br />

Urology<br />

Miles, Derek<br />

Bolivar Urology Clinic<br />

907 E Sunflower Rd #103<br />

Cleveland, MS 38732<br />

Phone: 662‐846‐9990<br />

County: Bolivar<br />

Urology<br />

Wallace, Charles R<br />

Charles Wallace, Md<br />

1325 Eastmoreland Ave #425<br />

Memphis, TN 38104<br />

Phone: 901‐272‐3200<br />

County: Shel<strong>by</strong><br />

Urology<br />

Howland, Robert L<br />

Columbus Urology Group<br />

321 Hospital Dr<br />

Columbus, MS 39701<br />

Phone: 662‐327‐2921<br />

County: Lowndes<br />

Urology<br />

Santa‐Cruz, Robert W<br />

Columbus Urology<br />

321 Hospital Dr<br />

Columbus, MS 39705<br />

Phone: 662‐327‐2931<br />

County: Lowndes<br />

Urology<br />

Monnig, Jack A<br />

Dyersburg Clinic Corp<br />

575 E Tickle St<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐4104<br />

County: Dyer<br />

Urology<br />

Perkins, Thomas F<br />

Dyersburg Clinic Corp<br />

1718 Parr Ave #B<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐4104<br />

County: Dyer<br />

Urology<br />

Zamzow, Brent A<br />

Dyersburg Clinic Corp<br />

1718 Parr Ave # B<br />

Dyersburg, TN 38024<br />

Phone: 731‐285‐4104<br />

County: Dyer<br />

Urology<br />

Bond, Kevin H<br />

Golden Triangle Urology<br />

321 Hospital Dr. #1<br />

Columbus, MS 39705<br />

Phone: 662‐327‐2921<br />

County: Lowndes<br />

Urology<br />

Bond, Kevin H<br />

Golden Triangle Urology<br />

321 Hospital Dr #1<br />

Columbus, MS 39705<br />

Phone: 662‐327‐2921<br />

County: Lowndes<br />

Urology<br />

Weldon, Thomas E<br />

Greenwood Urology Clinic<br />

205 8th St<br />

Greenwood, MS 38930<br />

Phone: 662‐453‐6732<br />

County: Leflore<br />

Urology<br />

Cole, James W<br />

James W Cole Md<br />

212 Alcorn Dr<br />

Corinth, MS 38834<br />

Phone: 662‐287‐9970<br />

County: Alcorn<br />

Urology<br />

Morris, Brent Jerome<br />

Madison Clinic Corp<br />

37 Sandstone Cir<br />

Jackson, TN 38305<br />

Phone: 731‐664‐9928<br />

County: Madison<br />

Urology<br />

Hussain, Ahmed<br />

Martin Clinic Corp<br />

143 Kennedy Dr<br />

Martin, TN 38237<br />

Phone: 731‐587‐5321<br />

County: Weakley<br />

Urology<br />

Morgan Iii, James Orville<br />

Mckenzie Medical Ctr<br />

205 Hospital Dr #A<br />

McKenzie, TN 38201<br />

Phone: 731‐352‐7907<br />

County: Carroll<br />

Urology<br />

Walzer, Yair<br />

Mid‐South Urology<br />

640 N Germantown Pkwy #200<br />

Cordova, TN 38018<br />

Phone: 901‐753‐9821<br />

County: Shel<strong>by</strong><br />

Urology<br />

Bernstein, Benjamin<br />

New Albany Urology<br />

303 J H Phillips<br />

New Albany, MS 38652<br />

Phone: 662‐539‐0233<br />

County: Union<br />

Urology<br />

Renfroe, Doyle Land<br />

Oxford Urology Assoc<br />

1201 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1448<br />

County: Lafayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 219


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Urology<br />

Wilkes, Thurston E<br />

Oxford Urology Clinic<br />

1115 Mimosa<br />

Oxford, MS 38655<br />

Phone: 662‐234‐7800<br />

County: Lafayette<br />

Urology<br />

Vasudevan, P<br />

P Vasudevan Md<br />

1393 Hwy 242 S<br />

Helena, AR 72342<br />

Phone: 870‐338‐6749<br />

County: Phillips<br />

Urology<br />

Ganguli, Santosh<br />

S.K. Ganguli Md<br />

6005 Park Ave #804<br />

Memphis, TN 38119<br />

Phone: 901‐529‐0672<br />

County: Shel<strong>by</strong><br />

Urology<br />

Shappley, William V<br />

Shappley Clinic<br />

7705 Poplar Ave #310B<br />

Germantown, TN 38138<br />

Phone: 901‐759‐0101<br />

County: Shel<strong>by</strong><br />

Urology<br />

Raghavaiah, Nimmagadda<br />

Southeast Urology<br />

995 S Yates #1<br />

Memphis, TN 38119<br />

Phone: 901‐527‐7100<br />

County: Shel<strong>by</strong><br />

Urology<br />

Alabaster, A Michael<br />

Southeast Urology Network<br />

995 S Yates #1<br />

Memphis, TN 38119<br />

Phone: 901‐527‐7100<br />

County: Shel<strong>by</strong><br />

Urology<br />

Dang, Gerald Triminh<br />

Southeast Urology Network<br />

995 S Yates #1<br />

Memphis, TN 38119<br />

Phone: 901‐527‐7100<br />

County: Shel<strong>by</strong><br />

Urology<br />

Donato, Robert Alfred<br />

Southeast Urology Network<br />

995 S Yates #1<br />

Memphis, TN 38119<br />

Phone: 901‐527‐7100<br />

County: Shel<strong>by</strong><br />

Urology<br />

Saslawsky, Mark J<br />

Southeast Urology Network<br />

995 S Yates #1<br />

Memphis, TN 38119<br />

Phone: 901‐527‐7100<br />

County: Shel<strong>by</strong><br />

Urology<br />

Rayford, Walter<br />

The Urology Group<br />

6029 Walnut Grove Rd #300<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8158<br />

County: Shel<strong>by</strong><br />

Urology<br />

Thompson, Tommy<br />

Thompson Clinic<br />

1500 W POPLAR #304<br />

Collierville, TN 38017<br />

Phone: 901‐861‐8188<br />

County: Shel<strong>by</strong><br />

Urology<br />

Shoaf, Guy Michael<br />

Urology Assoc<br />

1201 Medical Park Dr<br />

Oxford, MS 38655<br />

Phone: 662‐234‐1448<br />

County: Lafayette<br />

Urology<br />

Senf, William L<br />

Urology Clinic<br />

703 Alcorn Dr #107<br />

Corinth, MS 38834<br />

Phone: 662‐284‐9888<br />

County: Alcorn<br />

Urology<br />

Greenberger, Mark D<br />

Urology Group<br />

6029 Walnut Grove Rd #300<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8158<br />

County: Shel<strong>by</strong><br />

Urology<br />

Gubin, David A<br />

Urology Group<br />

6029 Walnut Grove Rd #300<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8158<br />

County: Shel<strong>by</strong><br />

Urology<br />

Mcgowan, Leslie R<br />

Urology Group<br />

6029 Walnut Grove Rd #300<br />

Memphis, TN 38120<br />

Phone: 901‐767‐8158<br />

County: Shel<strong>by</strong><br />

Urology<br />

Smith, Ricky A<br />

Urology Of Memphis<br />

2996 Kate Bond Rd # 307<br />

Bartlett, TN 38133<br />

Phone: 901‐373‐8333<br />

County: Shel<strong>by</strong><br />

Urology<br />

Farabaugh, Paul Bradley<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Urology<br />

Farmer, Clarance S<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Urology<br />

Kalish, Jonathan R<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Urology<br />

Milam, William Hughes<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 220


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Urology<br />

Posey, Jon Timothy<br />

Urology<br />

830 S Gloster<br />

Tupelo, MS 38801<br />

Phone: 662‐377‐7100<br />

County: Lee<br />

Urology<br />

Patterson, Anthony L<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8350<br />

County: Shel<strong>by</strong><br />

Urology<br />

Ledbetter, Christopher K<br />

Ut Medical Group Inc<br />

1264 Wesley Dr #601<br />

Memphis, TN 38116<br />

Phone: 901‐347‐8350<br />

County: Shel<strong>by</strong><br />

Urology<br />

Cox, Clair E<br />

Ut Medical Group Inc<br />

880 Madison Ave<br />

Memphis, TN 38103<br />

Phone: 901‐545‐6969<br />

County: Shel<strong>by</strong><br />

Urology<br />

Martin, Clyde S<br />

Ut Medical Group Inc<br />

1407 Union Ave #640<br />

Memphis, TN 38104<br />

Phone: 901‐866‐8360<br />

County: Shel<strong>by</strong><br />

Urology<br />

Aleman, Michael Abraham<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8350<br />

County: Shel<strong>by</strong><br />

Urology<br />

Steiner, Mitchell S<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8350<br />

County: Shel<strong>by</strong><br />

Urology<br />

Wake, Robert W<br />

Ut Medical Group Inc<br />

7945 Wolf River Blvd<br />

Germantown, TN 38138<br />

Phone: 901‐347‐8350<br />

County: Shel<strong>by</strong><br />

Urology<br />

Campbell, Charles E<br />

609 Fulton<br />

Blytheville, AR 72315<br />

Phone: 662‐513‐9936<br />

County: Mississippi<br />

Urology<br />

Wolfe, Joseph W<br />

100 Hospital St #100A<br />

Booneville, MS 38829<br />

Phone: 662‐720‐9413<br />

County: Prentiss<br />

Urology<br />

Bingham, William V<br />

6005 Park Ave #807<br />

Memphis, TN 38119<br />

Phone: 901‐683‐0642<br />

County: Shel<strong>by</strong><br />

Urology<br />

Seymour, Lawrence D<br />

1325 Eastmoreland Ave #435<br />

Memphis, TN 38104<br />

Phone: 901‐726‐5073<br />

County: Shel<strong>by</strong><br />

Wheel Chairs, Custom<br />

Glass Seating And Mobility<br />

1687 Shel<strong>by</strong> Oaks, Suite 9<br />

Memphis, TN 38134<br />

Phone: 901‐379‐0096<br />

County: Shel<strong>by</strong><br />

Wheel Chairs, Custom<br />

National Seating & Mobility, Inc.<br />

3930 South Perkins<br />

Memphis, TN 38118<br />

Phone: 901‐362‐9880<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 221


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

FACILITY PROVIDERS:<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 222


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Inpatient Facilities<br />

Alliance Healthcare System, Inc<br />

1430 Highway 4 East<br />

Holly Springs, MS 38635‐2140<br />

Phone: 662‐252‐1212<br />

County: Marshall<br />

Inpatient Facilities<br />

Baptist Memorial Hospital For Women<br />

6225 Humphreys Blvd<br />

Memphis, TN 38120<br />

Phone: 901‐227‐9000<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Booneville<br />

100 Hospital St<br />

Booneville, MS 38829<br />

Phone: 662‐720‐5000<br />

County: Prentiss<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Collierville<br />

1500 W Poplar Ave<br />

Collierville, TN 38017<br />

Phone: 901‐861‐9000<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Desoto<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐4000<br />

County: Desoto<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Desoto<br />

7601 Southcrest Pkwy<br />

Southaven, MS 38671<br />

Phone: 662‐772‐4000<br />

County: Desoto<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Golden Triangle<br />

2520 5th Street, North<br />

Columbus, MS 39701‐5111<br />

Phone: 662‐244‐1000<br />

County: Lowndes<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Golden Triangle<br />

2520 5th Street, North<br />

Columbus, MS 39701‐5111<br />

Phone: 662‐244‐1000<br />

County: Lowndes<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Huntingdon<br />

631 R.B. Wilson Drive<br />

Huntingdon, TN 38344<br />

Phone: 731‐986‐4461<br />

County: Carroll<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Lauderdale<br />

326 Asbury Ave<br />

Ripley, TN 38063<br />

Phone: 731‐221‐2200<br />

County: Lauderdale<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Memphis<br />

6019 Walnut Grove Rd<br />

Memphis, TN 38120‐2173<br />

Phone: 901‐226‐5000<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐North<br />

Mississippi<br />

2301 South Lamar<br />

Oxford, MS 38655‐5373<br />

Phone: 662‐232‐8100<br />

County: Lafayette<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Tipton<br />

1995 Highway 51, South<br />

Covington, TN 38019<br />

Phone: 901‐476‐2621<br />

County: Tipton<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Union City<br />

1201 Bishop Street<br />

Union City, TN 38261<br />

Phone: 731‐885‐2410<br />

County: Obion<br />

Inpatient Facilities<br />

Baptist Memorial Hospital‐Union County<br />

200 Highway 30 West<br />

New Albany, MS 38652‐3112<br />

Phone: 662‐538‐7631<br />

County: Union<br />

Inpatient Facilities<br />

Baptist Memorial Restorative Care Hospital<br />

6019 Walnut Grove Road, 1 West<br />

Memphis, TN 38120<br />

Phone: 901‐226‐1400<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Baptist Rehabilitation‐Germantown<br />

2100 Exeter Road<br />

Germantown, TN 38138<br />

Phone: 901‐757‐1350<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Bolivar Medical Center<br />

Highway 8, East<br />

Cleveland, MS 38732<br />

Phone: 662‐846‐0061<br />

County: Bolivar<br />

Inpatient Facilities<br />

Crittenden Regional Hospital<br />

200 Tyler Avenue<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐1500<br />

County: Crittenden<br />

Inpatient Facilities<br />

Crossridge Community Hospital<br />

310 South Falls Boulevard<br />

Wynne, AR 72396<br />

Phone: 870‐238‐3300<br />

County: Cross<br />

Inpatient Facilities<br />

Desoto Healthcare Center<br />

7805 Southcrest Parkway<br />

Southaven, MS 38671<br />

Phone: 662‐349‐7500<br />

County: Desoto<br />

Inpatient Facilities<br />

Dyersburg Regional Medical Center<br />

400 Tickle Street<br />

Dyersburg, TN 38024<br />

Phone: 731‐287‐2410<br />

County: Dyer<br />

Inpatient Facilities<br />

Fayette Medical Center<br />

1653 Temple Ave N<br />

Fayette, AL 35555<br />

Phone: 205‐932‐5966<br />

County: Fayette<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 223


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Inpatient Facilities<br />

Forrest City Medical Center<br />

1601 Newcastle Rd.<br />

Forrest City, AR 72335<br />

Phone: 870‐261‐0000<br />

County: Saint Francis<br />

Inpatient Facilities<br />

Gilmore Memorial Regional Medical Center<br />

1105 Earl Frye Blvd.<br />

Amory, MS 38821<br />

Phone: 662‐256‐7111<br />

County: Monroe<br />

Inpatient Facilities<br />

Great River Medical Center<br />

1520 North Division Street<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7300<br />

County: Mississippi<br />

Inpatient Facilities<br />

Great River Medical Center<br />

1520 North Division Street<br />

Blytheville, AR 72315<br />

Phone: 870‐838‐7300<br />

County: Mississippi<br />

Inpatient Facilities<br />

Grenada Lake Medical Center<br />

960 Avent Drive<br />

Grenada, MS 38901<br />

Phone: 662‐227‐7000<br />

County: Grenada<br />

Inpatient Facilities<br />

Hardin Medical Center<br />

935 Wayne Road<br />

Savannah, TN 38372<br />

Phone: 731‐926‐8000<br />

County: Hardin<br />

Inpatient Facilities<br />

Haywood Park Community Hospital<br />

2545 N. Washington Ave.<br />

Brownsville, TN 38012<br />

Phone: 731‐772‐4110<br />

County: Haywood<br />

Inpatient Facilities<br />

Healthsouth Cane Creek Rehabilitation<br />

Hospital<br />

180 Mt. Pelia Road<br />

Martin, TN 38237<br />

Phone: 731‐587‐4231<br />

County: Weakley<br />

Inpatient Facilities<br />

Helena Regional Medical Center<br />

1801 Martin Luther King Drive<br />

Helena, AR 72342<br />

Phone: 870‐338‐5800<br />

County: Phillips<br />

Inpatient Facilities<br />

Henderson County Community Hospital<br />

200 W. Church St.<br />

Lexington, TN 38351<br />

Phone: 731‐968‐3646<br />

County: Henderson<br />

Inpatient Facilities<br />

Hillcrest Hospital<br />

140 Burke‐Calhoun City Rd.<br />

Calhoun City, MS 38916<br />

Phone: 662‐628‐6611<br />

County: Calhoun<br />

Inpatient Facilities<br />

Lakeside Behavioral Health System<br />

2911 Brunswick Road<br />

Memphis, TN 38133<br />

Phone: 901‐377‐4700<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Magnolia Regional Health Center<br />

611 Alcorn Dr.<br />

Corinth, MS 38834<br />

Phone: 662‐293‐1000<br />

County: Alcorn<br />

Inpatient Facilities<br />

Mcnairy Regional Hospital<br />

705 E. Poplar Avenue<br />

Selmer, TN 38375<br />

Phone: 731‐645‐3221<br />

County: Mcnairy<br />

Inpatient Facilities<br />

Mississippi County Hospital System<br />

1520 North Division Street<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐6725<br />

County: Mississippi<br />

Inpatient Facilities<br />

North Oak Regional Medical Center<br />

401 Getwell Rd.<br />

Senatobia, MS 38668<br />

Phone: 662‐562‐3100<br />

County: Tate<br />

Inpatient Facilities<br />

Northwest Medical Center‐Winfield,<br />

1530 US Hwy 43<br />

Winfield, AL 35594<br />

Phone: 205‐487‐7000<br />

County: Marion<br />

Inpatient Facilities<br />

Northwest Regional Medical Center<br />

1970 Hospital Dr<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐3211<br />

County: Coahoma<br />

Inpatient Facilities<br />

Noxubee General Hospital<br />

606 North Jefferson<br />

Macon, MS 39341<br />

Phone: 662‐726‐4231<br />

County: Noxubee<br />

Inpatient Facilities<br />

Parkwood Behavioral Health System<br />

8135 Goodman Rd.<br />

Olive Branch, MS 38654<br />

Phone: 662‐895‐4900<br />

County: Desoto<br />

Inpatient Facilities<br />

Pemiscot Memorial Hospital<br />

946 E. Reed Street<br />

Hayti, MO 63851<br />

Phone: 573‐359‐1372<br />

County: Pemiscot<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 224


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Inpatient Facilities<br />

Pioneer Community Hospital Of Aberdeen<br />

400 South Chestnut<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐2455<br />

County: Monroe<br />

Inpatient Facilities<br />

Quitman County Hospital<br />

340 Getwell Street<br />

Marks, MS 38646<br />

Phone: 662‐326‐8031<br />

County: Quitman<br />

Inpatient Facilities<br />

Regional Hospital Of Jackson<br />

367 Hospital Blvd.<br />

Jackson, TN 38305<br />

Phone: 731‐661‐2000<br />

County: Madison<br />

Inpatient Facilities<br />

Regional Medical Center At Memphis (The<br />

MED)<br />

877 Jefferson Avenue<br />

Memphis, TN 38103<br />

Phone: 901‐545‐7100<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Saint Francis Hospital<br />

5959 Park Ave<br />

Memphis, TN 38119<br />

Phone: 901‐765‐1000<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Saint Francis Hospital ‐ Bartlett<br />

2986 Kate Bond Rd<br />

Bartlett, TN 38133<br />

Phone: 901‐820‐7000<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Smc Regional Medical Center<br />

611 West Lee Street<br />

Osceola, AR 72370<br />

Phone: 870‐563‐7000<br />

County: Mississippi<br />

Inpatient Facilities<br />

St. Jude Children's Research Hospital<br />

262 Danny Thomas Place<br />

Memphis, TN 38105‐3678<br />

Phone: 901‐595‐3300<br />

County: Shel<strong>by</strong><br />

Inpatient Facilities<br />

Tallahatchie General Hospital<br />

201 South Market<br />

Charleston, MS 38921<br />

Phone: 662‐647‐5535<br />

County: Tallahatchie<br />

Inpatient Facilities<br />

Tippah County Hospital<br />

1005 City Ave., North<br />

Ripley, MS 38663<br />

Phone: 662‐837‐9221<br />

County: Tippah<br />

Inpatient Facilities<br />

Trace Regional Hospital<br />

1002 East Madison<br />

Houston, MS 38851<br />

Phone: 662‐456‐3701<br />

County: Chickasaw<br />

Inpatient Facilities<br />

Tri‐Lakes Medical Center<br />

303 Medical Center Drive<br />

Batesville, MS 38606<br />

Phone: 662‐563‐5611<br />

County: Panola<br />

Inpatient Facilities<br />

Tyler Holmes Memorial Hospital<br />

409 Tyler Holmes Drive<br />

Winona, MS 38967<br />

Phone: 662‐283‐4114<br />

County: Montgomery<br />

Inpatient Facilities<br />

Volunteer Community Hospital<br />

161 Mt. Pelia Road<br />

Martin, TN 38237<br />

Phone: 731‐587‐4261<br />

County: Weakley<br />

Inpatient Facilities<br />

Yalobusha General Hospital<br />

630 South Main Street<br />

Water Valley, MS 38965<br />

Phone: 662‐473‐1411<br />

County: Yalobusha<br />

Dialysis Services<br />

Fresenius D/B/A BMA Blytheville<br />

1001 Moultrie<br />

Blytheville, AR 72315<br />

Phone: 870‐762‐7700<br />

County: Mississippi<br />

Dialysis Services<br />

Fresenius D/B/A BMA Of Graceland<br />

1200 Farrow<br />

Memphis, TN 38116<br />

Phone: 901‐398‐1163<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Fresenius D/B/A BMA St. Francis County<br />

Dialysis Center<br />

210 Barrow Hill Road<br />

Forrest City, AR 72335<br />

Phone: 870‐630‐6484<br />

County: Saint Francis<br />

Dialysis Services<br />

Fresenius D/B/A BMA Tipton County<br />

2047 Highway 51 South<br />

Covington, TN 38019<br />

Phone: 901‐475‐1555<br />

County: Tipton<br />

Dialysis Services<br />

Fresenius D/B/A FMC Dialysis Services Of<br />

East Memphis<br />

6490 Mt. Moriah<br />

Memphis, TN 38115<br />

Phone: 901‐367‐1001<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Fresenius D/B/A Fresenius Medical Care Of<br />

Collierville<br />

155 Crescent Drive<br />

Collierville, TN 38017<br />

Phone: 901‐861‐8041<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Fresenius D/B/A Fresenius Memphis<br />

1428 Monroe<br />

Memphis, TN 38104<br />

Phone: 901‐272‐8683<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 225


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Dialysis Services<br />

Fresenius D/B/A MKDS Fresenius Medical<br />

Care Of Memphis Midtown<br />

2225 Union Avenue, Suite 200<br />

Memphis, TN 38104<br />

Phone: 901‐725‐7586<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Fresenius D/B/A MKDS Fresenius Medical<br />

Care Of North Memphis<br />

3850 Austin Peay, Suite 10<br />

Memphis, TN 38128<br />

Phone: 901‐388‐1749<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Fresenius D/B/A MKDS Fresenius Medical<br />

Care Of Whitehaven<br />

4115 S. Plaza Drive<br />

Memphis, TN 38116<br />

Phone: 901‐398‐6388<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Fresenius D/B/A West Memphis Dialysis<br />

310 S. Rhodes<br />

West Memphis, AR 72301<br />

Phone: 870‐735‐5445<br />

County: Crittenden<br />

Dialysis Services<br />

Memphis Central Dialysis<br />

889 Linden<br />

Memphis, TN 38126<br />

Phone: 901‐525‐1719<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Memphis East Dialysis<br />

50 Humphreys Blvd # 42<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3901<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Memphis South Dialysis<br />

1205 Marlin Road<br />

Memphis, TN 38116<br />

Phone: 901‐346‐6637<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Renal Care Group D/B/A Fresenius Medical<br />

Care Winona<br />

410 Highway 82<br />

Winona, MS 38967<br />

Phone: 662‐283‐6353<br />

County: Montgomery<br />

Dialysis Services<br />

Renal Care Group D/B/A Martin Dialysis<br />

Center<br />

113 E. C. Thurman Cove<br />

Martin, TN 38237<br />

Phone: 731‐587‐3390<br />

County: Weakley<br />

Dialysis Services<br />

Renal Care Group D/B/A RCG Memphis East<br />

7640 Wolf River Circle<br />

Germantown, TN 38138<br />

Phone: 901‐757‐4119<br />

County: Shel<strong>by</strong><br />

Dialysis Services<br />

Renal Care Group D/B/A RCG Union City<br />

1117 Miles Ave.; Suite #6<br />

Union City, TN 38261<br />

Phone: 731‐884‐0914<br />

County: Obion<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Aberdeen<br />

308 Hwy. 8 West<br />

Aberdeen, MS 39730<br />

Phone: 662‐369‐6149<br />

County: Monroe<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Clarksdale<br />

2010 N. State St.<br />

Clarksdale, MS 38614<br />

Phone: 662‐627‐4786<br />

County: Coahoma<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Cleveland<br />

222 N. Pearman Avenue<br />

Cleveland, MS 38732<br />

Phone: 662‐843‐6965<br />

County: Bolivar<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Columbus<br />

92 Brookmoore Drive<br />

Columbus, MS 39705<br />

Phone: 662‐327‐9208<br />

County: Lowndes<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Corinth<br />

810 Alcorn Drive<br />

Corinth, MS 38834<br />

Phone: 662‐287‐9577<br />

County: Alcorn<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Eupora<br />

241 Meadowlane Street<br />

Eupora, MS 39744<br />

Phone: 662‐258‐6528<br />

County: Webster<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Grenada<br />

35 W. Monroe<br />

Grenada, MS 38901<br />

Phone: 662‐226‐8229<br />

County: Grenada<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Helena<br />

108 D'Anna Place<br />

Helena, AR 72342<br />

Phone: 870‐338‐7800<br />

County: Phillips<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Holly Springs<br />

1325 Hwy. 4 East<br />

Holly Springs, MS 38635<br />

Phone: 662‐252‐6210<br />

County: Marshall<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Macon<br />

703 N. Washington<br />

Macon, MS 39341<br />

Phone: 662‐726‐9866<br />

County: Noxubee<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 226


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Oxford<br />

1760 Barron Street<br />

Oxford, MS 38655<br />

Phone: 662‐234‐3412<br />

County: Lafayette<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Sardis<br />

200 E. Frontage Road<br />

Sardis, MS 38666<br />

Phone: 662‐487‐3938<br />

County: Panola<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Starkville<br />

104 W. Garrard Road<br />

Starkville, MS 39759<br />

Phone: 662‐324‐8300<br />

County: Oktibbeha<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Tunica<br />

1821 U.S. Hwy. 61 North<br />

Tunica, MS 38676<br />

Phone: 662‐363‐2620<br />

County: Tunica<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Tupelo<br />

1031 S. Madison Street<br />

Tupelo, MS 38801<br />

Phone: 662‐844‐0009<br />

County: Lee<br />

Dialysis Services<br />

Renal Care Group D/B/A Renal Care Group<br />

Tupelo Home<br />

1542 Medical Park Circle<br />

Tupelo, MS 38801<br />

Phone: 662‐841‐2315<br />

County: Lee<br />

Dialysis Services<br />

Renal Care Group D/B/A Southaven Dialysis<br />

7318 Southcrest Parkway<br />

Southaven, MS 38671<br />

Phone: 662‐349‐2548<br />

County: Desoto<br />

Surgery Centers<br />

Baptist Desoto Surgery Center<br />

391 Southcrest Circle #100<br />

Southaven, MS 38671<br />

Phone: 662‐349‐0910<br />

County: Desoto<br />

Surgery Centers<br />

Baptist Germantown Surgery Center<br />

2100 Exeter Rd #101<br />

Germantown, TN 38138<br />

Phone: 901‐75‐73400<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Campbell Clinic Surgery Center<br />

1410 Brierbrook Road<br />

Germantown, TN 38138<br />

Phone: 901‐759‐5454<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

East Memphis Surgery Center<br />

80 Humphreys Center Dr #101<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3233<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Eye Care Surgery Center Of Memphis<br />

5350 Poplar Ave #950<br />

Memphis, TN 38119<br />

Phone: 901‐683‐4600<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Eye Care Surgery Center Of Olive Branch<br />

6947 Crumpler Blvd., Suite 105<br />

Olive Branch, MS 38654‐1922<br />

Phone: 901‐683‐4600<br />

County: Desoto<br />

Surgery Centers<br />

Eye Care Surgery Center Of Southaven<br />

7600 Airways Blvd #D<br />

Southaven, MS 38671<br />

Phone: 901‐683‐4600<br />

County: Desoto<br />

Surgery Centers<br />

Hamilton Eye Institute Surgery Center<br />

930 Madison Ave #370<br />

Memphis, TN 38103<br />

Phone: 901‐448‐3900<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Meca Laser & Surgery Center<br />

6485 Poplar Avenue<br />

Memphis, TN 38119<br />

Phone: 901‐767‐4014<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Memphis Surgery Center<br />

1044 Cresthaven<br />

Memphis, TN 38119<br />

Phone: 901‐682‐1516<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Midtown Surgery Center<br />

255 South Pauline Street<br />

Memphis, TN 38104<br />

Phone: 901‐527‐6871<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Oxford Surgery Center<br />

499 Azalea Drive<br />

Oxford, MS 38655<br />

Phone: 662‐234‐7979<br />

County: Lafayette<br />

Surgery Centers<br />

Ridge Lake Ambulatory Surgery Center<br />

825 Ridge Lake Blvd.<br />

Memphis, TN 38120<br />

Phone: 901‐685‐1088<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Semmes‐Murphey Surgery Center<br />

6325 Humphreys Blvd.<br />

Memphis, TN 38120<br />

Phone: 901‐522‐7700<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Shea Ear Clinic<br />

6133 Poplar Pike<br />

Memphis, TN 38119<br />

Phone: 901‐761‐9720<br />

County: Shel<strong>by</strong><br />

Surgery Centers<br />

Union City Surgery Center<br />

1722 E Reelfoot Ave, Suite 1<br />

Union City, TN 38261<br />

Phone: 731‐885‐6300<br />

County: Obion<br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 227


Provider Listing <strong>by</strong> <strong>Specialty</strong><br />

Surgery Centers<br />

Urocenter<br />

80 Humphreys Center Dr #310<br />

Memphis, TN 38120<br />

Phone: 901‐747‐3370<br />

County: Shel<strong>by</strong><br />

Urgent Care Centers<br />

Baptist Minor Medical Center‐Bartlett<br />

7424 Highway 64; Suite 111<br />

Memphis, TN 38133<br />

Phone: 901‐385‐7817<br />

County: Shel<strong>by</strong><br />

Urgent Care Centers<br />

Baptist Minor Medical Center‐Cordova<br />

584 North Germantown Pkwy., Suite 110<br />

Cordova, TN 38018<br />

Phone: 901‐753‐7686<br />

County: Shel<strong>by</strong><br />

Urgent Care Centers<br />

Baptist Minor Medical Center‐Olive Branch<br />

(Ms)<br />

8990 Germantown Extended<br />

Olive Branch, MS 38654<br />

Phone: 901‐525‐1160<br />

County: Desoto<br />

Urgent Care Centers<br />

Baptist Minor Medical Center‐<br />

Poplar/Holmes<br />

3295 Poplar Avenue, Suite 105<br />

Memphis, TN 38111<br />

Phone: 901‐327‐8188<br />

County: Shel<strong>by</strong><br />

<strong>This</strong> list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to<br />

services being rendered. 09/24/2012 Page 228

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