Please note we only list the Providers Primary Location
Members: This Directory lists participating providers alphabetically by Specialty. Facility providers are listed after physicians. Providers listed are subject to change. It is important to verify a provider’s participation prior to services being rendered. If you have any questions, please contact our customer service department at 800-238-1344.You may also visit www.pa-tpa.com to search for a provider. ******************** Please note we only list the Providers Primary Location; you will need to contact the provider for any additional location inquiry’s. Provider Listing by Specialty Addiction Medicine Allergy and Immunology Allergy and Immunology Charlotte A Deflumere Md 1715 Aaron Brenner Dr #326 Memphis, TN 38120 Phone: 901-747-2335 County: Shelby E Memphis Allergy & Asthma 3085 Fountainside Dr Germantown, TN 38138 Phone: 901-755-0550 County: Shelby Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Deflumere, Charlotte A Escue, Ashley Brawley Mcculley, Tammy Heinly Addiction Medicine Allergy and Immunology Allergy and Immunology 6005 Park Ave #502 Memphis, TN 38119 Phone: 901-761-0800 County: Shelby Allergy & Asthma Specialists Of Memphis 2006 Exeter Rd Germantown, TN 38138 Phone: 901-202-4100 County: Shelby E Memphis Allergy & Asthma 3085 Fountainside Dr Germantown, TN 38138 Phone: 901-755-0550 County: Shelby Jones, Douglas Allergy and Immunology Blaiss, Michael S Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Allergy and Immunology Cole, Steve 1750 Madison Ave #210 Memphis, TN 38104 Phone: 901-726-4055 County: Shelby Allergy and Immunology Daher, Nora Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Allergy and Immunology Dejarnatt, Alan C Allergy & Asthma Care 587 Skyline Dr Jackson, TN 38301 Phone: 901-757-6100 County: Madison Allergy and Immunology Duncan, Jerald M Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Fahhoum, Joseph Sadik Mirro, Betty Jane Allergy and Immunology Allergy and Immunology Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Grogan, Fred T Treadwell, George H Allergy and Immunology Anesthesiology Consolidated Medical Practice Of Memphis 2101 Merchants Row #3 Germantown, TN 38138 Phone: 901-751-9696 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Allergy and Immunology Anesthesiology Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Great River Physician Svcs 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7386 County: Mississippi Allergy and Immunology Anesthesiology Joe S Levy Md 5575 Poplar Ave #708 Memphis, TN 38119 Phone: 901-682-0430 County: Shelby 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-664-1717 County: Carroll Allergy and Immunology Anghelescu, Doralina L Hanissian, Gregory Andrew Hill, Brandon Deemond Levy, Joe S Lieberman, Phillip L Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Akins, Charles D Anand, Suwarna Anesthesia Pc, West Tennessee Anesthesiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 1 Provider Listing by Specialty Anesthesiology Anesthesiology Anesthesiology Dr Mark Armstrong Md 1722 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-6300 County: Obion Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Shelby Anesthesia Services 6005 Park Ave #406 Memphis, TN 38119 Phone: 901-682-6828 County: Shelby Anesthesiology Anesthesiology Anesthesiology Magnolia Anesthesiology Assoc 401-1E Alcorn Dr Corinth, MS 38834 Phone: 662-665-0457 County: Alcorn Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Anesthesiology Anesthesiology Consultants Pllc, Mid-South Anesthesia Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Shelby Anesthesia Services 6005 Park Ave #406 Memphis, TN 38119 Phone: 901-682-6828 County: Shelby Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Anesthesiology Ridge Lake Anesthesia 825 Ridge Lake Blvd #125 Memphis, TN 38120 Phone: 901-685-6150 County: Shelby Mid-South Anesthesia Consultants 391 Southcrest Cir #209 Southaven, MS 38671 Phone: 662-349-2659 County: DeSoto Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Armstrong, Mark Anthony Armstrong, Anthony L Bailey, James W Bang, Hoi J Bartusch, Scott L Bayat-Mokhtari, Susan P Benoit, David Allen Bikhazi, George B Biswas, Ajit K Boutte, James N Breckenridge, Dan B Bridges, Ruth A Bridgewater, Jovie Naedgar Burgoyne, Laura L Carolino, Eugene R Consultants Of Oxford Pllc, Anesthesia Anesthesiology 7603 Southcrest Pkwy #100 Southaven, MS 38671 Phone: 662-349-0142 County: DeSoto Anesthesiology Cooper, Charlie W Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Crancarty, Wendy Lee Carroll County Anesthesia 631 R B Wilson Dr #4 Huntingdon, TN 38344 Phone: 731-986-2983 County: Carroll Anesthesiology Crone, Robert Andrew Medical Anesthesia Group 1755 Kirby Pkwy #330 Memphis, TN 38120 Phone: 901-725-5846 County: Shelby Anesthesiology Dalsania, Jivanlal East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 2 Provider Listing by Specialty Anesthesiology Anesthesiology Anesthesiology East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Midsouth Pain & Anesthesia Clinic Inc 6005 Park Ave #502 Memphis, TN 38119 Phone: 901-761-0800 County: Shelby Anesthesiology Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby 611 Alcorn Dr Corinth, MS 38834 Phone: 662-287-6913 County: Alcorn Anesthesiology Anesthesiology Group Inc, Martin Anesthesia Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Das, Shibendra David, Shea Brianne Denn, Martine J Doblar, Dennis Delmar Eskin, Marc S Fong, Terry T Fox, Teresa Otey Friederich, Jeffrey A Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Dorroh, Charles W Draper, Jacqueline Duggirala, Vijaya L Funderburg, William Rodger Gairhan, Charles Hurd Giesecke, Todd C Gorline, William J Green, Phillip E Group, Magnolia Hospitalist Anesthesiology 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-588-0001 County: Weakley Anesthesiology Hammitt, George Monroe Pain Mgmt Center Of N MS 607 Brunson Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Anesthesiology Health Llc, Pinnacle 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Anesthesiology Hedderich, Ronald Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 3 Provider Listing by Specialty Anesthesiology Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Anesthesiology Anesthesiology Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Anesthesiology Anesthesiology Anesthesiology Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Anesthesiology Anesthesia Associates Of Memphis 5744 Nanjack Circle Memphis, TN 38115 Phone: 901-797-9711 County: Shelby Mid-South Anesthesia Consultants 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0142 County: DeSoto Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Tupelo Anesthesia Group 703 Alcorn Dr #105 Corinth, MS 38834 Phone: 662-287-8185 County: Alcorn Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Anesthesiology Magnolia Anesthesiology Assoc 401-1E Alcorn Dr Corinth, MS 38834 Phone: 662-665-0457 County: Alcorn Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Magnolia Hospitalist Group 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Anesthesiology Anesthesiology Anesthesiology Magnolia Anesthesiology Assoc 401-1E Alcorn Dr Corinth, MS 38834 Phone: 662-665-0457 County: Alcorn Pain Mgmt Center Of N Ms 607 Brunson Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Hood, Stephen T Huggins, David P Hunter, Gary J Isom, Johnathan M Jacobs, Arthur E Jacque, James Jules Jobe, Tina M Kaddoum, Roland Kanakamedala, Bhanu V Kathawala, Arifa Kathawala, Arifa Keith, Carmen Nicole Kimball, Noah B Kinard, Kirk Lawrence Lafleur, Christopher W Lake Jr, Chester Hamilton Landau, Reed S Laster, Angela G Lazarov, Stuart J Lee, Zina D Li, George Te This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 4 Provider Listing by Specialty Anesthesiology Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Mid-South Anesthesia Consultants 391 Southcrest Cir #209 Southaven, MS 38671 Phone: 662-349-2659 County: DeSoto Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Anesthesiology Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Anesthesiology Anesthesiology Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Salwa Moustafa Md 6005 Park Ave #406 Memphis, TN 38119 Phone: 901-682-6828 County: Shelby Anesthesiology Anesthesiology Anesthesiology Lifelinc Anesthesia 716 W Brookhaven Cir Memphis, TN 38117 Phone: 901-844-1590 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby PO Box 427 Blytheville, AR 72316 Phone: 870-838-7348 County: Mississippi Anesthesiology Anesthesiology Murphree, Patrick A Union City Anesthesia Grp 1201 Bishop St Union City, TN 38261 Phone: 731-885-0787 County: Obion Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Anesthesiology Anesthesiology Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Mid-South Anesthesia Consultants 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0142 County: DeSoto Lindsay, Herbert Lamar Livesay, Christopher Howard Mackey, Richard L Mackey, Randol B Malik, Harbans L Marsalis, Wilton L. Mccourt, Carol Jo Mccoy, Dennis Dewayne Merritt, Lauren N Moolchandani, Geeta R Moolchandani, Rajendra K Morrison, Michael B Moskop, Robert J Mosley, Patricia Ann Mosley, Patricia Ann Moustafa, Salwa Moustafa, Salwa Ms County Plc, Anesthesia Assoc Of Anesthesiology Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Anesthesiology Nawaf, Kays East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Newby, Diana L Anesthesia Associates Of Memphis 5744 Nanjack Circle Memphis, TN 38115 Phone: 901-797-9711 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 5 Provider Listing by Specialty Anesthesiology Anesthesiology Anesthesiology Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Anesthesiology PO Box 1806 Columbus, MS 39703 Phone: 662-327-6820 County: Lowndes Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Magnolia Anesthesiology Assoc 401-1E Alcorn Dr Corinth, MS 38834 Phone: 662-665-0457 County: Alcorn Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Michael E Steuer Md 122 Airways Pl Southaven, MS 38671 Phone: 662-349-9990 County: DeSoto Anesthesiology Anesthesiology East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Grenada Anesthesiology Inc 960 Avent Dr Grenada, MS 38901 Phone: 662-227-7150 County: Grenada Anesthesiology Anesthesiology East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Shelby Anesthesia Services 6005 Park Ave #406 Memphis, TN 38119 Phone: 901-682-6828 County: Shelby Anesthesiology Anesthesiology Mid-South Anesthesia Consultants 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0142 County: DeSoto East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Newcomb, Carol Franks Partners, Prairie Anesthesia Anesthesiology Patel, Mohanlal East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Patel, Phalgun Jashbhai Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Patil, Mahadev East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Payne, Kyle D East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Pereiras, Lilia A Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Reid, David Hollis Roberson, Ann Chancellor Rodriguez, Angel A Samuel, Vincent Sarkar, Brojo G Shah, Anant V Sharp, Christopher Dewey Shurley, William R Silberberg, Marc S Stephens, Raj K Steuer, Michael E Taylor, Walter T Vickers, Thomas A Vicknair, Kristen M This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 6 Provider Listing by Specialty Anesthesiology Anesthesiology Anesthesia Consultants Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-234-0781 County: Lafayette Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Waldrop, Christine Sandifer Walsh, John Thomas Whitten, Ana Elizabeth Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Bariatric Surgery Weaver (Mcgrath), Virginia A Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Whitten, Anne D Shelby Anesthesia Services 6005 Park Ave #406 Memphis, TN 38119 Phone: 901-682-6828 County: Shelby Saint Francis Center For Surgical Weight Loss 6005 Park Ave #112 Memphis, TN 38119 Phone: 901-7653040 County: Shelby Anesthesiology Anesthesiology Bariatric Surgery Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Anesthesiology Anesthesiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Orthofix Inc. 1720 Bray Central Drive McKinney, TX 75069 Phone: 800-527-0404 County: Collin Anesthesiology Anesthesiology Bone Growth Stimulator Wasef, Maha Webber, Ben P Weiss, Steven Jay West, James M Westbrook-Chilcott, Leona E Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Williams, Jeffrey L Williams, Jennifer Elaine Wright, Becky Buckley Wu, Bo Baptist Memorial Hospital Golden Triangle Inc 2520 5th St N Columbus, MS 39701 Phone: 800-222-1335 County: Lowndes Williams, Vanessa Saint Francis Center For Surgical Weight Loss 6005 Park Ave #112 Memphis, TN 38119 Phone: 901-765-3040 County: Shelby Bariatrics Bath, Karen Kamal Singh Oxford Bariatric General & Metabolic Surgery 2215 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-234-3303 County: Lafayette Biotech Pharmaceutical Services Accredo Health Group, Inc. 1620 Century Center Pkwy, Suite 109 Memphis, TN 38134 Phone: 901-385-3600 County: Shelby Bone Growth Stimulator Smith & Nephew, Inc. 1450 E. Brooks Road Memphis, TN 38116 Phone: 800-821-5700 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 7 Provider Listing by Specialty Breast Prosthesis & Mastectomy Bras Fitting Concepts 130 South Industrial Road Tupelo, MS 38801 Phone: 662-841-2476 County: Lee Cardiac Event Monitoring Telerhythmics Monitoring Service 60 Market Center Drive; Suite 101 Collierville, TN 38017 Phone: 901-316-0204 County: Shelby Breast Surgery Cardiology Baptist Memorial Medical Group Inc. 6215 Humphreys Blvd #505 Memphis, TN 38120 Phone: 901-227-8950 County: Shelby Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Throckmorton, Alyssa D Addington, Milton B Cardiac Electrophysiology Cardiology Nea Baptist Clinic 4802 E Johnson Ave Jonesboro, AR 72401 Phone: 870-936-8000 County: Craighead Cardiovascular Clinic Of W Tn 162 Murray Guard Dr Jackson, TN 38305 Phone: 731-256-1819 County: Madison Cardiac Electrophysiology Cardiology Stern Cardiovascular Foundation Inc 391 Southcrest Cir #200 Southaven, MS 38671 Phone: 901-271-1000 County: DeSoto Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Cardiac Electrophysiology Cardiology Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cui, Jiang Cui, Jiang Agbetoyin, Adeyinka A Akins, Steven L Cardiology Awdeh, Mahir R Mahir R Awdeh Md 3787 Summer Ave Memphis, TN 38122 Phone: 901-452-7391 County: Shelby Cardiology Awdeh, Mahir R St Francis Cardiology Assoc 2996 Kate Bond Rd #211 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby Cardiology Awdeh, Mahir R St Francis Cardiology Assoc 6005 Park Ave #500B Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Cardiology Basco, Eduardo V Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Allen Jr, Ray M Cardiology Cardiac Electrophysiology Cardiology Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Arrhythmia Consultants 1211 Union Ave #475 Memphis, TN 38104 Phone: 901-274-2643 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Hottigoudar, Rashmi U Porterfield, James G Cardiac Event Monitoring Cardionet, Inc. 227 Washington Street; Suite 300 Conshohocken, PA 19428 Phone: 866-426-4404 County: Montgomery Anderson, Keith Cardiology Arcot, Kishore Kumar Memphis Cardiology 6005 Park Ave #225B Memphis, TN 38119 Phone: 901-767-6765 County: Shelby Battin, David Cardiology Boland, Michael J Baptist Memorial Medical Group Inc 255 Baptist Blvd #402 Columbus, MS 39705 Phone: 662-240-1412 County: Lowndes Cardiology Burnett, Charles R Cardiology Specialists Of Memphis 80 Humphreys Ctr #202 Memphis, TN 38120 Phone: 901-747-3330 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 8 Provider Listing by Specialty Cardiology Cardiology Cardiology Strong Heart Clinic 2209 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-281-1115 County: Lafayette Lexington Clinic Corp 279 W Church St Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Sfmp, Inc 4901 Raleigh Common Drive #100 Memphis, TN 38128 Phone: 901-371-9040 County: Shelby Cardiology Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Dyersburg Clinic Corp 1716 Parr Ave #C Dyersburg, TN 38024 Phone: 731-288-7250 County: Dyer Cardiology Specialists Of Memphis 80 Humphreys Ctr #202 Memphis, TN 38120 Phone: 901-747-3330 County: Shelby Cardiology Cardiology Cardiology BMHSI Of Ms 255 Baptist Blvd #303 Columbus, MS 39705 Phone: 662-244-2870 County: Lowndes The Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Heart Center Of Memphis 1211 Union Ave #495 Memphis, TN 38104 Phone: 901-507-6600 County: Shelby Cardiology Cardiology Cardiology St Francis Cardiology Assoc 2996 Kate Bond Rd #203 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Campbell, Mark Edward Caruso, Louis Chang, Joon Kyu Cohen, Avrahm Cuddy, Stephen Richard Cunningham, Louis E Dalal, Ajay Danley (Williams), Beverly Dave, Raj C Debsikdar, Jaideep Delrosario, Marc Louie Estacion Diaz, Claro F Cardiology Cardiology Cardiology St Francis Cardiology Assoc 2996 Kate Bond Rd #211 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby St Francis Cardiology Assoc 6005 Park Ave #500B Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Cardiology Cardiology St Francis Cardiology Assoc 6005 Park Ave #500B Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Family Heart Center 5959 Park Ave Memphis, TN 38119 Phone: 901-377-7308 County: Shelby Cardiology Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Dyersburg Clinic Corp 1716 Parr Ave #C Dyersburg, TN 38024 Phone: 731-288-7250 County: Dyer Batesville Hma Medical Group 255 Medical Center Drive #C Batesville, MS 38606 Phone: 662-712-2220 County: Panola Cohen, Avrahm Cohen, Avrahm Coppess, Mark Alan Das, Pranab Das, Pranab Datta, Sudip Edwards, Todd D Edwards, Todd D Eryazici, Paula D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 9 Provider Listing by Specialty Cardiology Cardiology Cardiology Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Cardiology Associates Of Memphis 6005 Park Ave #906 Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Evans, Edward Morgan Guerra, Guerraumberto J Hopkins, Jack T Cardiology Cardiology Cardiology Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Consolidated Medical Practices Of Memphis 6799 Great Oaks Rd #100 Memphis, TN 38138 Phone: 901-751-0405 County: Shelby Farah, Victor Hackman, Bela B Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Cardiology Cardiology Cardiology Specialists Of Memphis 80 Humphreys Center Dr #202 Memphis, TN 38120 Phone: 901-747-3330 County: Shelby Nw Tn Cardiology Clinic 1304 Medical Park Cir Union City, TN 38261 Phone: 731-886-1212 County: Obion Gardner, John S Garrison, Janice L Haji, Showkat Ahmed Hall, James C Cardiology Cardiology 2963 Elmore Park Rd #1 Bartlett, TN 38134 Phone: 901-373-5888 County: Shelby Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Gerlach, Paul A Cardiology Gordon, Richard Joseph Gordon Heart Clinic 5200 Park Ave #102 Memphis, TN 38119 Phone: 901-333-0330 County: Shelby Cardiology Gubin, Steven S Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Hess, Paul G Cardiology Himmelstein, Stevan I Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Cardiology Holloway, David H Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Iansmith, David H Cardiology Infeld, Jason Ivan Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Jha, Sunil Kumar Memphis Cardiac Care Ctr 1325 Eastmoreland Ave #440 Memphis, TN 38104 Phone: 901-722-8884 County: Shelby Cardiology Johnson, Eric E Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Karri, Someswara R Midsouth Cardiovascular Center 1211 Union Ave #310 Memphis, TN 38104 Phone: 901-725-2222 County: Shelby Cardiology Kerlan, Jeffrey Eliot The West Clinic 6025 Walnut Grove Rd #111 Memphis, TN 38120 Phone: 901-818-0300 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 10 Provider Listing by Specialty Cardiology Cardiology Cardiology Heart Center Of Memphis 1211 Union Ave #495 Memphis, TN 38104 Phone: 901-821-0338 County: Shelby Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Morgan Cardiovascular 2427 Proper Street Corinth, MS 38834 Phone: 662-665-0151 County: Alcorn Cardiology Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Cardiology Cardiology Delta Convenient Care 9486 Hwy 412 W Lexington, TN 38351 Phone: 731-968-0984 County: Henderson Apex Cardiology 327 Summar Dr Jackson, TN 38301 Phone: 731-423-8200 County: Madison Chest Pain Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Cardiology Cardiology Cardiology Ut Medical Group Inc 1325 Eastmoreland Ave #360 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Heart & Vascular Institute 7205 Wolf River Blvd #201 Germantown, TN 38138 Phone: 901-507-3100 County: Shelby Khan, Shahid Ishaq Klemis, James Edward Korban, Elie Hage Koshy, Santhosh K G Malhotra, Amit May, Justin Anthony Mcclure, Mallory L Mcdonald, Michael Morgan, Kerry Dean Morrow, Jennifer Sae Munir, Ahmad Murray, Gary L Cardiology Cardiology Cardiology Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cleveland Cardiology 218 N Pearman Ave Cleveland, MS 38732 Phone: 662-846-1112 County: Bolivar Cardiology Cardiology Cardiology Strong Heart Clinic 2209 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-281-1115 County: Lafayette Cardiology Consultants Of Oxford 2209 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-236-1352 County: Lafayette Cardiology Associates Of Memphis 6005 Park Ave #500B Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Cardiology Cardiology Cardiology The Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Corinth Cardiology 401 Alcorn Dr #1A Corinth, MS 38834 Phone: 601-983-9859 County: Alcorn Proavtive Health & Vascular 7751 Wolf River Blvd Germantown, TN 38138 Phone: 901-297-4000 County: Shelby Kraus, David H Laney, Charles Allen Litzow, James T Mcgrew, Frank A Mehrle, Anderson P Mohamed, Emad H Naidoo, Abendra Balakista Nelson, Michael Nelson, Michael Aaron This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 11 Provider Listing by Specialty Cardiology Cardiology Cardiology Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8803 County: Shelby John W Prather Md 611 Alcorn Dr #230 Corinth, MS 38834 Phone: 662-287-5218 County: Alcorn Cardiology Cardiology Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Firstcare Medical Ctr 168 University Pkwy #A and B Jackson, TN 38305 Phone: 731-772-3442 County: Madison Cardiology Consultants Of Oxford 2209 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-236-1352 County: Lafayette Newman, Kevin P Obi, Patricia R Prather, John W Purdon, James Stephen Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby The Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Otten, Daniel Edmond Quiroz, Antonio C Cardiology Cardiology Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8803 County: Shelby Patel, Nirav A Ramanathan, Kodangudi B Cardiology Cardiology Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Cardiology Cardiology Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Baptist Memorial Hospital-Memphis 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Cardiology Richardson, Brenda Jean Patel, Dharmesh Surendra Paulus, Basil Pidikiti, Nanni Nanni Pidikiti Md 104 Magnolia Doctor's Plaza Corinth, MS 38834 Phone: 662-286-9393 County: Alcorn Reed Iii, Guy L Reef, Ellis G Cardiology Heart & Vascular Institute 3950 New Covington Pike #280 Memphis, TN 38128 Phone: 901-507-3150 County: Shelby Robinson, Antwon D Cardiology Rubin, Michael Andrew Rubin Heart Center 6590 Summer Knoll Cir #103 Bartlett, TN 38134 Phone: 901-761-9092 County: Shelby Cardiology Rudin, Andrew S Andrew S Rudin Md 111 Stonebridge Blvd #C Jackson, TN 38305 Phone: 731-431-8002 County: Madison Cardiology Rudorfer, Bennett L Bennett Rudorfer Md 310 W Tyler West Memphis, AR 72301 Phone: 870-732-2398 County: Crittenden Cardiology Rudorfer, Bennett L St Francis Cardiology Assoc 200 Harbour Marion, AR 72364 Phone: 901-683-6925 County: Crittenden Cardiology Rudorfer, Bennett L St Francis Cardiology Assoc 2996 Kate Bond Rd #203 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby Cardiology Rudorfer, Bennett L St Francis Cardiology Assoc 2996 Kate Bond Rd #211 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 12 Provider Listing by Specialty Cardiology Cardiology Cardiology St Francis Cardiology Assoc 310 W Tyler Ave West Memphis, AR 72301 Phone: 901-683-6925 County: Crittenden Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Cardiology Shirwany, Arsalan Tariq Rudorfer, Bennett L Cardiology Rudorfer, Bennett L St Francis Cardiology Assoc 6005 Park Ave #500B Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Cardiology Russo, William L Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Salazar, Holger Patricio Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Cardiology Samaha, Joseph K Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Cardiology Saxton, Grady Lee Saxton Heart Clinic 6055 Primacy Pkwy #125 Memphis, TN 38119 Phone: 901-761-9998 County: Shelby Cardiology Seibel, John E Sunset Cardiovascular Svcs 1300 Sunset Dr #W Grenada, MS 38901 Phone: 662-227-9991 County: Grenada Selektor, Yelena Selvaraj, Nemalan Magnolia Cardiology Assoc 611 Alcorn Dr #230 Corinth, MS 38834 Phone: 662-287-5218 County: Alcorn Cardiology Shala, Mohamed Bashar Cardiology Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Cardiology Simmons, David Shahbaz, Attaur Rehman Dyersburg Clinic Corp 1716 Parr Ave #C Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer David L Simmons Md Cardiovascular Services 6005 Park Ave #200A Memphis, TN 38119 Phone: 901-482-0988 County: Shelby Cardiology Cardiology Methodist Specialty Physicians Iii 1251 Wesley Dr #153 Memphis, TN 38116 Phone: 901-259-2000 County: Shelby Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Cardiology Cardiology St Francis Cardiology Assoc 2996 Kate Bond Rd #203 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Cardiology Cardiology St Francis Cardiology Assoc 2996 Kate Bond Rd #211 Bartlett, TN 38133 Phone: 901-683-6925 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Shaikh, Khawar Mushtaq Shaikh, Aftab A Shaikh, Aftab A Singh, Bharat Smith, Stacy Cheryl Smithers, Maureen A Cardiology Cardiology St Francis Cardiology Assoc 6005 Park Ave #500B Memphis, TN 38119 Phone: 901-683-6925 County: Shelby Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Shaikh, Aftab A Sneed, J Darrell This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 13 Provider Listing by Specialty Cardiology Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes 520 Willowbrook Rd Columbus, MS 39705 Phone: 901-362-6103 County: Lowndes Cardiology Cardiology Wolford, David Charles Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Spiotta, Larry B Stamper, James J Towery, James Green Vanwyhe, Galen Cardiology Cardiology Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Stewart, David Watson, Andrew Cardiology Cardiology Strong Heart Clinic 1300 Access Rd #400 Oxford, MS 38655 Phone: 662-281-1115 County: Lafayette Ut Medical Group Inc 1325 Eastmoreland Ave #360 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Cardiology Cardiology Cardiovascular Physicians Of Memphis Inc 4901 Raleigh Common Drive #110 Memphis, TN 38128 Phone: 901-372-1412 County: Shelby Skyline Cardiovascular Institute 111 Stonebridge Blvd Jackson, TN 38305 Phone: 731-217-9194 County: Madison Cardiology Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Weinstein, Joseph S Strong, Mark H Szabo, Tibor S Szatkowski, Arie Thompson, Thomas Allan Baptist Memorial Hospital-Golden Triangle 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Weber Ii, Karl Theodore Weiner, Ronald I Williams, James Barton Cardiology Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Cardiology Young, Stephen Hoyt Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Cardiology Young, Lisa J Sutherland Clinic 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Cardiology Zoghbi, Gilbert Joseph Stern Cardiovascular Foundation Inc 391 Southcrest Cir #200 Southaven, MS 38671 Phone: 901-271-1000 County: DeSoto Cardiovascular & Thoracic Surgery Crocker, Edward F Weiner, Roger D 785 Ohio Dr #3D Clarksdale, MS 38614 Phone: 662-621-1915 County: Coahoma BMHSI Of Ms 255 Baptist Blvd #305 Columbus, MS 39705 Phone: 662-244-2288 County: Lowndes Cardiology Cardiovascular & Thoracic Surgery Sfmp, Inc 4901 Raleigh Common Drive #100 Memphis, TN 38128 Phone: 901-371-9040 County: Shelby Jt Davis Jr Md 6027 Walnut Grove Rd #203 Memphis, TN 38120 Phone: 901-683-4471 County: Shelby Davis, J T This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 14 Provider Listing by Specialty Cardiovascular & Thoracic Surgery Cardiovascular & Thoracic Surgery Certified Registered Nurse Anesthetist BMHSI Of Ms 2301 S Lamar #140 Oxford, MS 38655 Phone: 662-513-3246 County: Lafayette The Cardiovascular Center 6005 Park Ave #329B Memphis, TN 38119 Phone: 901-761-2470 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Cardiovascular & Thoracic Surgery Cardiovascular & Thoracic Surgery Certified Registered Nurse Anesthetist Cardiovascular Surgery Clinic 6029 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-747-3066 County: Shelby Magnolia Cardiovascular & Thoracic Clinic 611 Alcorn Dr #200 Corinth, MS 38834 Phone: 662-665-4660 County: Alcorn Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Cardiovascular & Thoracic Surgery Cardiovascular & Thoracic Surgery Certified Registered Nurse Anesthetist The Cardiovascular Center 6005 Park Ave #329B Memphis, TN 38119 Phone: 901-761-2470 County: Shelby Baptist Memorial Medical Group Inc 6025 Walnut Grove Rd #400 Memphis, TN 38120 Phone: 901-226-0391 County: Shelby Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Cardiovascular & Thoracic Surgery Cardiovascular & Thoracic Surgery Certified Registered Nurse Anesthetist Magnolia Cardiovascular & Thoracic Clinic 611 Alcorn Dr #200 Corinth, MS 38834 Phone: 662-665-4660 County: Alcorn Cardiovascular Center 6005 Park Ave #329B Memphis, TN 38119 Phone: 901-761-2470 County: Shelby Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Cardiovascular & Thoracic Surgery Cardiovascular & Thoracic Surgery Certified Registered Nurse Anesthetist Cardiac Surgery Assoc 6029 Walnut Grove Rd #109 Memphis, TN 38120 Phone: 901-747-0017 County: Shelby St Francis Cardiovascular Surgery 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-236-0508 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Cardiovascular & Thoracic Surgery Cardiovascular & Thoracic Surgery Certified Registered Nurse Anesthetist Patricio A Ilabaca Md 6027 Walnut Grove Rd #114 Memphis, TN 38120 Phone: 901-683-6161 County: Shelby Cardiovascular Surgery Clinic 6029 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-747-3066 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Cardiovascular & Thoracic Surgery Cardiovascular Disease Certified Registered Nurse Anesthetist Owen Clinic 3980 New Covington Pike #101 Memphis, TN 38128 Phone: 901-383-8232 County: Shelby 5741 Nanjack Circle Memphis, TN 38115 Phone: 901-362-8884 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Deese, Lawrence Edward Garrett, H Edward Gibson, Jeffrey B Gilmore, James Curtis Gooch, Jerry B Ilabaca, Patricio A Owen, Edmond W Powell, Timothy J Rehman, Atiq Robbins, E Todd Robbins, Samuel G Schoettle Jr, Glenn P Wolf, Bradley Aaron Faulkner, Lee E Accardo, Dwayne Accardo, Dwayne Lance Acree, James R Alexander, Gregory Allison, Lenee Mcpherson Anderson, Jonathan O Anderson, James F This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 15 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Union City Anesthesia Grp 1201 Bishop St Union City, TN 38261 Phone: 731-885-0787 County: Obion Union City Anesthesia Grp 1201 Bishop St Union City, TN 38261 Phone: 731-885-0787 County: Obion Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Anesthesia Care Services 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-843-1500 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-5893 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Clarksdale Hma, Llc 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Delta Endoscopy Ctr 9140 Hwy 51 N Southaven, MS 38671 Phone: 662-280-8222 County: DeSoto Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Tm Anesthesia Assoc 2866 Stage Park Dr Memphis, TN 38134 Phone: 901-377-5546 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby North Oak Regional Hospital Inc 401 Getwell Dr. #B Senatobia, MS 38668 Phone: 662-612-0013 County: Tate Anderson, Melvin D Baker, Claudia Baker, Nichole Ann Ballard, Lewis Nelson Banks, Toney L Banks, Toney L Barger, Dean D Barker, Donald W Barsotti, Teresa Barsotti, Teresa Beaver, Kevin Lee Beck, Ben L Beckham, Penny Bentley, Barbara Best, Micah E Bilbrey, Penny R Bray, Garry Buettner, Neil Burns, Arthur H Burns, William Danny Burns, William Danny This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 16 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Independent Anesthesia Svcs 6133 Poplar Pike Memphis, TN 38119 Phone: 901-737-8571 County: Shelby Lifelinc Anesthesia 825 Ridge Lake Blvd Memphis, TN 38119 Phone: 901-844-1590 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Dr Mark Armstrong Md 1722 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-6300 County: Obion Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Martin Anesthesia Group Inc 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-588-0001 County: Weakley Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastrointestinal Specialists 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Callan, Eric Callan, Eric W Carson, James M Cepeda, Claire Eugenia Chitwood, Linda Chitwood, Linda B Cokeing, Katherine B Collins, Ginger Marie Colvin, David E Connell, Sandra Connell, John Christopher Connell, Sandra B Connors, Carola Cox, Kevin Cox, Kevin W Davidson, John M Delcambre, Jeanne Bowers Demaree, Edward Matthew` Dobie, Katherine Ermis, Mary W Feltman, Samuel J This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 17 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Dr Mark Armstrong Md 1722 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-6300 County: Obion Feltman, Joseph Ryan Fulton, Keith Hall, James David Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Clarksdale Hma Physician Mgmt 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Lifeline Anesthesia 825 Ridge Lake Blvd Memphis, TN 38119 Phone: 901-844-1590 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-261-0513 County: Saint Francis East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Fendley, Jeremy Blake Fisher, Glenn C Fleming, Debra Flettrich, Deborah D Fortner, Cindy G Fortner, Michael S Fulton, Keith Quentin Gates, Jory Gearhart, Jeffrey Gilliam Jr, Earnest Edward Graham, Jennifer S Griffith, Donna Hayes, Vincent Hines, Leslie H Hood, Shelley Jenkins, Irma N Jones, Vaughn P Jones, Mary Jane This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 18 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Martin Anesthesia Group Inc 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-588-0001 County: Weakley Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Magnolia Regional Health Center 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Martin Anesthesia Group Inc 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-588-0001 County: Weakley PO Box 1134 Booneville, MS 38829 Phone: 662-720-5255 County: Prentiss Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Jones, Mary E Jones, Larry Jones, Orey M Jones, Kimberly M Kail, Kristen Kelley, Misty D Kelly, Christopher P Kernodle, Virginia Lee Ketcher, Aaron R Key, Susan Kleck, Rebekah Lynn Koelemay, Karen Ann Koons, Chad Ryan Koster, Stephen R Lambert, Kimberly B Lane, Angela S Lee, Jesse Newton Lefave, Melissa Lewis, Lucius Lucus, Sharon Lucus, Sharon Kay This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 19 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Martin Anesthesia Group Inc 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-588-0001 County: Weakley Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Anesthesia Care Services 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-843-1500 County: Shelby Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Mackey, Randol B Madison, Andrea Nicole Malina, Debra Pecka Marks, Karen Martin, Jo E Mays, Karla J Mccarley, Sheila M Mccarley, Sheila M Mcconnell, Michael Carl Mcconnell, Kay O Mchugh, Kevin John Mckay, Steven Mckinzie, Victoria L Mcklveen, Lawrence E Miers, Shawn P Miller, Mary Gail Monroe, Charles A Moody, Mark Erickson Moran, Judith A Morel, Joseph M Morley, Wendy Elizabeth This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 20 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, TN 38614 Phone: 662-627-3211 County: Coahoma Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Myers, Kristi A Nabors, Alicia Neely Cowan, Leatrice Rena Ogle, Samuel Lance Orr, Tara Lynn Parker, Benjamin R Pledger, Jessica Renee Pontoni, Cynthia Lynn Potter, Delana Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Clarksdale Hma Physician Mgmt 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Neff, Alexis Christine Nelson Iii, John William Noblin, Shannon Noblin, Shannon Noelle Paul, Leah Marie Pelegrin, Ann Perkins, David Elbert Pernell, Ida B Ragon, James R Ragon, William S Ray, Tiffany Roby, Linda J This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 21 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Clarksdale Hma Physician Mgmt 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Mid -South Anesthesia Consultants 7603 Southcrest Pkwy # 100 Southaven, MS 38671 Phone: 662-349-0142 County: DeSoto Clarksdale Hma, Llc 785 Ohio Avenue #2G Clarksdale, MS 38614 Phone: 662-621-5081 County: Coahoma Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Pinnacle Health 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-336-1100 County: Saint Francis Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, TN 38614 Phone: 662-627-3211 County: Coahoma East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby East Memphis Anesthesia Services 1068 Cresthaven #150 Memphis, TN 38119 Phone: 901-682-2872 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Great River Physician Svcs 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7386 County: Mississippi Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Ryan, Robert Ryan, Dana Nichole Ryan, Robert L Sanders, Billy D Sandie, Colleen L Sells, Rudy H Sexton, Aaron Paul Shearer, Jack R Shelby, Zachary O Shelby, Zachary O Smith, Janie Thompson Smith, Joshua Somma, Sara M Stewart, Chris Strangfeld, Brandy Strock, Ann J Strong, Anthony Stuart, Walter Houston Stuart, Walter Houston Tharp, Patricia Thomas, Wendy This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 22 Provider Listing by Specialty Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Thorne, Joan Ward, Mary Winney, Teddy Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Anesthesia Care Services 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-843-1500 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-5893 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Truax, Shelley D Truax, Shelley D Watkins, Karen V Webb, Jennifer Winney Jr, Teddy T Witham, James Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Lifeline Anesthesia 825 Ridge lake Blvd Memphis, TN 38119 Phone: 901-844-1590 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Tm Anesthesia Assoc PO Box 280604 Memphis, TN 38128 Phone: 901-377-5546 County: Shelby Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Certified Registered Nurse Anesthetist Martin Anesthesia Group Inc 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-588-0001 County: Weakley Metropolitan Anesthesia Alliance 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-818-2160 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Tutor, Dennis Wayne Velasquez, Melvin Walker, Tracy R Wallace, Stuart C Webster, Horace White, Ashley Claire White, Francis R Williams, Valerie Jeanette Wood, Virginia S Woodard, Lyman Woodrow Yarbro, Dennis M Yarrow, Sara Elizabeth This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 23 Provider Listing by Specialty Certified Registered Nurse Anesthetist Clinical Social Work Clinical Social Work Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Journey To New Beginnings 5627 Getwell Rd #C2 Southaven, MS 38672 Phone: 662-349-2979 County: DeSoto Journey To New Beginnings 5627 Getwell Rd #C2 Southaven, MS 38672 Phone: 662-349-2979 County: DeSoto Clinical Social Work Clinical Social Work Clinical Social Work Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion 2014 Exeter Rd Germantown, TN 38138 Phone: 901-624-4600 County: Shelby Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Yearwood, April P Anderson, Oreta Gayle Clinical Social Work Barnhart-Gray, C Anita Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Clinical Social Work Bentley, James Christopher Chamberlin Clinic 8316 Macon Terrace #103 Cordova, TN 38018 Phone: 901-757-0568 County: Shelby Clinical Social Work Corbitt, Jessica A Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Clinical Social Work Crist, Marilyn I Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Clinical Social Work Davidson, Janice B Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Dygert, Leah Jolley Edwards, Thomas E Clinical Social Work Furrh, Sandy 1000 S Cooper St Memphis, TN 38104 Phone: 901-844-4357 County: Shelby Clinical Social Work Hand, Beth L 879 Willow Tree Cir #112 Cordova, TN 38018 Phone: 901-493-3638 County: Shelby Clinical Social Work Holdsworth, Wendy Lynn 8134 Country Village Dr #102 Cordova, TN 38016 Phone: 901-756-8398 County: Shelby Clinical Social Work Johnson, David A Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Clinical Social Work King, Judy P 8134 Country Village Dr #102 Cordova, TN 38018 Phone: 901-756-8398 County: Shelby Lenschau, Angelia R Long, Jody G Clinical Social Work Mccullough, Sandra F Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Clinical Social Work Middleton, Trina M Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Clinical Social Work Montgomery, Patricia Shivy Chamberlin Clinic 8316 Macon Terrace #103 Cordova, TN 38018 Phone: 901-757-0568 County: Shelby Clinical Social Work Owens, Francine V 26 Lamar Cir #4 Jackson, TN 38305 Phone: 901-369-6095 County: Madison Clinical Social Work Pritchett, Sherry D Professional Counseling Svcs Of TN 305 W Washington St Paris, TN 38242 Phone: 731-642-3600 County: Henry This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 24 Provider Listing by Specialty Clinical Social Work Clinical Social Work Counseling Professional Care Svcs Of W TN Inc 2380 Henry St Dyersburg, TN 38024 Phone: 731-287-1794 County: Dyer 5668 Rex Rd S #102 Memphis, TN 38119 Phone: 901-681-0852 County: Shelby 2173 S Lamar Blvd Oxford, MS 38655 Phone: 888-266-7044 County: Lafayette Clinical Social Work Clinical Social Work Vance Jr, Dennis J Counseling Ratliff, Melissa C 211 N Madison St Tupelo, MS 38804 Phone: 662-841-8020 County: Lee Professional Counseling Svcs Of TN 305 W Washington St Paris, TN 38242 Phone: 731-642-3600 County: Henry The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Clinical Social Work Clinical Social Work Critical Care Medicine Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Journey To New Beginnings 5627 Getwell Rd #C2 Southaven, MS 38672 Phone: 662-349-2979 County: DeSoto Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Clinical Social Work Clinical Social Work Dermatology 8134 Country Village Dr #102 Cordova, TN 38016 Phone: 901-756-8398 County: Shelby 2010 Exeter Rd #1 Germantown, TN 38138 Phone: 901-755-1377 County: Shelby Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Rasberry, Odean T Reed, Karen P Rice, Marlyna E Streete, Mary E Ward, Wendy Wiggins, Mary Beth Clinical Social Work Clinical Social Work Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Professional Care Svcs Of W TN Inc 403 Commerce St Ripley, TN 38063 Phone: 731-465-9831 County: Lauderdale Sanders, Karen D Williams, Martha Winn Clinical Social Work Clinical Social Work Journey To New Beginnings 5627 Getwell Rd #C2 Southaven, MS 38672 Phone: 662-349-2979 County: DeSoto 1355-B Lynnfield #245 Memphis, TN 38119 Phone: 901-485-1671 County: Shelby Clinical Social Work Finch, Ann H Schachterle, Ashley Brasfield Smith, Robin R 356A E Oxford St Pontotoc, MS 38863 Phone: 662-624-5464 County: Pontotoc Wingfield, Mary Beth Counseling Ann H. Finch, 5350 POPLAR AVE #730 Memphis, TN 38119 Phone: 901-728-5200 County: Shelby Hudspeth, Edward F Pazar, Janice P Jones, Adisa J Allen, Lee Dermatology Amonette, Rex A Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Dermatology Beard, Francis Gwen Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Dermatology Chu, Thomas P Thomas P Chu Md 520 Trinity Creek Cv Cordova, TN 38018 Phone: 901-755-2511 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 25 Provider Listing by Specialty Dermatology Dermatology Dermatology Dermatology East 1335 Cordova Cv Germantown, TN 38138 Phone: 901-753-2794 County: Shelby Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby 6286 Briarcrest Ave #314 Memphis, TN 38120 Phone: 901-761-7720 County: Shelby Dermatology Dermatology Kaplan, Bertram D Dermatology East 1335 Cordova Cv Germantown, TN 38138 Phone: 901-753-2794 County: Shelby R Bartholomew Gibbs Md 1215 Poplar Ave Memphis, TN 38104 Phone: 901-274-8668 County: Shelby Dermatology Dermatology Levy Dermatology 1920 Kirby Pkwy #204 Germantown, TN 38138 Phone: 901-682-0430 County: Shelby Westmoreland Dermatology & Surgery Ctr 2110 5th St N Columbus, MS 39701 Phone: 662-243-2435 County: Lowndes Dermatology Dermatology 5600 Goodman Rd #C Olive Branch, MS 38654 Phone: 662-893-6729 County: DeSoto Dermatology Clinic Of N. Ms 7585 Clarington Cove Southaven, MS 38671 Phone: 662-349-0200 County: DeSoto Churchwell, Luella G Churchwell, Mary A Compoginis, Goli Sophia Donohue, Diane M Dermatology Dunaway, Dan A Dermatology Group 5210 Poplar Ave #100 Memphis, TN 38119 Phone: 901-761-0685 County: Shelby Dermatology Fisher, Kristopher Reed Ut Medical Group Inc 930 Madison Ave Memphis, TN 38103 Phone: 901-866-8834 County: Shelby Dermatology Friedman-Musicante, Robin Holly Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Gardner, J Harvey Gibbs, Richard B Hairston, Bethany R Henson, Terri Hayes Dermatology Herron, Charles Burkhead Paris Henry County Clinic Sc 305 Tyson Ave Paris, TN 38242 Phone: 731-642-0025 County: Henry Dermatology Huber, Amy Amonette Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Dermatology Huber, John Dominic Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Jackson, Robert L Dermatology Robert J Kaplan Md Bertram D Kaplan Md 6401 Poplar Ave #330 Memphis, TN 38119 Phone: 901-682-3273 County: Shelby Dermatology Kaplan, Robert J Robert J Kaplan Md Bertram D Kaplan Md 6401 Poplar Ave #330 Memphis, TN 38119 Phone: 901-682-3273 County: Shelby Dermatology Knight, Janet L 6401 Poplar Ave #405 Memphis, TN 38119 Phone: 901-761-2597 County: Shelby Dermatology Lawhead, Frances K Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Dermatology Levy, Alan L Levy Dermatology 5575 Poplar Ave #708 Memphis, TN 38119 Phone: 901-682-0430 County: Shelby Dermatology Loria, Philip R 2204 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-236-6850 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 26 Provider Listing by Specialty Dermatology Dermatology Dermatology 1700 Woodlawn Ave Dyersburg, TN 38024 Phone: 731-287-4500 County: Dyer Delta Dermatology & Skin Cancer Assoc 810B Newman Dr Helena, AR 72342 Phone: 870-338-7494 County: Phillips Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8805 County: Shelby Dermatology Dermatology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Tanenbaum Dermatology Ctr 760 Brookhaven Cir Memphis, TN 38117 Phone: 901-761-0500 County: Shelby Maloney, Kenneth R Dermatology Marascalco, John A Marascalco Dermatology Clinic 1300 Sunset Dr #A Grenada, MS 38901 Phone: 662-227-4463 County: Grenada Dermatology Pillow, Jessica Leigh Poh, Maureen B Skinner Jr, Robert B Tanenbaum, Alan Harris Levy Dermatology 6254 Poplar Ave Memphis, TN 38119 Phone: 901-682-0430 County: Shelby Dermatology Dermatology 968 Reddoch Cv Memphis, TN 38119 Phone: 901-767-3510 County: Shelby Dermatology Dermatology Tanenbaum Dermatology Ctr 760 Brookhaven Cir Memphis, TN 38117 Phone: 901-761-0500 County: Shelby 2200 5th St N Columbus, MS 39701 Phone: 662-327-8767 County: Lowndes Dermatology East 1335 Cordova Cv Germantown, TN 38138 Phone: 901-753-2794 County: Shelby 6005 Park Ave #1005B Memphis, TN 38119 Phone: 901-761-5342 County: Shelby Dermatology Dermatology Dermatology Group 5210 Poplar Ave #100 Memphis, TN 38119 Phone: 901-761-0685 County: Shelby James E Turner MD Phd 6570 Stage Rd #140 Bartlett, TN 38134 Phone: 901-372-4545 County: Shelby Mullick, Suparna Myers, Robert P Dermatology Overholser, Emily Taylor Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Dermatology Safley, Charles F Schneider, Michael A Scott, Riddell Walcott Tanenbaum, Mark H Dermatology Trautman, Robert Joseph Tuli, Malika Advanced Dermatology & Skin Cancer Assoc 7658 Poplar Pike Germantown, TN 38138 Phone: 901-759-2322 County: Shelby Dermatology Dermatology Westmoreland Dermatology & Surgery Ctr 2110 5th St N Columbus, MS 39701 Phone: 662-243-2435 County: Lowndes James E Turner MD Phd 6570 Stage Rd #140 Bartlett, TN 38134 Phone: 901-372-4545 County: Shelby Dermatology Dermatology Dermatology Ut Medical Group Inc 930 Madison Ave Memphis, TN 38103 Phone: 901-866-8834 County: Shelby Lyndsay R. Shipp Md 2204 Jefferson Davis Oxford, MS 38655 Phone: 662-236-6850 County: Lafayette Westmoreland Dermatology & Surgery Ctr 2110 5th St N Columbus, MS 39701 Phone: 662-243-2435 County: Lowndes Patel, Purvisha Jitendra Patel, Tejesh S Sharp, Misty Shipp, Lyndsay Roberts Turner, James E Westmoreland, Terry A This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 27 Provider Listing by Specialty Dermatology Dermatopathology Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby D-Path 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dermatology Diabetic Pumps & Supplies Witherspoon, Frank G Woodbury, George R Rheumatology & Dermatology Assoc 8143 Walnut Grove Rd Cordova, TN 38018 Phone: 901-753-0168 County: Shelby Dermatology Woodbury, Michael John 3002 N Germantown Pkwy Bartlett, TN 38133 Phone: 901-381-1173 County: Shelby Dermatology Woodmansee, Courtney Stroupe Memphis Dermatology Clinic 1455 Union Ave Memphis, TN 38104 Phone: 901-726-6655 County: Shelby Dermatology Woodson, Anna Elizabeth 724 Leigh Dr Columbus, MS 39705 Phone: 662-328-3375 County: Lowndes Dermatology Wren, Charles M Wren Clinic 2041 Shiloh Rd Corinth, MS 38834 Phone: 662-287-1003 County: Alcorn Dermatopathology Feiner, Alyssa Michelle Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Martin, Howard L Edgepark Medical Supplies 1810 Summit Commerce Park Twinsburg, OH 44087 Phone: 800-321-0591 County: Summit Diabetic Pumps & Supplies Minimed 18000 Devonshire Street Northridge, CA 91325 Phone: 800-933-3322 County: Los Angeles Durable Medical Equipment (DME) Avritt Medical Equipment, Inc. 309 Hwy 82 E , #27 Indianola, MS 38751 Phone: 662-887-4055 County: Sunflower Durable Medical Equipment (DME) Avritt Medical Equipment, Inc. 4020 Highway 8 East Cleveland, MS 38732 Phone: 662-843-7007 County: Bolivar Durable Medical Equipment (DME) Avritt Medical Equipment, Inc. 909 DeSoto Clarksdale, MS 38614 Phone: 662-627-7702 County: Coahoma Durable Medical Equipment (DME) Baptist Home Medical Equipment 1600 Century Center Parkway, Suite 101 Memphis, TN 38134 Phone: 901-373-8485 County: Shelby Durable Medical Equipment (DME) Baptist Home Medical Equipment 2003 Harris Drive Oxford, MS 38655 Phone: 662-234-0555 County: Lafayette Durable Medical Equipment (DME) Baptist Home Medical Equipment 2627 5th Street North Columbus, MS 39705 Phone: 662-243-1192 County: Lowndes Durable Medical Equipment (DME) Cfi Prosthetics-Orthotics 1665 Shelby Oaks Drive, Suite 105 Memphis, TN 38134 Phone: 901-725-0060 County: Shelby Durable Medical Equipment (DME) Cfi Prosthetics-Orthotics 7545 Airways Blvd., Suite 2 Southaven, MS 38671 Phone: 662-349-7122 County: Desoto Durable Medical Equipment (DME) Djo, Llc 1430 Decision Street Vista, CA 92081 Phone: 800-321-9549 County: San Diego Durable Medical Equipment (DME) Hardin Medical Center Home Supply 983 Wayne Road, Suite B Savannah, TN 38372 Phone: 731-926-8212 County: Hardin Durable Medical Equipment (DME) Home Medical Alternatives 716 West Bankhead St. New Albany, MS 38652 Phone: 662-534-8759 County: Union Durable Medical Equipment (DME) Medical Technology 101 North Rosser Forrest City, AR 72335 Phone: 870-633-5176 County: Saint Francis This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 28 Provider Listing by Specialty Durable Medical Equipment (DME) Metro Orthotics 701 East Reelfoot, Ste. 500 Union City, TN 38261 Phone: 731-884-0284 County: Obion Durable Medical Equipment (DME) Theratech, Inc. 1109 Myatt Blvd. Madison, TN 37115 Phone: 615-865-4000 County: Davidson Electrophysiology Ingelmo, Christopher Perez Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Electrophysiology Lan, David Zhiqiang Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Electrophysiology Okewole, Simon Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Electrotherapy Empi, Inc. 599 Cardigan Road St. Paul, MN 55126 Phone: 800-328-2536 County: Washington Emergency Medicine Abushaer, Muhammad Basel Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Medicine Emergency Medicine United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-293-1175 County: Alcorn Emergency Medicine Emergency Medicine Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Adams, John C Alkayyali, Fawwaz A Emergency Medicine Altabbaa, Ahmad H Baker, Japheth J Bandura, Jack Emergency Medicine Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2180 County: Shelby Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn Emergency Medicine Emergency Medicine Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn Emergency Medicine Emergency Medicine Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette Emergency Medicine Emergency Medicine United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Anderson, Toby Eric Aust, Dennis Wayne Avila, Frank Aycock, Thomas Bell, William Scott Bell, William J Brown, Jill M Brown, Jill Burton, Leslie J This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 29 Provider Listing by Specialty Emergency Medicine Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Emergency Coverage Corp 326 Asbury Ave Ripley, TN 38063 Phone: 888-203-1274 County: Lauderdale United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Emergency Medicine Emergency Medicine Emergency Medicine United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Emergency Medicine Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Baptist Minor Medical Center Inc 7424 Hwy 64 #111 Bartlett, TN 38133 Phone: 901-385-7817 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Emergency Medicine Emergency Medicine Emergency Medicine United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Butler, Stephen D Butler, Joel Alan Butts, Dallas W Cabigao, Eduardo C Emergency Medicine Cantrell, John A Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Medicine Carney, David Oman Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn Emergency Medicine Carney, David Oman United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Chang, Philemon Combest, Felton Eugene Cook, Buffy Jay Corp, Dyersburg Hospital Emergency Medicine Corp, Emergency Coverage Russell and Bishop Sts Union City, TN 38261 Phone: 731-886-2410 County: Obion Emergency Medicine Corporation, Phillips Clinic Phillips Clinic Corp 1801 Martin Luther King Dr Helena, AR 72342 Phone: 870-816-3676 County: Phillips Emergency Medicine Crabb, James Luther Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Crandell, Kevin L Crandell, Kristy Lynn Criner, Roger Crittenden, Marcus A Emergency Medicine Cullom, Sumner R Ms County Hospital System 1520 N Division St Blytheville, AR 72315 Phone: 870-762-6725 County: Mississippi Emergency Medicine Davidson, Sueanne Mordecai United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Emergency Medicine Davis, Amy Boatman Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 30 Provider Listing by Specialty Emergency Medicine Emergency Medicine Emergency Medicine Pratt Family Medical Clinic Inc 121 Pratt Dr #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Medicine Emergency Medicine Emergency Medicine Emergency Coverage Corp 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Memphis Emergency Room Group 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7750 County: Shelby Emergency Medicine Emergency Medicine Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Ecc West Tennessee Mc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Medicine Emergency Medicine Emergency Medicine Park Ave. Emergency Physicians & Chest Pain 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2180 County: Shelby Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Memphis Emergency Room Group 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7750 County: Shelby Emergency Medicine Emergency Medicine Emergency Coverage Corp 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Davis, Amy Boatman Delouis, Donna J Draper, Thomas S Elias, Said E Emergency Medicine Emergency Physicians Pllc, Forrest City Forrest City Emergency Physicians 1601 Newcastle Rd Forrest City, AR 72335 Phone: 800-639-0579 County: Saint Francis Finch, Jon D Fong, Yuen Yee Anna Ford, Charles D Forsythe, Phillip David Wesley Foston, Will D Gaillard, Henry Morel Gandhi, Malay S Emergency Medicine Gary, William A Hardison, Robert Hatcher, Donald B Emergency Medicine Emergency Medicine Ferguson, Teresa I Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Ecc West Tennessee Mc 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Emergency Medicine Emergency Medicine United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Emergency Medicine Ferguson, Charlie Benton Frankel, Don Frazier, Ruth Ann Daniel Hernandez-Ford, Joseph J Emergency Medicine Holcombe, Elizabeth Joyce United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 31 Provider Listing by Specialty Emergency Medicine Emergency Medicine Emergency Medicine United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Thms West Tennessee 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 865-292-3000 County: DeSoto Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Emergency Medicine Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Medicine Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Emergency Medicine Emergency Medicine Emergency Medicine Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Ecc West Tennessee Mc 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Emergency Medicine Emergency Medicine Emergency Medicine Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-293-1175 County: Alcorn Emergency Medicine Emergency Medicine Emergency Medicine Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Emergency Medicine Emergency Medicine United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Hollister, John J Hooker, David Allen Indudhara, Ramaiah Istanbouli, Wajih James, William A Johnson, Darren Kelley, Mark C. Kyrus, Chris N Lamb, Timothy H Landfield, Elliott Linett, Lawrence M Lippstone, Matthew Brian Manning, Patti W Mansour, Samuel Phillip Mason, Gary L Mccoy, Brian D Mccoy, Keith E Mcmurray, Brian Royal Mcraven, Anthony Shane Medical Svcs Pc, Tennessee Em-1 Emergency Medicine Medicine Svcs, Genesis Emergency 1520 N Division St Blytheville, AR 72315 Phone: 817-451-4208 County: Mississippi This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 32 Provider Listing by Specialty Emergency Medicine Emergency Medicine Emergency Medicine Noxubee General Critical Access Hospital 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Emergency Coverage Corp 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Amory Urgent Care 906 Hwy 278 East Amory, MS 38821 Phone: 662-256-5612 County: Monroe Emergency Medicine Emergency Medicine Emergency Medicine Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette Park Ave. Emergency Physicians 5959 Park Avenue-ER Memphis, TN 38119 Phone: 901-765-2056 County: Shelby Emergency Medicine Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Ecc West Tennessee Mc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Emergency Medicine Emergency Medicine Emergency Medicine Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Park Ave. Emergency Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2180 County: Shelby Emergency Medicine Emergency Medicine Emergency Medicine Memphis Emergency Room Group 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7750 County: Shelby United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Ecc West Tennessee Mc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Emergency Medicine Emergency Medicine Emergency Medicine Emergency Coverage Corp 326 Asbury Ave Ripley, TN 38063 Phone: 888-203-1274 County: Lauderdale 1801 Martin Luther King Dr Helena, AR 72342 Phone: 870-338-5800 County: Phillips Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Emergency Medicine Pitcock, Robert Vincent Medlin, James Ronald Miller, Sue Davenport Ming, Jeffrey A Mullinix, Derek Russell Murray, Wayne Nguyen, Tuan Anh Ngoc Oneal, Ellis Hilton United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Ort, Michael Edward Palm, Daniel B Patel, Kaushal I Patel, Jaimin B Perry, Ronald Lee Physicians Pllc, Helena Emergency Emergency Medicine United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Reed, Scotty Paul Regan, William B Richardson, Samuel Milton Roberson, Charles D Rosenkrans, Dean Aaron Ruiz, Restituto S Emergency Medicine Sabatino, Bruce Amory Emergency Svcs I 1105 Earl Frye Blvd Amory, MS 38821 Phone: 901-805-1300 County: Monroe This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 33 Provider Listing by Specialty Emergency Medicine Emergency Medicine Emergency Medicine United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette N Harper Minor Medical Clinic 121 Pratt Dr #3 Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Emergency Medicine Emergency Medicine Emergency Medicine United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Park Ave. Emergency Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2056 County: Shelby Emergency Medicine Emergency Medicine Emergency Medicine Tunica County Healthcare Authority 1813 Hwy 61 N Tunica, MS 38676 Phone: 662-357-0012 County: Tunica Amory Emergency Svcs I 1105 Earl Frye Blvd Amory, MS 38821 Phone: 901-805-1300 County: Monroe Ecc West Tennessee Mc 1201 Bishop St Union City, TN 38261 Phone: 731-886--2410 County: Obion Emergency Medicine Emergency Medicine Emergency Medicine 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada United Emergency Svcs Inc 100 Hospital St Booneville, MS 38829 Phone: 800-877-7564 County: Prentiss United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette Sanford, Walter Scott Schillinger, David Scott Schrader, Sara Services Inc, Paragon Contracting Emergency Medicine Stallworth, Gregory T Stern, Neil David Svcs 1 Llc, Amory Emergency Svcs Inc, United Emergency Wade, Tarence Earl Waldrup, Phillip D Waller, Charles Lloyd Waller, Jason M Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Emergency Medicine Emergency Medicine 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Emergency Medicine Emergency Medicine United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Ecc West Tennessee Mc 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Shaw, Michael D Singh, Rajeev Svcs Of MS Llc, United Emergency Tucker, Charles Douglas Emergency Medicine Emergency Medicine Paragon Contracting Services Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-2300 County: Shelby Smith, Karenlyn R Ut Medical Group Inc, (Emergency Medicine) Walrod, John G Emergency Medicine Wilcox, William Memphis Emergency Room Group 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7750 County: Shelby Emergency Medicine Williams, Freeland Leroy Emergency Coverage Corp 326 Asbury Ave Ripley, TN 38063 Phone: 888-203-1274 County: Lauderdale This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 34 Provider Listing by Specialty Emergency Medicine Endocrinology Endocrinology Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2182 County: Shelby Oxford Endocrinology Consultants 512 Azalea Dr Oxford, MS 38655 Phone: 662-236-2923 County: Lafayette Endocrinology Assoc Of Memphis 6027 Walnut Grove Rd #307 Memphis, TN 38120 Phone: 901-681-0346 County: Shelby Emergency Medicine Endocrinology Childress, Richard Dale Endocrinology Endocrine Clinic 5659 S Rex Rd Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Endocrinology Assoc Of Memphis 6027 Walnut Grove Rd #307 Memphis, TN 38120 Phone: 901-681-0346 County: Shelby Endocrinology Endocrinology Endocrine Clinic 5659 S Rex Rd Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #360/365 Memphis, TN 38104 Phone: 901-866-8806 County: Shelby Endocrinology Endocrinology 5960 Getwell Rd #212D Southaven, MS 38672 Phone: 662-895-6455 County: DeSoto Consolidated Medical Practice Of Memphis 6005 Park Ave #510 Memphis, TN 38119 Phone: 901-537-7000 County: Shelby Witherington, John M Woods, Roger L Emergency Coverage Corp 326 Asbury Ave Ripley, TN 38063 Phone: 888-203-1274 County: Lauderdale Emergency Medicine Yates, Travis W United Emergency Svcs Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 800-877-7564 County: Lafayette Emergency Medicine Zuschke, Christen A Paragon Contracting Services Inc 960 Avent Dr Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Emergency Medicine Batesville Hma Medical Group 303 Medical Center Dr Batesville, MS 38606 Phone: 662-712-2222 County: Panola Endocrinology Ahmed, Javeria Consolidated Medical Practice Of Memphis 290 S Walnut Bend #1 Cordova, TN 38018 Phone: 901-266-1080 County: Shelby Endocrinology Antwi, Ernest Kofi Jackson Endocrine & Diabetes Ctr 110 E Forrest Jackson, TN 38305 Phone: 731-225-9137 County: Madison Chandler, Andrew Martin Cohen, A Jay Cunningham, Amanda Ring Endocrinology Dagogo-Jack, Samuel Ut Medical Group Inc 1325 Eastmoreland Ave #360 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Endocrinology Endoscopy Center, Delta Delta Endoscopy Center 9140 Hwy 51 N Southaven, MS 38671 Phone: 662-280-8222 County: DeSoto Endocrinology Ganlim, Leonil A Endocrinology Consultants 670 Crossover Rd Tupelo, MS 38801 Phone: 662-844-8414 County: Lee Ghawji, Maher S Goodman, Ralph C Gosmanov, Aidar Raulisovich Gupta-Ganguli, Malini Endocrinology Harary, Shimon Menachem Baptist Memorial Medical Group Inc 5659 S Rex Road Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Endocrinology Hughes, Thomas Arthur Consolidated Medical Practice Of Memphis 6005 Park Ave #510 Memphis, TN 38119 Phone: 901-537-7000 County: Shelby Endocrinology Imseis, Raed E The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 35 Provider Listing by Specialty Endocrinology Endocrinology Endocrinology 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-484-3173 County: Shelby Cure Medical Group 6005 Park Ave #807 Memphis, TN 38119 Phone: 901-685-2058 County: Shelby Endocrine Clinic 5659 S Rex Rd Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Endocrinology Endocrinology Consolidated Medical Practices Of Memphis 290 S Walnut Bend Rd #1 Cordova, TN 38018 Phone: 901-266-1080 County: Shelby Endocrinology Assoc Of Memphis 6027 Walnut Grove Rd #307 Memphis, TN 38120 Phone: 901-681-0346 County: Shelby Endocrinology Velasquez, Pedro A Imseis, Raed E Endocrinology Krishnamurthi, Lakshmi Endocrinology Clinic 4913 Raleigh Commons Drive #201 Memphis, TN 38128 Phone: 901-386-7870 County: Shelby Endocrinology Latif, Kashif Ahmed Consolidated Medical Practice Of Memphis 2996 Kate Bond Blvd #413 Bartlett, TN 38133 Phone: 901-384-0065 County: Shelby Endocrinology Lendel, Irina Endocrine Clinic 55 Physicians Ln #2 Southaven, MS 38671 Phone: 901-763-3636 County: DeSoto Endocrinology Mallov, Joseph Stephan Endocrine Clinic 5659 S Rex Rd Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Endocrinology Myers, Lisa M Endocrinology & Diabetes Specialists 1920 Kirby Pkwy #102 Germantown, TN 38138 Phone: 901-348-6487 County: Shelby Endocrinology Nyenwe, Ebenezer A Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Oktaei, Hooman Qureshi, Mohammad Nauman Radpour, Omid Endocrine Clinic 7900 Airways Blvd Bldg A #1 Southaven, MS 38671 Phone: 901-763-3636 County: DeSoto Endocrinology Roman, Farid Endocrine Clinic 5659 S Rex Rd Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Endocrinology Sacks, Harold S Endocrinology Assoc Of Memphis 6027 Walnut Grove Rd #307 Memphis, TN 38120 Phone: 901-681-0346 County: Shelby Endocrinology Shepherd, Mark D Endocrinology Consultants 670 Crossover Rd Tupelo, MS 38801 Phone: 662-844-8414 County: Lee Endocrinology Steinberg, Helmut Ut Methodist Physicians 1251 Wesley Dr. #153 Memphis, TN 38116 Phone: 901-866-8801 County: Shelby Tetzeli, John Paul Usdan, Lisa Suzanne Endocrinology Centrosalud 1068 Cresthaven Rd # 300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Endocrinology Williams-Cleaves, Beverly J 2829 Lamar Ave Memphis, TN 38114 Phone: 901-744-3362 County: Shelby Endoscopy Centers G.I. Diagnostic & Therapeutic Center 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Endoscopy Centers Medical Center Endoscopy Group 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Endoscopy Centers Mid-South Gastroenterology Group 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 36 Provider Listing by Specialty Family Medicine Family Medicine Family Nurse Practitioner Sfmp 1144 N Houston Levee #102 Cordova, TN 38018 Phone: 901-254-8500 County: Shelby Sfmp 8025 U S HIWAY 64 #101 Memphis, TN 38133 Phone: 901-382-2044 County: Shelby Magnolia Womens Clinic 512 Alcorn Dr Corinth, MS 38834 Phone: 662-286-6090 County: Alcorn Family Medicine Family Medicine Family Nurse Practitioner Ecc West Tennessee Mc 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Sfmp 8025 Highway 64 #101 Memphis, TN 38133 Phone: 901-382-2044 County: Shelby Family Care Clinic Of Ripley 1331 City Ave N Ripley, MS 38663 Phone: 662-993-9336 County: Tippah Family Medicine Family Medicine Family Nurse Practitioner Sfmp 6644 Summer Knoll Cir Bartlett, TN 38134 Phone: 901-266-4112 County: Shelby Sfmp 6644 Summer Knoll Cir Bartlett, TN 38134 Phone: 901-266-4112 County: Shelby Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Family Medicine Family Nurse Practitioner Family Nurse Practitioner Sfmp 7046 Hwy 64 Oakland, TN 38060 Phone: 901-465-9902 County: Fayette Primary Care Ctr 500 Hospital Dr Trenton, TN 38382 Phone: 731-855-3510 County: Gibson Baptist Memorial Medical Group Inc 255 Baptist Blvd #402 Columbus, MS 39705 Phone: 662-240-1412 County: Lowndes Family Medicine Family Nurse Practitioner Family Nurse Practitioner Ecc West Tennessee Mc 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Gastroenterology Assoc Of Columbus 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Family Medicine Family Nurse Practitioner Family Nurse Practitioner Ecc West Tennessee Mc 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Primary Care Group 8115 Country Village Dr Cordova, TN 38016 Phone: 901-752-2300 County: Shelby Hardeman Co. Community Health Center 208 North Ave Henderson, TN 38340 Phone: 731-983-3175 County: Chester Causey, Karima T Hall, Steven Edgar Jackson, Charolette Tamar Lyons, Darrin C Nelson, Michael William Norlander, Lisa Marie Robbins, Melissa A Suneela, Gottumukkala Ward, Forrest C Abbott, Mary S Abrams, Mary E Abston, Debra E Alder, Valarie M Algee, Lindsey Erin Allen, Mary Pauline Allgood, Margaret T Ambler, Janet C Anthony, Lori K Family Medicine Family Nurse Practitioner Family Nurse Practitioner Ecc West Tennessee Mc 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton My Np Family Health & Wellness Clinic 4730 Riverdale Rd #6 Memphis, TN 38141 Phone: 901-729-6490 County: Shelby Rural Health Clinics Of West Tn 1716 Parr Ave Ste A Dyersburg, TN 38024 Phone: 731-285-3300 County: Dyer Osemota, Simeon Usifo Adair, Loretta Anthony, Lori K This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 37 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Andrea L Smith Md 785 Ohio Ave #1D Clarksdale, MS 38614 Phone: 662-624-5464 County: Coahoma Michael E Steuer Md 1365 W Brierbrook Rd Germantown, TN 38138 Phone: 901-751-4112 County: Shelby Transsouth Healthcare 9 Physicians Dr Jackson, TN 38305 Phone: 731-661-0086 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Gastroenterology Assoc Of Columbus Pa 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Union City Internal Medicine 1208 Edwards St Union City, TN 38261 Phone: 731-884-8800 County: Obion Primary Care Group 8115 Country Village Dr Cordova, TN 38016 Phone: 901-752-2300 County: Shelby Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8450 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley 1300 Sunset Dr #A Grenada, MS 38901 Phone: 662-226-1646 County: Grenada Amory Urgent Care 906 Hwy 278 East Amory, MS 38821 Phone: 662-256-5612 County: Monroe Family Nurse Practitioner Bailey, Allison Miller Antici, Valerie O Arnold, Tanya Lynn Arrington, Lisa D Ary, Leslie A Ash, Connie K Family Medicine Assoc Of Blytheville 1521 N 10th St #c Blytheville, AR 72315 Phone: 870-762-5360 County: Mississippi Family Nurse Practitioner Aslin, Catherine S Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Family Nurse Practitioner Atchison, Shannon R Halls Family Walk-In Clinic 115 W Tigrett Apt A Halls, TN 38040 Phone: 731-836-9444 County: Lauderdale Atkeison, Julie A Atwal, Harminder K Avent, Barry L Avent, Cherryl M Family Nurse Practitioner Oxford Surgical & Bariatric Clinic 506 Azalea Dr. Oxford, MS 38655 Phone: 662-234-4744 County: Lafayette Family Nurse Practitioner Bailey, Nancy Miles Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Bain, Laquita W Magnolia Medical Clinic 502 Alcorn Dr Corinth, MS 38834 Phone: 662-287-5216 County: Alcorn Bain, Judy B Baird, Pamela L Ball, Emilie M Ballard, Bret A Family Nurse Practitioner Ballard, Shannon Pioneer Health Svcs Of Monroe Co Inc 1506 Hwy 278 E #A Amory, MS 38821 Phone: 662-304-4027 County: Monroe Family Nurse Practitioner Baltz, John F Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Family Nurse Practitioner Barbee, Michelle E Oxford Surgical Specialists 497 Azalea Dr #102 Oxford, MS 38655 Phone: 662-513-2000 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 38 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar Gloster North Family Medical Clinic Inc 1714 N Gloster St Tupelo, MS 38804 Phone: 662-620-7102 County: Lee John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Medical Clinic 803 First St Cleveland, MS 38732 Phone: 662-843-2721 County: Bolivar Amory Hma Physician Mgmt 40023 Cross Creek Dr Hamilton, MS 39746 Phone: 662-343-5299 County: Monroe Tupelo Medical Group 1265 Cliff Gookin Blvd Tupelo, MS 38804 Phone: 662-840-2131 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner First Care Family Clinic 529 S 4th St Baldwyn, MS 38824 Phone: 662-365-2222 County: Lee Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Columbus Urology Group 321 Hospital Dr Columbus, MS 39701 Phone: 662-327-2921 County: Lowndes Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Absolute Family Health 6555 Stage Rd #1 Bartlett, TN 38134 Phone: 901-791-4101 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Golden Triangle Urology 321 Hospital Dr #1 Columbus, MS 39705 Phone: 662-327-2921 County: Lowndes Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn Ut Medical Group Inc 890 Madison Ave Memphis, TN 38103 Phone: 901-545-8999 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Oxford After Hours Clinic 1929 University Ave Oxford, MS 38655 Phone: 662-236-2232 County: Lafayette Primary Care Group 76 Capital Way #C Atoka, TN 38004 Phone: 901-840-1202 County: Tipton Oxford After Hours Clinic 1929 University Ave Oxford, MS 38655 Phone: 662-236-2232 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Convenient Care Clinic 555 Highway 6 East Batesville, MS 38606 Phone: 662-578-2030 County: Panola Baptist Memorial Medical Group Inc 631 R B Wilson Dr #G Huntingdon, TN 38344 Phone: 731-986-7400 County: Carroll Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Barnes, Jackie Barnes, Jackie Barnes, Jennifer O Barrett, Paul W Barrett, Paul W Barrett, Stephanie Gibson Barton, Laurie A Battles, Alice Beasley, Stephanie Michelle Beattie, Lisa L Beaver, Lesa Jane Beckham, Hannah E Benjamin, Myles B Bennett, Jill S Benson, June Wynelle Benson, Jeanne Bieberly, Johanna Marie Billings, Tammy B Birmingham, Barbara M Bishop, Lisa H Bishop, Jeffrey Morgan This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 39 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Care Medical Clinic 109 Parkgate Ext Tupelo, MS 38801 Phone: 662-840-4175 County: Lee Hope Healthcare Of W TN Inc 21 Security Dr Jackson, TN 38305 Phone: 731-661-9163 County: Madison Pratt Family Medical Clinic Inc 121 Pratt Dr. #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sardis Family Medical Clinic 124 S Main St Sardis, MS 38666 Phone: 662-487-1064 County: Panola Tallahatchie General Hospital 401 S Church St Charleston, MS 38921 Phone: 662-625-7162 County: Tallahatchie Ut Medical Group Inc 718 Harbor Bend Rd Memphis, TN 38103 Phone: 901-522-1555 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Sfmp, Inc 4901 Raleigh Common Dr #100 Memphis, TN 38128 Phone: 901-371-9040 County: Shelby Tutwiler Clinic Inc 205 Alma Tutwiler, MS 38963 Phone: 662-345-8334 County: Tallahatchie Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Lunceford Family Health Center 7865 Educators Ln #300 Bartlett, TN 38133 Phone: 901-384-9920 County: Shelby Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-260-1795 County: Shelby Primary Care Specialists South 1629 S Highland Ave #H3 Jackson, TN 38301 Phone: 731-427-0470 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Down Town Medical Clinic 435 E Chester St Jackson, TN 38301 Phone: 731-423-1887 County: Madison Brame & Wright Medical Group 153A S Market St Holly Springs, MS 38635 Phone: 662-252-9987 County: Marshall Cockrell Family Medical Center 120 Norfleet Dr Senatobia, MS 38668 Phone: 662-301-1128 County: Tate Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Golden Triangle Urgent Care 500 Russell St #3 Starkville, MS 39759 Phone: 662-324-2244 County: Oktibbeha Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Jtb Healthcare Consulting Inc 110B Alabama St Columbus, MS 39702 Phone: 662-327-0444 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 2520 Fifth St N Columbus, MS 39705 Phone: 662-241-5454 County: Lowndes William G Jackson Md 202 Alcorn Dr Corinth, MS 38834 Phone: 662-287-4481 County: Alcorn Aaron E Henry Comm Health Svcs Ctr Inc 216 Hwy 51 N Batesville, MS 38606 Phone: 662-563-1858 County: Panola Blanchard, Sylvia Blankenship, Carmie S Blount, Christy Anne Boldreghini, Sandra J Bond, Mary A Bondi, Noel D Bonner, Patricia A Booher, Mary Beth Bradham, Lisa Bradshaw, Jaclynn Noelle Brady, Bridget B Brame, Susan C Brandon, Carolyn S Brant, Anne M Bray, Carla H Breeden, Melody W Breen, Eileen Briley, John M Briscoe, Beverly W Britt, Jeffrey T Brock, Nell Catherine This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 40 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Physicians Urgent Care Of Corinth 2668 S Harper Rd #4 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Pa Corporate Enterprises 1004 Greystone Sq Jackson, TN 38305 Phone: 731-668-7375 County: Madison Aaron E Henry Comm Health Svcs Ctr Inc 103 Main St Como, MS 38619 Phone: 662-526-9922 County: Panola Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christ Community Health Svcs 2400 Poplar Ave #501 Memphis, TN 38112 Phone: 901-271-0896 County: Shelby Memphis Internists 3294 Poplar Ave #100 Memphis, TN 38111 Phone: 901-362-8671 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Gastroenterology Assoc Of Columbus Pa 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Baptist Memorial Medical Group Inc 641 R B Wilson Dr #G Huntingdon, TN 38344 Phone: 731-986-7400 County: Carroll John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Grenada Lake Medical Center 960 Avent Dr Grenada, MS 38901 Phone: 662-227-7000 County: Grenada Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Madison Clinic Corp 8 Stonebridge Blvd #J Jackson, TN 38305 Phone: 731-984-8380 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner N Ms Pulmonology Clinic Inc 100 Hospital St #300 Booneville, MS 38829 Phone: 662-728-2147 County: Prentiss Oxford Neuromuscular Assoc 510 Azalea Drive Oxford, MS 38655 Phone: 662-281-0112 County: Lafayette Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Baptist Memorial Medical Group Inc 1312 Bishop Street Union City, TN 38261 Phone: 731-885-5100 County: Obion Crockett Medical Clinic Inc 59 S Bells St Alamo, TN 38001 Phone: 731-696-5401 County: Crockett Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Magnolia Orthopaedic & Sports Medicine Clinic 611 Alcorn Dr #100 Corinth, MS 38834 Phone: 662-286-6369 County: Alcorn Baptist Memorial Medical Group Inc 1312 Bishop Street Union City, TN 38261 Phone: 731-885-5100 County: Obion Baptist Memorial Medical Group Inc 631 R B Wilson Dr #G Huntingdon, TN 38344 Phone: 731-986-7400 County: Carroll Brooks, Scherun Michelle Brown, Talea L Brown, Valerie Brown, Molly B Brown, Amanda Lee Brown, Candace S Bryant, Brittany B Bryant, Amy M Bullen, Liesl R Bullock, Emily W Bunch, Holly B Burcham, Penny Lynn Burke, Hannah V Burke, Hannah V Burnett, Mary L Burnette, Ken C Burrell, James L Butler, Kathy Diane Bynum, Andrea T Byrd, Kristin L Byrer, Christine F This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 41 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Madison Family Practice 605 Hwy 45 E Medina, TN 38355 Phone: 731-783-1234 County: Gibson Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Access Family Health Svcs Inc 106 Walker St Houlka, MS 38850 Phone: 662-568-3316 County: Chickasaw Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Oncology Hematology Consultants 100 Kiana Ct Paducah, KY 42001 Phone: 270-554-0011 County: McCracken Crossroads Urgent Care 2395 Lake Rd #7 Dyersburg, TN 38024 Phone: 731-882-1958 County: Dyer Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Convenient Care Clinic 555 Hwy 6 E Batesville, MS 38606 Phone: 662-578-2030 County: Panola Primary Care Clinic Of Ripley 1009 City Ave N #A Ripley, MS 38663 Phone: 662-837-1404 County: Tippah Access Family Health Svcs Inc 499 Gloster Creek Village #D1 Tupelo, MS 38801 Phone: 662-690-8007 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Specialty Physician Group 7655 Poplar Ave #350 Germantown, TN 38138 Phone: 901-761-2470 County: Shelby Baptist Memorial Medical Group Inc 255 Baptist Blvd #402 Columbus, MS 39705 Phone: 662-240-1412 County: Lowndes Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner 3336 N Polk St Corinth, MS 38834 Phone: 662-396-4733 County: Alcorn Primary Care Group 7900 Airways Blvd Bldg A #6 Southaven, MS 38671 Phone: 662-536-4646 County: DeSoto Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Dar Salud Care 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Delta Health Center Inc 110 W Washington St Moorhead, MS 38761 Phone: 662-246-8028 County: Sunflower Family Nurse Practitioner Family Nurse Practitioner White Oak Family Medicine Clinic 1306 Belk Blvd Oxford, MS 38655 Phone: 662-236-1927 County: Lafayette Alliance Medical Clinic 1010 Wayne Rd #202 & 203 Savannah, TN 38372 Phone: 731-868-4802 County: Hardin Byrer, Christine F Cadden, Dollie Jewel Cadden, Dollie Jewel Caicedo, William Vidal Callahan, Sherry D Family Nurse Practitioner Campbell, Aniko V Christian Family Medicine 79 Hwy 51 S #1 Ripley, TN 38063 Phone: 731-635-8189 County: Lauderdale Family Nurse Practitioner Campbell, Angela J Hometown Express Care 228 Starlyn Ave New Albany, MS 38652 Phone: 662-534-1888 County: Union Cannady, Penni C Canup, Alison C Cappleman, Susan Carlisle Holliman, Lauren Janelle Carnahan, Tammy Louise Carpenter, Terrell Y Carpenter, Laura L Carroll, Whitney Johnson Carter, Syble S Carwile, Jennifer Gail Chandler, Michelle R Chapman, Lindsay M Chew, Gwen Chipman, Donna K This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 42 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Kellett Brophy & Lovell Neurosurgical Clinic 1325 Eastmoreland Ave #580 Memphis, TN 38104 Phone: 901-726-5300 County: Shelby Golden Triangle Urgent Care 411 Griffin St West Point, MS 39773 Phone: 662-494-5863 County: Clay Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Pratt Family Medical Clinic 121 Pratt Dr #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Dyersburg Clinic Corp 310 E. Main St Hayti, MO 63851 Phone: 573-359-2517 County: Pemiscot Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Main Street Medical 106 W Main St Louisville, MS 39339 Phone: 662-773-5704 County: Winston 305 N 2nd St Booneville, MS 38829 Phone: 662-720-7970 County: Prentiss Convenient Care Clinic 3040 Goodman Rd W Horn Lake, MS 38637 Phone: 662-280-3428 County: DeSoto Family Nurse Practitioner Collier, Shirley A Chittick, Amber T Chittick, Amber T Chunn, Kelli R Clara, Jayme R Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Family Nurse Practitioner Clark, Melinda Lee Columbus Hermatology & Oncology 425 Hospital Dr #4 Columbus, MS 39705 Phone: 662-240-0650 County: Lowndes Family Nurse Practitioner Clinton, Martha M Primary Health Care 565 N Robinson St Senatobia, MS 38668 Phone: 662-560-4313 County: Tate Family Nurse Practitioner Cochran, Stephanie Megan Baptist Memorial Medical Group Inc 7715 Wolf River Blvd Germantown, TN 38138 Phone: 901-328-6031 County: Shelby Coggins, Brenda K Cole, Ronja Cole, Ronja Family Nurse Practitioner Crossroads Urgent Care 107 Tennessee St Bolivar, TN 38008 Phone: 731-212-5060 County: Hardeman Family Nurse Practitioner Collins, Nativel J John W White Jr Md 5062 Raymond Ave Tupelo, MS 38801 Phone: 662-566-5593 County: Lee Family Nurse Practitioner Comer, Amanda Lee N Ms Pulmonology Clinic Inc 100 Hospital St #300 Booneville, MS 38829 Phone: 662-728-2147 County: Prentiss Family Nurse Practitioner Conatser, Lauren Dyersburg Clinic Corp 315 E Tickle St #A Dyersburg, TN 38024 Phone: 731-285-1935 County: Dyer Cone, Amy E Constant, Angela Suzanne Cook, Sidney E Family Nurse Practitioner Cook, Angela Kay Friendship Medical Clinic 5129 Hwy 15 N Ecru, MS 38841 Phone: 662-488-8799 County: Pontotoc Family Nurse Practitioner Cooksey, Lorrie B Hmc Physicians Svcs Inc 80 Enoch Blvd Savannah, TN 38372 Phone: 731-926-9600 County: Hardin Family Nurse Practitioner Cooper, Melissa` E Golden Triangle Urgent Care 1503 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9623 County: Lowndes Family Nurse Practitioner Cordell, Betsy Adair Baptist Memorial Medical Group Inc 8138 Country Village Dr Cordova, TN 38016 Phone: 901-260-3100 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 43 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Integrity Oncology Foundation Inc 1936 W Poplar Ave Collierville, TN 38017 Phone: 901-853-6012 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Convenient Care Clinic 555 Hwy 6 E Batesville, MS 38606 Phone: 662-578-2030 County: Panola Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner 907 Vann Dr Jackson, TN 38305 Phone: 901-372-9133 County: Madison Stern Cardiovascular Foundation Inc 6027 Walnut Grove Rd #112 Memphis, TN 38120 Phone: 901-271-1000 County: Shelby Crittenden Hospital Assoc 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner Otolaryngology Assoc 2430 5th St N Columbus, MS 39701 Phone: 662-327-4432 County: Lowndes Dyersburg Clinic Corp 1067 Vendall Rd Dyersburg, TN 38024 Phone: 731-285-5513 County: Dyer Cowan, Anesha Machelle Cox, Mary Beth Family Nurse Practitioner Crafton, Julie W Primary Care Group 7690 Wolf River Cir Germantown, TN 38138 Phone: 901-756-1231 County: Shelby Family Nurse Practitioner Creekmore, Penny Gateley All Care Medical 522 Main St Friendship, TN 38034 Phone: 731-677-3000 County: Crockett Family Nurse Practitioner Crocker, Lindsay T Dyersburg Clinic Corp 2545 Washington Ave Brownsville, TN 38012 Phone: 731-772-9042 County: Haywood Family Nurse Practitioner Crocker, Lindsay T Lexington Clinic Corp 249 W Church St Lexington, TN 38351 Phone: 731-968-4477 County: Henderson Family Nurse Practitioner Crockett, Teresa Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Crom, Mary D Crowe, Lindsey B Curley, Meredith Blair Davis, Laura E Davis, Jama B Davis, Anna C Family Nurse Practitioner Family Nurse Practitioner Primary Care Ctr 500 Hospital Dr Trenton, TN 38382 Phone: 731-855-3510 County: Gibson Health 1st Family Medical Clinic 131 Hwy 309 S Byhalia, MS 38611 Phone: 662-838-5565 County: Marshall Family Nurse Practitioner Family Nurse Practitioner Acute Care & Family Clinic Of Pontotoc Inc 351-A Peoples Dr Pontotoc, MS 38863 Phone: 662-489-2777 County: Pontotoc Louisville Medical Assoc 564 E Main St Louisville, MS 39339 Phone: 662-773-7500 County: Winston Family Nurse Practitioner Family Nurse Practitioner Hope Primary Care Center 4958 Navy Road Millington, TN 38053 Phone: 901-872-0023 County: Shelby Transsouth Healthcare 100 Herndon Dr Bells, TN 38006 Phone: 731-662-3727 County: Crockett Cursey, Angela B Dabbs, Lisa Dalehite-Stringfellow, Julie E Davis, Megan Leigh Davis, Ashley T Davis, Elizabeth S Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-725-8604 County: Shelby Ne Ms Health Care Inc 154 Mt Pleasant Rd Mount Pleasant, MS 38649 Phone: 662-851-7939 County: Marshall Davidson, Nita Ann Davis, Brenda L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 44 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Avalon Medical 1413 W Quitman St Iuka, MS 38852 Phone: 662-424-9550 County: Tishomingo Hardin Co Reg Health Ctr 150 Guinn St Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Mississippi State University 360 Hardy Rd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Madison Clinic Corp 8 Stonebridge Blvd #J Jackson, TN 38305 Phone: 731-984-8380 County: Madison Primary Care Group 6831 Crumpler Blvd #100 Olive Branch, MS 38654 Phone: 662-890-5559 County: DeSoto Mcnairy Clinic Corp 699 E Poplar Ave Selmer, TN 38375 Phone: 731-645-6777 County: McNairy Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Premier Primary Care 1208 Edwards St Union City, TN 38261 Phone: 731-885-8884 County: Obion St Francis Medical Partners East 2714 Union Ave Extended #150 Memphis, TN 38112 Phone: 901-725-0872 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christian Family Medicine 79 Hwy 51 S #1 Ripley, TN 38063 Phone: 731-635-8189 County: Lauderdale Chamberlin Clinic 8316 Macon Terrace #103 Cordova, TN 38018 Phone: 901-757-0568 County: Shelby 4100 Austin Peay Hwy Memphis, TN 38128 Phone: 901-213-5439 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Donohoe, Marion L Christian Family Medicine 364 Tennessee Ave S Parsons, TN 38363 Phone: 731-847-6396 County: Decatur Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Easley Delones Family Medical Inc 1618 Hwy 51 S #G Covington, TN 38019 Phone: 901-476-7777 County: Tipton Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Pioneer Health Svcs Of Monroe Co Inc 40128 Hamilton Rd Hamilton, MS 39746 Phone: 662-343-5129 County: Monroe Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Dawson, Jennifer S Deal, Mary B Decanter, Paula G Dedmon, Diana D Delaney, James W Delones, Debra Lee Dement, Lisa A Deslauriers, Danielle R Dewey, Jennifer Dexter, Brenda Renee Diana, Karen Ann Dickens, Mary C Dickinson, Tina Marie Discenza, Sally S Dodson, Melissa C Dolan, Heather R Donnelly, Jacquelyn L Donnelly, Jacquelyn L Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Dotson, Cynthia Grenada Lake Medical Center 965 Avent Dr #105 Grenada, MS 38901 Phone: 662-227-7575 County: Grenada Family Nurse Practitioner Douglas, Tracy L Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 45 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Primary Care Clinic Of Ripley 1009 City Ave N #A Ripley, MS 38663 Phone: 662-837-1404 County: Tippah Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Wilson & Dowling Primary Care 7140 Stage Rd #106 Bartlett, TN 38133 Phone: 901-377-2974 County: Shelby Amory Urgent Care 906 Hwy 278 East Amory, MS 38821 Phone: 662-256-5612 County: Monroe Easley Delones Family Medical Inc 1618 Hwy 51 S #G Covington, TN 38019 Phone: 901-476-7777 County: Tipton Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Madison Clinic Corp 31 Physicians Dr Jackson, TN 38305 Phone: 731-668-9791 County: Madison Oxford After Hours Clinic 1929 University Ave Oxford, MS 38655 Phone: 662-236-2232 County: Lafayette N Benton County Health Care Inc 208 N First St Booneville, MS 38829 Phone: 662-728-3313 County: Prentiss Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Noxubee General Critical Access Hospital 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Newbern Medical Clinic 105 N Monroe Newbern, TN 38059 Phone: 731-627-0734 County: Dyer Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Douglas-Mckinley, Carla Dowling, Carrie L Downing, April R Dozier, Jennifer Y Duke, Lori S Duncan, Rachel Duncan, Rachel Dunn, Starr Leigh Early, Cynthia A Easley, Jennifer Leigh Eaton, Renate S Eblen, Cynthia A Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner 1300 Sunset Dr #A Grenada, MS 38901 Phone: 662-226-1646 County: Grenada Blue Mountain Family Medicine Clinic 124 N Guyton Blvd Blue Mountain, MS 38610 Phone: 662-685-4700 County: Tippah Primary Care Group 388 S Pauline St Memphis, TN 38104 Phone: 901-525-0278 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Alliance Health Partners 105 John R Lovelace Dr #3 Batesville, MS 38606 Phone: 662-563-2163 County: Panola Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 5659 S Rex Road Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Memphis Spine Center 2120 Exeter Rd #130 Germantown, TN 38138 Phone: 901-507-2225 County: Shelby Dubard, Lillian Lorraine Family Nurse Practitioner Duffie-Morgan, Susan Mantachie Rural Health Care Inc 5500 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Family Nurse Practitioner Duffy, Lauren C Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Durrett, Sandra C Dutton, Holly Earle, Cindy P Eden-Kilgour, Shirley G Edwards, Elizabeth Edwards, Virginia Kelli This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 46 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Express Care Of Fulton 202 Interchange Dr Fulton, MS 38843 Phone: 662-862-9040 County: Itawamba Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-725-8604 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #209 Memphis, TN 38120 Phone: 901-226-4564 County: Shelby Primary Care Group 9047 Poplar Ave #105 Germantown, TN 38138 Phone: 901-752-2300 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christian Family Medicine 79 Hwy 51 S #1 Ripley, TN 38063 Phone: 731-635-8189 County: Lauderdale Magnolia Physician Services Inc 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn Primary Care Group 6831 Crumpler Blvd #100 Olive Branch, MS 38654 Phone: 662-252-6416 County: DeSoto Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Tunica County Healthcare Authority 1813 Hwy 61 N Tunica, MS 38676 Phone: 662-357-0012 County: Tunica Citizens Of Lake Co For Healthcare Inc 710 Carl Perkins Pkwy Tiptonville, TN 38079 Phone: 731-253-6690 County: Lake 1002 E Madison Houston, MS 38851 Phone: 662-456-4277 County: Chickasaw Family Nurse Practitioner Family Nurse Practitioner Farris, Quaneshia R All Care Medical 600 Main St Friendship, TN 38034 Phone: 731-677-3000 County: Crockett Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Transsouth Healthcare 100 Herndon Dr Bells, TN 38006 Phone: 731-663-3727 County: Crockett Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Elfervig, Lucie S Elgin, Lisa B Eliott, Chelsey L Ellis, Daniella S Emison, Karen R Emison, Karen R Enlow, Tara Boyd Epps, Tiffany L Ernst, Jennifer A Ervin, Kerri A Erwin, Anna K Etheridge, Cynthia Lynne Family Nurse Practitioner Family Nurse Practitioner Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Stern Cardiovascular Foundation Inc 7362 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-8854 County: DeSoto Engelkemier, Becca E Eubanks, Tarra Lyn Evangelisti, Barbara Evans, Martha S Falkner, Ashley Nicole Falls, Anita J Family Nurse Practitioner Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Family Nurse Practitioner Ferree, Jennifer E Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Ferri, Jeannie Crossroads Urgent Care 107 Tennessee St Bolivar, TN 38008 Phone: 731-212-5060 County: Hardeman This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 47 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Hardeman Co. Community Health Center 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman The West Clinic 2001 State Dr Corinth, MS 38834 Phone: 662-286-3694 County: Alcorn St Francis Medical Partners East 126 Hwy 72 Collierville, TN 38017 Phone: 901-507-7007 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Tunica County Healthcare Authority 1813 Hwy 61 N Tunica, MS 38676 Phone: 662-357-0012 County: Tunica Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Dar Salud Care 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Pioneer Health Svcs Of Monroe Co Inc 1506 Hwy 278 E #A Amory, MS 38821 Phone: 662-304-4027 County: Monroe Grenada Lake Medical Center 965 Avent Dr #100-B Grenada, MS 38901 Phone: 662-227-6488 County: Grenada Yalobusha Medical Clinic 712 S Main St Water Valley, MS 38965 Phone: 662-473-1140 County: Yalobusha Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner St Francis Medical Partners East 2714 Union Ave Extended #150 Memphis, TN 38112 Phone: 901-725-0872 County: Shelby Magnolia Regional Health Center 82 Main St Rienzi, MS 38865 Phone: 662-462-8600 County: Alcorn West Tn Medical 1716 Parr Ave #A Dyersburg, TN 38024 Phone: 731-285-3300 County: Dyer Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Crittenden Hospital Assoc 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Auburn Family Medical Clinic Inc 149 Eason Blvd Tupelo, MS 38804 Phone: 662-678-1050 County: Lee Physicians Urgent Care Of Corinth 2668 S Harper Rd #4 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mississippi State University 360 Hardy Rd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Ut Medical Group Inc 890 Madison Ave Memphis, TN 38103 Phone: 901-545-8999 County: Shelby Dar Salud Care 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Toccopola Family Medicine Clinic PO Box 389 Toccopola, MS 38874 Phone: 662-281-8003 County: Lafayette Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette First Family Medical 895 Clifton Rd Savannah, TN 38372 Phone: 731-925-1911 County: Hardin Ferri, Jeannie Ferri, Jeannie Finch, Penny L Finch, Linda C Fincher, Casey E Fitts, Myra E Fitts, Teresa L Fiveash, Phyllis Flowers, Carrie R Floyd, Amy Floyd, Patricia Kim Forrest, Amy M Forrester, Lori H Fortner, Jamie V Fortune Iii, Robert W Foster, Letoshia Foster, Cinnamon Caryl Fowlkes, Sandra J Fraiser, Jacqueline Franklin, Lydia M Franks, Amy C This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 48 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Rosemark Family Medicine 1984 Rosemark Rd #E Atoka, TN 38004 Phone: 901-837-7785 County: Tipton 1002 E Madison #2 Houston, MS 38851 Phone: 662-456-4277 County: Chickasaw Delta Cardiovascular Center 520 Medical Dr Clarksdale, MS 38614 Phone: 662-621-1915 County: Coahoma Family Nurse Practitioner Gardner, Jessica M Franks, Brandi J Frazier-Griffin, Valerie V Family Care Of Fulton 602 S Adams St Fulton, MS 38843 Phone: 662-862-9820 County: Itawamba Family Nurse Practitioner Free, Christina Sue Hardin Co Reg Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Family Nurse Practitioner Friedrich, Kristie N Mckenzie Medical Ctr 136 S Wilson St Dresden, TN 38225 Phone: 731-364-4900 County: Weakley Family Nurse Practitioner Frost, Debra A Delta Dermatology & Skin Cancer Assoc 810 B Newman Dr Helena, AR 72342 Phone: 870-338-7494 County: Phillips Family Nurse Practitioner Gaillard, Pamela A Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Gale, Stephanie M Clinic At Elm Lake 3700 N Frontage Rd Columbus, MS 39701 Phone: 662-240-9999 County: Lowndes Gann, Katie Family Nurse Practitioner Citizens Of Lake Co For Healthcare Inc 710 Carl Perkins Pkwy Tiptonville, TN 38079 Phone: 731-253-6690 County: Lake Family Nurse Practitioner Garner, Beverly A Noxubee General Critical Access Hospital 602 N Jefferson St Macon, MS 39341 Phone: 662-726-5831 County: Noxubee Family Nurse Practitioner Getz, Len Nobert Baptist Memorial Medical Group Inc 6025 Walnut Grove Rd # 301 Memphis, TN 38120 Phone: 901-767-3321 County: Shelby Family Nurse Practitioner Getz, Len Nobert Getz Internal & Behavioral Svcs 1920 Kirby Pkwy #102 Memphis, TN 38120 Phone: 901-756-5565 County: Shelby Family Nurse Practitioner Gibson, Gail H Andrea L Smith Md 785 Ohio Ave #1D Clarksdale, MS 38614 Phone: 662-624-5464 County: Coahoma Family Nurse Practitioner Gibson Iv, Angela Goodwin Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2561 County: Lowndes Gist, Gavin Giles Family Nurse Practitioner Glenn, Francine S Childrens Health Ctr Of Columbus Inc 114 Lehmburg Rd Columbus, MS 39701 Phone: 662-329-2955 County: Lowndes Family Nurse Practitioner Godwin, Susan K James H Thomas Md 145 Pickwick St Savannah, TN 38372 Phone: 731-925-1051 County: Hardin Family Nurse Practitioner Goidel, Rita Ut Methodist Physicians 1301 Primacy Parkway Memphis, TN 38119 Phone: 901-866-8801 County: Shelby Family Nurse Practitioner Goode, Courtney D Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Family Nurse Practitioner Goss, Jennifer L Family Health Clinic Of Grenada 1117 Sunset Dr Ste #104 Grenada, MS 38901 Phone: 662-226-0110 County: Grenada Family Nurse Practitioner Gossett, Denise W Hickory Flat Family Clinic 250 Oak St Hickory Flat, MS 38633 Phone: 662-333-6387 County: Benton This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 49 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Shaw Family Medical 112 W Peeler Shaw, MS 38773 Phone: 662-754-3301 County: Bolivar Lunceford Family Health Center 7865 Educators Ln #300 Bartlett, TN 38133 Phone: 901-384-9920 County: Shelby Primary Care Group 8115 Country Village Dr Cordova, TN 38016 Phone: 901-752-2300 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner N Delta Medicine Clinic 705 N State St Clarksdale, MS 38614 Phone: 662-621-2192 County: Coahoma Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Premier Primary Care 1208 Edwards St Union City, TN 38261 Phone: 731-885-8884 County: Obion Gough Davis, Nora C Gough-Davis, Nora C Green, Richard W Greenberg, Kimberly Joi Grooms, Suzanne M Guess, Virginia A Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Frances W Herod 670 Hwy 178 #2 & 3 Sherman, MS 38869 Phone: 662-844-7999 County: Pontotoc Diffine Family Practice 1100 Medical Plaza Dr #C Blytheville, AR 72315 Phone: 870-824-2807 County: Mississippi Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby Friendship Medical Clinic 5129 Hwy 15 N Ecru, MS 38841 Phone: 662-488-8799 County: Pontotoc Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Crossroads Urgent Care 107 Tennessee St Bolivar, TN 38008 Phone: 731-212-5060 County: Hardeman Madison Clinic Corp 31 Physicians Dr Jackson, TN 38305 Phone: 731-668-9791 County: Madison Pioneer Health Svcs Of Monroe Co Inc 400 S Chestnut St Aberdeen, MS 39730 Phone: 662-369-2455 County: Monroe Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Gastroenterology Assoc Of N Ms 1208 Office Park Dr Oxford, MS 38655 Phone: 662-234-9888 County: Lafayette Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Prime Care Medical Ctr 270 E Court Ave #B Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Gowdy, Kelly Blair Graham, Courtney E Grantham, Stacie Kirk Gray, Stefanie L Gray, Tiffany B Griffin, Manda Griffin, Valerie Frazier Griffin, Robbie W Griffith, Ashley M Griffith, Katherine L Gurley, Katherine A Hale, Karen C Hall, Sharon K Hall, Andrea M Hall, Sharon K This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 50 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Magnolia Cardiology Assoc 1413 W Quitman St Iuka, MS 38852 Phone: 662-287-5218 County: Tishomingo Jones Clinic 200 Hwy 30 W New Albany, MS 38652 Phone: 901-685-5969 County: Union N Ms Medical Clinic Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Magnolia Cardiovascular & Thoracic Clinic 611 Alcorn Dr #200 Corinth, MS 38834 Phone: 662-665-4660 County: Alcorn Eze Family Medical Clinic 105 Strange Rd Starkville, MS 39759 Phone: 662-323-4400 County: Oktibbeha Tunica County Healthcare Authority 11273 Hwy 61 N Robinsonville, MS 38664 Phone: 662-363-3224 County: Tunica Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Golden Triangle Urgent Care 500 Russell St #3 Starkville, MS 39759 Phone: 662-324-2244 County: Oktibbeha Otolaryngology Assoc 2430 5th St N Columbus, MS 39701 Phone: 662-327-4432 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Millington Family Medicine Inc 8510 Wilkinsville Rd #104 Millington, TN 38053 Phone: 901-872-3114 County: Shelby Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Integrity Oncology Foundation Inc 1012 S Miles Ave Union City, TN 38261 Phone: 731-884-1412 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Auburn Family Medical Clinic Inc 149 Eason Blvd Tupelo, MS 38804 Phone: 662-678-1050 County: Lee Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Newbern Medical Clinic 105 N Monroe Newbern, TN 38059 Phone: 731-627-0734 County: Dyer Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Kossuth Family Health Clinic 820 Hwy 2 Corinth, MS 38834 Phone: 662-286-5055 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Pediatric Place Of Union City 1117 S Miles Ave #3 Union City, TN 38261 Phone: 731-885-4338 County: Obion Coast To Coast Medical 2201 Horizon Dr #4 West Memphis, AR 72301 Phone: 870-732-0332 County: Crittenden Transsouth Healthcare 100 Herndon Dr Bells, TN 38006 Phone: 731-663-3727 County: Crockett Ham, Amanda L Ham, Amanda L Hamlin, Melinda R Hamm, Jerry Ray Harbin, Angel S Harden, Kelly A Harder, Stephanie Lynn Hardin, Kimberly W Hare, Laura J Hare, Laura J Harmon, Stephanie Ann Harper, Jennifer E Harper, Joann Harrell, Lance M Harrelson, Robin Tanya Harrington, Erin E Harris, Alison S Harris, Amy K Hayes, Lisa Mcdaniel Hayhurst, Betty Gayle Haynes, Carol C This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 51 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christian Family Medicine 236 North Ave Henderson, TN 38340 Phone: 731-989-5180 County: Chester Yalobusha General Hospital 645 S Main St Water Valley, MS 38965 Phone: 662-473-1311 County: Yalobusha Assoc Family Medical 4364 Hwy 51 S Senatobia, MS 38668 Phone: 662-560-5966 County: Tate Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Practice Clinic 1445 Parr Ave Dyersburg, TN 38024 Phone: 731-286-6156 County: Dyer John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Allcare Medical Troy 316 E Harper St Troy, TN 38260 Phone: 731-536-4624 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Healthquest 510A E Waldron St Corinth, MS 38834 Phone: 662-594-1087 County: Alcorn Family Clinic Of New Albany Inc 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Burnsville Medical Clinic 603 B Hwy 365 Burnsville, MS 38833 Phone: 662-427-9999 County: Tishomingo Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Adult & Adolescent Medicine Clinics 3294 Poplar Ave #100 Memphis, TN 38111 Phone: 901-362-8671 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Christian Family Medicine 79 Hwy 51 S Ripley, TN 38063 Phone: 731-635-8189 County: Lauderdale Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Convenient Care Clinic 3040 Goodman Rd W Horn Lake, MS 38637 Phone: 662-280-3428 County: DeSoto Access Family Health Svcs Inc 12725 Hwy 23 N Tremont, MS 38876 Phone: 662-652-3361 County: Itawamba Plantersville Family Clinic 2464 Main St Plantersville, MS 38862 Phone: 662-842-4877 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Magnolia Regional Health Center 1001 S Harper Rd Corinth, MS 38834 Phone: 662-286-1499 County: Alcorn A M Diabetes Center 2996 Kate Bond Blvd #413 Bartlett, TN 38133 Phone: 901-384-0065 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Frances W Herod 670 Hwy 178 #2 & 3 Sherman, MS 38869 Phone: 662-844-7999 County: Pontotoc Golden Triangle Urgent Care 1503 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9623 County: Lowndes John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Hearn, Amanda L Heathcott, Shari P Hendrick, Hazel Hendrix, Valerian Keith Hendrix, Glenda J Hensley, Connie T Herod, Frances W Herrod, Addie P Hester, Molly E Hester-Conway, Molly H Hick, Leigh M Higginbottom, Amelia A Higginbottom, Amelia A Higgins, Brenda Kay Highfill, Tina D Hill, Cathy M Hill, Wanda J Hill, Lefonda Y Hill, Debra G Hilliard, Belinda L Hinton, Alicia F This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 52 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Hometown Medical Services 635 Hwy 51 S Covington, TN 38019 Phone: 901-476-9996 County: Tipton Hisiro, Edna Pauline Holland, Enja O Hopkins, Joan H Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Specialty Clinic 201 W Main Office Plaza #G Union City, TN 38261 Phone: 731-885-0063 County: Obion Primary Care Clinic Of Ripley 1009 City Ave N #A Ripley, MS 38663 Phone: 662-837-1404 County: Tippah Macon Primary Care Clinic 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Michael E Steuer Md 122 Airways Pl Southaven, MS 38671 Phone: 662-349-9990 County: DeSoto Rural Health Clinics Of West Tn 1716 Parr Ave, Ste A Dyersburg, TN 38024 Phone: 731-285-3300 County: Dyer Delta Cardiovascular Center 520 Medical Dr Clarksdale, MS 38614 Phone: 662-621-1915 County: Coahoma Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Transsouth Healthcare 9 Physicians Dr Jackson, TN 38305 Phone: 731-661-0086 County: Madison Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Trinity Health Care 200 S Main Amory, MS 38821 Phone: 662-256-3858 County: Monroe Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Twincare Family Clinic 2686 Hwy 145S #B Saltillo, MS 38866 Phone: 662-869-8693 County: Lee Specialty Physician Group 7460 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner 625 W Main St Newbern, TN 38059 Phone: 731-627-0700 County: Dyer Firstcare Medical Ctr 1215 E College St Brownsville, TN 38012 Phone: 731-772-3442 County: Haywood Ear Nose & Throat Physicians Of N Ms 618 Pegram Dr Tupelo, MS 38801 Phone: 662-844-6513 County: Lee Family Nurse Practitioner Family Nurse Practitioner Internal Medicine & Pediatric Clinic Of New Albany 488 W Bankhead St New Albany, MS 38652 Phone: 662-5340898 County: Union James L Holzhauer Md 505 Willowbrook Rd Columbus, MS 39705 Phone: 662-329-9191 County: Lowndes Hobbs, Heather D Hodges, Kathlene Richards Hodges, Stacey S Holcomb, Cindy O Holcomb, Tammy R Family Nurse Practitioner Holladay, Lori B Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Holliday, Krystie E Hollis, Brenda D Holmes, Rocky Dan Holt, Tara C Honeycutt, Vickie N Hooker, Megan M Horton, Patty M Hoskins, Lula Owens Houk, Marsha T Howard, Vanessa C Howell, Philip Myron Howell, Patricia Diane This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 53 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Twincare Family Clinic 2686 Hwy 145S #B Saltillo, MS 38866 Phone: 662-869-8693 County: Lee 8076 Hwy 51 N Millington, TN 38053 Phone: 901-872-8407 County: Shelby Primary Care Group 1325 Eastmoreland Ave #150 Memphis, TN 38104 Phone: 901-516-9830 County: Shelby Howell, Wendy O Family Nurse Practitioner Howlett, Nanna Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Hughes, Rosalind N Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Family Nurse Practitioner Hughes, Lynda J Center For Adult Healthcare 1629 Woodlawn Ave Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Family Nurse Practitioner Humphrey, Sally S Baptist Memorial Medical Group Inc 5659 S Rex Road Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Family Nurse Practitioner Hunt, Rhonda L Trinity Medical Clinic 181 South Y Selmer, TN 38375 Phone: 731-434-0200 County: McNairy Family Nurse Practitioner Hurst, Nettie Sue Citizens Of Lake Co For Healthcare Inc 215 S Court St Tiptonville, TN 38079 Phone: 731-253-6690 County: Lake Hurt, Nancy M Family Nurse Practitioner Hyde, Kristina S Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Jackson, Tammy Z Blue Mountain Family Medicine Clinic 124 N Guyton Blvd Blue Mountain, MS 38610 Phone: 662-685-4700 County: Tippah Family Nurse Practitioner Jackson, Tammy Z Family First Medical Clinic 109 North Rd Booneville, MS 38829 Phone: 662-728-2914 County: Prentiss Family Nurse Practitioner Jackson, Kenneth S Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Family Nurse Practitioner Jacobs, Rosemary P Millington Family Medicine Inc 8510 Wilkinsville Rd #104 Millington, TN 38053 Phone: 901-872-3114 County: Shelby Family Nurse Practitioner Jaggers, Christy F Acute Care & Family Clinic Of Mooreville 710 Hwy 371 Mooreville, MS 38857 Phone: 662-840-4577 County: Lee James, Michelle Rigby Family Nurse Practitioner Javellana, Tammy L Dyersburg Family Walk-In Clinic Inc 1509 E Reelfoot Ave Union City, TN 38261 Phone: 731-886-8662 County: Obion Family Nurse Practitioner Jenkins, Judith E Baptist Memorial Medical Group Inc 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby Family Nurse Practitioner Jenkins, Melanie Dawn Boston Baskin Cancer Foundation Inc 6027 Walnut Grove Rd #201 Memphis, TN 38120 Phone: 901-767-4520 County: Shelby Family Nurse Practitioner Jobe, Sherry Physicians Urgent Care Of Corinth 2668 S Harper Rd #4 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Family Nurse Practitioner Johns, Frankie A Louisville Medical Assoc 404 W. Main Louisville, MS 39339 Phone: 662-773-7500 County: Winston Family Nurse Practitioner Johnson, Tami B Burnsville Medical Clinic 603B Hwy 365 Burnsville, MS 38833 Phone: 662-427-9999 County: Tishomingo This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 54 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby N Ms Primary Health Care Inc 208 N First St Booneville, MS 38829 Phone: 662-728-3313 County: Prentiss Pioneer Health Svcs Of Monroe Co Inc 502 Jackson St #5 Aberdeen, MS 39730 Phone: 662-369-9500 County: Monroe Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Hmc Physicians Svcs Inc 80 Enoch Blvd Savannah, TN 38372 Phone: 731-926-9600 County: Hardin Prime Care Medical Ctr 426 White Ave Henderson, TN 38340 Phone: 731-989-2174 County: Chester Robert Buchalter Md & Assoc 6005 Park Ave #524B Memphis, TN 38119 Phone: 901-767-0500 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner N Ms Medical Clinics Inc 4508 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9702 County: Lowndes Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Consolidated Medical Practices Of Memphis 6799 Great Oaks Rd #150 Memphis, TN 38138 Phone: 901-821-8300 County: Shelby Ut Methodist Physicians 57 Germantown Court Ste #100 Memphis, TN 38018 Phone: 901-758-7888 County: Shelby Convenient Care Clinic 555 Hwy 6 E Batesville, MS 38606 Phone: 662-578-2030 County: Panola Family Nurse Practitioner Family Nurse Practitioner Allergy & Asthma Care 7205 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-757-6100 County: Shelby Health 1st Family Medical Clinic 2422 Church St Byhalia, MS 38611 Phone: 662-838-5565 County: Marshall Family Nurse Practitioner Family Nurse Practitioner Acute Care & Family Clinic Of Pontotoc Inc 351-A Peoples Dr Pontotoc, MS 38863 Phone: 662-489-2777 County: Pontotoc Pioneer Health Svcs Of Monroe Co Inc 502 Jackson St #4 Aberdeen, MS 39730 Phone: 662-369-9945 County: Monroe Family Nurse Practitioner Family Nurse Practitioner Hardin Co Reg Health Ctr 150 Guinn St Savannah, TN 38372 Phone: 731-925-2300 County: Hardin N Ms Primary Health Care Inc 3114-B N Shiloh Rd Corinth, MS 38834 Phone: 662-396-4406 County: Alcorn Johnson, Jessica E Johnson, Charlynn F Johnson, Kathy R Johnson, Katherine Haley Johnston, Marcia L Jones, Arland Dale Jones, Jo M Jones, Rita D Jones, Cindy K Jones, Sandra C Jordan, Charles R Joyner, Christina C Jurney, Nina Provias Justice, Samantha J Justice, Andrew C Kaminska, Agata Helena Kelley, Kathy J Family Nurse Practitioner Kemp, Jennifer R N Ms Primary Health Care Inc 12 B Natchez St Tishomingo, MS 38873 Phone: 662-224-8951 County: Tishomingo Family Nurse Practitioner Kennedy, Wren T Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Kight, John J Brownsville Clinic Corp 2545 N Washington Ave Brownsville, TN 38012 Phone: 731-772-4110 County: Haywood Family Nurse Practitioner King, Madelyn B Baptist Memorial Medical Group Inc 255 Baptist Blvd # 402 Columbus, MS 39705 Phone: 662-240-1412 County: Lowndes This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 55 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 255 Baptist Blvd #401 Columbus, MS 39705 Phone: 662-244-2288 County: Lowndes Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner King Family Healthcare Inc 2006 Robertson Dr Corinth, MS 38834 Phone: 662-665-0006 County: Alcorn Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Ut Methodist Physicians 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8220 County: Shelby Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Crockett Medical Clinic Inc 59 S Bells St Alamo, TN 38001 Phone: 731-696-5401 County: Crockett Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #208 Memphis, TN 38120 Phone: 901-227-8950 County: Shelby 701 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-9687 County: Obion Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby King, Kelli Deanne King, Deborah B King, Kathryn L Kirby, Marcia Conner Family Nurse Practitioner Kirby, Marcia Conner Michael P Berry Md 1385 W Brierbrook Rd Germantown, TN 38138 Phone: 901-692-9600 County: Shelby Family Nurse Practitioner Kirk, Heather J Physicians Urgent Care Of Corinth 2668 S Harper Rd #1 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Family Nurse Practitioner Kizer, Tracey G Advanced Orthopedics & Sports Medicine 1720 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-8484 County: Obion Kizer, Tracey G Knox, Ellouise Kohliem, Cynthia Rena Koon, Rita Carol Family Nurse Practitioner Koonce, Phyllis G Cotton Plant Family Clinic 100 CR 714 Blue Mountain, MS 38610 Phone: 662-538-4111 County: Tippah Family Nurse Practitioner Kosko, Mamie M Baptist Memorial Medical Group Inc 255 Baptist Blvd # 305 Columbus, MS 39705 Phone: 662-244-2550 County: Lowndes Family Nurse Practitioner Kovach, Sandra S Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Kyzer, Emily P Lam, Brian Laman, Lori F Lamar, Stephanie Denise Family Nurse Practitioner Lambert, Brandi Jo Faith Family Clinic 2209 N Second St Booneville, MS 38829 Phone: 662-728-0162 County: Prentiss Family Nurse Practitioner Lambert, Tonya L Mcnairy Hospital Corp 1 Physicians Dr Selmer, TN 38375 Phone: 731-646-6777 County: McNairy Family Nurse Practitioner Lambert, Vicki M VML Medical Svcs Of Booneville Inc 305 Mill St Baldwyn, MS 38824 Phone: 662-365-7725 County: Prentiss This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 56 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Warrington Clinic 1209 Broadway Shelby, MS 38774 Phone: 662-398-5111 County: Bolivar Leitherland Family Care Clinic 1123 N Main St Dyer, TN 38330 Phone: 731-692-2853 County: Gibson Delta Convenient Care 17 Centre Plaza Dr Jackson, MS 38305 Phone: 731-512-0104 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner New Hope Medical Clinic 2110 Lake Lowndes Rd Columbus, MS 39702 Phone: 662-329-4940 County: Lowndes Adult & Adolescent Medicine Clinics 3294 Poplar Ave #100 Memphis, TN 38111 Phone: 901-362-8671 County: Shelby Rutherford Medical Clinic 104 E Main St Rutherford, TN 38369 Phone: 731-665-7741 County: Gibson Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Southern Health Corp Of Houston Inc 1002 E Madison St # 3 Houston, MS 38851 Phone: 662-448-6213 County: Chickasaw Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Oxford Family Clinic 1109 N Lamar Blvd Oxford, MS 38655 Phone: 662-238-7860 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Internal Medicine & Pediatric Clinic Of New Albany 488 W Bankhead St New Albany, MS 38652 Phone: 662-534-0898 County: Union Express Care Of New Albany 210 Hwy 30 W New Albany, MS 38652 Phone: 662-507-3330 County: Union Family Nurse Practitioner Loden, Joy Y Lambert, Phillip N Lamison, Linda W Lantrip, Danny D Lawson, Sally F Family Nurse Practitioner Lax, Kasey Miracle Healthcare 649 B W Mcneal St Bolivar, TN 38008 Phone: 731-658-2885 County: Hardeman Family Nurse Practitioner Ledet, Davonna S Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Lee, Joan Hughes Professional Care Svcs Of W TN Inc 2380 Henry St Dyersburg, TN 38024 Phone: 731-287-1794 County: Dyer Leitherland, Edna R Leonard, Kelly Jean Lester, Alena Lewis, Patricia Leanne Lindsay, Patricia Lindsay Clinic 109 Hwy 15 S Pontotoc, MS 38863 Phone: 662-509-9934 County: Pontotoc Family Nurse Practitioner Lipsey, Catherine A Oakland Medical 7243 Hwy 64 Oakland, TN 38060 Phone: 901-465-2102 County: Fayette Family Nurse Practitioner Litterer, Rachel Ellen Tunica County Healthcare Authority 11273 Hwy 61 N Robinsonville, MS 38664 Phone: 662-363-3224 County: Tunica Little, Tracy D Little, Russell Littlefield, Shirley Michelle Littlejohn, Melissa L Family Nurse Practitioner Community Family Healthcare 285 Ivie Ln Mantachie, MS 38855 Phone: 662-282-4197 County: Itawamba Family Nurse Practitioner Loftin, Natasha M Lexington Family Physicians 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Family Nurse Practitioner Lofton, Crystal Renee 621G Old Hickory Blvd Jackson, TN 38305 Phone: 731-660-6402 County: Madison This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 57 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner United Emergency Svcs Of MS 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer First Family Medical 895 Clifton Rd Savannah, TN 38372 Phone: 731-925-1911 County: Hardin Long, Dennis R. Luckey, Carol Marbury, Lisa P Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Madison Clinic Corp 4022 Liberty St Milan, TN 38358 Phone: 731-686-7004 County: Gibson Convenient Care Clinic 3040 Goodman Rd W Horn Lake, MS 38637 Phone: 662-280-3428 County: DeSoto Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner St Francis Cardiology Assoc 310 W Tyler Ave West Memphis, AR 72301 Phone: 870-732-2398 County: Crittenden Prime Care Medical Ctr 270 E Court Ave #B Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Magnolia Cardiology Assoc 611 Alcorn Dr #230 Corinth, MS 38834 Phone: 662-287-5218 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #212 Southaven, MS 38671 Phone: 662-349-0488 County: DeSoto Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-398-2442 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Treesap Medical Center 28301 Hwy 15 Walnut, MS 38683 Phone: 662-223-0063 County: Tippah United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Convenient Care Clinic 555 Hwy 6 E Batesville, MS 38606 Phone: 662-578-2030 County: Panola Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Christian Family Medicine 79 Hwy 51 S Ripley, TN 38063 Phone: 731-635-8189 County: Lauderdale Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Physicians Urgent Care Of Corinth 2668 S Harper Rd #1 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Family Care Of Fulton 602 S Adams St Fulton, MS 38843 Phone: 662-862-9820 County: Itawamba Long, Beth R Looney, Melissa A Lopez, Shannon R Lothenore, Mark A Lott, Tippini K Lovell, Lydia Jackson Lunsford, Holly C Luttrell, Natalie E Lykins, Amy L Maddox, Judy T Mandrell, Belinda N Marberry, Cheryl S Marion, Ashley Gaye Marlar, Kimberly K Marsh, Jennifer K Martin, Ashley Elizabeth Martin, Susan C Martin, Amanda Leigh This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 58 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner James W Martin Md 1995 Hwy 51 S #105 Covington, TN 38019 Phone: 901-476-7371 County: Tipton Mccalla Ear Nose & Throat 1719 Kirby Pkwy Memphis, TN 38120 Phone: 901-274-5786 County: Shelby Convenient Care Clinic 2490 Parr Ave #3 Dyersburg, TN 38025 Phone: 731-286-8001 County: Dyer Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mantachie Rural Health Care 5681 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Golden Triangle Urgent Care 1503 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9623 County: Lowndes Newbern Medical Clinic 105 N Monroe Newbern, TN 38059 Phone: 731-627-0734 County: Dyer Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Melanie R Nixon 545 Pickwick St S Savannah, TN 38372 Phone: 731-925-3354 County: Hardin J Barton Williams Md 520 Willowbrook Rd Columbus, MS 39705 Phone: 662-241-0050 County: Lowndes Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Primary Care Group 7235 Hacks Cross Rd Olive Branch, MS 38654 Phone: 662-893-7878 County: DeSoto Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Transsouth Healthcare 364 Tennessee Ave S Parsons, TN 38363 Phone: 731-847-6396 County: Decatur Primary Care Group 3950 New Covington Pike #110 Memphis, TN 38128 Phone: 901-387-2900 County: Shelby Nephrology Assoc 129 Brookmoore Dr Columbus, MS 39705 Phone: 662-329-3838 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Midsouth Mental Health Svcs Inc 530 Oak Court Dr #127 Memphis, TN 38117 Phone: 901-319-4942 County: Shelby Whitney Slade Md 4901 Raleigh Commons Dr #200 Memphis, TN 38128 Phone: 901-387-0193 County: Shelby Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Ut Medical Group Inc 890 Madison Ave Memphis, TN 38103 Phone: 662-838-7945 County: Shelby Primary Care Group 3950 New Covington Pike #110 Memphis, TN 38128 Phone: 901-387-2900 County: Shelby Baptist Memorial Medical Group Inc 5780 Airline Rd #112 Arlington, TN 38002 Phone: 901-867-2187 County: Shelby Martin, Karen L Martin, Amanda Leigh Martin, Dana K Martin, Deborah B Martin, Susan C Mason, Tareyton C Massey, Cara Y Mastin, Terrye T Mattix, Vanita Mayberry Mattix, Vanita Mayberry May, Martha V Mayse, Melissa M Mayse, Melissa M Mazerac, Corry Tranas Mccallum, Kelly M Mccann, Beverly Dell Mccay, Frances Annelle Mcclain, Stacey N Mcclenton, Thelma J Mccormick, Paula F Mccoy, Christina B This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 59 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Health 1st Family Medical Clinic 2422 Church St Byhalia, MS 38611 Phone: 662-838-5565 County: Marshall Baptist Memorial Medical Group Inc 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Burnsville Medical Clinic 603 B Hwy 365 Burnsville, MS 38833 Phone: 662-427-9999 County: Tishomingo Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee 1350 Sunset Dr #B Grenada, MS 38901 Phone: 662-229-0069 County: Grenada Family Nurse Practitioner Family Nurse Practitioner Megreger, Candace P Cross Roads Health Clinic 1801 South Harper Road Ste #7 Corinth, MS 38834 Phone: 662-286-2300 County: Alcorn Crittenden Hospital Assoc 710 N Missouri St West Memphis, AR 72301 Phone: 870-400-2296 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner 621 G Old Hickory Jackson, TN 38305 Phone: 731-660-6402 County: Madison Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Mcdaniel, Jacqueline Mcduffy, Randy Lee Mcfalls, Debora Fields Mcfarland, Heather N Family Nurse Practitioner Mcgehee, Debbie E Mcgehee Family Health Clinic 100 E Monroe St Grenada, MS 38901 Phone: 662-226-0600 County: Grenada Family Nurse Practitioner Mcghee, Miranda Dermatology Group 5210 Poplar Ave #100 Memphis, TN 38119 Phone: 901-761-0685 County: Shelby Family Nurse Practitioner Mcgrath, Sandra E Family Practice 203 N First St #8 Union City, TN 38261 Phone: 731-885-3866 County: Obion Mckee, Meredith H Mckell, Lauri M Mckinness, Angela K Mcknight, Patricia S Family Nurse Practitioner Mcminn, Jennifer L Health 1st Family Medical Clinic 2422 Church St Byhalia, MS 38611 Phone: 662-838-5565 County: Marshall Family Nurse Practitioner Mcneel, Ashley V Access Family Health Svcs Inc 106 Walker St Houlka, MS 38850 Phone: 662-568-3316 County: Chickasaw Family Nurse Practitioner Mcwilliams, Jennifer Wright Center For Adult Healthcare 462 Church St Halls, TN 38040 Phone: 731-836-9303 County: Lauderdale Mead, Tanja L Meadows, Sharon F Family Nurse Practitioner Creekmore Clinic 216 Oxford Rd New Albany, MS 38652 Phone: 662-534-9042 County: Union Family Nurse Practitioner Melton, Jason Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto Family Nurse Practitioner Melton, Miranda R Ut Methodist Physicians 57 Germantown Court Ste #100 Memphis, TN 38018 Phone: 901-758-7888 County: Shelby Family Nurse Practitioner Meredith, Nicole T Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Family Nurse Practitioner Mewborn, Emily Kate Baptist Memorial Medical Group Inc 790 W Poplar Ave #1 Collierville, TN 38017 Phone: 901-853-9700 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 60 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Senatobia Family Practice 104 N Robinson Street Senatobia, MS 38668 Phone: 662-562-0411 County: Tate Oxford After Hours Clinic 1929 University Ave Oxford, MS 38655 Phone: 662-236-2232 County: Lafayette Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christian Family Medicine 364 Tennessee Ave S Parsons, TN 38363 Phone: 731-847-6396 County: Decatur Baptist Memorial Medical Group Inc 5659 S Rex Road Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Columbus Childrens Clinic Inc 200 Park Creek Dr Columbus, MS 39705 Phone: 662-327-8410 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Main Street Family Medicine Inc 1306 Hwy 45 N Henderson, TN 38340 Phone: 731-989-9899 County: Chester Baptist Memorial Medical Group Inc 1520 Union Ave Memphis, TN 38174 Phone: 901-276-2410 County: Shelby Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Magnolia Gastroenterology Clinic 3050 Corder Dr Corinth, MS 38834 Phone: 662-284-9902 County: Alcorn Family Clinic Of New Albany Inc 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Terrell Clinic 1720 E Reelfoot Ave #104 Union City, TN 38261 Phone: 731-885-9687 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Care Rite 110 S College St #102 Trenton, TN 38382 Phone: 731-286-1900 County: Gibson Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #209 Memphis, TN 38120 Phone: 901-226-4564 County: Shelby Mid-South Convenient Care 521 Highway 51 North Ripley, TN 38063 Phone: 731-635-2000 County: Lauderdale Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Montgomery Family Health Center 727 S Main St Middleton, TN 38052 Phone: 731-376-2804 County: Hardeman Clarksdale Hma Llc 785 Ohio Ave #2G Clarksdale, MS 38614 Phone: 662-621-5081 County: Coahoma Dar Salud Care 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Meyers, Anna M Milholen, Tammy M Miskelly, Randle Scott Mitchell, Mary Ellen Moffett, Shellie J Montgomery, Rena D Montgomery, Charlotte C Monty, Linda R Morrison, Robin L Morrison, Allison B Morrisson, Velma Sue Mulroy, Janet Flynn Mundy, Kelly A Murphy, Rebecca J Murphy, Sandra W Murray, Krystal L Murry, Yolanda F Nagel-Terrell, Renea Nale, Deborah S Nale, Deborah S Neira, Claudia P This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 61 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall N Ms Primary Health Care Inc 15921 Boundary Dr Ashland, MS 38603 Phone: 662-224-8951 County: Benton 7908 Hwy 334 Toccopola, MS 38874 Phone: 662-281-8003 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Owens-Johnson, Patrice M Newsom Healthcare Of Desoto County 2906 Goodman Rd #109 Horn Lake, MS 38637 Phone: 662-393-8022 County: DeSoto Union City Urgent Care 1229 S First St Union City, TN 38261 Phone: 731-885-8282 County: Obion Newman, Zenobia L Newsom, Sandra Nunnally, Christina Odle, Michael Chad Family Nurse Practitioner Family Nurse Practitioner Othlaryngology Assoc Of The Mid-South 7675 Wolf River Cir #202 Germantown, TN 38138 Phone: 901-767-3021 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Melanie R Nixon 545 Pickwick St S Savannah, TN 38372 Phone: 731-925-3354 County: Hardin Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Bone & Joint Specialist 1004 Cornerstone Dr Paris, TN 38242 Phone: 731-644-0474 County: Henry N Benton County Health Care Inc 208 N First St Booneville, MS 38829 Phone: 662-728-3313 County: Prentiss Family Nurse Practitioner Family Nurse Practitioner Hmc Physicians Svcs Inc 80 Enoch Blvd Savannah, TN 38372 Phone: 731-926-9600 County: Hardin Brighton Medical Practice 39 W Woodlawn Ave Brighton, TN 38011 Phone: 901-475-1600 County: Tipton Newsom, Tonya Lashale Nixon, Melanie Nolen, Ryan Clay Norris, Donna R Ofallon, Catherine C Omara, Amy K Orozco, Leigh J Overbey, Barbara A Family Nurse Practitioner Family Nurse Practitioner N Benton County Health Care Inc PO Box 89 71 Mitchell Ave Walnut, MS 38683 Phone: 662-223-4011 County: Tippah Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Norton, Sherie R Overbey, Barbara A Owens, Melissa A Family Nurse Practitioner Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8551 County: Shelby Family Nurse Practitioner Ownby, Amy Elizabeth Skyline Cardiovascular Institute 111 Stonebridge Blvd Jackson, TN 38305 Phone: 731-217-9194 County: Madison Family Nurse Practitioner Page, Sharon P Martin Childrens Clinic 215 Hawks Rd #3 Martin, TN 38237 Phone: 731-681-1577 County: Weakley Family Nurse Practitioner Page, Corey Amanda 621G Old Hickory Blvd Jackson, TN 38305 Phone: 731-660-6402 County: Madison Family Nurse Practitioner Parimore, Linda J Ut Medical Group Inc 1999 Hwy 51 S #A Covington, TN 38019 Phone: 901-476-4457 County: Tipton Family Nurse Practitioner Parks, Carmen L Heartsouth 2668 S Harper Rd #4 Corinth, MS 38834 Phone: 662-287-3100 County: Alcorn This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 62 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Primary Care Group 2961 Canada Rd #105 Lakeland, TN 38002 Phone: 901-388-0115 County: Shelby Lister Healthcare Corp 123 Alcorn Dr Corinth, MS 38834 Phone: 662-286-2866 County: Alcorn Mantachie Rural Health Care Inc 5500 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 2402 5th St N Columbus, MS 39705 Phone: 662-241-6192 County: Lowndes Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Crittenden Hospital Assoc 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Pediatric Surgical Group Inc 777 Washington Ave #P230 Memphis, TN 38105 Phone: 901-287-6031 County: Shelby Family Cancer Ctr Foundation Inc 504 Azalea Dr. #A Oxford, MS 38655 Phone: 662-236-7738 County: Lafayette Marion Minor Medical 136 Block St Marion, AR 72364 Phone: 870-559-2314 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 6025 Walnut Grove Rd #301 Memphis, TN 38120 Phone: 901-767-3321 County: Shelby Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Crockett Medical Clinic 58 S Bells St Alamo, TN 38001 Phone: 731-696-5401 County: Crockett Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto Louisville Medical Assoc 564 E Main St Louisville, MS 39339 Phone: 662-773-7500 County: Winston Yalobusha General Hospital 14430 Main St Coffeeville, MS 38922 Phone: 662-675-2500 County: Yalobusha Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Dutch Medical Clinics Inc 3654-B New Hope Rd Columbus, MS 39702 Phone: 662-329-1488 County: Lowndes Main Street Medical 106 W Main St Louisville, MS 39339 Phone: 662-773-5704 County: Winston Advanced Kidney Specialists 170 Murray Guard Dr Jackson, TN 38305 Phone: 731-984-8390 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Dutch Medical Clinics Inc 3654-B New Hope Rd Columbus, MS 39702 Phone: 662-329-1488 County: Lowndes Family Med 101 Inc 101 Mimosa St Booneville, MS 38829 Phone: 662-720-4919 County: Prentiss Coast To Coast Medical 2201 Horizon Dr #4 West Memphis, AR 72301 Phone: 870-732-0332 County: Crittenden Parson, Tonya D Parsons, Michelle E Paton, Elizabeth A Patterson, Mary Christine Payne, Nicole L Pearson, Bobbie Sue Pearson, Sally H Pearson, Cynthia E Pegram, Robert Joseph Pelegrin, Tammy Louise Perkins, Savannah Perkins, Emily D Perkins, Emily D Perrigo, Felesha D Peterson, Leslie E Phillips, Teddy W Phillips, Teddy W Phyllis, Moore Pickle, Teresa K Pierce, Sarah R Pilgrim, Tracy R This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 63 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby New Hope Family Health Center Inc 249 Hardeman Rd Grand Junction, TN 38039 Phone: 731-764-2200 County: Hardeman Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Lakeside Health Clinic 706 East Wood St Paris, TN 38242 Phone: 731-924-2000 County: Henry Louisville Medical Assoc 404 W. Main Louisville, MS 39339 Phone: 662-773-7500 County: Winston Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Internal Medicine & Pediatric Clinic Of New Albany 488 W Bankhead St New Albany, MS 38652 Phone: 662-5340898 County: Union Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Transsouth Healthcare 236 North Ave Henderson, TN 38340 Phone: 731-989-5180 County: Chester Pinlac, Rene W Polmonari, Heather Porch, Laura E Pounders, Terri L Family Nurse Practitioner Powell, John H Boston Baskin Cancer Foundation Inc 1331 Union Ave # 800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Family Nurse Practitioner Prather, Susan L Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar Family Nurse Practitioner Pring, Katherine E Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pritchard, Michele Proctor, Kimberly E Prosser, Rina M Prosser, Rina M Purnell, Marcy Gwynne Ragan, Rita Testa Rall, Chester E Randle, Jan S Ratliff, Ramona Rawdon, Michael A Family Nurse Practitioner Family Nurse Practitioner Family Clinic Of New Albany Inc 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Whitney Slade Md 4901 Raleigh Commons Drive #200 Memphis, TN 38128 Phone: 901-387-0193 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Alliance Health Partners 155 Keating Rd Batesville, MS 38606 Phone: 662-563-5640 County: Panola Kidney Care Consultants 3950 New Covington Pike #300 Memphis, TN 38128 Phone: 901-382-5256 County: Shelby Quinn, Melinda Louise Ragan, Rita Testa Ray, Corry Lynn Reames, Karen Kimberly This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 64 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Dyersburg Hbp Medical Group 400 E Tickle St Dyersburg, TN 38024 Phone: 731-287-2410 County: Dyer Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Martin Clinic Corp 130 E Locust St Dresden, TN 38225 Phone: 731-364-3196 County: Weakley Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mid-South Convenient Care 521 Highway 51 North Ripley, TN 38063 Phone: 731-635-2000 County: Lauderdale Absolute Family Health 6555 Stage Rd #1 Bartlett, TN 38134 Phone: 901-791-4101 County: Shelby Citizens Of Lake Co For Healthcare Inc 215 S Court St Tiptonville, TN 38079 Phone: 731-253-6690 County: Lake Reaves, Connie A Reaves, Connie A Rencher, Jacquelyn Renee Rendon, Jennifer L Riddle, Elizabeth A Ring, June Deon Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Access Family Health Svcs Inc 106 Walker St Houlka, MS 38850 Phone: 662-568-3316 County: Chickasaw Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Pratt Family Medical Clinic 121 Pratt Dr #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Michie Medical Clinic Inc 6659 Michie Pebble Hill Rd Michie, TN 38357 Phone: 731-632-1783 County: McNairy Friendship Medical Clinic 509 Hwy 15 S New Albany, MS 38652 Phone: 662-534-4330 County: Union Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Terrell Clinic 701 E Reelfoot Ave #100 Union City, TN 38261 Phone: 731-885-9687 County: Obion Rice Family Medical Clinic 120 Burke-Calhoun City Rd Calhoun City, MS 38916 Phone: 662-628-5116 County: Calhoun Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Lexington Clinic Corp 185 Boswell St Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Redd, Debbie S Redding, Cayce L Reeves, Melissa M Reiman, Martha D Reisinger, Angela D Reynolds, Halle H Rhoads, Mary Sue Rice, Michelle Rosamond Richardson, Kathryn K Riddle, Kristi Jeanette Rish, Rachel W Robbins, April Denham Roberson, Cara R Roberson, Delores Roberts, Elizabeth Wade This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 65 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Family Clinic Of New Albany 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Advanced Gastroenterology 1109 E Reelfoot Ave #C Union City, TN 38261 Phone: 731-884-0600 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Advanced Gastroenterology 1109 E Reelfoot Ave #C Union City, TN 38261 Phone: 731-884-0600 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Yalobusha General Hospital 14430 Main St Coffeeville, MS 38922 Phone: 662-675-2500 County: Yalobusha Getwell Community Clinic 3055 Watson St Memphis, TN 38118 Phone: 901-369-4900 County: Shelby Oxford Family Clinic 1109 N Lamar Blvd Oxford, MS 38655 Phone: 662-238-7871 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Mantachie Rural Health Care Inc 5500 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Madison Clinic Corp 31 Physicians Dr Jackson, TN 38305 Phone: 731-668-9791 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family First Clinic Of Clarksdale 1015 Lee Dr #13 Clarksdale, MS 38614 Phone: 662-592-4170 County: Coahoma Mantachie Rural Health Care Inc 5681 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Hardeman Co. Community Health Center 17 First St E Stanton, TN 38069 Phone: 731-548-2232 County: Haywood Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Jones Clinic 7710 Wolf River Cir Germantown, TN 38138 Phone: 901-685-5969 County: Shelby Pratt Family Medical Clinic 121 Pratt Dr #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn John W White Jr Md 5062 Raymond Ave Tupelo, MS 38801 Phone: 662-566-5593 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Hardin Co Reg Health Ctr 335 Hwy 64 Adamsville, TN 38310 Phone: 731-925-2300 County: McNairy Transsouth Healthcare 622 W Market St #100 Bolivar, TN 38008 Phone: 731-658-4500 County: Hardeman Primary Care Group 7235 Hacks Cross Rd Olive Branch, MS 38654 Phone: 662-893-7878 County: DeSoto Robertson, Leigh Ann Robertson, Cindy L Robertson, Rebecca H Robinson, Cassie C Rodgers, Dallas Maxwell Rogers, Cynthia L Roland, Amie L Rosas, Virginia Kelli Rosas, Virginia Kelli Rourke, Leo Francis Rowland, Dennis L Rowland, Dennis L Rowsey, Misty L Rudder, Michiel Brent Russell, Laura W Russell, Laura W Russell, Jodi H Saddler, Tracy Lytle Salvaggio, Karen Lynn Sanders, Deanna L Sanders, Jennifer C This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 66 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Gastroenterology Assoc Of Columbus Pa 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Lexington Clinic Corp 270 W Church St #A Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Dyersburg Clinic Corp 315 E Tickle St #B Dyersburg, TN 38024 Phone: 731-285-2100 County: Dyer Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Wheeler Medical Clinic 618 County Rd 5031 Booneville, MS 38829 Phone: 662-365-0200 County: Prentiss Access Family Health Svcs Inc 12725 Hwy 23 N Tremont, MS 38876 Phone: 662-652-3361 County: Itawamba Convenient Care Clinic 555 Hwy 6 E Batesville, MS 38606 Phone: 662-578-2030 County: Panola Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Hernando Family Medical Clinic 2670 McIngvale Dr Hernando, MS 38632 Phone: 662-429-4988 County: DeSoto Magnolia Regional Health Center 1001 S Harper Rd Corinth, MS 38834 Phone: 662-286-1499 County: Alcorn United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Amory Hma Physician Mgmt 404 Gilmore Dr Amory, MS 38821 Phone: 662-256-3564 County: Monroe Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Cardiology Specialists Of Memphis 80 Humphreys Center Dr #202 Memphis, TN 38120 Phone: 901-747-3330 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family First Clinic Of Clarksdale 1015 Lee Dr #13 Clarksdale, MS 38614 Phone: 662-592-4170 County: Coahoma Madison Clinic Corp 7 Sandstone Cir Jackson, TN 38305 Phone: 731-664-9928 County: Madison Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Morgan Cardiovascular 2427 Proper Street Corinth, MS 38834 Phone: 662-665-0151 County: Alcorn Coast To Coast Medical 2201 Horizon Dr #4 West Memphis, AR 72301 Phone: 870-732-0332 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Integrity Oncology Foundation Inc 6286 Briarcrest Ave #308 Memphis, TN 38120 Phone: 901-680-5190 County: Shelby Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Sanford, Elizabeth Sanford, Lisa Michelle Savage, Amanda S Saylors, Sharla E Scallions, John E Schriner, Amy Lauren Scott, Kelley Von Scott, Chad C Searcy, Carissa Irene Searcy, Carissa Irene Sessums, Courtney M Sesti Ii, Fred Settlemires, Sheila Grant Shamley, Loretta Lambert Shapton, Amber D Shaw, Toria M Shaw, Virginia N Shelton, Michela R Shelton, Virginia Shivers, Debra Jane Shook, Ginger Ashley This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 67 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Tallahatchie General Hospital 401 S Church St Charleston, MS 38921 Phone: 662-625-7162 County: Tallahatchie Amory Urgent Care 906 Hwy 278 East Amory, MS 38821 Phone: 662-256-5612 County: Monroe Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar Marietta Family Clinic Inc 3 CR 4050 Marietta, MS 38856 Phone: 662-728-2408 County: Prentiss Oxford After Hours Clinic 1929 University Ave Oxford, MS 38655 Phone: 662-236-2232 County: Lafayette Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Baptist Memorial Medical Group Inc 6025 Walnut Grove Rd # 301 Memphis, TN 38120 Phone: 901-767-3321 County: Shelby Baptist Memorial Medical Group Inc 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 7715 Wolf River Blvd Germantown, TN 38138 Phone: 901-328-6031 County: Shelby Urgent Care Clinic Of Oxford 1487 Bells Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Baptist Minor Medical Center Inc 3295 Poplar Ave Memphis, TN 38111 Phone: 901-327-8188 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mid-South Convenient Care 521 Highway 51 North Ripley, TN 38063 Phone: 731-635-2000 County: Lauderdale Health 1st Family Medical Clinic 131 Hwy 309 S Byhalia, MS 38611 Phone: 662-838-5565 County: Marshall Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner 100 W College St Kenton, TN 38233 Phone: 731-749-7444 County: Obion Hernando Family Medical Clinic 2670 McIngvale Dr Hernando, MS 38632 Phone: 662-429-4988 County: DeSoto Christian Family Medicine 79 Hwy 51 S #1 Ripley, MS 38063 Phone: 731-635-8189 County: Lauderdale Family Nurse Practitioner Family Nurse Practitioner Potts Camp Family Medical Clinic 3 Reids Ave Potts Camp, MS 38659 Phone: 662-333-4333 County: Marshall Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Shope, Sheila Simmons, Alyssa L Simmons, Andrea M Simpson, Mary Kathleen Sims, Jan A Sims, Jan A Family Nurse Practitioner Sinclair, Rose Ellen Crossroads Urgent Care 2395 Lake Rd #7 Dyersburg, TN 38024 Phone: 615-988-2000 County: Dyer Singleton, Carole-Lynne Slack, Kristi Slate, Kimberly Diane Sledge, Rachel Jamison Sluder, Vanessa Kay Sluder, Vanessa Kay Sluder, Vanessa Kay Smiley, Tracy Jeannean Garcie Smiley, Tracy Jeannean Garcie Smith, Venetia Gayle Smith, Robert Larry Smith, Mitzi W Smith, Virginia C Smith, Michael D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 68 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Speight Family Medical 139 Wesley Reed Dr #D Atoka, TN 38004 Phone: 901-840-2102 County: Tipton Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner N Delta Medicine Clinic 617 N State St Clarksdale, MS 38614 Phone: 662-621-2192 County: Coahoma Ut Medical Group Inc 6215 Humphreys Blvd #201 Memphis, TN 38120 Phone: 901-866-8085 County: Shelby Baptist Memorial Medical Group Inc 5220 Park Ave #100 Memphis, TN 38119 Phone: 9016858245 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto Ut Methodist Physicians 57 Germantown Court Ste #100 Memphis, TN 38018 Phone: 901-758-7888 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Oviation Womens Wellness 1410 Wooded Dr Grenada, MS 38901 Phone: 844-682-8466 County: Grenada Yalobusha General Hospital 604 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Covington Clinic 1111 Hwy 51 S Covington, TN 38019 Phone: 901-476-1313 County: Tipton Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Baptist Memorial Medical Group Inc 1520 Union Ave Memphis, TN 38174 Phone: 901-276-2410 County: Shelby Batesville Hma Medical Group 155 Keating Rd Batesville, MS 38606 Phone: 662-563-5636 County: Panola Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-100 County: Shelby Primary Care Group 76 Capital Way Ste#C Atoka, TN 38004 Phone: 901-840-1202 County: Tipton Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner The West Clinic 2001 State Dr Corinth, MS 38834 Phone: 662-286-3694 County: Alcorn Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Columbus Ob-Gyn Specialty Center 425 Hospital Dr #5 Columbus, MS 39705 Phone: 662-240-0095 County: Lowndes Smith, Kimberly Block Smith, Loretta Jean Smith, Carol J Smith, Shelley L Smith, Daniel E Smith, Heather Dees Smith, Wendy Jean Smith, Jene W Smith, Ebony M Smith, Martha Ann Smith, Katherine C Sneed, Nadia M Snodgrass`, Brett A Snyder, Angela Toles Lizar Speight, Deanna K Speros, Carolyn Ijams Springer, Alicia G Springfield, Brenda Stephenson, Flora Elizabeth Stevens, Jessica L Stewart, Brenda F This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 69 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Dyersburg Clinic Corp 412 Ward Ave Caruthersville, MO 63830 Phone: 573-333-0033 County: Pemiscot Louisville Medical Assoc 404 W. Main Louisville, MS 39339 Phone: 662-773-7500 County: Winston Vogelfanger & Struble Clinic 6005 Park Ave #630B Memphis, TN 38119 Phone: 901-767-1136 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Golden Triangle Urgent Care 710 Hwy 45 North West Point, MS 39773 Phone: 662-524-4120 County: Clay Woodland Clinic 120 Market St Woodland, MS 39776 Phone: 662-456-0111 County: Chickasaw Family Medical Clinic 803 First St Cleveland, MS 38732 Phone: 662-843-2721 County: Bolivar Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Access Family Health Svcs Inc 499 Gloster Creek Village #D1 Tupelo, MS 38801 Phone: 662-690-8007 County: Lee Magnolia Cardiology Assoc 611 Alcorn Dr #230 Corinth, MS 38834 Phone: 662-287-5218 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mantachie Rural Health Care Inc. 5500 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Mittal Kidney & Dialysis 6027 Walnut Grove Rd #402 Memphis, TN 38120 Phone: 901-767-0101 County: Shelby Crittenden Hospital Assoc 228 Tyler St #304 West Memphis, AR 72301 Phone: 870-733-9347 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Medistat 703 Alcorn Drive Suite 109 Corinth, MS 38834 Phone: 662-286-1499 County: Alcorn Mississippi County Hospital System 1100 Medical Dr #D Blytheville, AR 72315 Phone: 870-838-7385 County: Mississippi Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Care Clinic Of Ripley Inc 1007 N Main Ripley, MS 38663 Phone: 662-993-9336 County: Tippah Baptist Memorial Medical Group Inc 790 W Poplar Ave #1 Collierville, TN 38017 Phone: 901-853-9700 County: Shelby Delta Cardiovascular Center 520 Medical Dr Clarksdale, MS 38614 Phone: 662-621-1915 County: Coahoma Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Medical Ctr 123 Maple St Bruceton, TN 38317 Phone: 731-586-4800 County: Carroll Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Mantachie Rural Health Care Inc 5681 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Stinnett, Amy Kellams Stone, Laleta S Stone, Morgan S Strak, Leita N Stricklen, Theresa A Stroupe, Wanda S Sturdivant, Lucy E Sullivan, Valerie O Sullivan, Jerrie Sumerford, David B Summers, Tanaya Nicole Surratt, Christopher Lee Swanson, Allison Permenter Sweeney, Teresa A Sykes, Richard D Tabb, Leslie C Talley, Ashley M Tanner, Shirley A Taylor, Heather H Taylor, Tammy T Taylor, Jennifer L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 70 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Treesap Medical Center 28301 Hwy 15 Walnut, MS 38683 Phone: 662-223-0063 County: Tippah Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Terrell Clinic 701 E Reelfoot Ave #100 Union City, TN 38261 Phone: 731-885-9687 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Care Rite 1445 Hwy 51 Bypass Dyersburg, TN 38024 Phone: 731-286-1900 County: Dyer Yalobusha General Hospital 604 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha United Emergency Svcs Of Ms 2520 5th St N Columbus, MS 39701 Phone: 800-291-4020 County: Lowndes Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mid-South Convenient Care 521 Highway 51 North Ripley, TN 38063 Phone: 731-635-2000 County: Lauderdale Family Clinic Of New Albany Inc 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Faith Family Clinic 2209 N Second St Booneville, MS 38829 Phone: 662-728-0162 County: Prentiss Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Potts Camp Family Medical Clinic 3 Reids Alley Potts Camp, MS 38659 Phone: 662-333-4333 County: Marshall 733 S 4th St Baldwyn, MS 38824 Phone: 662-365-3431 County: Lee Family Nurse Practitioner Family Nurse Practitioner Tice, Shelia A Baptist Memorial Health Services Of MS Inc 515 Willowbrook Rd #1 Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Primary Care Group 76 Capital Way #C Atoka, TN 38004 Phone: 901-840-1202 County: Tipton Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #300 Memphis, TN 38120 Phone: 901-227-9870 County: Shelby Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Batesville Clinic 107 Eureka St Batesville, MS 38606 Phone: 662-563-7681 County: Panola Tallahatchie General Hospital 401 S Church St Charleston, MS 38921 Phone: 662-625-7162 County: Tallahatchie Taylor, Rhonda M Tetleton, James D Tetleton, James D Tharpe, Kimberly Kaye Thomas, Katherine B Thomas, Amber Michelle Thomas, Elizabeth P Thomas, Katherine B Thomas, Stacy P Thompson, Rebecca A Thompson, Stephanie E Thompson, Ginger L Thompson, Laura L Thompson, Yolanda K Thompson, Brianna Thompson, Melanie E Thornton, Kelly Shields Thornton, Betty Family Nurse Practitioner Premier Family Clinic & Urgent Care 312 Park Plaza Dr New Albany, MS 38652 Phone: 662-534-8780 County: Union Family Nurse Practitioner Tidwell, Amy D Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Family Nurse Practitioner Tolbert, Whitney Baptist Memorial Medical Group Inc 7715 Wolf River Blvd Germantown, TN 38138 Phone: 901-328-6031 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 71 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Friendship Medical Clinic 5129 Hwy 15 N Ecru, MS 38841 Phone: 662-620-7101 County: Pontotoc Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mittal Kidney & Dialysis 6027 Walnut Grove Rd #402 Memphis, TN 38120 Phone: 901-767-0101 County: Shelby Convenient Care Clinic 3040 Goodman Rd W Horn Lake, MS 38637 Phone: 662-280-3428 County: DeSoto 1350 Sunset Dr #B Grenada, MS 38901 Phone: 662-229-0069 County: Grenada Family Nurse Practitioner Family Nurse Practitioner Vail, Gena A 111 W Lee St Sardis, MS 38666 Phone: 662-487-1064 County: Panola Firstcare Medical Ctr 1215 E College St Brownsville, TN 38012 Phone: 731-772-3442 County: Haywood Tramel, Connie Lynn Trotter, Ann Christopher Troy, Linda L Family Nurse Practitioner Tucker, Kimberly Rochelle Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Family Nurse Practitioner Tumblin, Jamesha D Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Family Nurse Practitioner Turnage, Kylie Brown Transsouth Healthcare 100 Herndon Dr Bells, TN 38006 Phone: 731-663-3727 County: Crockett Family Nurse Practitioner Turnage, Vicki Yalobusha General Hospital 604 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Turner, Laura B Turner, Leon Crafton Turner, Krystal S Family Nurse Practitioner Turner, Anita J Nurse Med Inc 716 S Main St Ripley, MS 38663 Phone: 662-837-1534 County: Tippah Family Nurse Practitioner Turner, Leon Crafton Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto Family Nurse Practitioner Turner, Anita J Turner Llc 1031 Northridge Rd #A Baldwyn, MS 38824 Phone: 662-365-9305 County: Lee Family Nurse Practitioner Tyson, Jane F The Medical Group Of Memphis 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Uhlhorn, Alice Nicole Upchurch, Agnes P Family Nurse Practitioner Family Clinic Of New Albany Inc 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Family Nurse Practitioner Vanslyke, Bobbie G Oxford Obstetrics & Gynecology Assoc 1204 Medical Park Dr Oxford, MS 38655 Phone: 662-236-5717 County: Lafayette Family Nurse Practitioner Vassar, Paula H 1117 S Miles Ave #4 Union City, TN 38261 Phone: 731-885-6600 County: Obion Family Nurse Practitioner Vaughan, Raquel B Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Family Nurse Practitioner Via, Sara Jane Christian Family Medicine 79 Hwy 51 S #1 Ripley, TN 38063 Phone: 731-635-8189 County: Lauderdale This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 72 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Skyline Cardiovascular Institute 111 Stonebridge Blvd Jackson, TN 38305 Phone: 731-217-9194 County: Madison Baptist Memorial Medical Group Inc 7736 Airways Blvd Southaven, MS 38671 Phone: 662-772-5222 County: DeSoto Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Family Clinic Of New Albany Inc 474 W Bankhead St New Albany, MS 38652 Phone: 662-534-7777 County: Union Care Rite 1445 Hwy 51 Bypass Dyersburg, TN 38024 Phone: 731-286-1900 County: Dyer Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Mckenzie Clinic Corp 201 Hospital Dr McKenzie, TN 38201 Phone: 731-352-4127 County: Carroll Family & Urgent Care Clinic 1154 Cross Creek Dr Saltillo, MS 38866 Phone: 662-840-8010 County: Lee Gastrointestinal Specialists Foundation Inc 80 Humphreys Ctr Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Christian Family Medicine 899 Hwy 51 S Covington, TN 38019 Phone: 901-476-8886 County: Tipton Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Waters Family Health Care Inc 305 Mill St Baldwyn, MS 38824 Phone: 662-365-3253 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Madison Family Practice 621 G Old Hickory Jackson, TN 38305 Phone: 731-660-6402 County: Madison Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Pain Mgmt Center Of N Ms 2089 Southridge Dr Tupelo, MS 38801 Phone: 662-407-0801 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Transsouth Healthcare 120 E Church St Lexington, TN 38351 Phone: 731-968-0146 County: Henderson Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Delta Convenient Care 9486 Hwy 412 W Lexington, TN 38351 Phone: 731-968-0984 County: Henderson EMG Clinics Of Tn 3035 N. Highland Ave Jackson, TN 38305 Phone: 800-224-1807 County: Madison Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Vincent, Carroll Logan Wacaser, Cathy Waddell, Donna Wade, Modeanna L Wages, Morgan R Waldrop, Alice J Walker, Jayme Leke Walker, Alexander P Wallace, Laura A Wallace, Emerson Lee Waller, Sandra D Walton, Tyrongilia Quereese Ward, Rebecca P Warmath, Ginger H Warren, Jennifer B Warren, Shannon R Warren, Lisa W Waters, Tammie C Watkins, Katrina M Watkins, Katrina M Watts, Marah Jo This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 73 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Health 1st Family Medical Clinic 2422 Church St Byhalia, MS 38611 Phone: 662-838-5565 County: Marshall Alliance Health Partners 435 Hwy 6 E Batesville, MS 38606 Phone: 662-563-7873 County: Panola Sherman Family Clinic 608 Hwy 178 Sherman, MS 38869 Phone: 662-840-8978 County: Pontotoc Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Weaver Clinic 124 W Commerce St Hernando, MS 38632 Phone: 662-429-5221 County: DeSoto Tri-Lakes Medical Center 564 Hwy 6 East Batesville, MS 38606 Phone: 662-563-7873 County: Panola Gloster North Family Medical Clinic Inc 1714 N Gloster St Tupelo, MS 38804 Phone: 662-620-7102 County: Lee Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Crockett Medical Clinic Inc 59 S Bells St Alamo, TN 38001 Phone: 731-696-5401 County: Crockett Threlkeld Threlkeld & Omer 1068 Cresthaven Rd # 250 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Baptist Memorial Medical Group Inc 5659 S Rex Road Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Christian Family Medical 500 Hospital Dr Trenton, TN 38382 Phone: 731-855-3510 County: Gibson Corinth Family Medical Ctr 1921 Droke Rd Corinth, MS 38834 Phone: 662-286-3520 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar Corinth Family Care Center 2000 Shiloh Rd Corinth, MS 38834 Phone: 662-287-6999 County: Alcorn Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Transsouth Healthcare 9 Physicians Dr Jackson, TN 38305 Phone: 731-661-0086 County: Madison Dermatology Clinic 255 Baptist Blvd #304 Columbus, MS 39705 Phone: 662-328-3375 County: Lowndes Tallahatchie General Hospital 401 S Church St Charleston, MS 38921 Phone: 662-625-7162 County: Tallahatchie Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Assoc Family Medical 4364 Hwy 51 S Senatobia, MS 38663 Phone: 662-560-5966 County: Tippah Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby 1300 Sunset Dr #B Grenada, MS 38901 Phone: 662-226-6430 County: Grenada Weaver, Beverly P Weaver, Beverly P Webb, Karen E Webb, Nalisha Marie Weeks, Lisa S Wentworth, Raven D West, Sarah Wharton, Marianne Wharton, Marianne Wheat-Moss, Jaclyn Iris Whitby, Sherry White, Felicia White, Kala N White, Elizabeth L Whitehead, Deborah J Whitehurst, Angie M Whitley, Meris M Wigginton, Jimmy T Wilbanks, Elizabeth B Wilbourn, Amanda Elizabeth Wilbourn, Amanda Elizabeth This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 74 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Acute Care & Family Clinic Of Pontotoc Inc 351-A Peoples Dr Pontotoc, MS 38863 Phone: 662-489-2777 County: Pontotoc Physicians Urgent Care Of Corinth 2668 S Harper Rd #4 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Mcnairy Clinic Corp 699 E Poplar Ave Selmer, TN 38375 Phone: 731-645-6777 County: McNairy Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Baptist Memorial Medical Group Inc 641 R B Wilson Dr #G Huntingdon, TN 38344 Phone: 731-986-7400 County: Carroll Vogelfanger & Struble Clinic 6005 Park Ave #630B Memphis, TN 38119 Phone: 901-767-1136 County: Shelby Memphis Internists 3294 Poplar Ave #100 Memphis, TN 38111 Phone: 901-362-8671 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Alliance Medical Clinic 21 Meridian Springs Dr Jackson, TN 38301 Phone: 731-868-4802 County: Madison Gastrointestinal Specialists Foundation Inc 80 Humphreys Ctr Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Clarksdale Hma Physician Mgmt 785 Ohio Ave #2H Clarksdale, MS 38614 Phone: 662-624-3003 County: Coahoma St Francis Medical Partners East 2714 Union Ave Extended #150 Memphis, TN 38112 Phone: 901-725-0872 County: Shelby Advent Medical 1139 N Highway 77 Marion, AR 72364 Phone: 501-650-4106 County: Crittenden Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Clarksdale Hma Physician Mgmt 785 Ohio Ave #2H Clarksdale, MS 38614 Phone: 662-624-3003 County: Coahoma Clarksdale Hma Physician Mgmt 860 Desoto Ext Clarksdale, MS 38614 Phone: 662-624-4316 County: Coahoma Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Coast To Coast Medical 2201 Horizon Dr #4 West Memphis, AR 72301 Phone: 870-732-0332 County: Crittenden Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Wolfe Family Medical Clinic 204 E Walnut St Charleston, MS 38921 Phone: 662-647-0900 County: Tallahatchie Wilburn, Cathy Wilkes, Ouida G Wilkes, Shanna Lynn Williams, Mitzi D Williams, Mary A Williams, Mary Jane A Williams, Jennifer L Williams, Christina S Williams, Lisa D Williams, Shonda L Williams, Kari Anne Williams, Penney L Wilson, Pamela K Wilson, Nicole Denise Wilson, Crystal R Wilson, Elizabeth O Wilson, Charla F Wilson, Amy Kelm Witmer, Lori Kaye Wodowski, Karen S Wolfe, Carlene M This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 75 Provider Listing by Specialty Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Camden Medical Clinic Inc 160 Hospital Dr Camden, TN 38320 Phone: 731-279-0600 County: Benton Skyline Cardiovascular Institute 111 Stonebridge Blvd Jackson, TN 38305 Phone: 731-217-9194 County: Madison Preventagenix 162 Murray Guard Dr Ste B Jackson, TN 38305 Phone: 731-300-0044 County: Madison Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner Cardiology Specialists Of Memphis 80 Humphreys Center Dr #202 Memphis, TN 38120 Phone: 901-747-3330 County: Shelby Brame & Wright Medical Group 153A S Market St Holly Springs, MS 38635 Phone: 662-252-9987 County: Marshall Baptist Memorial Medical Group 1312 Bishop Street Union City, TN 38261 Phone: 731-885-5100 County: Obion Family Nurse Practitioner Family Nurse Practitioner Family Practice All About You Family Practice 1264 Wesley Dr #103 Memphis, TN 38116 Phone: 901-516-3872 County: Shelby Cordova Pediatrics 1665 Bonnie Ln #101 Cordova, TN 38016 Phone: 901-531-8555 County: Shelby Peabody Family Care 1325 Eastmoreland Ave #150 Memphis, TN 38104 Phone: 901-725-0648 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Practice Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Primehealth Medical Ctr 6637 Summer Knoll Cir #101 Bartlett, TN 38134 Phone: 901-372-5260 County: Shelby Family Nurse Practitioner Family Nurse Practitioner Family Practice Hometown Urgent Care 1375A Flowering Dogwood Ln Dyersburg, TN 38024 Phone: 731-325-5678 County: Dyer Madison Family Practice 621G Old Hickory Jackson, TN 38305 Phone: 731-660-6402 County: Madison Miss Co Primary Care Physicians 602 W Union #B Osceola, AR 72370 Phone: 870-563-6504 County: Mississippi Family Nurse Practitioner Family Nurse Practitioner Family Practice Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Mississippi State University 360 Hardy Rd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Starkville Family Practice 100 Brandon Rd #S Starkville, MS 39759 Phone: 662-320-3990 County: Oktibbeha Family Nurse Practitioner Family Nurse Practitioner Family Practice Dermatology Clinic Of N. Ms 7585 Clarington Cove Southaven, MS 38671 Phone: 662-349-0200 County: DeSoto Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #212 Southaven, MS 38671 Phone: 662-349-0488 County: DeSoto Primary Care Ctr 500 Hospital Dr Trenton, TN 38382 Phone: 731-855-3510 County: Gibson Wood, Deborah T Woodcock, Lisa Marie Woods, Denise R Woods, Tina Marie Woodward, Tracie M Woody, Kimberly D Wooten, Misty A Wren, Amy B Wright, Phyllis Renee Wright, Rachel Michele Wynn, Lynn W Yandell, Tiffany L Yarbrough, Angela Richardson York, Alicia B Young, Jeffrey W Youree, Melissa Acree, Martin Vernon Adams, Cecilia Dowsing Andrews-Pirtle, Valencia M Anthony, Michael D Antique, Maria Caroline This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 76 Provider Listing by Specialty Family Practice Family Practice Family Practice Hardin Co Reg Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Webber Family Practice 207 W Chestnut St Marianna, AR 72360 Phone: 870-295-2367 County: Lee Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Family Practice Family Practice Family Practice Armour Family Medical 832 Old Hwy 51 South Brighton, TN 38011 Phone: 901-475-1600 County: Tipton Family Medical Clinic Of N Ms 3451 Goodman Rd E #115 Southaven, MS 38672 Phone: 662-890-5555 County: DeSoto Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Family Practice Family Practice Family Practice Grenada Family Medicine Clinic 1300 Sunset Dr #F Grenada, MS 38901 Phone: 662-226-5747 County: Grenada Pioneer Health Svcs Of Monroe Co Inc 502 Jackson St #6 Aberdeen, MS 39730 Phone: 662-369-9525 County: Monroe Tutwiler Clinic Inc 205 Alma Tutwiler, MS 38963 Phone: 662-345-8334 County: Tallahatchie Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 1771 Curtis Dr Iuka, MS 38852 Phone: 662-423-6014 County: Tishomingo Prime Care Medical Ctr One Prime Care Dr Selmer, TN 38375 Phone: 731-645-7932 County: McNairy 731 Medical Center Dr West Point, MS 39773 Phone: 662-494-6400 County: Clay Family Practice Family Practice Bishop, John M Park Ave. Emergency Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2056 County: Shelby Doctors Clinic Of Union City 1020 Reelfoot Ave E Union City, TN 38261 Phone: 731-885-5131 County: Obion Armetta, Nancy A Armour, Karen A Armstrong, Ralph C Bagwell, Michael Brian Bah, Mohammed M Balke, Susan W Ball, Patrick A Barker, Vincent B Bartz, William Ryan Batey, James T Family Practice Family Practice Dermatology Realm & Family Practice 2120 Merchants Row #2 Germantown, TN 38138 Phone: 901-362-7170 County: Shelby Wynne Medical Clinic 710 S Falls Blvd Wynne, AR 72396 Phone: 870-238-2321 County: Cross Family Practice Family Practice Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Family & Urgent Care Clinic 1154 Cross Creek Dr Saltillo, MS 38866 Phone: 662-840-8010 County: Lee Baker, Adam Walter Baker, Laurie M Beaton, James Trent Bell, David W Bendel, Sarah Elizabeth Berkenstock, Oran Lee Bhetwal, Narayan P Billington, William M Family Practice Mcknight Clinic 25 Woodbridge Rd Somerville, TN 38068 Phone: 901-465-6353 County: Fayette Family Practice Black, John L J Larry Black Md Phd 4364 Hwy 51 S Senatobia, MS 38668 Phone: 662-562-7503 County: Tate Family Practice Blanco, Arturo Enrique Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 77 Provider Listing by Specialty Family Practice Family Practice Family Practice Caring Hands Family Medicine 641 R B Wilson Dr #D Huntingdon, TN 38344 Phone: 731-209-0449 County: Carroll Boyett Health Services Inc 2131 Military St S Hamilton, AL 35570 Phone: 205-921-5556 County: Marion Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar Family Practice Family Practice Family Practice Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8450 County: Shelby Mantachie Rural Health Care Inc 5681 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-4526 County: Tipton Family Practice Family Practice Bolton Family Medical Clinic 105 Town Creek Dr Saltillo, MS 38866 Phone: 662-869-0033 County: Lee Dresden Family Clinic 130 E Locust St Dresden, TN 38255 Phone: 731-364-3196 County: Weakley Blankenship, John Lee Bock, Alan Richard Bolton, Kirsten J Boyett, Brent E Boyett, Brent E Bradberry, Samuel W Family Practice Family Practice Aaron E Henry Comm Health Svcs Ctr Inc 800 Ohio Ave Clarksdale, MS 38614 Phone: 662-624-2504 County: Coahoma Ne Ms Health Care Inc 154 Mt Pleasant Rd Mount Pleasant, MS 38649 Phone: 662-851-7939 County: Marshall Family Practice Family Practice Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Wynne Medical Clinic 710 S Falls Blvd Wynne, AR 72396 Phone: 870-238-2321 County: Cross Family Practice Family Practice Families First Health Care 3699 Riverdale Rd Memphis, TN 38125 Phone: 901-365-9625 County: Shelby Collierville Family Medical Ctr 790 W Poplar Ave #1 Collierville, TN 38017 Phone: 901-853-9700 County: Shelby Booker, William L Borja, Jherico P Bowen, Ronnie D Bradley, Chauntay Yvette Bradshaw, Mark S Brewer, Raymond M Family Practice Family Practice Box Family Medicine Clinic 118 Hospital St Ripley, MS 38663 Phone: 662-993-9255 County: Tippah Madison Family Practice 524 S Broad St Lexington, TN 38351 Phone: 731-651-0030 County: Henderson Box, Samuel Keith Brewer, Ashley S Brock, Charles Franklin Broffitt, Samuel Family Practice Brooks, Deborah M Brookhaven Medical Center 785 Ohio Ave #2D Clarksdale, MS 38614 Phone: 662-298-1730 County: Coahoma Family Practice Brown, Bruce B Doctors Clinic Of Union City 1020 Reelfoot Ave E Union City, TN 38261 Phone: 731-885-5131 County: Obion Family Practice Brown, Charles H 3960 Knight Arnold Rd #400 Memphis, TN 38118 Phone: 662-369-6977 County: Shelby Family Practice Brown, Arthur 401 S Chestnut St Aberdeen, MS 39730 Phone: 901-369-8142 County: Monroe Family Practice Bryant, James W Humphreys Family Practice Clinic 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 78 Provider Listing by Specialty Family Practice Family Practice Family Practice William W Bucy Md 2162 Judicial Dr Germantown, TN 38138 Phone: 901-756-1050 County: Shelby 506 Alcorn Dr Corinth, MS 38834 Phone: 662-286-0976 County: Alcorn 641 R B Wilson Dr. Huntingdon, TN 38344 Phone: 731-286-0490 County: Carroll Family Practice Family Practice Cappleman, Troy R Family Practice Primary Care Clinic Of Ripley 1009 City Ave N #A Ripley, MS 38663 Phone: 662-837-1404 County: Tippah 400B Washington Booneville, MS 38829 Phone: 662-728-8136 County: Prentiss Family Practice Casey-Bolden, Monique Bucy, William W Burch, William E Mcknight Clinic 25 Woodbridge Rd Somerville, TN 38068 Phone: 901-465-6353 County: Fayette Family Practice Burns, Tina K Primary Care Group 9047 Poplar Ave #105 Germantown, TN 38138 Phone: 901-752-2300 County: Shelby Family Practice Busch, Forrest K Forrest Kenton Busch Do 1950 Cook St Dyersburg, TN 38024 Phone: 731-286-4300 County: Dyer Family Practice Butner, Michael R Lexington Hospital Corporation 249 W Church St Lexington, TN 38351 Phone: 731-968-4477 County: Henderson Family Practice Caballero, Hugo A Caballero Family Healthcare Group 1920 Kirby Pkwy #202 Germantown, TN 38138 Phone: 901-751-9997 County: Shelby Family Practice Cabe, Annabelle Deang Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Cain, George L Carnahan, Walter E Carnahan Clinic 7900 Airways Blvd Bldg A #6 Southaven, MS 38671 Phone: 662-536-4646 County: DeSoto Family Practice Carpenter, Julie J Family Medical Clinic Of N Ms 3451 Goodman Rd E #115 Southaven, MS 38672 Phone: 662-890-5555 County: DeSoto Family Practice Carter, Lee M Cartwright, Clifton C Family Practice Family Care 1716 Parr Ave #D Dyersburg, TN 38025 Phone: 731-288-0911 County: Dyer Family Practice Castle, Mona M N Ms Medical Clinics Inc 2161 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-1791 County: Lafayette Family Practice Cathey, Gene David Carr, Kenneth W 115 Mt Pelia Martin, TN 38237 Phone: 731-587-5353 County: Weakley Louisville Medical Assoc 564 E Main St Louisville, MS 39339 Phone: 662-773-7500 County: Winston Family Practice Family Practice Medicos Para La Familia 3030 Covington Pike #100 Memphis, TN 38128 Phone: 901-383-8889 County: Shelby Wynne Medical Clinic 710 S Falls Blvd Wynne, AR 72396 Phone: 870-238-2321 County: Cross Family Practice Family Practice Pioneer Health Svcs Of Monroe Co Inc 502 Jackson St #4 Aberdeen, MS 39730 Phone: 662-369-9945 County: Monroe Humboldt Primary Care 1830 Hwy 51 S Covington, TN 38019 Phone: 901-475-1260 County: Tipton Carson, Rickey R Carter, Robert L Cathey, James D Chanda, Jayasree D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 79 Provider Listing by Specialty Family Practice Family Practice Family Practice 3856 Hwy 57 W Ramer, TN 38367 Phone: 731-645-6118 County: McNairy Cockrell Family Medical Center 120 Norfleet Dr Senatobia, MS 38668 Phone: 662-301-1128 County: Tate Hometown Medical Services 635 Hwy 51 S Covington, TN 38019 Phone: 901-476-9996 County: Tipton Chase, Barton A Family Practice Cheatham, Charles F Christ Community Health Svcs 1211 Union Ave #200 Memphis, TN 38104 Phone: 901-271-0330 County: Shelby Family Practice Cockrell, Jessie Michael Cook, Buffy Jay Family Practice Family Practice Amory Hma Physician Mgmt 302 Hospital Dr Fulton, MS 38843 Phone: 662-862-7047 County: Itawamba Millington Family Medicine Inc 8510 Wilkinsville Rd #104 Millington, TN 38053 Phone: 901-872-3114 County: Shelby Coleman, Shelli Isabel Cook, Buffy Jay Magnolia Family Medicine Clinic 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Family Practice Family Practice Hardy Blvd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Family Practice Family Practice Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Baptist Memorial Medical Group Inc 790 W Poplar Ave #1 Collierville, TN 38017 Phone: 901-853-9700 County: Shelby Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Cheatham, John Wayne Chehardy, Sonya Denise Collins, Robert K Colotta, Terry A Family Practice Family Practice Baptist Memorial Medical Group Inc 8950 Hwy 64 #116 Lakeland, TN 38002 Phone: 901-383-7170 County: Shelby 902 Holiday Dr #101 Forrest City, AR 72335 Phone: 870-630-1256 County: Saint Francis Family Practice Conway, Alisha K Chisholm, Patricia Ann Clendenin, John B Doctors Clinic Of Union City 1020 Reelfoot Ave E Union City, TN 38261 Phone: 731-885-5131 County: Obion Family Practice Clouden, Garrick Caryl Firstcare Medical Ctr 1215 E College St Brownsville, TN 38012 Phone: 731-772-3442 County: Haywood Conner, George L Family Practice Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Family Practice Cook, Buffy Jay Brighton Family Medicine 1880 Old Hwy 51 #C Brighton, TN 38011 Phone: 901-837-7979 County: Tipton Coon, David T Family Practice Coss, David Matthew Crowleys Ridge Family Practice 904 Holiday Dr #404 Forrest City, AR 72335 Phone: 870-630-1683 County: Saint Francis Family Practice Craig, Michael Scott Brighton Family Medicine 1880 Old Hwy 51 #C Brighton, TN 38011 Phone: 901-837-7979 County: Tipton Family Practice Craig, Michael Scott Easley Delones Family Medical Inc 1618 Hwy 51 S #G Covington, TN 38019 Phone: 901-476-7777 County: Tipton Family Practice Crane, Patricia G Main Street Family Medicine Inc 1306 Hwy 45 N Henderson, TN 38340 Phone: 731-989-9899 County: Chester This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 80 Provider Listing by Specialty Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 790 W Poplar Ave #1 Collierville, TN 38017 Phone: 901-853-9700 County: Shelby Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Diffine Family Practice 1100 Medical Plaza Dr #C Blytheville, AR 72315 Phone: 870-824-2807 County: Mississippi Family Practice Family Practice Family Practice Christ Community Health Svcs 1211 Union Ave #200 Memphis, TN 38104 Phone: 901-271-0330 County: Shelby Mantachie Rural Health Care Inc 5681 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba N Ms Medical Clinics Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Sfmp Inc 1144 N Houston Levee #102 Cordova, TN 38018 Phone: 901-254-8500 County: Shelby Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Family Practice Family Practice Family Practice Hardy Blvd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Greenfield Family Medicine Clinic 801 S Meridian Greenfield, TN 38230 Phone: 731-235-2271 County: Weakley Clarey R Dowling Md 2569 N Washington Ave Brownsville, TN 38012 Phone: 731-772-4411 County: Haywood Crawford, John D Crider, Jeremy M Crouch Jr, James Roy Crowley, Sheila W Family Practice Crupie, Marc J 1025 Cordova Station Cordova, TN 38018 Phone: 901-755-2120 County: Shelby Family Practice Culbreth, Angela M Midsouth Family Care 6005 Park Ave #310 Memphis, TN 38119 Phone: 901-763-0833 County: Shelby Family Practice Dabbs, Willis Norwood Urgent Care Clinic Of Oxford 1487 Belk Blvd Oxford, MS 38655 Phone: 662-234-1090 County: Lafayette Dahl, Eric P Dale, Robert A Datta, Attri Davidson, Karen Diffine, David Arthur Dirmeyer, Steven N Dopotter, Kim T Dowling, Clarey R Family Practice Family Practice 1010 Wayne Rd #100 Savannah, TN 38372 Phone: 731-926-2766 County: Hardin Dyersburg Clinic Corp 2545 N Washington Ave Brownsville, TN 38012 Phone: 731-772-9042 County: Haywood Davis, Gigi W Family Practice Dees, Jason Barkley Internal Medicine Rural Health Clinic 300 Oxford Rd New Albany, MS 38652 Phone: 662-534-8166 County: Union Family Practice Diaz, Lawrence D Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Dowling, Clarey R Family Practice Dowling, Carrie L Wilson & Dowling Primary Care 7140 Stage Rd #106 Bartlett, TN 38133 Phone: 901-377-2974 County: Shelby Family Practice Doyle, Allison H Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 81 Provider Listing by Specialty Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 1020 Reelfoot Ave E Union City, TN 38261 Phone: 731-885-5131 County: Obion Prime Care Medical Ctr One Prime Care Dr Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Memphis Primary Care Assoc 1750 Madison Ave #400 Memphis, TN 38104 Phone: 901-276-2410 County: Shelby Family Practice Family Practice Family Practice Drewry Family Medicine 1055 N Houston Levee #201 Cordova, TN 38018 Phone: 901-312-5993 County: Shelby Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: Desoto Eze Family Medical Clinic 105 Strange Rd Starkville, MS 39759 Phone: 662-323-4400 County: Oktibbeha Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Primary Care Clinic Of Ripley 1009 City Ave N #A Ripley, MS 38663 Phone: 662-837-1404 County: Tippah Calhoun City Medical Clinic 120 Burke Rd Calhoun City, MS 38916 Phone: 662-628-5116 County: Calhoun Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 1301 N 2nd St Booneville, MS 38829 Phone: 662-728-2071 County: Prentiss Madison Family Practice 621 G Old Hickory Jackson, TN 38305 Phone: 731-660-6402 County: Madison Family Medicine 7046 Hwy 64 Oakland, TN 38060 Phone: 901465-9902 County: Fayette Family Practice Family Practice Family Practice Walter P Griffey Jr Md 430 S Lake St Paris, TN 38242 Phone: 731-642-3024 County: Henry St Francis Medical Partners East 452 Perkins Extd Memphis, TN 38117 Phone: 901-888-2646 County: Shelby Wickman Family Care 8485 Hwy 64 #101 Memphis, TN 38133 Phone: 901-377-3001 County: Shelby Family Practice Family Practice Family Practice Bolivar Medical Clinic 407 Lafayette Bolivar, TN 38008 Phone: 731-658-7111 County: Hardeman Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Family Care 1716 Parr Ave #D Dyersburg, TN 38025 Phone: 731-288-0911 County: Dyer Family Practice Family Practice Family Practice J David Dye Md 527 N Sixth St Blytheville, AR 72315 Phone: 870-763-4541 County: Mississippi Consolidated Medical Practice Of Memphis 1750 Madison Ave #400 Memphis, TN 38104 Phone: 901-276-2410 County: Shelby Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Dozier, Selena Parnell Drewry, William Rice Dudley, Shinita Reed Dukes, Erik Ward Dunagan, Stephanie C Dunavant, Robert W Dye, James David Eason, William A Eldred, Edward B Elliott, Charles M Ellis, Ira Keith Engbretson, John Wayne Erbele, Krista Eileen Everson, Freddie L Everson, Freddie L Eze, Placid M Farmer, Guy R. Farooq, Farha N Fearnow, Daniel S Feldhouse, Doreen E Filipcic, Ramune Montvilaite This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 82 Provider Listing by Specialty Family Practice Family Practice Family Practice St Francis Medical Partners East 126 Hwy 72 E Collierville, TN 38017 Phone: 901-507-7007 County: Shelby Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion Primary Care Group 9047 Poplar Ave #105 Germantown, TN 38138 Phone: 901-752-2300 County: Shelby Findley, Dwayne D Fowler, Mark W Givens, Preston Grant Family Practice Family Practice Family Practice Dyersburg Clinic Corp 412 Ward Ave Caruthersville, MO 63830 Phone: 573-333-0033 County: Pemiscot Winfield Family & Occupational Medicine 191 Carraway Dr #A Winfield, AL 35594 Phone: 205-487-1586 County: Marion N Ms Medical Clinics Inc 2161 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-1791 County: Lafayette Family Practice Family Practice Family Practice Hinds Medical Clinic 215 Hawks Road; Suite 6 Martin, TN 38237 Phone: 731-587-3454 County: Weakley 1301 Sunset Dr #E Grenada, MS 38901 Phone: 662-229-0069 County: Grenada Syed A A Zaidi Md 326 Asbury Ave #101 Ripley, TN 38063 Phone: 731-221-1637 County: Lauderdale Family Practice Friloux, Brian K Fitzwater, Douglas S Fletcher, Walter Frizzel Fletcher, Walter Frizzel Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Family Practice Flippin, Dane Howard Dane H Flippin 756 Ridge Lake Blvd #120 Memphis, TN 38120 Phone: 901-761-5921 County: Shelby Family Practice Floyd, Jerry R Sfmp Inc 7662 Hwy 51 N #2 Millington, TN 38053 Phone: 901-873-2555 County: Shelby Family Practice Folse, Timothy E Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Fowler, Gary Matthew Frank-Tarsi, Mary A Family Practice John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Family Practice Gammel, Steven Dewayne Tyler Holmes Memorial Hospital 408 Tyler Holmes Dr Winona, MS 38967 Phone: 662-283-8205 County: Montgomery Family Practice Gillespie, George E N Ms Medical Clinics Inc 1771 Curtis Dr Iuka, MS 38852 Phone: 662-423-6014 County: Tishomingo Family Practice Giri, Sukepma Martin Clinic Corp 130 E Locust St Dresden, TN 38225 Phone: 731-364-3196 County: Weakley Glasgow, Thomas S Goewey, Stephen K Family Practice Goff, Gisele Allen Family Care Group 6555 Stage Rd #1 Bartlett, TN 38134 Phone: 901-377-3475 County: Shelby Family Practice Goodfred, Jennifer C Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Family Practice Goolsby, Jason B Brownsville Family Medicine 2290 N Washington Brownsville, TN 38012 Phone: 731-772-5183 County: Haywood Family Practice Gough Davis, Walter C Walter C Gough Md 189 N Main St Drew, MS 38737 Phone: 662-745-6638 County: Sunflower This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 83 Provider Listing by Specialty Family Practice Family Practice Family Practice Wagner Medical Clinic 434 Hwy 18 Bypass Manila, AR 72442 Phone: 870-561-3300 County: Mississippi Tri-County Family Medicine & Urgent Care 600 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-2213 County: Carroll Pioneer Health Svcs Of Monroe Co Inc 502 Jackson St #5 Aberdeen, MS 39730 Phone: 662-369-9500 County: Monroe Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby Primary Care Specialists 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Wynne Medical Clinic 710 S Falls Blvd Wynne, AR 72396 Phone: 870-238-2321 County: Cross Family Practice Family Practice Family Practice Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar Hatfield Physician Services Inc 200 Carraway Dr #1 Winfield, AL 35594 Phone: 205-487-3625 County: Marion N Ms Family Medicine Group Inc 1397 Belk Blvd Oxford, MS 38655 Phone: 662-236-4675 County: Lafayette Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 1020 Reelfoot Ave E Union City, TN 38261 Phone: 731-885-5131 County: Obion Access Family Health Svcs Inc 63420 Hwy 25 N Smithville, MS 38870 Phone: 662-651-4637 County: Monroe Family Physicians Of Lexington 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Family Practice Family Practice Family Practice Cyperet Ridge Family Practice Clinic 812 B Newman Dr Helena, AR 72342 Phone: 870-338-8308 County: Phillips Batesville Hma Medical Group 303 Medical Center Drive Batesville, MS 38606 Phone: 662-578-4357 County: Panola Grace Family Medicine 2900 Kirby Pkwy #14 Memphis, TN 38119 Phone: 901-754-3200 County: Shelby Family Practice Family Practice Family Practice Hardin Co Reg Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Hawkins Family Medicine 491A Craft St #A Holly Springs, MS 38635 Phone: 662-252-6416 County: Marshall N Ms Medical Clinics Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc Family Practice Family Practice Family Practice Yalobusha General Hospital 604 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Truecare Physicians Clinic Of Jackson 2796 N Highland Ave #D Jackson, TN 38305 Phone: 731-736-0970 County: Madison Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Graham, Jeffrey B Green, Reginique L Hadley, Degail J Hale, John W Hall, Scott A Hall, Anjeanette Kittrell Hall, Michael Brandon Hampton, Toby Andrew Harris, Jewel Arrie Hatfield, Eric Jason Hathcock, Stephen S Havens, Michael R Hawkins, Cassandra Mae Hawkins, Wesley Norbert Hayes, Kevin Curtis Hayes, Robert A Helmhout, Shaun L Henderson, Reggie A Hightower, Denise M Hogue, Michael Stephen Hoover, Robert Michael This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 84 Provider Listing by Specialty Family Practice Family Practice Family Practice 1002 E Madison #2 Houston, MS 38851 Phone: 662-456-4277 County: Chickasaw Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Care Rite 1445 Hwy 51 Bypass Dyersburg, TN 38024 Phone: 731-286-1930 County: Dyer Horn, Victor Family Practice Hughes Jr, Vernon T Family First Clinic Of Clarksdale 1015 Lee Dr #13 Clarksdale, MS 38614 Phone: 662-592-4170 County: Coahoma Family Practice Huling, Randall T Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto Family Practice Humphreys, Robert A Humphreys Family Practice Clinic 5220 Park Ave #100 Memphis, TN 38119 Phone: 901-685-8245 County: Shelby Family Practice Hunt, Joe W Ripley Medical Clinic 202 Tucker Ave Ripley, TN 38063 Phone: 731-635-4741 County: Lauderdale Family Practice Hunt, Elbert A Wadsworth Clinic 2240 Hwy 51 S Hernando, MS 38632 Phone: 662-429-5231 County: DeSoto Family Practice Hunter, Joseph Samuel Primary Care Group 7235 Hacks Cross Rd Olive Branch, MS 38654 Phone: 662-893-7878 County: DeSoto Hunter, Joseph Jain, Angeli Family Practice Family Practice Family Medicine Group 2996 Kate Bond Rd #405 Bartlett, TN 38133 Phone: 901-386-4423 County: Shelby Mid-South Convenient Care 521 Highway 51 North Ripley, TN 38063 Phone: 731-635-2000 County: Lauderdale Family Practice Family Practice Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Access Family Health Svcs Inc 499 Gloster Creek Village #D1 Tupelo, MS 38801 Phone: 662-690-8007 County: Lee Family Practice Family Practice Jackson-Randle Family Health Care 5142 Stage Rd #100 Bartlett, TN 38134 Phone: 901-382-2040 County: Shelby Family Practice Clinic Of Covington 4235 Hwy 51 S Covington, TN 38019 Phone: 901-475-4752 County: Tipton Hyatt, Terri L Hyden, John Carl Jackson, Anna Martin Jain, Angeli Johnson, Kevin Ryan Johnson, Samuel T Family Practice Family Practice Primary Care Group 2589 Appling Rd Bartlett, TN 38133 Phone: 901-249-8842 County: Shelby Hardeman Co Comm Health Ctr Inc 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Family Practice Family Practice Drs Hayes Young & Jacobs Ltd 411 Falls Blvd S Wynne, AR 72396 Phone: 870-238-3261 County: Cross Crittenden Hospital Assoc 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Family Practice Family Practice Urgent Team Of Arkansas Physicians 411 Falls Blvd S Wynne, AR 72396 Phone: 870-238-3261 County: Cross Jones Family Medical Clinic 1200 N Gloster Tupelo, MS 38804 Phone: 662-840-0990 County: Lee Jackson, William Clay Jacobs, James R Jacobs, James R Johnson Jr, Samuel T Jones, Shameka D Jones, Phillip E This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 85 Provider Listing by Specialty Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 1771 Curtis Dr Iuka, MS 38852 Phone: 662-423-6014 County: Tishomingo Prime Care Medical Ctr One Prime Care Dr Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Family Doctors-Doctores De Familia 3860 New Covington Pike #101 Memphis, TN 38128 Phone: 901-377-6805 County: Shelby Family Practice Family Practice Family Practice Olive Branch Family Medical Center 9075 Sandidge Center Cv Olive Branch, MS 38654 Phone: 662-895-4949 County: DeSoto N Ms Family Medicine Group Inc 1397 Belk Blvd Oxford, MS 38655 Phone: 662-236-4675 County: Lafayette Medical & Vascular Assoc Of Germantown 7475 Poplar Pike Germantown, TN 38138 Phone: 901-759-1717 County: Shelby Family Practice Family Practice Family Practice Miller Family Medical Center 4707 Woodridge Memphis, TN 38116 Phone: 901-345-5411 County: Shelby Hardin Co Reg Health Ctr 150 Guinn St Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Poplar Primary Care 3445 Poplar Ave #1 Memphis, TN 38111 Phone: 901-323-7651 County: Shelby Family Practice Family Practice Family Practice Pemiscot Co Memorial Hospital 712 N Hwy 61 Portageville, MO 63873 Phone: 573-359-3659 County: New Madrid Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin N Ms Medical Clinics 1301 N 2nd St Booneville, MS 38829 Phone: 662-728-2071 County: Prentiss Family Practice Family Practice Family Practice 210 Goodman Rd E #4 Southaven, MS 38671 Phone: 662-349-2251 County: DeSoto 302 Kaki St Iuka, MS 38852 Phone: 662-423-3662 County: Tishomingo Family Practice Family Practice Grenada Family Medicine Clinic 1300 Sunset Dr #F Grenada, MS 38901 Phone: 662-226-5747 County: Grenada Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Access Family Health Svcs Inc 499 Gloster Creek Village #D1 Tupelo, MS 38801 Phone: 662-690-8007 County: Lee Family Practice Family Practice Baptist Minor Medical Center Inc 670 N Germantown Pkwy #18Pkwy Cordova, TN 38018 Phone: 901-753-7686 County: Shelby Desoto Primary Care Clinic 6942 Autumn Oaks Dr #A Olive Branch, MS 38654 Phone: 662-895-3627 County: DeSoto Jones, Candice J Jones, Melissa Michelle Jones-Miller, Rosemary Kelley, Ralph H. Kelly, Richard A Khan, Muneeza Khandekar, Salma P King, James D Kirk, Kecia Kitchens Kirsch, Scott W Kirsch, Scott W Kitchens, Ben E Koehler, Kevin Robert Kumar, Laju Alok Laraya, Jose Ari G Laurence, Gregory Nathan Leal, Gumersindo R Leckie, Charles E Lee, Kerry Todd Family Practice Lemons, Robert Stanley Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Family Practice Lewis, John W Rosedale Family Medical Ctr 512 Levee St Rosedale, MS 38769 Phone: 662-759-6806 County: Bolivar This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 86 Provider Listing by Specialty Family Practice Family Practice Family Practice Batesville Clinic 107 Eureka St Batesville, MS 38606 Phone: 662-563-7681 County: Panola Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Family Medicine Partners 491 W Poplar Ave Collierville, TN 38017 Phone: 901-850-9900 County: Shelby Family Practice Family Practice Family Practice Prime Care Medical Ctr One Prime Care Dr Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Family Medical Clinic Of N Ms 3451 Goodman Rd E #115 Southaven, MS 38672 Phone: 662-890-5555 County: DeSoto Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Family Practice Family Practice Family Practice Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar 785 Ohio Ave #1D Clarksdale, MS 38614 Phone: 662-624-5485 County: Coahoma Mantachie Rural Health Care Inc 5500 Hwy 363 Mantachie, MS 38855 Phone: 662-282-4226 County: Itawamba Family Practice Lunceford, Travis E Linder, Edwin L Linder, Timothy F Lindsey, Kimberly W Lindsey, Leticia Anne Peabody Family Care 1325 Eastmoreland Ave #150 Memphis, TN 38104 Phone: 901-725-0648 County: Shelby Family Practice Lowry, Susan S Lum, Brian David Lum, Brian David Family Practice Lunceford Family Health Center 7865 Educators Ln #300 Bartlett, TN 38133 Phone: 901-384-9920 County: Shelby Family Practice Ly, Phuong C Longest, Tom Bruce 128 Public Sq Bruce, MS 38915 Phone: 662-983-3222 County: Calhoun Marianna Family Medicine Clinic 29 W Tennessee St Marianna, AR 72360 Phone: 870-295-2543 County: Lee Family Practice Family Practice Lewis Loskovitz Md 2018 Germantown Rd S Germantown, TN 38138 Phone: 901-754-8880 County: Shelby Hardy Blvd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Family Practice Magee, Robert W Loskovitz, Lewis I Lowery, Jennifer D Blue Mountain Family Practice Clinic 124 N Gayton Blvd Blue Mountain, MS 38610 Phone: 662-815-2955 County: Tippah Mabry, Michael S Family Practice Ripley Medical Clinic 202 Tucker Ave Ripley, TN 38063 Phone: 731-635-4741 County: Lauderdale Makapugay, Fidel Deleon Maness, David L Marcy, William L Family Practice Marcy, William L Region Iv Mental Health Svcs 2100 E Chambers Dr Booneville, MS 38829 Phone: 662-723-3174 County: Prentiss Family Practice Mardis, Marlah Hubbard Robinson & Assoc 1785 Nonconnah Blvd #120 Memphis, TN 38132 Phone: 901-345-6700 County: Shelby Family Practice Martin, Mary Sue Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Family Practice Martin, James William James W Martin Md 1995 Hwy 51 S #105 Covington, TN 38019 Phone: 901-476-7371 County: Tipton This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 87 Provider Listing by Specialty Family Practice Family Practice Family Practice Family Doctors-Doctores De Familia 3860 New Covington Pike #101 Memphis, TN 38128 Phone: 901-377-6805 County: Shelby Robert C Mcewan Md 756 Ridge Lake Blvd #120 Memphis, TN 38120 Phone: 901-685-2311 County: Shelby Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Family Practice Family Practice Family Practice Advanced Primary Care 2747 Bartlett Blvd Bartlett, TN 38134 Phone: 901-388-6011 County: Shelby Mcknight Clinic 25 Woodbridge Rd Somerville, TN 38068 Phone: 901-4656353 County: Fayette Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby 401 E Lee St Sardis, MS 38666 Phone: 662-487-0004 County: Panola Forrest Hill Family Practice 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Family Practice Milicevic, Dragica Mattewada, Vijay Kishore May, Monique D May, Monique Danielle May, Jeffery A May Medical Group 99 Doctors Dr #700 Munford, TN 38058 Phone: 901-837-7200 County: Tipton Family Practice Mccallum, Lee W Primary Care Group 1385 W Brierbrook Rd Germantown, TN 38138 Phone: 901-752-2300 County: Shelby Family Practice Mccarver, Brian M Prime Care Medical Ctr One Prime Care Dr Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Family Practice Mcclatchy, William H Primary Care Center 7235 Hacks Cross Rd Olive Branch, MS 38654 Phone: 662-893-7878 County: DeSoto Mcewan, Robert C Mcknight, Frank S Mettetal, Cary N Family Practice Water Valley Medical Clinic 712 S Main St Water Valley, MS 38965 Phone: 662-473-1140 County: Yalobusha Family Practice Miller, Robert Glenn Family Medicine Group 2996 Kate Bond Rd #405 Bartlett, TN 38133 Phone: 901-386-4423 County: Shelby Family Practice Miller, Leona Arica Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Family Practice Miller, Logan E 4707 Woodridge Memphis, TN 38116 Phone: 901-345-5411 County: Shelby Mills, Sheryl May Alicia Mintz, Philip G Mintz, Philip Family Practice Mirza, Abbas Memphis Emergency Room Group 2986 Kate Bond Rd Memphis, TN 38133 Phone: 901-820-7750 County: Shelby Family Practice Mirza, Abbas Smz Specialists 76 Doctors Dr Munford, TN 38058 Phone: 901-840-4446 County: Tipton Family Practice Mitchell, Gregory Charles Hardin Co Reg Health Ctr 105 Davis St Savannah, TN 38372 Phone: 731-925-8879 County: Hardin Family Practice Mitchell, Aaron J Primary Care Group 303 Bancario Rd #1 Marion, AR 72364 Phone: 870-735-1973 County: Crittenden This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 88 Provider Listing by Specialty Family Practice Family Practice Family Practice Access Family Health Svcs Inc 60021 Monroe St Smithville, MS 38870 Phone: 662-651-4637 County: Monroe Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Family Practice Family Practice Family Practice Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar Memphis Emergency Room Group 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7750 County: Shelby Bmg Family Physicians Group Foundation 7685 Winchester Rd Memphis, TN 38125 Phone: 901-752-6963 County: Shelby Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Rutherford Medical Clinic 104 E Main St Rutherford, TN 38369 Phone: 731-665-7741 County: Gibson Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc 3535 Chere Carol Rd Humboldt, TN 38343 Phone: 901-854-8707 County: Gibson Ut Medical Group Inc 718 Harbor Bend Rd Memphis, TN 38103 Phone: 901-522-1555 County: Shelby Family Practice Murti, Aparna K Monroe, James M Montesi, Michael W Montgomery, Joseph Brooks Montgomery, Stephen Q Morris, Larry B Macon Primary Care Clinic 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Family Practice Mosher, Keith A Memphis Emergency Room Group 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7750 County: Shelby Family Practice Mullendore, William A Regional Medical Assoc 1503 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9623 County: Lowndes Mullinax, Clarice Weathers Mullinix, Derek R Mullins, Katherine L Murphy, Richard Louis Family Practice Primary Care Group 7655 Poplar Ave Bldg A #155 & 340 Germantown, TN 38138 Phone: 901-752-2300 County: Shelby Family Practice Nangrani, Nilesh Baptist Minor Medical Center Inc 3295 Poplar Ave Ste #105 Memphis, TN 38111 Phone: 901-327-8713 County: Shelby Family Practice Nangrani, Mehak D Baptist Minor Medical Center Inc 3295 Poplar Ave Ste #105 Memphis, TN 38111 Phone: 901-327-8713 County: Shelby Naren, Saraswathy Neal, Michele Evyan Nelson, Thomas H Nelson, Susan F Family Practice Nguyen, Tri Minh One Health Family Clinic 6570 Stage Rd #245 Bartlett, TN 38134 Phone: 901-746-9888 County: Shelby Family Practice Nienaber, Kirk A Walter P Griffey Jr Md 430 S Lake St Paris, TN 38242 Phone: 731-642-3024 County: Henry Family Practice Nollner, Robert Michael Primary Care Group 1385 W Brierbrook Rd Germantown, TN 38138 Phone: 901-752-2300 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 89 Provider Listing by Specialty Family Practice Family Practice Family Practice Corinth Family Care Center 2000 Shiloh Rd Corinth, MS 38834 Phone: 662-665-1881 County: Alcorn Amory Hma Physician Mgmt 404 Gilmore Dr Amory, MS 38821 Phone: 662-256-3564 County: Monroe Mississippi State University 360 Hardy Rd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Family Practice Family Practice Family Practice Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Tunica County Healthcare Authority 1813 Hwy 61 N Tunica, MS 38676 Phone: 662-357-0012 County: Tunica 203 W Pharr Ave Selmer, TN 38375 Phone: 731-645-3434 County: McNairy Family Practice Family Practice Pepperman, David A Yalobusha General Hospital 645 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8400 County: Shelby Family Practice Family Practice Verzosa Ungab Internal Medicine Assoc 2851 Stage Center Dr Bartlett, TN 38134 Phone: 901-388-7711 County: Shelby Urgent Medical Clinic Inc 176 Goodman Rd W Southaven, MS 38671 Phone: 662-536-1020 County: DeSoto Family Practice Family Practice Internal Medicine Rural Health Clinic 300 Oxford Rd New Albany, MS 38652 Phone: 662-534-8166 County: Union Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Family Practice Family Practice Valcee Medical Corp 1620 White Station Rd Memphis, TN 38117 Phone: 901-767-3871 County: Shelby Baptist Memorial Medical Group Inc 6027 Walnut Grove Rd #305 Memphis, TN 38120 Phone: 901-226-2040 County: Shelby Family Practice Family Practice Internal Medicine Rural Health Clinic 300 Oxford Rd New Albany, MS 38652 Phone: 662-534-8166 County: Union Ut Medical Group Inc 3530 Hickory Hill Road Memphis, TN 38115 Phone: 901-881-6686 County: Shelby Noyes, Erica L Ocain, Debbie T Odom, Paul L Ongsingco, Jose Gabriel Ostrander, Troy J Ozoigbo, Valentine Chuks Park, Christopher Lane Parker, Gerald L Parks, Rhonda Kay Paslay, David Jordan Patel, Chandrakant Patrick, Joseph P Payne-Johnson, Ann Ilene Pean, Carl F Pearson, Philip E Peeler, Harry L Family Practice Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-398-2442 County: Shelby Family Practice Peters, J Glenn Louisville Medical Assoc 404 W Main Louisville, MS 39339 Phone: 662-773-7500 County: Winston Family Practice Petrides, Tracey F Family Medical Clinic Of N Ms 3451 Goodman Rd E #115 Southaven, MS 38672 Phone: 662-890-5555 County: DeSoto Family Practice Pierce, Trent P 301 W Polk West Memphis, AR 72301 Phone: 870-735-0833 County: Crittenden Family Practice Pike, Daniel R Christ Community Health Svcs 5366 Mendenhall Mall Memphis, TN 38115 Phone: 901-260-8551 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 90 Provider Listing by Specialty Family Practice Family Practice Family Practice Pillow Clinic 101 Shirley Hicks Dr Helena, AR 72342 Phone: 870-572-5996 County: Phillips Yalobusha General Hospital 606 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Walter P Griffey Jr Md 430 S Lake St Paris, TN 38242 Phone: 731-642-3024 County: Henry Family Practice Family Practice Family Practice Miss Co Primary Care Physicians 602 W Union #B Osceola, AR 72370 Phone: 870-563-6504 County: Mississippi Grenada Lake Medical Center 965 Avent Dr #100A Grenada, MS 38901 Phone: 662-227-7444 County: Grenada Jackson-Randle Family Health Care 5142 Stage Rd #100 Bartlett, TN 38134 Phone: 901-382-2040 County: Shelby Family Practice Family Practice Family Practice Kilmichael Clinic 303 Lamar Ave Kilmichael, MS 39747 Phone: 662-262-4284 County: Montgomery Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Belmont Medical Clinic 102 Third St Belmont, MS 38827 Phone: 662-454-3401 County: Tishomingo Family Practice Family Practice Family Practice Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Memphis Multi Specialty Associates 3960 Knight Arnold Rd #102 Memphis, TN 38118 Phone: 901-369-6008 County: Shelby Covington Pike Medical Clinic 3789 Covington Pike Memphis, TN 38135 Phone: 901-372-3200 County: Shelby Family Practice Family Practice Family Practice Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Consolidated Medical Practices Of Memphis 6025 Walnut Grove Rd #314 Memphis, TN 38120 Phone: 901-818-3921 County: Shelby Apex Primary Health Care 7625 Hwy 64 #107 Memphis, TN 38133 Phone: 901-213-1110 County: Shelby Family Practice Reid, Richard Clyde Pillow, James H Pirtle, Stephen Scott Poe, Katrina Nichelle Pomphrey, Robert James Potter, Timothy Alan Family Practice Potter, Angela P Ut Medical Group Inc 1999 Hwy 51 S # A Covington, TN 38019 Phone: 901-476-4457 County: Tipton Family Practice Pratt, Joseph L Pratt Family Medical Clinic Inc 121 Pratt Dr #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Pratt, Heidi D Pummer, Terry L Qualls, Brian Christopher Qureshi, Shoaib Shoaib Rahal, Nidal Rainey, Collins Walker Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Family Practice Rajan, Subha Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Ramage, Jay Newton Randle, Yvette I Ratliff, Donald W Reed, Mark L Reeves, Marcus C Family Practice Grenada Family Medicine Clinic 1300 Sunset Dr #F Grenada, MS 38901 Phone: 662-226-5747 County: Grenada Family Practice Reiter, Amanda M Jackson Clinic 20719 E Main St Huntingdon, TN 38344 Phone: 731-986-2056 County: Carroll This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 91 Provider Listing by Specialty Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 1301 N 2nd St Booneville, MS 38829 Phone: 662-728-2071 County: Prentiss Sfmp Inc 7662 Hwy 51 N #2 Millington, TN 38053 Phone: 901-873-2555 County: Shelby Tyler Holmes Memorial Hospital 700 Woodland Dr Winona, MS 38967 Phone: 662-283-3060 County: Montgomery Family Practice Family Practice Family Practice Rhea Clinic 17310 Hwy 64 Somerville, TN 38068 Phone: 901-465-2245 County: Fayette Primary Care Group 2961 Canada Rd #105 Lakeland, TN 38002 Phone: 901-388-0115 County: Shelby Family Medicine Assoc Of Blytheville 1521 N Tenth St #C Blytheville, AR 72315 Phone: 870-762-5360 County: Mississippi Family Practice Family Practice Family Practice Crockett Medical Clinic Inc 59 S Bells St Alamo, TN 38001 Phone: 731-696-5401 County: Crockett Robinson & Assoc 1785 Nonconnah Blvd #120 Memphis, TN 38132 Phone: 901-345-6700 County: Shelby Russell Medical Clinic 402 Doctors Dr New Albany, MS 38652 Phone: 662-534-2486 County: Union Family Practice Family Practice Family Practice White Oak Family Medicine Clinic 1306 Belk Blvd Oxford, MS 38655 Phone: 662-236-1927 County: Lafayette Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Ecc West Tennessee Mc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 2402 5th St N Columbus, MS 39705 Phone: 662-241-6192 County: Lowndes Family Care 1716 Parr Ave #D Dyersburg, TN 38025 Phone: 731-288-0911 County: Dyer Baptist Minor Medical Center Inc 7424 Hwy 64 #111 Bartlett, TN 38133 Phone: 901-385-7817 County: Shelby Family Practice Family Practice Family Practice 1300 Sunset Dr #B Grenada, MS 38901 Phone: 662-226-6430 County: Grenada Perry C Rothrock Iii Md 8055 Club Pkwy Cordova, TN 38016 Phone: 901-757-9984 County: Shelby Paul Scates Md Family Practice 12995 Hwy 64 Somerville, TN 38068 Phone: 901-466-0250 County: Fayette Reynolds, Christopher Sean Rhea, Karl B Rhear, Raymond Wayne Richardson, Erik Scott Ricks, Kevin Ray Riddell, Mal S Family Practice Robbins, Melissa A Sfmp Inc 8025 Hwy 64 #101 Memphis, TN 38133 Phone: 901-382-2044 County: Shelby Roberts Nazario, Janice M Robinson, Jana P Robinson, Lloyd E Rodgers, Clifton Rodriguez-Conesa, Yvonne Rothrock, Perry C Rushing, Steven K Russell, James D Russell, Richard Sanchez, Rafael Mario Satpute, Aditee A Scates, Paul E Family Practice Family Practice Senatobia Family Practice 104 N Robinson St Senatobia, MS 38668 Phone: 662-562-0411 County: Tate Pemiscot Co Memorial Hospital 106 W 12th St Caruthersville, MO 63830 Phone: 573-333-2285 County: Pemiscot Ruhl, Forster Gehring Scheffer, Erica D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 92 Provider Listing by Specialty Family Practice Family Practice Family Practice 702 Sherrill St #B Union City, TN 38261 Phone: 731-886-1240 County: Obion Segars Clinic 1507 W Quitman Iuka, MS 38852 Phone: 662-423-1000 County: Tishomingo Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Family Practice Family Practice Tunica County Healthcare Authority 1813 Hwy 61 N Tunica, MS 38676 Phone: 662-357-0012 County: Tunica Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Family Practice Family Practice Medicine & Obstetric Assoc Of The MidSouth 6005 Park Ave #310 Memphis, TN 38119 Phone: 901-763-0833 County: Shelby Ecc West Tennessee Mc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Family Practice Singh, Ravikumar Shivkumar Schleifer, Grover F Family Practice Schrock, Steven D Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Family Practice Schwartz, Paul E Main Street Family Medicine Inc 1306 Hwy 45 N Henderson, TN 38340 Phone: 731-989-9899 County: Chester Family Practice Scott, Ronald Bradley Creekmore Clinic 216 Oxford Rd New Albany, MS 38652 Phone: 662-534-9042 County: Union Family Practice Scott Iii, Daniel Joyner Assoc Of Family Practice 7889 Astoria Rd Millington, TN 38053 Phone: 901-872-6963 County: Shelby Family Practice Searcy, Edwin E Phc-Cleveland Inc One Hospital Dr Cleveland, MS 38732 Phone: 662-721-1208 County: Bolivar Family Practice Seaton, David L 213 Lakeview Dr Somerville, TN 38068 Phone: 901-465-5337 County: Fayette Segars, K Scott Shahid, Aamina Sharma, Ruchika P Shelton, Michelle Alexander Family Care Group 6555 Stage Rd #1 Bartlett, TN 38134 Phone: 901-377-3475 County: Shelby Family Practice Shelton, Michelle Alexander Michelle A Shelton Md 5146 Stage Rd #101 Memphis, TN 38134 Phone: 901-377-3475 County: Shelby Family Practice Shore, James W Simmons, Earnest C Singh, Abhijit Family Practice Medicos Para La Familia 3030 Covington Pike #100 Memphis, TN 38128 Phone: 901-383-8889 County: Shelby Family Practice Sittnick, Stephen M Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Family Practice Skinner, Robert Louis Sherman, Philip A 1109 E Reelfoot Ave #K Union City, TN 38261 Phone: 731-886-1252 County: Obion Family Medical Clinic Of N Ms 3451 Goodman Rd E #115 Southaven, MS 38672 Phone: 662-890-5555 County: DeSoto Family Practice Family Practice N Ms Medical Clinics Inc 400 Doctors Dr New Albany, MS 38652 Phone: 662-534-5036 County: Union Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Shirley, Stephen M Smith, Jay Daniel This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 93 Provider Listing by Specialty Family Practice Family Practice Family Practice Cardiology Specialists Of Memphis 80 Humphreys Ctr # 202 Memphis, TN 38120 Phone: 601-747-3330 County: Shelby Batesville Hma Medical Group 255 Medical Center Drive #A Batesville, MS 38606 Phone: 662-563-9600 County: Panola 1117 Sunset Dr #101 Grenada, MS 38901 Phone: 662-227-1744 County: Grenada Family Practice Family Practice Stokes, Keith Ian Christ Community Health Svcs 2569 Douglas Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Family Practice Spencer, Racquel Dionnesia Smith, Lora Michelle Smith, Zechary Craig Smith, Patrick B Family Medical Clinic Of Cleveland 803 First St Cleveland, MS 38732 Phone: 662-843-2721 County: Bolivar Family Practice Smith, Clyde R Getwell Family Medicine 3960 Knight Arnold Rd #108 Memphis, TN 38118 Phone: 901-369-6000 County: Shelby Family Practice Smith, Ronald D Ronald D Smith Md 527 N 6th Blytheville, AR 72315 Phone: 870-763-4541 County: Mississippi Family Practice Smith, Michael L Savannah Medical Ctr 255B Wayne Rd Savannah, TN 38372 Phone: 731-925-8016 County: Hardin Family Practice Smith, Bruce C 423 W Clay Clinton, KY 42031 Phone: 270-653-0220 County: Hickman Snell, Mildred S Stanford, James K Family Practice Sojourner, Denise H 353 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-5999 County: Pontotoc Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Family Practice Family Practice Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Clinic At Elm Lake 3700 N Frontage Rd Columbus, MS 39701 Phone: 662-240-9999 County: Lowndes Family Practice Family Practice Hardeman Co. Community Health Center 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Doctors Clinic Of Union City 1020 Reelfoot Ave E Union City, TN 38261 Phone: 731-885-5131 County: Obion Spencer, John Vennard Stokes, Annmarie B Stone, William K Family Practice Family Practice 107 N Lafayette Ave Brownsville, TN 38012 Phone: 731-772-1152 County: Haywood 109 Park St Batesville, MS 38606 Phone: 662-563-7662 County: Panola Family Practice Family Practice 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-761-6157 County: Shelby Mississippi State University 360 Hardy Rd. Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Spencer, Donald R Spotts, Caley Michelle Family Practice Stanback, John E N Ms Medical Clinics Inc 4508 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9702 County: Lowndes Stone, Henry D Story, Clifton Wayne Family Practice Stroup, Kevin H Lexington Family Care Clinic 270 W Church St #A Lexington, TN 38351 Phone: 731-968-0133 County: Henderson This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 94 Provider Listing by Specialty Family Practice Family Practice Family Practice Medicos Para La Familia 3030 Covington Pike #100 Memphis, TN 38128 Phone: 901-383-8889 County: Shelby Louisville Medical Assoc 404 W Main Louisville, MS 39339 Phone: 662-773-7500 County: Winston 740 Bartlett Rd Memphis, TN 38122 Phone: 901-685-8202 County: Shelby Family Practice Family Practice Thakor, Pratapji Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Lexington Clinic Corp 185 Boswell St Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Stuckey-Schrock, Kimberly Sue Stuckey-Schrock, Kimberly S Suttle, Samuel Keith Sylvester, Robert E Family Practice Family Practice Baptist Memorial Medical Group Inc 7715 Wolf River Blvd Germantown, TN 38138 Phone: 901-328-6031 County: Shelby All Care Clinic 3960 Knight Arnold Rd Ste #205 Memphis, TN 38118 Phone: 901-440-8318 County: Shelby Family Practice Family Practice Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Urgent Medical Clinic Inc 6515 Poplar Ave #106 Memphis, TN 38119 Phone: 901-762-0700 County: Shelby Family Practice Family Practice Forrest Hill Family Practice 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Tate Family Medical Clinic 375 Main St Ecru, MS 38841 Phone: 662-489-5609 County: Pontotoc Family Practice Family Practice 1894 Cedar St McKenzie, TN 38201 Phone: 731-352-0603 County: Carroll John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Sullivan, Anne Lorraine Summers, Samuel Timothy Summers, Samuel T Sumrok, Daniel D Family Practice Suneela, Gottumukkala Sfmp Inc 8025 Hwy 64 #101 Memphis, TN 38133 Phone: 901-382-2044 County: Shelby Tameez, Iffat Tameez, Iffat Tate, Crystal Lane Taylor, Jessie Roma Family Practice Taylor Jr, Horton G Turner Llc 716 A South Main Street Ripley, MS 38663 Phone: 662-837-1534 County: Tippah Terhune, Ronald Lytle Family Practice Mississippi County Hospital System 602 W Union #B Osceola, AR 72370 Phone: 870-563-6504 County: Mississippi Family Practice Thakor, Sejal P Mississippi County Hospital System 602 W Union #B Osceola, AR 72370 Phone: 870-563-6504 County: Mississippi Family Practice Thapa, Chiniya Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Family Practice Thomas, O H Covington Pike Medical Clinic 3789 Covington Pike Memphis, TN 38135 Phone: 901-372-3200 County: Shelby Family Practice Thomas, James H James H Thomas Md 145 Pickwick St Savannah, TN 38372 Phone: 731-925-1051 County: Hardin Family Practice Thomas, Sheila M Ut Medical Group Inc 66 N Pauline #300 Memphis, TN 38105 Phone: 901-448-5467 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 95 Provider Listing by Specialty Family Practice Family Practice Family Practice Creekmore Clinic 216 Oxford Rd New Albany, MS 38652 Phone: 662-534-9042 County: Union Crittenden Hospital Assoc 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 400 Doctors Dr New Albany, MS 38652 Phone: 662-534-5036 County: Union Jones Family Medical Clinic 1200 N Gloster Tupelo, MS 38804 Phone: 662-840-0990 County: Lee Olive Branch Family Medical Center 9075 Sandidge Center Olive Branch, MS 38654 Phone: 662-895-4949 County: Desoto Family Practice Family Practice Family Practice Consolidated Medical Practices Of Memphis 491 W Poplar Ave Collierville, TN 38017 Phone: 901-861-0001 County: Shelby Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Prime Care Medical Ctr 345 Hwy 64 Adamsville, TN 38310 Phone: 731-632-3383 County: McNairy Family Practice Valentin, Gardy Thompson, Timothy F Thompson-Davis, Jennifer L Thrasher, Barton Borg Thrasher, Barton Borg Thrasher Clinic 214 Lakeview Dr #174 Somerville, TN 38068 Phone: 901-465-9955 County: Fayette Family Practice Tibbe, Joshua J Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Family Practice Turner, Gerald A Dutch Medical Clinics Inc 3654-B New Hope Rd Columbus, MS 39702 Phone: 662-329-1488 County: Lowndes Family Practice Turner, Jackey D N MS Family Medicine Group Of Oxford 1397 Belk Blvd Oxford, MS 38655 Phone: 662-236-4675 County: Lafayette Twillie, Twyla M Ueltschey, Marcus E Uzowulu, Obinna Chimezie Vernon, Farrah R Vidwan, Simarpreet Kaur Vinson, John W Family Practice Family Practice Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Wagner Medical Clinic 434 Hwy 18 Bypass Manila, AR 72442 Phone: 870-561-3300 County: Mississippi Family Practice Family Practice Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby 255 W Broadway West Memphis, AR 72301 Phone: 870-735-8246 County: Crittenden Family Practice Walker, Larry M Vanwinkle, Staci A Vanwylen, Audrey B Christ Community Health Svcs 5366 Mendenhall Mall Memphis, TN 38115 Phone: 901-271-6100 County: Shelby Family Practice Venegas, Julian Lucas Bmg Family Physicians Group Foundation 400 Market Blvd #101 Collierville, TN 38017 Phone: 901-752-6963 County: Shelby Wagner, Tommy W Wah, John C Family Practice Lm Walker & Assoc 4250 Faronia Rd #4 Memphis, TN 38116 Phone: 901-348-9600 County: Shelby Family Practice Walker, Ramond R Saint Francis Hospital Inpatient Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3045 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 96 Provider Listing by Specialty Family Practice Family Practice Family Practice Baptist Memorial Medical Group Inc 1520 Union Ave Memphis, TN 38174 Phone: 901-276-2410 County: Shelby Family Medical Clinic 803 First St Cleveland, MS 38732 Phone: 662-843-2721 County: Bolivar Wells Medical Clinic Inc 407 E Calhoun St Bruce, MS 38915 Phone: 662-983-2171 County: Calhoun Family Practice Family Practice Family Practice Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Warrington Clinic 551 Medical Dr Clarksdale, MS 38614 Phone: 662-624-2531 County: Coahoma Baptist Memorial Medical Group Inc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-7021 County: Carroll Family Practice Family Practice Family Practice Warrington Clinic 1024 Martin Luther King Dr Marks, MS 38646 Phone: 662-326-3502 County: Quitman Amory Hma Physician Mgmt 404 Gilmore Dr Amory, MS 38821 Phone: 662-256-3564 County: Monroe Family Physicians Of Lexington 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Family Practice Family Practice Family Practice Access Family Health Scvs Inc 60021 Monroe St Smithville, MS 38870 Phone: 662-651-4637 County: Monroe Amory Urgent Care 906 Hwy 278 East Amory, MS 38821 Phone: 662-256-5612 County: Monroe John W White Jr Md 1423 Palmetto Rd Verona, MS 38879 Phone: 662-566-5593 County: Lee Family Practice Family Practice Family Practice Family Medicine & Weight Loss 420 S Germantown Pkwy Ste #105B Cordova, TN 38018 Phone: 901-343-0180 County: Shelby Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8551 County: Shelby Baptist Memorial Medical Group Inc 631 R B Wilson Dr #G Huntingdon, TN 38344 Phone: 731-986-7400 County: Carroll Family Practice Family Practice Family Practice N Ms Medical Clinics Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc LS Of Memphis 1714 W Massey Rd Memphis, TN 38120 Phone: 901-685-5433 County: Shelby Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Family Practice Family Practice Family Practice Primary Care Specialists Inc 3109 Walnut Grove Rd Memphis, TN 38111 Phone: 901-458-0162 County: Shelby Webber Family Practice 504 Pecan St Helena, AR 72342 Phone: 870-338-9244 County: Phillips Lunceford Family Health Center 7865 Educators Ln #300 Bartlett, TN 38133 Phone: 901-384-9920 County: Shelby Walker Jr, Ricky Wallace, Michael Christian Waller, Richard E Wanee, Neil Robert Wang, Haiqiu Elaine Warren, Andrea P Warren, Jeffery S Warrington, Paul W Warrington, James E Washington, Laura K Washington, Clinton L Weaver, Joseph L Webb, Kimberly L Webber, David L Wells, Willie L Wheatley, Kevin J White, Charles Wesley White, John W Williamson, James S Williamson, John D Wilson, Fred P This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 97 Provider Listing by Specialty Family Practice Family Practice Family Practice / OB 1520 Bonnie Lane Cordova, TN 38016 Phone: 901-346-2719 County: Shelby Pioneer Health Svcs Of Monroe Co Inc 502 Jackson St #6 Aberdeen, MS 39730 Phone: 662-369-9525 County: Monroe Complete Medical Care 7485 Poplar Pike Germantown, TN 38138 Phone: 901-752-4999 County: Shelby Winfrey, Cheryl D Family Practice Wing, Dale L N Ms Medical Clinics Inc 345 Hwy 15 N Pontotoc, MS 38863 Phone: 662-489-7430 County: Pontotoc Family Practice Wisniewski, Peter F Family Medical Care 518 West Dr Okolona, MS 38860 Phone: 662-447-1339 County: Chickasaw Family Practice Wong, Joseph Kenneth Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Family Practice Woodall, Charles J Bmg Family Physicians Group Foundation 7685 Winchester Rd Memphis, TN 38125 Phone: 901-752-6963 County: Shelby Family Practice Woodall, Melanie Landrum Bmg Family Physicians Group Foundation 7685 Winchester Rd Memphis, TN 38125 Phone: 901-752-6963 County: Shelby Family Practice Xu, Ying Hutchinson Clinic 4137 Kirby Pkwy #1 Memphis, TN 38115 Phone: 901-794-3397 County: Shelby Yamato, Kirk Edward Laurence, Gregory N Family Practice Family Practice / OB Medicos Para La Familia 3030 Covington Pike #100 Memphis, TN 38128 Phone: 901-383-8889 County: Shelby Medicos Para La Familia 3030 Covington Pike #100 Memphis, TN 38128 Phone: 901-383-8889 County: Shelby Yibirin, Edmundo Humberto Lyn-Boswell, Carla Geraldine Family Practice / OB Family Practice / OB Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8551 County: Shelby Family Practice / OB Family Practice / OB The Bridge Medical Services 6073 Mt Moriah Rd Extd #14&15 Memphis, TN 38115 Phone: 901-795-4406 County: Shelby Ut Medical Group Inc 66 N Pauline #206 Memphis, TN 38105 Phone: 901-448-1480 County: Shelby Family Practice / OB Family Practice / OB Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8400 County: Shelby Family Practice / OB Family Practice / OB Midsouth Family Care 6005 Park Ave #310 Memphis, TN 38119 Phone: 901-763-0833 County: Shelby Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Family Practice / OB Famly Nurse Practitioner Brandy Davis Md 904 Holiday Dr #406 Forrest City, AR 72335 Phone: 870-494-4000 County: Saint Francis Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Bryant, Michael Lee Byrd, William G Childers, Angie Jean Culbreth, Angela Michelle Davis, Brandy Alexis Mullinax, William G Nelson, Susan F Olabintan, Tolulope Mary Weaver, Sima A Vaughn, Donald Davis This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 98 Provider Listing by Specialty Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Lakshmi K Dasaree 6005 Park Ave #720B Memphis, TN 38119 Phone: 901-763-0730 County: Shelby Gastroenterology Gastroenterology Gastroenterology Amory Hma Physician Mgmt 1107 Earl Frye Blvd #3 Amory, MS 38821 Phone: 662-257-2324 County: Monroe Gastroenterology Assoc Of N Ms 1208 Office Park Dr Oxford, MS 38655 Phone: 662-234-9888 County: Lafayette Magnolia Specialty Clinic 1001 South Harper Road Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Delta Gastroenterology Ctr 9140 Hwy 51 N Southaven, MS 38671 Phone: 662-280-8222 County: DeSoto Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Transsouth Healthcare 9 Physicians Dr Jackson, TN 38305 Phone: 731-661-0086 County: Madison Delta Gastroenterology Ctr 9140 Hwy 51 N Southaven, MS 38671 Phone: 662-280-8222 County: DeSoto Gastroenterology Gastroenterology Gastroenterology Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Gastroenterology Gastroenterology Ut Methodist Physicians 1325 Eastmoreland Ave #370 Memphis, TN 38104 Phone: 901-866-8807 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8807 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Gastroenterology Gastroenterology Amory Hma Physician Mgmt 1127 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-257-2324 County: Monroe Magnolia Gastroenterology Clinic 3050 Corder Dr Corinth, MS 38834 Phone: 662-284-9902 County: Alcorn Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Aycock, Richard S Bailey, Joseph Nathaniel Baltz Jr, Joseph G Baum, Alex E Bierman, Paul S Bilal, Muhammad Boatright, Benjamin T Bowden, Phillip R Bridgers, David Irwin Brownstein, Richard E Brownstein, Richard Earl Cattau, Edward L Chaudhry, Sufiyan Hafeez Corder, Fredrick A Dasaree, Lakshmi Kanakavali Davis, J. R. Dragutsky, Michael S Duncan, Ulric D Elsakr, Raif W Farooq, Farees Fields, Kenneth I This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 99 Provider Listing by Specialty Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Assoc Of Columbus 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Gastroenterology Gastroenterology Gastroenterology Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8807 County: Shelby Gastroenterology Assoc Of Columbus 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Tri State Gastroenterology 1264 Wesley Dr #303 Memphis, TN 38116 Phone: 901-398-9574 County: Shelby Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Gastroenterology Gastroenterology Gastroenterology Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Delta Gastroenterology Ctr 9140 Hwy 51 N Southaven, MS 38671 Phone: 662-280-8222 County: DeSoto Gastroenterology Gastroenterology Gastroenterology Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Premier Gastroenterology 7900 Airways Blvd Bldg A #3 Southaven, MS 38671 Phone: 662-349-6113 County: DeSoto Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Assoc Of Columbus 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Assoc Of N Ms 1208 Office Park Dr Oxford, MS 38655 Phone: 662-234-9888 County: Lafayette Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Fitton, Conar Patrick Fleckenstein, Jaquelyn Fitch Frederick, Randall C Friedman, Edward S Gaillard, Ian Trevor Griffin, Daniel E Griffith, Christopher M Hardin, William Heard, Richard Kirksey Jackson, Terrence Lee Jackson, Barbara K Jalfon, Isaac M Johnson, Samuel A Johnson, Henry Parker Johnston, Richard Leake Jones, Wesley E Kerlan, Robert A Khan, Nabeel Hasan Khan, Tariq A King, Paul Leal, Rolando J This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 100 Provider Listing by Specialty Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Advanced Gastroenterology 1109 E Reelfoot Ave #C Union City, TN 38261 Phone: 731-884-0600 County: Obion Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Gastroenterology Gastroenterology Gastroenterology Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Hardin Co. Regional Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Levinson, Michael J Lewis, Myron Lieberman, Gerald J Michael, Ronald Christopher Miller, Christopher Daniel Miller, Alan Ira Nuako, Kofi W Orleans-Lindsay, Kodwo Kuntu Ormseth, Eric J Gastroenterology Gastroenterology Gastroenterology Digestive Assoc 1067 Vendall Rd Dyersburg, TN 38024 Phone: 731-285-5133 County: Dyer Dyersburg Clinic Corp 15 Stone Bridge Jackson, TN 38305 Phone: 731-660-6395 County: Madison Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Gastroenterology Gastroenterology Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8807 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8807 County: Shelby Clarksdale Hma Physician Mgmt 785 Ohio Ave #1F Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Gastroenterology Gastroenterology Gastroenterology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Assoc Of Columbus 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Gastroenterology Gastroenterology Gastroenterology Transsouth Healthcare 9 Physicians Dr Jackson, TN 38305 Phone: 731-661-0086 County: Madison Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8807 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Lomas, Russell W Mansbach Ii, Charles M Marino, Christopher R Menachem, Allan Michael Nabhan, Said I Nair, Satheesh P Narra, Sri Nguyen, Toan D Pop, Anca I Rao, Babu V Rawson, James S Remak, Geza This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 101 Provider Listing by Specialty Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Gastroenterology Gastroenterology Sjcrh 282 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3026 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Rutland, James H Sevilla, Wednesday M Spiotta, Eugene J Surles, Carles R Towne, Thomas Carter Ward, John D Gastroenterology Gastroenterology Gastroenterology Gastrointestinal & Liver Clinic 6630 Summer Knoll Cir #101 Bartlett, TN 38134 Phone: 901-266-1080 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Gastroenterology Gastroenterology Gastroenterology Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Assoc Of N Ms 1208 Office Park Dr Oxford, MS 38655 Phone: 662-234-9888 County: Lafayette Gastroenterology Gastroenterology Gastroenterology Gastrointestinal Specialists Foundation Inc 80 Humphreys Center Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Gastroenterology Assoc Of Columbus 600 Leigh Dr Columbus, MS 39702 Phone: 662-327-7525 County: Lowndes Gastroenterology Gastroenterology Gastroenterology Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Gastroenterology Assoc Of N Ms 1208 Office Park Dr Oxford, MS 38655 Phone: 662-234-9888 County: Lafayette Gastroenterology Assoc Of N Ms 1208 Office Park Dr Oxford, MS 38655 Phone: 662-234-9888 County: Lafayette Gastroenterology Gastroenterology Gastroenterology Transsouth Healthcare 9 Physicians Dr Jackson, TN 38305 Phone: 731-661-0086 County: Madison Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-8699 County: Shelby Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Siddiq, Muhammad S Sloas, David Smith, Randelon Dondrielle Smith, J Lacey Souder, Bob T Sylvestre, Pamela Taylor, Zachary Thompson, Bryan Francis Threadgill, Stephen T Tombazzi, Claudio Waters, Bradford Webb, John H Williams, Alan T Williams, Ernest Qualls Wooten, Robert S This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 102 Provider Listing by Specialty Gastroenterology General Practice General Practice Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Collierville Medical Assoc Inc 151 N Main Collierville, TN 38017 Phone: 901-853-4747 County: Shelby Peabody Family Care 1325 Eastmoreland Ave #150 Memphis, TN 38104 Phone: 901-725-0648 County: Shelby Gastroenterology General Practice General Practice Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Transsouth Healthcare 622 W Market St #100 Bolivar, TN 38008 Phone: 731-658-4500 County: Hardeman Tutwiler Clinic Inc 205 Alma Tutwiler, MS 38963 Phone: 662-345-8334 County: Tallahatchie Gastroenterology General Practice General Practice Gastroenterology Center Of The Mid South 8000 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-747-3630 County: Shelby Family Care Walk In Clinic Inc 176 W University Pkwy #C Jackson, TN 38305 Phone: 731-660-6915 County: Madison 780 Everett St Tiptonville, TN 38079 Phone: 731-882-1135 County: Lake General Practice General Practice Family Physicians Of Lexington 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Amory Hma Physician Mgmt 404 Gilmore Dr Amory, MS 38821 Phone: 662-256-3564 County: Monroe General Practice General Practice 135 W Main St Adamsville, TN 38310 Phone: 731-632-3373 County: Mcnairy Wruble, Gary A Wruble, Lawrence D Younes, Ziad H Appleton, James Roy Aristorenas, Juan T General Practice Avgeris, John A 756 Ridge Lake Blvd #120 Memphis, TN 38120 Phone: 901-312-1552 County: Shelby General Practice Ball, David A Batesville Clinic 107 Eureka St Batesville, MS 38606 Phone: 662-563-7681 County: Panola Ballard, Robert C Barham, Harvey H Barker, Robert Crowe Beeman, Stephen Kenn Brasfield, Joyce Brooks, Anne Bruce, Daniel W General Practice Burks, Willard G Wynne Medical Clinic 710 S Falls Blvd Wynne, AR 72396 Phone: 870-238-2321 County: Cross General Practice Carlota Jr, Lupo T Bell, L J Patrick Bell-Winston Clinic 626 Poplar St Helena, AR 72342 Phone: 870-338-8163 County: Phillips Medical Acupuncture Research Inst Of Am Inc 5180 Park Ave #175 Memphis, TN 38119 Phone: 901-821-8595 County: Shelby General Practice General Practice Pemiscot Co Memorial Hospital 106 W 12th St Caruthersville, MO 63830 Phone: 573-333-2285 County: Pemiscot 2200 S Lamar Blvd #B Oxford, MS 38655 Phone: 662-234-1121 County: Lafayette General Practice Creekmore, Samuel J Bernard, James W Blackwood, Donald J Family Medical Clinic 803 First St Cleveland, MS 38732 Phone: 662-843-2721 County: Bolivar Cooper, Robert F General Practice Creekmore Clinic 216 Oxford Rd New Albany, MS 38652 Phone: 662534-9042 County: Union This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 103 Provider Listing by Specialty General Practice General Practice General Practice Urgent Team Of Arkansas Physicians 700 W Keiser Osceola, AR 72370 Phone: 870-563-6512 County: Mississippi Citizens Of Lake Co For Healthcare Inc 215 S Court St Tiptonville, TN 38079 Phone: 731-253-6690 County: Lake Brighton Medical Practice 39 W Woodlawn Ave Brighton, TN 38011 Phone: 901-475-1600 County: Tipton Cullom, Sumner R Guess, Carol W Jones, Clay V General Practice General Practice General Practice 1413 Quitman St Iuka, MS 38852 Phone: 662-423-1067 County: Tishomingo 107A Eureka St Batesville, MS 38606 Phone: 662-563-4641 County: Panola General Practice General Practice Nwmc-Physician Services 252 13th Ave W Guin, AL 35563 Phone: 205-468-3355 County: Marion Tunica County Healthcare Authority 11273 Hwy 61 N Robinsonville, MS 38664 Phone: 662-363-3224 County: Tunica Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar General Practice General Practice Bolivar Medical Clinic 407 Lafayette Bolivar, TN 38008 Phone: 731-658-7111 County: Hardeman William G Jackson Md 202 Alcorn Dr Corinth, MS 38834 Phone: 662-287-4481 County: Alcorn General Practice General Practice Tunica County Healthcare Authority 11273 Hwy 61 N Robinsonville, MS 38664 Phone: 662-363-3224 County: Tunica 36 N Pleasant St Decaturville, TN 38329 Phone: 731-852-2214 County: Decatur General Practice Johnson, Whitman B Flannery, Alphonsus L Fowlkes, Thomas D Frost, Charles L Gentry, Jerry L Gore, Edward K Southern Health Corp Of Houston Inc 1002 E Madison #1 Houston, MS 38851 Phone: 662-456-2800 County: Chickasaw General Practice Gore, Edward K Woodland Clinic 120 Market St Woodland, MS 39776 Phone: 662-456-0111 County: Chickasaw Haire, William C Hawkins, Arvis Jackson, William G Jennings Jr, William G General Practice 401 Pecan St Clarksdale, MS 38614 Phone: 662-728-3535 County: Coahoma General Practice Johnson, Dwight A 609 W Church St Booneville, MS 38829 Phone: 901-272-0700 County: Prentiss Justice, David A General Practice Lay, John D Hmc Physicians Svcs Inc 80 Enoch Blvd Savannah, TN 38372 Phone: 731-926-9600 County: Hardin General Practice Lemus-Parada, Jesus Delta Convenient Care 21 Meridian Springs Dr #B Jackson, TN 38301 Phone: 731-512-0104 County: Madison General Practice Lemus-Parada, Jesus Emergency Coverage Corp 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll General Practice Malik, Indu B 227 Commercial Fulton, KY 42041 Phone: 270-472-3262 County: Fulton General Practice Mcdaniel, Marion A Cyperet Ridge Family Practice Clinic 812 B Newman Dr Helena, AR 72342 Phone: 870-338-8308 County: Phillips This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 104 Provider Listing by Specialty General Practice General Practice General Practice 509 Lake Rd Dyersburg, TN 38024 Phone: 731-286-2022 County: Dyer Coast To Coast Medical 2201 Horizon Dr #4 West Memphis, AR 72301 Phone: 870-732-0332 County: Crittenden 910 Madison Ave #704 Memphis, TN 38103 Phone: 901-527-6556 County: Shelby General Practice Ross, William Marvin Mckenzie, Debra Kay General Practice Mcpherson, John R Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe General Practice Meredith, James T Patterson, Joseph M Patterson, Joseph M Sentry Healthcare 315 S Rhodes West Memphis, AR 72301 Phone: 870-732-1224 County: Crittenden General Practice James T Meredith Jr Md 921 Holiday Dr Forrest City, AR 72335 Phone: 870-633-4711 County: Saint Francis 8917 Hwy 57 Counce, TN 38326 Phone: 731-689-5232 County: Hardin General Practice General Practice Peters, Joseph A Rawtani, Pallavi V General Practice Magnolia Regional Health Center 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-286-1499 County: Alcorn General Practice Sanchez, Ilsa M 200 E Military Rd #1 Marion, AR 72364 Phone: 870-739-9300 County: Crittenden General Practice Smith, O Kay 145 Hospital Dr Camden, TN 38320 Phone: 731-584-3141 County: Benton Petilos, Salvador N 1024 Martin Luther King Dr Marks, MS 38646 Phone: 662-326-3502 County: Quitman Ok Smith Jr Md 1109 E Reelfoot Ave #H Union City, TN 38261 Phone: 731-884-1515 County: Obion General Practice General Practice General Practice 640 Hwy 51 Bypass E #E Dyersburg, TN 38024 Phone: 731-285-0250 County: Dyer Brownsville Family Medicine 2290 N Washington Brownsville, TN 38012 Phone: 731-772-5183 County: Haywood 132 W Houston Ave Selmer, TN 38375 Phone: 870-762-1942 County: McNairy General Practice South, Dwalia Morgan, Joe Wesley Naifeh, James E General Practice Pakkala, Nithyananda Y N Pakkala Md 630 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-6011 County: Hardeman General Practice Palmer, Herman Talmadge First Care Family Clinic 529 S 4th St Baldwyn, MS 38824 Phone: 662-365-2222 County: Lee Pettigrew, Jack G Prasad, Sudha Ramanna Park Highland Medical Clinic 3836 Park Ave Memphis, TN 38111 Phone: 901-324-3984 County: Shelby General Practice Ramer, Warren C Family Physicians Of Lexington 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Smith, James H General Practice N Benton County Health Care Inc 15921 Boundary Dr Ashland, MS 38603 Phone: 662-224-8951 County: Benton General Practice Sweat, Thomas L Magnolia Medical Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 105 Provider Listing by Specialty General Practice General Practice General Surgery Physicians Urgent Care Of Corinth 2668 S Harper Rd #1 Corinth, MS 38834 Phone: 662-287-7138 County: Alcorn Family Physicians Of Lexington 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Memphis Surgical Specialists 3950 New Covington Pike #200 Memphis, TN 38128 Phone: 901-382-3333 County: Shelby General Practice General Practice General Surgery Camden Medical Clinic Inc 160 Hospital Dr Camden, TN 38320 Phone: 731-279-0600 County: Benton Hickman-Fulton Co Medical Clinic 2003 S Seventh St Hickman, KY 42050 Phone: 270-236-3202 County: Fulton Drs Morisy & Wood 6025 Walnut Grove Rd #201 Memphis, TN 0 Phone: 901-685-6066 County: Shelby General Practice General Practice General Surgery Wadsworth Clinic 2240 Hwy 51 S Hernando, MS 38632 Phone: 662-429-5231 County: DeSoto Primary Care Ctr 500 Hospital Dr Trenton, TN 38382 Phone: 731-855-3510 County: Gibson Wendell T. Wheat Md 6005 Park Ave #601 Memphis, TN 38119 Phone: 901-680-9205 County: Shelby General Practice General Surgery Genetics / Clinical 707 E Wood St Paris, TN 38242 Phone: 731-644-0144 County: Henry Mohamad J. Akbik, Md 3960 Knight Arnold Rd # 215B Memphis, TN 38118 Phone: 901-369-4655 County: Shelby Sjcrh 265 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3009 County: Shelby General Surgery Genetics / Clinical Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Sjcrh 268 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3012 County: Shelby Tucker, Patrick E Vitualla, Agustin V Wadsworth, Henry M Walker, Charles A General Practice Warren, Kenneth Russell Madison Clinic Corp 31 Physicians Dr Jackson, TN 38305 Phone: 731-668-9791 County: Madison General Practice White, Charles W White, Richard H Williams, James Larry Akbik, Mohamad J Chukwuogo, Nonyelu Arize Lunsford, Kevin M Morisy, Lee R Wheat, Wendell T Pivnick, Eniko Karman Ward, Jewell C Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar General Surgery Genetics / Clinical 176 S Bellevue Blvd #505 Memphis, TN 38104 Phone: 901-725-0421 County: Shelby General Practice General Surgery UT Boling Ctr For Dd 711 Jefferson Ave Memphis, TN 38105 Phone: 901-448-6511 County: Shelby 183 S Main Pontotoc, MS 38863 Phone: 662-489-5038 County: Pontotoc Memphis Surgical Specialists 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby Warrington, James E West, Flavia H Delk, Sam Jackson, Bryan S Ward, Jewell C Genetics / Counselor Nuccio, Reginald Anne Baptist Memorial Medical Group Inc 80 Humphreys Blvd Ste #340 Memphis, TN 38120 Phone: 901-226-4038 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 106 Provider Listing by Specialty Genetics / Counselor Gynecology Gynecology Baptist Memorial Medical Group Inc 80 Humphreys Blvd Ste #340 Memphis, TN 38120 Phone: 901-226-4038 County: Shelby 2010 Shiloh Corinth, MS 38834 Phone: 662-287-2341 County: Alcorn Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8220 County: Shelby Geriatric Medicine Ballenger, Peter L White, Lorrell J Figures, Koyia Latrece Crittenden Regional Hospital 304 S Rhodes West Memphis, AR 72301 Phone: 870-733-1240 County: Crittenden Gynecologic Oncology Kumar, Sanjeev Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #209 Memphis, TN 38120 Phone: 901-226-4564 County: Shelby Gynecologic Oncology Photopulos, Guy J Baptist Memorial Medical Group Inc. 2100 Exeter Rd Germantown, TN 38138 Phone: 901-757-3414 County: Shelby Gynecologic Oncology Santoso, Joseph T The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Gynecologic Oncology Smiley, Linda M The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Gynecologic Oncology Tillmanns, Todd D The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-685-0055 County: Shelby Alexander, Jr, Irl Thomas Gynecology Martin, Daniel C Gynecology Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby 402 W Church Booneville, MS 38829 Phone: 662-728-5551 County: Prentiss Gynecology Gynecology Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Rc & Pr Purohit PO Box 602 Batesville, MS 38606 Phone: 662-563-4404 County: Panola Gynecology Gynecology Duncan-Cody Medical Group 1174 Poplar Ave Memphis, TN 38105 Phone: 901-278-1412 County: Shelby Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Gynecology Gynecology J Susan Johnsonwhitehurst Md 702 Sherrill St #A Union City, TN 38261 Phone: 731-885-2800 County: Obion Womens Healthcare Office Of OB/Gyn 2900 Kirby Pkwy #11 Memphis, TN 38119 Phone: 901-345-4640 County: Shelby Gynecology Gynecology / Surgery 6005 Park Ave #508 Memphis, TN 38119 Phone: 901-682-2469 County: Shelby Joseph Defranco Md 7400 STAGE RD Bartlett, TN 38133 Phone: 901-371-9040 County: Shelby Crecelius, Laura J Duncan-Cody, Barbara Alfreda Johnson-Whitehurst, Janice Susan Kline, Robert P Gynecology Marascalco, Frank T 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma Preston, William H Purohit, Purnima R Shannon, Helena G Souder, Marva L Defranco, Joseph A Gynecology / Surgery Ho, Jiunn H 1995 Hwy 51 S #201 Covington, TN 38019 Phone: 901-476-1442 County: Tipton This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 107 Provider Listing by Specialty Gynecology / Surgery Hematology / Oncology Hematology / Oncology Ut Medical Group Inc 7945 Wolf River Blvd # 320 Germantown, TN 38138 Phone: 901-347-8331 County: Shelby The West Clinic 100 N Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Hand Surgery Hematology / Oncology Hematology / Oncology Mike Dolan 705 Poplar Ave #101 Selmer, TN 38375 Phone: 731-646-0250 County: McNairy Boston Baskin Cancer Foundation Inc 1331 Union Ave #800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Family Cancer Ctr Foundation Inc 6029 Walnut Grove Rd #301 Memphis, TN 38120 Phone: 901-747-9080 County: Shelby Hematology Hematology / Oncology Hematology / Oncology Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Jones Clinic 7710 Wolf River Cir Germantown, TN 38138 Phone: 901-685-5969 County: Shelby Hematology Hematology / Oncology Hematology / Oncology Hematology Consultants 5220 Park Ave #150 Memphis, TN 38119 Phone: 901-259-7000 County: Shelby Boston Baskin Cancer Foundation Inc 1331 Union Ave # 800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Hematology / Oncology Hematology / Oncology Hematology / Oncology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Boston Cancer Group Ut Cancer Institute 1331 Union Ave #800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology Boston Baskin Cancer Foundation Inc 1331 Union Ave # 800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Integrity Oncology Foundation 1936 W Poplar Ave Collierville, TN 38017 Phone: 901-853-6012 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology BMHSI Of Ms 345 Baptist Blvd Columbus, MS 39705 Phone: 662-244-4673 County: Lowndes The West Clinic 1588 UNION AVE Memphis, TN 38104 Phone: 901-683-0055 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Martin, Dan C Dolan, Michael Sean Chesney, Carolyn M Holbert, James M Adams-Graves, Patricia E Allen, Jeffrey W Alnas, Wail Arnold, Anita L Azmi, Syed Shehzad Barnwell, Elizabeth B Baskin, Reed C Benn, Sonia M Besh, Stephen A Blakely, Laura J Boston, Barry Carter, Peter W Chen, Lingyi Croot, Christopher C Dilawari, Asma A Dill, Drew` Sterling Dugdale, Marion This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 108 Provider Listing by Specialty Hematology / Oncology Hematology / Oncology Hematology / Oncology The West Clinic 1588 UNION AVE Memphis, TN 38104 Phone: 901-683-0055 County: Shelby Boston Baskin Cancer Foundation Inc 1331 Union Ave # 800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd #300 Germantown, TN 38138 Phone: 901-767-4520 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology Medical Oncology Inc 581 Medical Dr Clarksdale, MS 38614 Phone: 662-627-7163 County: Coahoma Family Cancer Ctr 1936 W Poplar Ave Collierville, TN 38017 Phone: 901-850-0272 County: Shelby Boston Baskin Cancer Foundation Inc 7900 Airways Blvd Southaven, MS 38671 Phone: 662-349-2442 County: DeSoto Hematology / Oncology Hematology / Oncology Hematology / Oncology N Ms Hematology / Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Family Cancer Ctr Foundation Inc 6029 Walnut Grove Rd #301 Memphis, TN 38120 Phone: 901-747-9080 County: Shelby Boston Cancer Group Ut Cancer Institute 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd #300 Germantown, TN 38138 Phone: 901-767-4520 County: Shelby The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Hematology / Oncology Hematology / Oncology Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Family Cancer Ctr Foundation Inc 6029 Walnut Grove Rd #301 Memphis, TN 38120 Phone: 901-747-9080 County: Shelby N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Hematology / Oncology Hematology / Oncology Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Jones Clinic 7710 Wolf River Cir Germantown, TN 38138 Phone: 901-685-5969 County: Shelby Boston Cancer Group Ut Cancer Institute 1331 Union Ave #800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology Oncology Hematology Consultants 100 Kiana Ct Paducah, KY 42001 Phone: 270-554-0011 County: McCracken Boston Cancer Group Ut Cancer Institute 1331 Union Ave #800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Jones Clinic 7710 Wolf River Cir Germantown, TN 38138 Phone: 901-685-5969 County: Shelby Eed, Jarvis D Elhayek, Maroun Elie Ewing, Gideon P Franz, Gregory Blasé Frederick, Vicki Gable, Kristine E Ginn, David C Goorha, Sailil Gore, Margaret Gravenor, Donald St Paul Heching, Norman Jankov, Aleksandar Jones, Clyde Michael Lawson, Ronald D Magee, Michael Joseph Minhas, Sohail Azam Minhas, Sohail Moazzam, Nauman Morris, David Glenn Mughal, Tariq I Mullins, Brent A This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 109 Provider Listing by Specialty Hematology / Oncology Hematology / Oncology Hematology / Oncology Family Cancer Ctr 1936 W Poplar Ave Collierville, TN 38017 Phone: 901-850-0272 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd #300 Germantown, TN 38138 Phone: 901-767-4520 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Obaji, Suhail M Ramirez, Robert Allen Smith, Kirby L Hematology / Oncology Hematology / Oncology Hematology / Oncology Boston Baskin Cancer Foundation Inc 1331 Union Ave # 800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Osarogiagbon, Raymond U Pallera, Arnel M Ratliff, Thomas Warren Raza, Muhammad Somer, Bradley G Spiers, Kathleen D Hematology / Oncology Hematology / Oncology Hematology / Oncology Family Cancer Ctr Foundation Inc 6029 Walnut Grove Rd #301 Memphis, TN 38120 Phone: 901-747-9080 County: Shelby The West Clinic 2001 State Dr Corinth, MS 38834 Phone: 662-286-3694 County: Alcorn Family Cancer Ctr 391 Southcrest Cir #101 Southaven, MS 38671 Phone: 662-349-0755 County: DeSoto Hematology / Oncology Hematology / Oncology Hematology / Oncology Boston Cancer Group Ut Cancer Institute 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Boston Cancer Group Ut Cancer Institute 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Jones Clinic 7710 Wolf River Cir Germantown, TN 38138 Phone: 901-685-5969 County: Shelby Boston Baskin Cancer Foundation Inc 1331 Union Ave # 800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Hematology / Oncology Hematology / Oncology Hematology / Oncology Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby The West Clinic 100 N Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Boston Baskin Cancer Foundation Inc 2996 Kate Bond Rd # 100 Bartlett, TN 38133 Phone: 901-383-5590 County: Shelby Patil, Sadanand Ishwarappa Phillips, Mary Nell Portney, David Rajan, Sandeep Kumar Richey, Sylvia S Sachdev, Jasgit C Satpute, Shailesh R Schwartzberg, Lee S Sullivan, David Wayne Tian, Gary Vasireddy, Sailendra Verrier, Carmel S This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 110 Provider Listing by Specialty Hematology / Oncology Hematology / Oncology Cancer Care Ctr Of Jackson 322 Hospital Blvd Jackson, TN 38305 Phone: 731-668-1668 County: Madison Walker, Brian Neal Home Healthcare Yunus, Furhan Boston Baskin Cancer Foundation Inc 7945 Wolf River Blvd # 300 Germantown, TN 38138 Phone: 901-684-2400 County: Shelby Crittenden Regional Hospital Home HealthMarked Tree 48 Frisco Marked Tree, AR 72365 Phone: 870-358-4018 County: Poinsett Hematology / Oncology Hepatology / Liver Disease Home Healthcare Walsh, William K Family Cancer Ctr Foundation Inc 2996 Kate Bond Rd #207 Bartlett, TN 38133 Phone: 901-379-0703 County: Shelby Satapathy, Sanjaya K Ut Medical Group Inc 1265 Union Ave 1 Sherard Memphis, TN 38104 Phone: 901-516-9183 County: Shelby Crittenden Regional Hospital Home HealthOsceola 109 North Walnut Street Osceola, AR 72370 Phone: 870-563-3755 County: Mississippi Hematology / Oncology Home Healthcare Home Healthcare Weeks, Albert E Intergrity Oncology Foundation 1936 W Poplar Ave Collierville, TN 38017 Phone: 901-853-6012 County: Shelby Hematology / Oncology Weir, Alva Boston Cancer Group Ut Cancer Institute 1331 Union Ave #800 Memphis, TN 38104 Phone: 901-725-1785 County: Shelby Hematology / Oncology West, Sharon Boston Cancer Group Ut Cancer Institute 7900 Airways Blvd Bldg B #100 Southaven, MS 38671 Phone: 662-349-2442 County: DeSoto Hematology / Oncology Whitecar, John P 425 Hospital Dr #4 Columbus, MS 39705 Phone: 662-240-0650 County: Lowndes Hematology / Oncology Wilson, Paschal Peolia Family Cancer Ctr Foundation Inc 504 Azalea Dr #A Oxford, MS 38655 Phone: 662-236-7738 County: Lafayette Baptist Home Care & Hospice-Batesville 126 Highway 51, North Batesville, MS 38606 Phone: 800-345-6928 County: Panola Home Healthcare Baptist Home Care & Hospice-Huntingdon 631 R.B. Wilson Drive Huntingdon, TN 38344 Phone: 731-986-3220 County: Carroll Home Healthcare Baptist Home Care & Hospice-Tipton 1618-C Highway 51 South Covington, TN 38019 Phone: 901-476-0333 County: Tipton Home Healthcare Baptist Trinity Homecare & Hospice 6141 Walnut Grove Road Memphis, TN 38120 Phone: 901-767-6767 County: Shelby Home Healthcare Crittenden Regional Hospital Home HealthForrest City 1600 Lindauer Road Forrest City, AR 72335 Phone: 870-633-3553 County: Saint Francis Crittenden Regional Hospital Home HealthWest Memphis 200 Tyler Avenue West Memphis, AR 72301 Phone: 870-732-7777 County: Crittenden Home Healthcare Crossridge Community Hospital Home Health 732 East Eldridge Wynne, AR 72396 Phone: 870-208-1140 County: Cross Home Healthcare Extendicare Home Health Of Western Tennessee 215 Hawks Road; Suite 5 Martin, TN 38237 Phone: 731-587-8195 County: Weakley Home Healthcare Extendicare Home Health Of Western Tennessee 701 E. Reelfoot Ave.; Suite 400 Union City, TN 38261 Phone: 731-885-0866 County: Obion Home Healthcare Fayette Medical Center Home Care 411 Fayette Square Fayette, AL 35555 Phone: 205-932-5961 County: Fayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 111 Provider Listing by Specialty Home Healthcare Home Healthcare Home Healthcare Gilbert's Home Health Agency Inc 2633 Lawndale Tupelo, MS 38801 Phone: 662-844-9725 County: Lee Northeast Arkansas Home Care 1028 North Missouri Street; Suite 6 West Memphis, AR 72301 Phone: 870-733-0058 County: Crittenden Regional Home Care-Martin 161 Mt. Pelia Road Martin, TN 38237 Phone: 800-925-9066 County: Weakley Home Healthcare Home Healthcare Home Healthcare Gilbert's Home Health Agency Of Calhoun City 104 Legion Avenue Calhoun City, MS 38916 Phone: 662-628-6657 County: Calhoun Northeast Arkansas Home Care 1712 Lindauer Rd. Forrest City, AR 72335 Phone: 870-261-0188 County: Saint Francis Regional Home Care-Selmer 1040 Mulberry Ave. Selmer, TN 38375 Phone: 731-646-2610 County: Mcnairy Home Healthcare Home Healthcare Northwest Home Health-Winfield 1530 US Hwy 43 Winfield, AL 35594 Phone: 205-487-7900 County: Marion Home Infusion Home Iv Specialist 824 Cobb Street Jonesboro, AR 72401 Phone: 870-972-1677 County: Craighead Home Healthcare Home Infusion Home Healthcare Home Infusion Home Healthcare Hospice Care Home Healthcare Hospice Care Gilbert's Home Health Of Columbus 189 Park Creek Drive Columbus, MS 39705 Phone: 662-327-9560 County: Lowndes Home Healthcare Gilbert's Home Health Of Columbus (Aberdeen) 70 Highway 25 South Aberdeen, MS 39730 Phone: 662-369-7685 County: Monroe Home Healthcare Grenada Lake Medical Center Home Health Agency 960 Avent Drive Grenada, MS 38901 Phone: 662-227-7545 County: Grenada Home Healthcare Hardin Medical Center Home Health 983 Wayne Road, Suite A Savannah, TN 38372 Phone: 731-926-8215 County: Hardin Home Healthcare Magnolia Regional Health Center Home Health & Hospice Agency 2034 E. Shiloh Road Corinth, MS 38834 Phone: 662-293-1405 County: Alcorn Regional Home Care 119 Hickory Hill Helena, AR 72342 Phone: 870-816-3500 County: Phillips Regional Home Care-Brownsville 2545 N. Washington Avenue Brownsville, TN 38012 Phone: 731-779-3544 County: Haywood Regional Home Care-Dyersburg 400 Tickle Street Dyersburg, TN 38024 Phone: 800-287-2705 County: Dyer Iv Solutions 217 W. Maplewood Lane Nashville, TN 37207 Phone: 615-277-5900 County: Davidson Medical Alternatives 4565 Shelby Road Millington, TN 38053 Phone: 901-872-2200 County: Shelby Baptist Home Care & Hospice-Union City 1201 Bishop Street Union City, TN 38261 Phone: 731-884-8617 County: Obion Regional Home Care-Jackson 37 Sandston Circle, 2nd Floor Jackson, TN 38305 Phone: 800-730-6756 County: Madison Baptist Hospice-Columbus 525 Willowbrook Road Columbus, MS 39705 Phone: 662-243-1173 County: Lowndes Home Healthcare Hospice Care Regional Home Care-Lexington 14-C Monroe Avenue Lexington, TN 38351 Phone: 800-247-3468 County: Henderson Baptist Trinity Hospice 6141 Walnut Grove Road Memphis, TN 38120 Phone: 901-767-6767 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 112 Provider Listing by Specialty Hospice Care Crittenden Regional Hospital-Hospice 308 South Rhodes West Memphis, AR 72301 Phone: 870-732-3353 County: Crittenden Hospice Care Gilbert's Hospice Care 2633 Lawndale Drive Tupelo, MS 38803 Phone: 662-844-9725 County: Lee Hospice Care Patient's Choice Hospice 1712 Lindauer Rd. Forrest City, AR 72335 Phone: 870-261-0188 County: Saint Francis Infectious Disease Brewer, Susan Crouch Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Infectious Disease Mazumder, Shirin Asleha Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8808 County: Shelby Infectious Diseases Bains, Karanpreet S Clarksdale Hma Physician Mgmt 411 Poplar St Marks, MS 38646 Phone: 662-326-9232 County: Quitman Infectious Diseases Echevarria, Leonor Adela Clarksdale Hma Physician Mgmt 785 Ohio Ave #3H Clarksdale, MS 38614 Phone: 662-627-3003 County: Coahoma Infectious Diseases Infectious Diseases David L George Md 5050 Poplar Ave #1528 Memphis, TN 38157 Phone: 901-767-7829 County: Shelby Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Infectious Diseases Infectious Diseases Mid-South Infectious Disease Assoc 6027 Walnut Grove Rd #312 Memphis, TN 38120 Phone: 901-681-0778 County: Shelby Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Infectious Diseases Internal Medicine Mid-South Infectious Disease Assoc 401 Southcrest Cir #201 Southaven, MS 38671 Phone: 901-681-0778 County: DeSoto Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Infectious Diseases Internal Medicine 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison George, David L Jain, Manoj K Khan, Haroon Nasir Lamothe, Margarita Infectious Diseases Mannan, Ghalib Mid-South Infectious Disease Assoc 6027 Walnut Grove Rd #312 Memphis, TN 38120 Phone: 901-681-0778 County: Shelby Infectious Diseases Mason, William Jeffrey Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Infectious Diseases Omer, Imad Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Thomas-Gosain, Neena F Threlkeld, Stephen Colin Abai, Aja A Abdullah, Javed Internal Medicine Abushaer, Muhammad B Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Internal Medicine Abutineh, Mohammad Ibrahim Adult Primary Care Of Memphis 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Internal Medicine Adebanjo, Olugbenga Alaba Goodlife Medical Center 756 Ridge Lake Blvd #228 Memphis, TN 38120 Phone: 901-850-8616 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 113 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Progressive Physicians Practice 7900 Airways Blvd Bldg C #5B Southaven, MS 38671 Phone: 662-536-2100 County: DeSoto 6027 Walnut Grove Rd #201 Memphis, TN 38120 Phone: 901-683-0417 County: Shelby Sanders Clinic 6027 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-525-1438 County: Shelby Internal Medicine Alford, Terri Daniell Adesoji, Gafar Ajani Afenya, Kenneth Kafui Baptist Memorial Medical Group Inc 1995 Hwy 51 S #101 Covington, TN 38019 Phone: 901-476-9921 County: Tipton Internal Medicine Agapos, Emmanuel Michael E Michael Agapos Md 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-757-2345 County: Shelby Internal Medicine Akins, Derene E Internal Medicine Primary Care Group 7690 Wolf River Cir Germantown, TN 38138 Phone: 901-260-1795 County: Shelby Internal Medicine Algee, Wyatt R Dyersburg Clinic Corp 1067 Vendall Rd #A Dyersburg, TN 38024 Phone: 731-285-5513 County: Dyer Internal Medicine Alhourani, Hazem Agapos, Emmanuel Michael 317 S Grove Park Rd Memphis, TN 38117 Phone: 901-757-0251 County: Shelby Apogee Medical Group Tn 400 Tickle St Dyersburg, TN 38024 Phone: 731-287-2244 County: Dyer Internal Medicine Internal Medicine Tri-State Medical Group 1264 Wesley Dr #601 Memphis, TN 38116 Phone: 901-332-9632 County: Shelby Saint Francis Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Internal Medicine Internal Medicine Jose A Aguirre Md 890 Madison Ave Memphis, TN 38103 Phone: 901-515-3000 County: Shelby 3294 Poplar Ave #100 Memphis, TN 38111 Phone: 901-362-8671 County: Shelby Internal Medicine Allan, Katherine Agbaosi, Oluwatoyin Jimmy Aguirre, Jose Ahiabuike, Smithson O Pauker Inpatient Services 1201 Bishop St Union City, TN 38261 Phone: 800-344-2470 County: Obion Ali, Sheharyar Ali, Mahmood Internal Medicine The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Allen, Joseph E Internal Medicine Allmon, J Michelle Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Internal Medicine Amin, Sumaiya Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Amin, Sumaiya West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Andrews, Benjamin Lau Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8400 County: Shelby Internal Medicine Arnold, Anita Lynn Threlkeld Threlkeld & Omer 1068 Cresthaven Rd #250 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby Internal Medicine Arzola, Fernando Luis Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 114 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Dyersburg Clinic Corp 101 N Main St Ridgely, TN 38080 Phone: 731-285-1935 County: Lake Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Internal Medicine Of Forrest City 904 Holiday Dr #400 Forrest City, AR 72335 Phone: 870-630-2233 County: Saint Francis Internal Medicine Internal Medicine Internal Medicine First Choice Medical Care 1950 Cook St #D Dyersburg, TN 38024 Phone: 731-285-7999 County: Dyer Ultimate Health Clinic 1673 N Royal St Jackson, TN 38301 Phone: 731-265-1997 County: Madison Internal Medicine Rural Health Clinic 300 Oxford Rd New Albany, MS 38652 Phone: 662-534-8166 County: Union Internal Medicine Internal Medicine Internal Medicine Cancer Care Ctr Of Jackson 322 Hospital Blvd Jackson, TN 38305 Phone: 731-668-1668 County: Madison Peabody Internal Medicine Inc 8081 Hwy 51 N Millington, TN 38053 Phone: 901-873-4194 County: Shelby Clarksdale Hma Physician Mgmt 785 Ohio Ave #1H Clarksdale, MS 38614 Phone: 662-621-2438 County: Coahoma Internal Medicine Internal Medicine Internal Medicine Family Care Walk In Clinic Inc 176 W University Pkwy #C Jackson, TN 38305 Phone: 731-660-6915 County: Madison Primary Care Group 5182 Sanderlin Ave #3 Memphis, TN 38117 Phone: 901-685-0152 County: Shelby Magnolia Hospitalist Group 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Internal Medicine Internal Medicine Internal Medicine Sanders Clinic 6027 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-525-1438 County: Shelby Bartlett Raleigh Internal Medicine 2743 Summer Oaks Rd Bartlett, TN 38134 Phone: 901-371-0200 County: Shelby Baptist Memorial Medical Group Inc. 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-725-8604 County: Shelby Internal Medicine Internal Medicine Internal Medicine 6027 Walnut Grove Rd #201 Memphis, TN 38120 Phone: 901-683-0417 County: Shelby Nathan Baldwin Md 100 Hospital St #100 Booneville, MS 38829 Phone: 662-720-1600 County: Prentiss Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Asamoah, Owusu Asif, Meraj Mohiuddin Aslam, Tanveer Asmar, Salomon N Atkins, Keith Lantrip Austin, John R Avila, Reuben W Baba, Rauf M Baburyan, Narina Yuri Bada, Samuel O Baig, Abdullah Bailey, Lamar Edward Balderama, Herminio B Baldwin, Nathan W Bamgbelu, Olukayode Adeola Banaji, Sudesh Barkley, Thomas Ford Batla, Muhammad M Batson, Harold H Beaver, Terinell Beezley, Alvin R This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 115 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Bell Internal Medicine Assoc 11180 Hwy 51 #3 Atoka, TN 38004 Phone: 901-837-9910 County: Tipton 5575 Poplar Ave #504 Memphis, TN 38119 Phone: 901-761-1850 County: Shelby West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Borden, Amber Massey Bell, Darl Vic Berryhill Jr, G D Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Internal Medicine Bessoff, Joel I Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Internal Medicine Betapudi, Bindu Inpatient Svcs Of Tn 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Blakney, Eric D 2725 Kirby Pkwy #1 Memphis, TN 38119 Phone: 901-756-6991 County: Shelby Internal Medicine Bond, Allyn Harris Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Boone, Scott Alan Family Medical Clinic Of N Ms 3451 Goodman Rd E #115 Southaven, MS 38672 Phone: 662-890-5555 County: Desoto Boone, James E Internal Medicine Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Boswell, John Covington Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Boswell, James L James L Boswell Md 6005 Park Ave #809 Memphis, TN 38119 Phone: 901-761-2680 County: Shelby Internal Medicine Bowden, Marcia Renee 1652 Madison Ave Memphis, TN 38104 Phone: 901-278-9538 County: Shelby Internal Medicine Bower, Eric Alan Baptist Memorial Medical Group Inc 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Internal Medicine Brandy, Kadallah Zizwee Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Brandy, Kadallah Zizwee Internal Medicine Brantley, J Hays Primary Care Group 5182 Sanderlin Ave #3 Memphis, TN 38117 Phone: 901-685-0152 County: Shelby Internal Medicine Bravo, Andres S Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Internal Medicine Bray, Gina V Magnolia Hospitalist Group 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Internal Medicine Breitling, Melissa Amelia Urgent Medical Clinic Inc 176 Goodman Rd W Southaven, MS 38671 Phone: 662-536-1020 County: DeSoto Internal Medicine Brohawn, William Ensor Baptist Memorial Health Services Of MS Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-2425 County: Union Internal Medicine Brohawn Iii, William Ensor Southern Health Corp Of Houston Inc 105 Hillcrest Dr Houston, MS 38851 Phone: 662-456-5008 County: Chickasaw This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 116 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Burke, Pat S Cresthaven Internal Medicine Assoc 6799 Great Oaks Rd #250 Memphis, TN 38138 Phone: 901-821-8300 County: Shelby Brown, Bradley P Internal Medicine Brown, Brett O BMHSI Of Ms 515 Willowbrook Rd #1 Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Internal Medicine Brown, Charles Ellezy Desoto Adult Medicine Assoc 7900 Airways Blvd Southaven, MS 38671 Phone: 662-349-2377 County: DeSoto Internal Medicine Brown, Ann D Primary Care Group 7690 Wolf River Cir Germantown, TN 38138 Phone: 901-260-1795 County: Shelby Internal Medicine Bryan, Kristy Lynn Baptist Memorial Medical Group Inc. 1500 W Poplar Ave #202 Collierville, TN 38017 Phone: 901-861-9090 County: Shelby Internal Medicine Buckner, Irene Shara Paragon Contracting Services Inc 960 Avent Drive Grenada, MS 38901 Phone: 888-952-6772 County: Grenada Internal Medicine Buckner, Irene S 785 Ohio St #2B Clarksdale, MS 38614 Phone: 662-624-5481 County: Coahoma Clarksdale Hma, Llc 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Internal Medicine Burke, Pat S Pat S Burke Md 645 Evelyn St Clarksdale, MS 38614 Phone: 662-627-2231 County: Coahoma Internal Medicine Burns, Robert St Francis Medical Partners East 2714 Union Ave Extended #150 Memphis, TN 38112 Phone: 901-725-0872 County: Shelby Internal Medicine Buttross, John B Cresthaven Internal Medicine Assoc 6799 Great Oaks Rd #250 Memphis, TN 38138 Phone: 901-821-8300 County: Shelby Internal Medicine Cabe, Lorenzo C Affordable Medical Care 900 E Commerce St Hernando, MS 38632 Phone: 662-429-9111 County: DeSoto Internal Medicine Calcote, Bryan Scott Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Caldwell, Felix L LS Of Memphis 1714 W Massey Rd Memphis, TN 38120 Phone: 901-685-5433 County: Shelby Campbell, Tommy J Internal Medicine Canada, Robert Bradley Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Internal Medicine Cannon Jr, Jesse 7615 Hwy 51 S #106 Brighton, TN 38011 Phone: 901-837-7568 County: Tipton Internal Medicine Carroll, William Steven Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Carter, Bradley Paul Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-398-2442 County: Shelby Internal Medicine Castellaw, Mark The Medical Group Of Memphis 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Internal Medicine Castillo, Jaime Dupaya Southern Health Corp Of Houston Inc Hwy 8 E Vardaman, MS 38878 Phone: 662-682-7555 County: Calhoun This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 117 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Crittenden Regional Hospital 228 Tyler #105 West Memphis, AR 72301 Phone: 870-735-4025 County: Crittenden Walter P Griffey Jr Md 430 S Lake St Paris, TN 38242 Phone: 731-642-3024 County: Henry Primary Care Group 1533 Union Ave Memphis, TN 38104 Phone: 901-721-1200 County: Shelby Internal Medicine Internal Medicine Internal Medicine Covington Internal Physicians 56 E Main St Munford, TN 38058 Phone: 901-837-3735 County: Tipton Mid-South Internal Medicine 6027 Walnut Grove Rd #206 Memphis, TN 38120 Phone: 901-767-5000 County: Shelby Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 7165 Getwell Rd Bldg F Southaven, MS 38672 Phone: 662-349-3206 County: DeSoto Cleveland Medical Clinic 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar Batesville Hospital Mgmt Inc 580 Hwy 6 E Batesville, MS 38606 Phone: 662-561-0810 County: Panola Internal Medicine Internal Medicine Internal Medicine Dyersburg Clinic Corp 1067 Vendall Rd #A Dyersburg, TN 38024 Phone: 731-285-5513 County: Dyer Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Saint Francis Senior Healthcare 5084 Old Summer Rd Memphis, TN 38122 Phone: 901-888-2646 County: Shelby Internal Medicine Internal Medicine Internal Medicine Forrest City Clinic Co 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-261-0000 County: Saint Francis Ut Methodist Physicians 57 Germantown Court Ste #100 Memphis, TN 38018 Phone: 901-758-7888 County: Shelby Complete Care 985A Wayne Rd Savannah, TN 38372 Phone: 731-926-1502 County: Hardin Internal Medicine Internal Medicine Internal Medicine Affordable Medical Care 900 E Commerce St Hernando, MS 38632 Phone: 662-429-9111 County: DeSoto Stephen E Collier Md 29 Northstar #C Jackson, TN 38305 Phone: 731-664-7949 County: Madison Magnolia Hospitalist Group 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Internal Medicine Internal Medicine Internal Medicine Horn Lake Family Practice 3102 Goodman Rd Horn Lake, MS 38637 Phone: 662-342-6677 County: DeSoto Baptist Memorial Health Services Of MS Inc 515 Willowbrook Rd. #1 Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Magnolia Internal Medicine Clinic 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Chachanidze, Vladimir Chambers, George W Chang, Ki Mun Chaudhary, Ranchhodbhai L Chinta, Viswanatha Reddy Chowdhary, Yashwant Chowdhary, Sushma C Christopher, Julie C Chu, George Clark, Steven G Cleveland, Kerry O Cohen, Sandra W Collier, Stephen Edward Collins, Christina Devillier Connelly, Stephanie Cooper, Mark Anthony Corkern, Robert Stephen Crews, John T Cromwell, Janet Lard Cruz, Marissa Ordonez Cruz, Marissa Ordonez This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 118 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Magnolia Regional Community Care Clinic 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby BMHSI Of Ms 515 Willowbrook Rd. #1 Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Aaron E Henry Comm Health Svcs Ctr Inc 216 Hwy 51 N Batesville, MS 38606 Phone: 662-563-1858 County: Panola Internal Medicine Assoc Of Oxford 551 Azalea Dr Oxford, MS 38655 Phone: 662-234-0332 County: Lafayette Ut Medical Group Inc 1251 Wesley Dr #153 Memphis, TN 38116 Phone: 901-259-2000 County: Shelby Internal Medicine Internal Medicine Internal Medicine Union City Internal Medicine 1208 Edwards St Union City, TN 38261 Phone: 731-884-8800 County: Obion Ne Ms Internal Medicine Pc 202 N First Street #A Booneville, MS 38829 Phone: 662-340-1138 County: Prentiss Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Internal Medicine Internal Medicine Internal Medicine 255 Baptist Blvd #303 Columbus, MS 39705 Phone: 662-329-1340 County: Lowndes Roy E Denton Md 228 Tyler St #107 West Memphis, AR 72301 Phone: 870-735-0073 County: Crittenden Eastmoreland Internal Medicine 1325 Eastmoreland Ave #245 Memphis, TN 38104 Phone: 901-729-3700 County: Shelby Internal Medicine Internal Medicine Amory Hma Physician Mgmt 1107 Earl Frye Blvd #6 Amory, MS 38821 Phone: 662-256-6227 County: Monroe Urgent Medical Clinic Inc 176 Goodman Rd W Southaven, MS 38671 Phone: 662-536-1020 County: DeSoto Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 631 R B Wilson Dr #G Huntingdon, TN 38344 Phone: 731-986-7400 County: Carroll 2225 5th St N Columbus, MS 39705 Phone: 662-327-0197 County: Lowndes Internal Medicine Duenas, Santiago J Cruz, Marissa Ordonez Cummings, Johnnie E Cummings, John M Dailey, Frank H Internal Medicine Dalati, Fakhari Magnolia Hospitalist Group 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Internal Medicine Dang, Paul Huu Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Internal Medicine Daniel, Chalmers B Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Dempsey Jr, Buckley Kinard Dennis, Jeffrey Walter Dennis, Laurence L Denton, Roy E Detavarez, Brunel Dhar, Ujjwal Dilan-Koetje, Jeanette Magnolia Reg Community Care Clinic 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn Dill, Andrew Robert Dishmon, Dwight Anthony Dotson, Jimmie L Dowell, Stanley W Drake, Sabra F Duckworth, Michael R Internal Medicine Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2488 County: DeSoto This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 119 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Inpatient Physicians Of The Mid South 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Inpatient Physicians Of The Mid South 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Internal Medicine Internal Medicine Internal Medicine Foundation Internal Medicine 401 Southcrest Cir #207 Southaven, MS 38671 Phone: 662-349-9292 County: DeSoto Christ Community Health Svcs 3362 South Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Magnolia Reg Community Care Clinic 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn Internal Medicine Internal Medicine Internal Medicine Internal Medicine East 8138 Country Village Dr Cordova, TN 38016 Phone: 901-755-5556 County: Shelby Primus Medical Group 1264 Wesley Dr #206 Memphis, TN 38116 Phone: 901-346-6566 County: Shelby Cary M Finn & Assoc 6025 Walnut Grove Rd #627 Memphis, TN 38120 Phone: 901-767-3321 County: Shelby Internal Medicine Internal Medicine Internal Medicine Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8450 County: Shelby 3493 Veterans Dr N #C Huntingdon, TN 38344 Phone: 662-236-5773 County: Carroll Pauker Inpatient Services 1201 Bishop St Union City, TN 38261 Phone: 800-344-2470 County: Obion Internal Medicine Evans Iii, Charles Earl Eberle (Hospitalist), Louis V Edmunds, Kenneth Osita Edwards, Mark S Elliott, Elizabeth Carolyn Elsea, Deanna Sills Consolidated Medical Practices Of Memphis 7243 Hwy 64 Oakland, TN 38060 Phone: 901-462-2227 County: Fayette Internal Medicine Ensor, James K Memphis Internal Medicine 6005 Park Ave #900B Memphis, TN 38119 Phone: 901-821-8300 County: Shelby Internal Medicine Enyenihi, Henry Nubung Arlington Medical Clinic 11121 Hwy 70 #101 Arlington, TN 38002 Phone: 901-867-0211 County: Shelby Enyenihi, Henry Nubung Euler, Donald Steven Evans, Benjamin Franklin Evans, Thomas P Internal Medicine Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Eze, Gift E Eze Clinic 2777 N Highland Ave Jackson, TN 38305 Phone: 731-661-0067 County: Madison Internal Medicine Faleye, Olu Olugbenga Primehealth Medical Ctr 6637 Summer Knoll Cir Bartlett, TN 38134 Phone: 901-372-5260 County: Shelby Fiedler (Hospitalist Only), Frederick A Finley, Amanda Jane Finn, Cary M Flournoy, Durwood Internal Medicine Forte, Kimberly Shani Baptist Memorial Medical Group Inc 2600 5th St N Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Internal Medicine Fowler, John W Inpatient Svcs Of Tn 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Fowlkes, Laura P Strong Heart Clinic 1300 Access Rd #400 Oxford, MS 38655 Phone: 662-281-1115 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 120 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine 2215 West St Germantown, TN 38138 Phone: 901-756-4338 County: Shelby Aileen Gayoso Md 391 Southcrest Cir #210 Southaven, MS 38671 Phone: 901-537-1892 County: DeSoto Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Franklin, E Arthur Internal Medicine Gayoso, Aileen Sanchez Glover Jr, Jack F Primary Care Group 7690 Wolf River Cir Germantown, TN 38138 Phone: 901-260-1795 County: Shelby Internal Medicine Internal Medicine 6953 Oak Forrest Dr Olive Branch, MS 38654 Phone: 662-893-0450 County: DeSoto Internal Medicine Internal Medicine Grenada Adult Health Care Clinic 965 Avent Dr #106 Grenada, MS 38901 Phone: 662-227-6450 County: Grenada Regional Medical Assoc 1503 Hwy 45 N Columbus, MS 39705 Phone: 662-328-9623 County: Lowndes Memphis Internal Medicine 6005 Park Ave #900B Memphis, TN 38119 Phone: 901-821-8300 County: Shelby Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Internal Medicine Internal Medicine Amy Funderburk Md 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Consolidated Medical Practices Of Memphis 661 Madison Ave #A Memphis, TN 38103 Phone: 901-527-2417 County: Shelby Primary Care Specialists South 1385 South Highland Ave #B1 Jackson, TN 38301 Phone: 731-427-0470 County: Madison Internal Medicine Internal Medicine 1374 Cordova Cv #102 Germantown, TN 38138 Phone: 901-751-0150 County: Shelby St Francis Medical Partners East 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Freeland, Lynda J Friloux, Mark A Froutan, Neema Funderburk, Amy Elise Internal Medicine Garcia, Noel Villarosa Madison East Internal Medicine 1002 E Madison St #3 Houston, MS 38851 Phone: 662-448-6213 County: Chickasaw Gbemudu, Edward I Gehi, Mohan M Gelfand, Michael S Gibbs, Hettie S Gibson, Roger O Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Heartsouth 2668 S Harper Rd #4 Corinth, MS 38834 Phone: 662-287-3100 County: Alcorn Garriga, Brandon Pierce Glisson, James Kevin Gondwe, Justice Aaron Internal Medicine Gooch, Allen C Parkway Regional Medical Clinic Inc 2002 Holiday Ln #500 Fulton, KY 42041 Phone: 270-472-8150 County: Fulton Internal Medicine Goodwin, Stephen Madison Clinic Corp 31 Physicians Dr Jackson, TN 38305 Phone: 731-668-9791 County: Madison Internal Medicine Goodwin, Stephen Gouveia, Nurlela Internal Medicine Gray, Kevin G Madison Clinic Corp 31 Physicians Dr Jackson, TN 38305 Phone: 731-668-9791 County: Madison This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 121 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Dyersburg Clinic Corp 305 E Tickle St Dyersburg, TN 38024 Phone: 731-285-2324 County: Dyer Internal Medicine Physicians Inc 515 Simpson Dr Winona, MS 38967 Phone: 662-283-9993 County: Montgomery Yalobusha General Hospital 604 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Internal Medicine Internal Medicine Internal Medicine Green Clinic 2725 Kirby Pkwy #1 Memphis, TN 38119 Phone: 901-755-2255 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Internal Medicine Consolidated Medical Practices Of Memphis 574 Greenview Cove #101 Collierville, TN 38017 Phone: 901-853-2021 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Baptist Minor Medical Center Inc 670 N Germantown Pkwy #18Pkwy Cordova, TN 38018 Phone: 901-753-7686 County: Shelby Green, Daniel P Green, Christopher Brian Greenberger, Latonya Turner Gutti, Kumari V Haider, Syed Norman Hall, Tiffany T Internal Medicine Internal Medicine 100 Hospital St #200 Booneville, MS 38829 Phone: 662-720-3000 County: Prentiss Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Greenhaw, David N Internal Medicine Griffin, Alexander Darnesh Clarksdale Hma Physician Mgmt 411 Poplar St Marks, MS 38646 Phone: 662-326-9232 County: Quitman Internal Medicine Guerrant, Richard P 1995 Hwy 51 S #111 Covington, TN 38019 Phone: 901-475-6607 County: Tipton Internal Medicine Guthrie, David P Center For Adult Healthcare 1629 Woodlawn Ave Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Hall, Tiffany T Internal Medicine Hamilton Iv, James Howard Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Hampton, Jacqueline L Baptist Memorial Health Services Of MS Inc 255 Baptist Blvd #304 Columbus, MS 39705 Phone: 662-327-3494 County: Lowndes Internal Medicine Hampton, Jacqueline L Clarksdale Hma Physician Mgmt 785 Ohio Ave #2D Clarksdale, MS 38614 Phone: 662-627-7726 County: Coahoma Hampton, Jacqueline L Hanissian, Ara James Internal Medicine Hanissian, Gina Rhodes Consolidated Medical Practices Of Memphis 574 Greenview Cove #101 Collierville, TN 38017 Phone: 901-853-2021 County: Shelby Internal Medicine Hann, Matthew Christopher Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Haque, Nasir Mainul Primary Care Group 7796 Wolftrail Cv #201 Germantown, TN 38138 Phone: 901-348-6487 County: Shelby Internal Medicine Harding, Eric D Internal Medicine & Pediatric Clinic Of New Albany 488 W Bankhead St New Albany, MS 38652 Phone: 662-534-0898 County: Union This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 122 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Metro-Memphis Medical Specialists Inc 3960 Knight Arnold Rd #420 Memphis, TN 38118 Phone: 901-366-3883 County: Shelby 2301 S Lamar Blv Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Hinds Medical Clinic 215 Hawks Rd #6 Martin, TN 38237 Phone: 731-587-3454 County: Weakley Internal Medicine Hefner, Jonathan A Harris, Kenneth W Hashmi, Shakeb Crittenden Hospital Assoc 310 Judge Smith Dr Marion, AR 72364 Phone: 870-735-4025 County: Crittenden Internal Medicine Hashmi, Raza U West Tn Er Group 6019 Walnur Grove Rd Memphis, TN 38120 Phone: 800-424-3672 County: Shelby Internal Medicine Hawley, Michael Magnolia Reg Community Care Clinic 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn Internal Medicine Hayden, Shawn Joseph Primary Care Group 48 S Prescott Memphis, TN 38111 Phone: 901-454-5117 County: Shelby Internal Medicine Hayes, Burton Lucas Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8801 County: Shelby Internal Medicine Haynes, Douglas B Dyersburg Clinic Corp 305 E Tickle St Dyersburg, TN 38024 Phone: 731-285-2324 County: Dyer Health Services Of MS Inc, Baptist Memorial Internal Medicine Baptist Memorial Medical Group Inc 6019 Walnur Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Internal Medicine Hegedus, Steven Michael Baptist Memorial Medical Group Inc 6025 Walnut Grove Rd #206 Memphis, TN 38120 Phone: 901-226-3195 County: Shelby Internal Medicine Herford, Baron V Pratt Family Medical Clinic 121 Pratt Dr #1A Corinth, MS 38834 Phone: 662-286-0088 County: Alcorn Internal Medicine Herpich, Byron Kendall Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Hester, Richard L Family Medicine Assoc Of Blytheville 1521 N Tenth St #C Blytheville, AR 72315 Phone: 870-762-5360 County: Mississippi Internal Medicine Hill, Charles K Internal Medicine Assoc Of Oxford 551 Azalea Dr Oxford, MS 38655 Phone: 662-234-0332 County: Lafayette Hinds, Michael W Internal Medicine Hobbs, Milton D Internal Medicine Assoc Of Oxford 551 Azalea Dr Oxford, MS 38655 Phone: 662-234-0332 County: Lafayette Internal Medicine Hoover, Jeffery N Dr. Robert Kulinski & Associates 3787 Summer Ave Memphis, TN 38122 Phone: 901-452-7391 County: Shelby Internal Medicine Hopla, Anna K Martin Medical Ctr 117 Kennedy Dr Martin, TN 38237 Phone: 731-587-9511 County: Weakley Internal Medicine Hospital Assoc Pllc, Carroll Carroll Hospital Assoc 631 R B Wilson Dr Huntington, TN 38344 Phone: 731-986-4461 County: Carroll Internal Medicine Hudson, Ava Deon Baptist Minor Medical Center Inc 3295 Poplar Ave Ste #105 Memphis, TN 38111 Phone: 901-327-8713 County: Shelby Internal Medicine Hughey, John R Brighton Medical Practice 39 W Woodlawn Ave Brighton, TN 38011 Phone: 901-475-1600 County: Tipton This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 123 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Consolidated Medical Practices Of Memphis 7514 Corporate Ctr Germantown, TN 38138 Phone: 901-757-5333 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Internal Medicine Jeffers, Raymond C Internal Medicine Hussain, Irshad N Benton County Health Care Inc 15921 Boundary Dr Ashland, MS 38603 Phone: 662-224-8951 County: Benton Collierville Medical Specialists / Consolidated Medical Practices 526 Halle Park Drive Collierville, TN 38018 Phone: 901-854-1877 County: Shelby Shirish S Joglekar Md 26 B Stonecreek Cir Jackson, TN 38305 Phone: 731-668-1199 County: Madison Internal Medicine Internal Medicine Pauker Inpatient Services 1201 Bishop St Union City, TN 38261 Phone: 800-344-2470 County: Obion Consolidated Medical Practices Of Memphis 526 Halle Park Dr Collierville, TN 38017 Phone: 901-854-1877 County: Shelby Hurley, Mary Margaret Inpatient Services, Pauker Internal Medicine Islam, Syed M Noxubee General Critical Access Hospital 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Internal Medicine Ismail, Mohammad K Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8807 County: Shelby Internal Medicine Issa, Nizar Jampana, Srinivasa Varma Jeffers, Raymond Christopher Internal Medicine Jeffers, Raymond C Faith Family Medical Group 6050 Airline Rd #109 Arlington, TN 38002 Phone: 901-867-3367 County: Shelby Internal Medicine Jenkins, Gregory K Internal Medicine East 8138 Country Village Dr Cordova, TN 38016 Phone: 901-755-5556 County: Shelby Internal Medicine Crittenden Regional Hospital 228 Tyler #105 West Memphis, AR 72301 Phone: 870-735-4025 County: Crittenden 4245 Cherry Center Dr #1 Memphis, TN 38118 Phone: 901-542-0600 County: Shelby Internal Medicine Internal Medicine Landmark Internal Medicine 7615 Clarington Cv Southaven, MS 38671 Phone: 662-536-2500 County: DeSoto Frix-Jennings Clinic 59 S Main St Memphis, TN 38103 Phone: 901-522-2000 County: Shelby Jain, Mukesh Jenkins, Willyn T Jennings, Nicole Jia, Yi Joglekar, Shirish S Internal Medicine Johnson, John Steven Leachville Primary Care Clinic Inc. 111 S. Main Leachville, AR 72438 Phone: 870-539-1115 County: Mississippi Internal Medicine Jolly, David Bourland Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Jones, Joe V Internal Medicine Assoc 605 N 2nd St Blytheville, AR 72315 Phone: 870-763-1520 County: Mississippi Internal Medicine Jones, David D Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Internal Medicine Jordan, Richard J Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 124 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2488 County: DeSoto Crescent Medical Inc 1264 Wesley Dr #501 Memphis, TN 38116 Phone: 901-346-1800 County: Shelby Prime Medical Group 6005 Park Ave #433B Memphis, TN 38119 Phone: 901-255-1140 County: Shelby Internal Medicine Internal Medicine Internal Medicine Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Pennmarc Internal Medicine Assoc 6401 Poplar Ave #400 Memphis, TN 38119 Phone: 901-525-3086 County: Shelby BMHSI Of Ms 515 Willowbrook Rd #1 Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Ut Medical Group Inc 1325 Eastmoreland Ave #440 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Horn Lake Family Practice Mc 3102 Goodman Rd Horn Lake, MS 38637 Phone: 662-342-6677 County: DeSoto Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Primary Care Group 1325 Eastmoreland Ave #245 Memphis, TN 38104 Phone: 901-516-9800 County: Shelby Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Lexington Clinic Corp 270 W Church St #A Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Internal Medicine Internal Medicine Internal Medicine West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby 3960 Knight Arnold Rd #110 Memphis, TN 38118 Phone: 901-369-6010 County: Shelby Preventive Internal Medicine Group 6005 Park Ave #728B Memphis, TN 38119 Phone: 901-761-9097 County: Shelby Internal Medicine Khandekar, Sofia Haque Joseph, Zeena Paul Joves, Froilan Borja Kabra, Rajesh Kale, Santosh Sudhir Kamalov, German G Kamin, Ehud Ronald Karmel, Douglas Lawrence Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Kathawala, Ahsan Hussain Katz, Paul Jay Kavanagh, Joel Brian Keeton, Kevin Lee Khan, Saad U Khan, Mohammed B Internal Medicine Sofia Khandekar Md 1251 Wesley Dr #100 Memphis, TN 38116 Phone: 901-396-3061 County: Shelby Khattak, Taslim Akhtar Kim, Min Sang King, John J Kitson, Michelle D Koplon, Michael David Kraus, Gordon J Internal Medicine Kraus, Robert M Preventive Internal Medicine Group 6005 Park Ave #728B Memphis, TN 38119 Phone: 901-761-9097 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 125 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-398-2442 County: Shelby Family Physicians Grp 8110 Cordova Rd #111 Cordova, TN 38016 Phone: 901-752-6963 County: Shelby Tupelo Medical Group 1265 Cliff Gookin Blvd Tupelo, MS 38804 Phone: 662-840-2131 County: Lee Internal Medicine Internal Medicine Internal Medicine Dr. Robert Kulinski & Associates 3787 Summer Ave Memphis, TN 38122 Phone: 901-452-7391 County: Shelby Baptist Memorial Health Services Of MS Inc 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-2425 County: Union Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Internal Medicine Internal Medicine Pemiscot Co Memorial Hospital 106 W 12th St Caruthersville, MO 63830 Phone: 573-333-2285 County: Pemiscot Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Cordova Internal Medicine 8066 Walnut Run #200 Cordova, TN 38018 Phone: 901-751-9794 County: Shelby Internal Medicine Internal Medicine Internal Medicine Dr Kumar's Medical Clinic 1801 Lindauer Rd Forrest City, AR 72335 Phone: 870-633-5016 County: Saint Francis Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Inpatient Physicians Of The Mid South 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Internal Medicine Internal Medicine Internal Medicine Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby William H Light Md 7715 Wolf River Germantown, TN 38138 Phone: 901-328-6031 County: Shelby 362 Park Creek Dr Columbus, MS 39705 Phone: 662-244-8864 County: Lowndes Internal Medicine Internal Medicine Machra, Ravinder Kaur Lin, Chingshan 608 W Lee Ave Osceola, AR 72370 Phone: 870-563-5096 County: Mississippi Dyersburg Clinic Corp 462 S Church St Halls, TN 38040 Phone: 731-836-1239 County: Lauderdale Internal Medicine Internal Medicine St Francis Medical Partners East 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby 470 Goodman Rd Southaven, MS 38671 Phone: 662-536-3330 County: DeSoto Krishnan, Ruth Nisha Kulinski, Robert F Kulpeksa, Joseph Martin Kumar, Sudhir Laguardia, Stephen Lampton, Brett C Baptist Memorial Health Services Of MS Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Larkin, John K John K Larkin Md 1995 Hwy 51 S #203 Covington, TN 38019 Phone: 901-476-7070 County: Tipton Lee, Marsha Victoria Lewis, Allen K Lewis Jr, Allen Lewis Jr, James B Light, William H Locke, Susan Thomas Loden, Julian D Lodhi, Hamza Ali Lofton, William Bradley Long (Hospitalist), Celeste S Lowry, Slater B Internal Medicine Malhotra, Sunil This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 126 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Baptist Memorial Medical Group Inc 1995 Hwy 51 S #101 Covington, TN 38019 Phone: 901-476-9921 County: Tipton 2520 5th St N Columbus, MS 39705 Phone: 404-851-9394 County: Lowndes Internal Medicine Internal Medicine Mehr, Sonal Sujit Hardeman Co. Community Health Center 17 First St East Stanton, TN 38069 Phone: 731-548-2232 County: Hardeman Dynamic Directions Internal Medicine 7655 Poplar Ave #350 Germantown, TN 38138 Phone: 901-759-3447 County: Shelby Mangle, George M Mangle, George M Mbu, Prudence Chia Mccafferty, Linda Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Amory Hma Physician Mgmt 1107 Earl Frye Blvd #1 Amory, MS 38821 Phone: 662-256-9327 County: Monroe Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Assoc Of Oxford 551 Azalea Dr Oxford, MS 38655 Phone: 662-234-0332 County: Lafayette Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 345 Baptist Blvd Columbus, MS 39705 Phone: 662-244-4673 County: Lowndes Center For Adult Healthcare 1629 Woodlawn Ave Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Manns, Melantha Dorthea Martin Jr, James Ray Matthews-Smith, Velmalia Danette Mccomb, William Dwight Mcintosh, Cooper A Mckee, William N Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 1500 W Poplar Ave #202 Collierville, TN 38017 Phone: 901-861-9090 County: Shelby Lexington Clinic Corp 185 Boswell St Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Mays, Owita Renee Mckee, Heather M Internal Medicine Internal Medicine Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Corinth Medical Specialists 3301 Tinin Dr Corinth, MS 38835 Phone: 662-665-9111 County: Alcorn Mays, Owita Renee Mckinney, Robert H Medicine Assoc Llc, Ms Inpatient Internal Medicine St Francis Medical Partners East 2714 Union Ave Extended #150 Memphis, TN 38112 Phone: 901-725-0872 County: Shelby Internal Medicine Merrick, Bryan H Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Internal Medicine Messina, Joseph Samuel 1300 Sunset Dr #A Grenada, MS 38901 Phone: 662-226-1646 County: Grenada Internal Medicine Miller, Marvin Tyrone Cordova Internal Medicine 8066 Walnut Run #200 Cordova, TN 38018 Phone: 901-751-9794 County: Shelby Internal Medicine Miller, Alvin James Covington Primary Care 534 Munford Atoka Ave Munford, TN 38058 Phone: 901-840-3540 County: Tipton Internal Medicine Milligan, Kerry Lee West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 127 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine William H Light Md 7715 Wolf River Germantown, TN 38138 Phone: 901-328-6031 County: Shelby Laambda Healthcare Inc 6025 Walnut Grove Rd #311 Memphis, TN 38120 Phone: 901-767-1100 County: Shelby Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Lunceford Family Health Center 7865 Educators Ln #300 Bartlett, TN 38133 Phone: 901-384-9920 County: Shelby Laambda Healthcare Inc 6025 Walnut Grove Rd #311 Memphis, TN 38120 Phone: 901-767-1100 County: Shelby Eastmoreland Internal Medicine 1325 Eastmoreland Ave #245 Memphis, TN 38104 Phone: 901-729-3700 County: Shelby Internal Medicine Internal Medicine Internal Medicine Midsouth Internists 6019 Walnut Grove Road Memphis, TN 38120 Phone: 901-537-1892 County: Shelby Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Primary Care Group 1264 Wesley Dr #606 Memphis, TN 38116 Phone: 901-332-2277 County: Shelby Internal Medicine Internal Medicine Internal Medicine Southaven Internal Medicine 7680 Airways Blvd Southaven, MS 38671 Phone: 662-349-1999 County: DeSoto Firstcare Medical Ctr 1215 E College St Brownsville, TN 38012 Phone: 731-772-3442 County: Haywood Primary Care Group 1264 Wesley Dr #606 Memphis, TN 38116 Phone: 901-332-2277 County: Shelby Internal Medicine Internal Medicine Internal Medicine Pennmarc Internal Medicine Assoc 6401 Poplar Ave #400 Memphis, TN 38119 Phone: 901-525-3086 County: Shelby Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Pemiscot County Memorial Hospital 223 S. 3rd Hayti, MO 63851 Phone: 573-359-2019 County: Pemiscot Internal Medicine Internal Medicine Internal Medicine Adult Medicine Clinic Of Blytheville 519 N 6th Street Blytheville, AR 72315 Phone: 870-762-5800 County: Mississippi Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Internal Medicine Internal Medicine Consolidated Medical Practices Of Memphis 6799 Great Oaks Rd #150 Germantown, TN 38138 Phone: 901-261-0710 County: Shelby N Ms Medical Clinics Inc 208 Counrty Club Rd Houston, MS 38851 Phone: 662-456-3437 County: Chickasaw Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Milligan, Kerry Lee Mirza, Imran Mishra, Ashutosh Kumar Missak, Mary Samuel Mitchell, Carol J Mittal, Shalender Moeller, Derek K Mohan, Kamal Jit Mohan, Veena Sharma Mohiuddin, Javed Montoya-Chavez, Jaime E Moore, Danny Moore, Gina M Mora, Marilyn Jean Morton, Lasongia Mcshal Motley, Thomas E Motley, Annmarie Innis Motley, Todd Seth Mozie, Benjamin C Muir, Edward S Internal Medicine Mundorf, Lucinda Louise Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 128 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Magnolia Internal Medicine Clinic 703 Alcorn Dr #102 Corinth, MS 38834 Phone: 662-293-1690 County: Alcorn Prime Medical Group 6005 Park Ave #433B Memphis, TN 38119 Phone: 901-255-1140 County: Shelby Midsouth Medicine 2149 Stateline Rd W Southaven, MS 38671 Phone: 662-342-1112 County: DeSoto Internal Medicine Internal Medicine Internal Medicine Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8400 County: Shelby Memphis Kidney Clinic 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Brownsville Clinic Corp 2545 N Washington Ave Brownsville, TN 38012 Phone: 731-772-4110 County: Haywood Internal Medicine Internal Medicine Internal Medicine Midsouth Internal Medicine Physicians 7736 Airways Blvd Southaven, MS 38671 Phone: 662-349-3101 County: DeSoto Mid-South Physicians Group 7645 Wolf River Cir Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Internal Medicine Internal Medicine Inpatient Svcs Of Tn 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby 969 Peabody Memphis, TN 38104 Phone: 901-523-7781 County: Shelby Internal Medicine Internal Medicine Norton, Valerie Dye Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Internal Medicine Crittenden Hospital Assoc 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Internal Medicine East 8138 Country Village Dr Cordova, TN 38016 Phone: 901-755-5556 County: Shelby Mundorf, Lucinda Louise Murray, Andrea Joy Muzammil, Ayesha Mya, Min Min Nace, Gary Stephen Nadeau, Kenneth R Naqvi, Haider Abbas Naseer, Adnan Natarajan, Monika L Nazarov, Vitaly Nazarov, Vitaly Nease, H Howard Internal Medicine Internal Medicine Internal Medicine Assoc Of W Memphis 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Baptist Memorial Medical Group Inc 1109 E Reelfoot Ave #A Union City, TN 38261 Phone: 731-886-0811 County: Obion Nadeau, Kenneth R Nedumthottathil, Thomas Joseph Newman, Ciao Zheng Nickelson, Connie L Nnadi, John O Northcross, Phillip R Internal Medicine Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Internal Medicine Norwood, John M Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8801 County: Shelby Internal Medicine Noyes, Timothy L Corinth Family Care Center 2000 Shiloh Rd Corinth, MS 38834 Phone: 662-665-1881 County: Alcorn This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 129 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine 2104 5th St N #6 Columbus, MS 39705 Phone: 662-327-9512 County: Lowndes Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Nunez, Gregory R Internal Medicine Nwokolo, Ejikeme Harderman Co Comm Health Ctr Inc 629 Nuckolls Road Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Internal Medicine Nwora, John O 1206 Ward Ave #B Caruthersville, MO 63830 Phone: 573-333-4441 County: Pemiscot Internal Medicine Obi, Emmanuel Firstcare Medical Ctr 1215 E College St Brownsville, TN 38012 Phone: 731-512-0043 County: Haywood Internal Medicine Odea, Douglas L North Internal Medicine 4901 Raleigh Commons Drive #200 Memphis, TN 38128 Phone: 901-387-0193 County: Shelby Internal Medicine Of Tn Pc, Inpatient Svcs 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Ogbeide, Egumnwendia Iguodala West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Okpor, Kenneth A Overby, Steven T Internal Medicine Internal Medicine Emergency Coverage Corp 1201 Bishop St Union City, TN 38261 Phone: 731-886-2410 County: Obion 3960 Knight Arnold Rd #200 Memphis, TN 38118 Phone: 731-660-5279 County: Shelby Internal Medicine Ozua, Edwin Iyere Olalekan, David B Olusanya, Ayodele Charicem Ventures 120 Davy Crockett Mall Trenton, TN 38382 Phone: 731-855-2803 County: Gibson Internal Medicine Onyejekwe, Chike O Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Osorio-Figueroa, Ramon Luis Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Ost, Shelley Rae Ut Medical Group Inc 718 Harbor Bend Rd Memphis, TN 38103 Phone: 901-522-1555 County: Shelby Internal Medicine Otuseso, Eniola Oluyemisi Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Owens, Curtis L Internal Medicine Clarksdale Hma Physician Mgmt 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Internal Medicine Pace, Sidney Kelton Magnolia Regional Community Care Clinic 703 Alcorn Dr #109 Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn Internal Medicine Pace, Mary E Tupelo Medical Group 1265 Cliff Gookin Blvd Tupelo, MS 38804 Phone: 662-840-2131 County: Lee Internal Medicine Pagliarulo, Tony R 333 S Bellevue Memphis, TN 38104 Phone: 901-729-2708 County: Shelby Internal Medicine Parekh, Kamlesh H 300 Main St Plaza Senatobia, MS 38668 Phone: 662-562-8278 County: Tate This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 130 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Gastroenterology Associates 148 Mt Pelia Rd Martin, TN 38237 Phone: 731-587-5170 County: Weakley 301 W Polk West Memphis, AR 72301 Phone: 870-735-0833 County: Crittenden Internal Medicine Internal Medicine Pelz, Frederick Tupelo Medical Group 1265 Cliff Gookin Blvd Tupelo, MS 38804 Phone: 662-840-2131 County: Lee Pravinchandra P Patel Md 423 Central Ave Coldwater, MS 38618 Phone: 662-622-7011 County: Tate Internal Medicine Internal Medicine Dr Kiandokht Partovi Pc Inc 425 E Commerce St Hernando, MS 38632 Phone: 662-449-4308 County: DeSoto Southern Health Corp Of Houston Inc 105 Hillcrest Dr Houston, MS 38851 Phone: 662-456-5008 County: Chickasaw Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Southern Health Corp Of Houston Inc 105 Hillcrest Dr Houston, MS 38851 Phone: 662-456-5008 County: Chickasaw Internal Medicine Internal Medicine Consolidated Medical Practice Of Memphis 1750 Madison Ave #400 Memphis, TN 38104 Phone: 901-276-2410 County: Shelby Primary Care Group 48 S Prescott Memphis, TN 38111 Phone: 901-454-5117 County: Shelby Internal Medicine Internal Medicine Memphis Primary Care Assoc 1750 Madison Ave #400 Memphis, TN 38104 Phone: 901-276-2410 County: Shelby Lakeside Health Clinic 706 East Wood St Paris, TN 38242 Phone: 731-924-2000 County: Henry Parikh, Sonali S Parker, Donald R Partovi, Kiandokht Pastorek, Jordan Michael Patchen, Jay Patchen, Jay Patel, Nikhil R Patel, Pravin P Patel, Kunthavai S Patel, Shailesh V Patterson Iii, James O Peeler, Monica A Internal Medicine Internal Medicine Bolivar Medical Clinic 407 Lafayette Bolivar, TN 38008 Phone: 731-658-7111 County: Hardeman Internal Medicine Assoc Of W Memphis 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Patel, Pravin J Peeples, Chester W Peeples Jr, Chester W Internal Medicine Memphis Internal Medicine 6005 Park Ave #900B Memphis, TN 38119 Phone: 901-684-1322 County: Shelby Internal Medicine Persons, Derek D Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Internal Medicine Pillow, Edward L Pillow Clinic 101 Shirley Hicks Dr Helena, AR 72342 Phone: 870-572-5996 County: Phillips Internal Medicine Pillow, Gill G Pillow Clinic 101 Shirley Hicks Dr Helena, AR 72342 Phone: 870-572-5996 County: Phillips Internal Medicine Pinnaka, Jyothishree Prao Memphis Nephrology Associates 6005 Park Ave #626B Memphis, TN 38119 Phone: 901-767-4799 County: Shelby Internal Medicine Pittman, Beau B Pittman Internal Medicine 60 Germantown Ct #200 Cordova, TN 38018 Phone: 901-756-1216 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 131 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Alliance Healthcare System Inc 538 J M Ash Rd Holly Springs, MS 38635 Phone: 662-252-1599 County: Marshall Memphis Internal Medicine 6005 Park Ave #900B Memphis, TN 38119 Phone: 901-684-1322 County: Shelby Midsouth Internal Medicine Physicians 7736 Airways Blvd Southaven, MS 38671 Phone: 662-349-3101 County: DeSoto Internal Medicine Internal Medicine Internal Medicine Magnolia Hospitalist Group 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Midsouth Internists 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-537-1892 County: Shelby Internal Medicine Internal Medicine Internal Medicine Magnolia Internal Medicine Clinic 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Bheerendra Prasad 3836 Park Ave Memphis, TN 38111 Phone: 901-324-3984 County: Shelby 100 Hospital Dr #200 Booneville, MS 38829 Phone: 662-720-3000 County: Prentiss Internal Medicine Internal Medicine Rahman, Naim Ur Magnolia Regional Community Care Clinic 703 Alcorn Drive #109 Corinth, MS 38834 Phone: 662-293-1680 County: Alcorn Saint Francis Hospital Inpatient Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3045 County: Shelby Internal Medicine Internal Medicine Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Internal Medicine Rural Health Clinic 300 Oxford Rd New Albany, MS 38652 Phone: 662-534-8166 County: Union Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Prewitt Medical Care Clinic 503 Tickle St #C Dyersburg, TN 38024 Phone: 731-285-7530 County: Dyer Pizzimenti, David Victor Pizzimenti, David Victor Pizzimenti, David Victor Pizzimenti, David Victor Plunk, Nathan Hardin Pomykala, Lora A Posey, Michael E Prabaharan, Velummylum Prasad, Bheerendra R Prasad, Sriranga V Prater, Allie Lee Prewitt, Darrion J Internal Medicine Internal Medicine Primary Care Group 7690 Wolf River Cir Germantown, TN 38138 Phone: 901-260-1795 County: Shelby Mid-South Internal Medicine 6027 Walnut Grove Rd #206 Memphis, TN 38120 Phone: 901-767-5000 County: Shelby Porter, Jolie Garcia Pruett, Michael R Puchaev, Michael Pushpanshu, Pushpanshu Putnam, Thomas J Internal Medicine Macon Primary Care Clinic 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Internal Medicine Rahman, Mahfuzur 3960 Knight Arnold Rd #215C Memphis, TN 38118 Phone: 901-345-2002 County: Shelby Internal Medicine Rahman, Mahfuzur 6890 Elmore Rd #1 Southaven, MS 38671 Phone: 901-345-2002 County: DeSoto Internal Medicine Rahmani, Shervin Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 132 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Saint Francis Hospital Inpatient Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3045 County: Shelby Wagner Medical Clinic 434 Hwy 18 Bypass Manila, AR 72442 Phone: 870-561-3300 County: Mississippi Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Khalid S Rassoul Md 7948 Winchester #201 Memphis, TN 38125 Phone: 901-497-9232 County: Shelby 6027 Walnut Grove Rd #201 Memphis, TN 38120 Phone: 901-683-0417 County: Shelby LS Of Memphis 1714 W Massey Rd Memphis, TN 38120 Phone: 901-685-5433 County: Shelby Internal Medicine Rehman, Rabia Abdul Ramsay, Kelinda P Rassoul (Hospitalist), Khalid S Read, Andrea Leigh Reaves, Edward M Internal Medicine Robinson, Jeffrey Alan Robinson, Todd Vincent Internal Medicine Ratliff, Roger Amory Hma Physician Mgmt 1107 Earl Frye Blvd #1 Amory, MS 38821 Phone: 662-256-9327 County: Monroe Consolidated Medical Practices Of Memphis 290 S Walnut Bend Rd #1 Cordova, TN 38018 Phone: 901-266-1080 County: Shelby Inpatient Physicians Of The Mid South 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Internal Medicine Internal Medicine Internal Medicine Preventive Internal Medicine Group 6005 Park Ave #728B Memphis, TN 38119 Phone: 901-761-9097 County: Shelby Camden Medical Clinic Inc 160 Hospital Dr Camden, TN 38320 Phone: 731-279-0600 County: Benton Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8450 County: Shelby Internal Medicine Internal Medicine Internal Medicine Preventive Internal Medicine GroupConsolidated Medical Practice 6005 Park Ave #728B Memphis, TN 38119 Phone: 901-761-9097 County: Shelby Angela Riley Md 1300 Access Rd #13 Oxford, MS 38655 Phone: 662-232-8005 County: Lafayette Amory Hma Physician Mgmt 1107 Earl Frye Blvd #1 Amory, MS 38821 Phone: 662-256-9327 County: Monroe Internal Medicine Internal Medicine Roberts, Joseph F Internal Medicine Joseph F Roberts Md Pa 1117 Sunset Dr #101 Grenada, MS 38901 Phone: 662-226-1168 County: Grenada Cresthaven Internal Medicine Assoc 6799 Great Oaks Rd #250 Memphis, TN 38138 Phone: 901-821-8300 County: Shelby Internal Medicine Internal Medicine N Ms Medical Clinics Inc 1771 Curtis Dr Iuka, MS 38852 Phone: 662-423-6014 County: Tishomingo Baptist Memorial Medical Group Inc 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-7021 County: Carroll Rawlinson, William T Rawlinson, Thomas Ray, Mario Marquist Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Internal Medicine Raza, Shahnila Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: Desoto Richardson Iii, Robert L Riley, Angela Marie Robertson, Donald Charles Robinson - Hospital Only, Wiley Rodriguez, Jorge A Rogers, William B Rushing, George Van Salazar, Sergio A This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 133 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Jose A Aguirre Md 890 Madison Ave Memphis, TN 38103 Phone: 901-515-3000 County: Shelby Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Internal Medicine Internal Medicine 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-372-9133 County: Shelby Frank R Schwartz Md 902 Holiday Dr #103 Forrest City, AR 72335 Phone: 870-633-0800 County: Saint Francis Internal Medicine Rural Health Clinic 300 Oxford Rd New Albany, MS 38652 Phone: 662-534-8166 County: Union Internal Medicine Internal Medicine Eugene C Scobey Jr 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-844-2500 County: Shelby Memphis Internal Medicine 6005 Park Ave #900B Memphis, TN 38119 Phone: 901-684-1322 County: Shelby Internal Medicine Internal Medicine Internal Medicine & Pediatric Clinic Of New Albany 488 W Bankhead St New Albany, MS 38652 Phone: 662-534-0898 County: Union Clarksdale Hma Physician Mgmt 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Internal Medicine Shiffman, Stephen M Sallaberry, Jorge Sanford, Martha H Internal Medicine Santibanez, Jorge Jose A Aguirre Md 890 Madison Ave Memphis, TN 38103 Phone: 901-515-3000 County: Shelby Internal Medicine Sarkar, Purnima Earle Family Medical Clinic 1605 2nd Street Earle, AR 72331 Phone: 870-630-2233 County: Crittenden Internal Medicine Sarwar, Salman Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-6111 County: Shelby Internal Medicine Satapathy, Asmita Bellevue Clinic 1900 Kirby Pkwy #202 Germantown, TN 38138 Phone: 901-624-0920 County: Shelby Internal Medicine Saxon, John Thomas Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Schnapp, Adrienne Oliver Schwartz, Frank R Scobey Jr, Eugene C Scott, Michael Shane Scott, Lensey Crashun Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Scott-Bennett, Charletta Lashun Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Seth, Ankur Ut Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Shaheen, Mazen Hussein Shands, Thomas Andrew Sharfman, David M Sherigar, Jagannath M Internal Medicine Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Internal Medicine Shujaat, Adil Grenada Lake Medical Center 965 Avent Dr #102 Grenada, MS 38901 Phone: 662-227-7492 County: Grenada Internal Medicine Siegel, Jerome S LS Of Memphis 1714 W Massey Rd Memphis, TN 38120 Phone: 901-685-5433 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 134 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Urgent Medical Clinic Inc 6515 Poplar Ave #106 Memphis, TN 38119 Phone: 901-762-0700 County: Shelby Adam B Smith Md 3491 Bluecutt Rd Ste #1 Columbus, MS 39705 Phone: 662-328-0220 County: Lowndes N Benton County Health Care Inc 15921 Boundary Dr Ashland, MS 38603 Phone: 662-224-8951 County: Benton Internal Medicine Internal Medicine Internal Medicine 5050 Poplar Ave #611 Memphis, TN 38157 Phone: 901-682-1639 County: Shelby Baptist Memorial Medical Group Inc 6027 Walnut Grove Rd #103 Memphis, TN 38120 Phone: 901-763-1695 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Internal Medicine Internal Medicine Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Care Rite 106 E Main Halls, TN 38080 Phone: 731-286-1900 County: Lake Siegel, Jerome S Siegel, Barry R Internal Medicine Siew, Darrick T Alliance Health Partners 435 Hwy 6 E Batesville, MS 38606 Phone: 662-563-5632 County: Panola Internal Medicine Sikes, James C Raleigh-Cordova Medical Group 3809 Covington Pike Memphis, TN 38135 Phone: 901-386-1625 County: Shelby Internal Medicine Slade, Whitney T North Internal Medicine 4901 Raleigh Commons Drive #200 Memphis, TN 38128 Phone: 901-387-0193 County: Shelby Internal Medicine Slutsky, Avron A Smith, Adam Barrett Smith, Vincent D Smith, Rachael E Sprabery, Laura R Srivastava, Pankaj Internal Medicine Internal Medicine Clarksdale Hma Llc 1970 Hospital Drive Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Mid-South Convenient Care 521 Highway 51 North Ripley, TN 38063 Phone: 731-635-2000 County: Lauderdale Internal Medicine Internal Medicine Saint Francis Hospital Inpatient Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3045 County: Shelby Consolidated Medical Practices Of Memphis 526 Halle Park Dr Collierville, TN 38017 Phone: 901-854-1877 County: Shelby Smith, Andrea Lea Smith, Rachael Internal Medicine Pennmarc Internal Medicine Assoc 6401 Poplar Ave #400 Memphis, TN 38119 Phone: 901-525-3086 County: Shelby 785 Ohio Ave #1D Clarksdale, MS 38614 Phone: 731-645-3476 County: Coahoma Internal Medicine Internal Medicine Prime Care Medical Ctr 347 E Main St Adamsville, TN 38310 Phone: 731-632-3383 County: McNairy Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Smelser, Michael H Somjee, Arif A Smith, Andrea Lea Snader, Brent Michael Srivastava, Pankaj Stamps, Henry Baines Internal Medicine Stewart, William C William C Stewart Jr Md 8066 Walnut Run Rd #205 Cordova, TN 38018 Phone: 901-275-8280 County: Shelby Internal Medicine Stiles, Allison Marie Memphis Internal Medicine & Pediatrics 1325 Eastmoreland Ave #585 Memphis, TN 38104 Phone: 901-276-0249 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 135 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Martin Clinic Corp 161 Mt Pelia Rd Martin, TN 38237 Phone: 731-587-4261 County: Weakley Magnolia Specialty Clinic 1001 South Harper Road Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Simon H Tesfau Md 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-881-4234 County: Shelby Internal Medicine Internal Medicine Internal Medicine Consolidated Medical Practice Of Memphis 526 Halle Park Drive Collierville, TN 38018 Phone: 901-854-1877 County: Shelby Mid-South Internal Medicine 6027 Walnut Grove Rd #206 Memphis, TN 38120 Phone: 901-767-5000 County: Shelby Simon H Tesfau Md 2961 Canada Rd #105 Arlington, TN 38002 Phone: 901-388-0115 County: Shelby Internal Medicine Internal Medicine Internal Medicine Consolidated Medical Practices Of Memphis 526 Halle Park Dr Collierville, TN 38017 Phone: 901-854-1877 County: Shelby N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Midsouth Internal Medicine Physicians 7736 Airways Blvd Southaven, MS 38671 Phone: 662-349-3101 County: DeSoto Internal Medicine Internal Medicine Taylor, Ralph Internal Medicine Complete Health Care Ctr 1750 Madison Ave #401 Memphis, TN 38104 Phone: 901-276-2357 County: Shelby Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Internal Medicine Internal Medicine Primary Care Group 7690 Wolf River Cir Germantown, TN 38138 Phone: 901-260-1795 County: Shelby Pioneer Health Svcs Of Monroe Co Inc 1506 Hwy 278 E #A Amory, MS 38821 Phone: 662-304-4027 County: Monroe Internal Medicine Internal Medicine Tupelo Medical Group 1265 Cliff Gookin Blvd Tupelo, MS 38804 Phone: 662-840-2131 County: Lee Baptist Memorial Health Services Of MS Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Internal Medicine Tipton Co Internal Medicine 1995 Hwy 51 S #206 Covington, TN 38019 Phone: 901-476-9115 County: Tipton The Medical Group Of Memphis 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Stipanuk, Gerald Stephen Stoev, George T Stoev, T George Sullivan, Meghan Dale Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8801 County: Shelby Internal Medicine Sumedha, Nfn West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Summers, Evan L Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Internal Medicine Sumrall, Doyle F 2225 5th St N Columbus, MS 39705 Phone: 662-327-0197 County: Lowndes Swanson Ii, Charles Everett Talbert, Louis G Tan, Jiahuai Taylor, Martha N Taylor, Pami J Teach, Guy Victor Tesfau, Simon Haileselassie Tesfau (Hosp), Simon H Thakur, Tapan Kumar Thibodeaux, Rachel Lynn Thomas, Harold Roy Thompson, James Willard Thompson, Paul A This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 136 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Ut Medical Group Inc 2000 N Parkway Memphis, TN 38112 Phone: 901-843-3895 County: Shelby Verzosa Ungab Internal Medicine Assoc 2851 Stage Center Dr Bartlett, TN 38134 Phone: 901-388-7711 County: Shelby Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Firstcare Medical Ctr 1215 E College St Brownsville, TN 38012 Phone: 731-772-3442 County: Haywood Wadsworth Clinic 2240 Hwy 51 S Hernando, MS 38632 Phone: 662-429-5231 County: DeSoto Internal Medicine Internal Medicine Internal Medicine Threlkeld Threlkeld & Omer 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-685-3490 County: Shelby West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Internal Medicine Internal Medicine Internal Medicine Amory Hma Physician Mgmt 305 Hwy 145 N Aberdeen, MS 39730 Phone: 662-256-7112 County: Monroe Randy J Villanueva Md 3025 N Windstone Way Ln Germantown, TN 38138 Phone: 901-537-1892 County: Shelby Truecare Physicians Clinic Of Jackson 2796 N Highland Ave #D Jackson, TN 38305 Phone: 731-736-0970 County: Madison Internal Medicine Internal Medicine Internal Medicine 810-A Newman Dr Helena, AR 72342 Phone: 870-338-7441 County: Phillips Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Yalobusha General Hospital 606 S Main St Water Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha Internal Medicine Internal Medicine 1164 W Poplar Ave Collierville, TN 38017 Phone: 901-853-5551 County: Shelby Baptist Memorial Health Services Of MS Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Thompson, Natascha Stone Thota, Suresh Threlkeld, Michael G Towles-Moore, Stacy Tukivakala, Prabhakara R Internal Medicine Ungab, Ramon Tom Verzosa Ungab Internal Medicine Assoc 2851 Stage Center Dr Bartlett, TN 38134 Phone: 901-388-7711 County: Shelby Verzosa, Samuel T Vides-Demontoya, Joaquina Elizabeth Vieron, Leonidas N Villanueva, Randy Joseph Lee Vizcarra, Amy Ann Vlasak, Mark C Internal Medicine Internal Medicine Vein & Skin Specialist 3960 Knight Arnold Rd #322 Memphis, TN 38118 Phone: 901-369-4949 County: Shelby LS Of Memphis 1714 W Massey Rd Memphis, TN 38120 Phone: 901-685-5433 County: Shelby Vandeven, Gregory E Vookles, John T Wade, Matthew Joel Wadsworth, William Manley Wagas, Muhammad Walker, Tracie A Walker, Joe W Wall, Brian Keith Internal Medicine Walt, David L Family Medical Clinic 803 First St Cleveland, MS 38732 Phone: 662-843-2721 County: Bolivar This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 137 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine The Rubin-Ward Heart Center 6644 Summer Knoll Cir Bartlett, TN 38134 Phone: 901-761-9092 County: Shelby Thms West Tennessee Mc Llc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3010 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: Desoto Internal Medicine Internal Medicine Internal Medicine Otis S Warr Iii Md 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-278-6734 County: Shelby Internal Medicine Assoc Of W Memphis 228 Tyler St #200 West Memphis, AR 72301 Phone: 870-735-1973 County: Crittenden Alliance Healthcare System Inc 538 J M Ash Rd Holly Springs, MS 38635 Phone: 662-252-1599 County: Marshall Internal Medicine Internal Medicine Internal Medicine William H Light Md 7715 Wolf River Germantown, TN 38138 Phone: 901-328-6031 County: Shelby Martin Jeffrey Weiss 1068 Cresthaven Rd #350 Memphis, TN 38119 Phone: 901-766-1967 County: Shelby Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Internal Medicine Internal Medicine Internal Medicine Jose A Aguirre Md 890 Madison Ave Memphis, TN 38103 Phone: 901-515-3000 County: Shelby William T Weiss 1068 Cresthaven Rd #350 Memphis, TN 38119 Phone: 901-761-5542 County: Shelby Memphis Primary Care Assoc 1750 Madison Ave #400 Memphis, TN 38104 Phone: 901-276-2410 County: Shelby Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Hospital Desoto 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-4000 County: DeSoto Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Emergency Coverage Corp 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Internal Medicine Internal Medicine Internal Medicine Southaven Internal Medicine 7680 Airways Blvd Southaven, MS 38671 Phone: 662-349-1999 County: DeSoto Baptist Memorial Medical Group Inc 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8801 County: Shelby Internal Medicine Internal Medicine Internal Medicine Complete Health Care Center 1750 Madison Ave #401 Memphis, TN 38104 Phone: 901-276-2359 County: Shelby Primary Care Group 3725 Champion Hills Dr #2000 Memphis, TN 38125 Phone: 901-367-9001 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Ward, Forest C Warr, Otis S Warr, Alston Graham Washington, La Tonya B Wassef, Magdi Samuel Wassef, Magdi Samuel Watson, Angela Denise Watson, Estella Vashti Webb, Dan W Weiss, Martin Jeffrey Weiss, William T Wener, Steven I Whelan, Jacob Ragsdale Whitlock, Lawrence W Wiener, Hillel E Williams, Kenneth Williams, Matthew Duane Wilson, Fred Palmer Winston, Robert Lee Womack, Catherine Robilio Wood, Joann Phillips This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 138 Provider Listing by Specialty Internal Medicine Internal Medicine Internal Medicine Baptist Memorial Health Services Of MS Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2042 County: Lowndes Cordova Internal Medicine 8066 Walnut Run #200 Cordova, TN 38018 Phone: 901-751-9794 County: Shelby Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: Desoto Internal Medicine Internal Medicine Internal Medicine Clarey R Dowling Md 2569 N Washington Ave Brownsville, TN 38012 Phone: 731-772-4411 County: Haywood Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Inpatient Svcs Of Tn 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Internal Medicine Internal Medicine Internal Medicine Dyersburg Clinic Corp 2545 N Washington Ave Brownsville, TN 38012 Phone: 731-772-9042 County: Haywood Saint Francis Hospital Inpatient Physicians 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3045 County: Shelby Crittenden Hospital Assoc 310 Judge Smith Dr Marion, AR 72364 Phone: 870-735-4025 County: Crittenden Internal Medicine Internal Medicine Internal Medicine Ne Ms Health Care Inc 12 E Brunswick St Byhalia, MS 38611 Phone: 662-838-2163 County: Marshall Kidney Group Of Memphis 2225 Union Ave #100 Memphis, TN 38104 Phone: 901-726-1161 County: Shelby Syed A A Zaidi Md 326 Asbury Ave #101 Ripley, TN 38063 Phone: 731-221-1637 County: Lauderdale Internal Medicine Internal Medicine Internal Medicine Ut Medical Group Inc 1999 Hwy 51 S Covington, TN 38019 Phone: 901-476-4457 County: Tipton Martin Clinic Corp 130 E Locust St Dresden, TN 38225 Phone: 731-364-3196 County: Weakley Saint Francis Hospital Emergency Chest Pain Center 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2057 County: Shelby Woodard, James S Woodard, Theresa L Woodard, Theresa L Woods, Amy R Woods, Carolyn Owens Wright, David B Wyatt, Felicie G Wyatt, Alisha Yeh Kaptik, Melissa J Yogesh, Kumar P Internal Medicine Internal Medicine 207-B Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-7949 County: Madison Preventive Internal Medicine Group 6005 Park Ave #728B Memphis, TN 38119 Phone: 901-761-9097 County: Shelby Woods, John B Internal Medicine Wright, Dana J Baptist Memorial Medical Group Inc 8040 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-726-0200 County: Shelby Young, Mark S Internal Medicine Yousuf, Mohammad First Choice Medical Care 1950 Cook St #D Dyersburg, TN 38024 Phone: 731-285-7999 County: Dyer Yuan, Qing Yuan, Qing Zaidi, Amna Ahmad Zaidi, Syed A Zia, Ayhan Internal Medicine Zsohar, Jeffrey Christ Community Health Svcs 5366 Mendenhall Mall Memphis, TN 38115 Phone: 901-260-8551 County: Shelby Internal Medicine Apogee Medical Group Tn 400 Tickle St Dyersburg, TN 38024 Phone: 731-287-2244 County: Dyer This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 139 Provider Listing by Specialty Interventional Cardiology Interventional Cardiology Alsafwah, Shadwan F Laboratory Services Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Smolin, Matthew Richard Cardiovascular Physicians Of Memphis Inc 4901 Raleigh Common Drive #100 Memphis, TN 38128 Phone: 901-371-9040 County: Shelby American Esoteric Laboratories Of Memphis (AEL) 1325 Eastmoreland Ave #101 Memphis, TN 38104 Phone: 901-516-7171 County: Shelby Interventional Cardiology Interventional Cardiology Laboratory Services Delta Convenient Care 17 Centre Plaza Dr Jackson, TN 38305 Phone: 731-512-0104 County: Madison Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby American Esoteric Laboratories Of Memphis (AEL) 1720 Reelfoot, Sute 101A Union City, TN 38261 Phone: 731-885-5994 County: Obion Interventional Cardiology Interventional Radiology Laboratory Services BMHSI Of Ms 255 Baptist Blvd #402 Columbus, MS 39705 Phone: 662-240-1412 County: Lowndes Sjcrh 281 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3025 County: Shelby American Esoteric Laboratories Of Memphis (AEL) 2100 Exeter Rd. Germantown, TN 38138 Phone: 901-757-3451 County: Shelby Interventional Cardiology Interventional Radiology Laboratory Services Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby American Esoteric Laboratories Of Memphis (AEL) 2763 Summer Oaks Drive Bartlett, TN 38134 Phone: 901-937-1910 County: Shelby Interventional Cardiology Interventional Radiology Laboratory Services Ut Medical Group Inc 1251 Wesley Dr #153 Memphis, TN 38116 Phone: 901-259-2000 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Bourji, Naji Guest, Roland P Ibebuogu, Uzoma Nwachukwu Khouzam, Rami N Stout, Jeffrey Bunker Agrawal, Vijaykumar Becker, Daniel J Duszak, Richard L Interventional Cardiology Interventional Radiology Baptist Memorial Medical Group Inc 255 Baptist Blvd #402 Columbus, MS 39705 Phone: 662-240-1412 County: Lowndes Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Interventional Cardiology Laboratory Services Stern Cardiovascular Foundation Inc 8060 Wolf River Blvd Germantown, TN 38138 Phone: 901-271-1000 County: Shelby Dva Laboratory Services, Inc. 3951 SW 30th Ave Ft. Lauderdale, FL 33312 Phone: 800-688-4522 County: Broward King, John Joseph Paulus, Basil Mantas Zeni, Phillip Thomas Dva Laboratory Services, American Esoteric Laboratories Of Memphis (AEL) 5846 Distribution Drive Memphis, TN 38141 Phone: 901-405-8200 County: Shelby Laboratory Services American Esoteric Laboratories Of Memphis (AEL) 6029 Walnut Grove 1st Floor Memphis, TN 38120 Phone: 901-226-5667 County: Shelby Laboratory Services American Esoteric Laboratories Of Memphis (AEL) 641 R B Wilson Dr. Huntingdon, TN 38344 Phone: 731-986-7208 County: Carroll This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 140 Provider Listing by Specialty American Esoteric Laboratories Of Memphis (AEL) 7680 Airways Blvd. Southaven, MS 38671 Phone: 662-349-0446 County: Desoto Licensed Professional Counselor Licensed Professional Counselor 806 Howard Rd Starkville, MS 39759 Phone: 662-312-2099 County: Oktibbeha Mental Wellness Ctr Of Oxford 1207 Office Park Dr #B Oxford, MS 38655 Phone: 662-801-5028 County: Lafayette Laboratory Services Cash, Ruth Ouzts Laboratory Services Beals, George R Licensed Professional Counselor Ascendant Medical Laboratory 80 Humphreys Center Dr #108 Memphis, TN 38120 Phone: 901-786-6126 County: Shelby Desoto Family Counseling Center 187 Stateline Rd #17 Southaven, MS 38671 Phone: 662-342-2700 County: DeSoto Laboratory Services Licensed Professional Counselor Oxford Diagnostic Center 504 Azalea Drive Oxford, MS 38655 Phone: 662-513-9600 County: Lafayette Cassius, Eric D Laboratory Services Licensed Professional Counselor Oxford Diagnostic Center-Lab (Medicare Only) 504 Azalea Drive Oxford, MS 38655 Phone: 662-513-9600 County: Lafayette Laboratory Services Trumbull Labs 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Licensed Professional Counselor Ahmed, Esra Desoto Family Counseling Center 187 Stateline Rd #17 Southaven, MS 38671 Phone: 662-342-2700 County: Desoto Licensed Professional Counselor Anderson, Meghan R Mental Wellness Ctr Of Oxford 1207 Office Park Dr #B Oxford, MS 38655 Phone: 662-801-5028 County: Lafayette 815 Mt Moriah Rd Memphis, TN 38117 Phone: 901-685-5491 County: Shelby Cauthen, Melissa J 1202 Office Park Dr #A Oxford, MS 38655 Phone: 662-202-8055 County: Lafayette Licensed Professional Counselor Cook, David L Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Licensed Professional Counselor Fye, Leslie P Hartwell, Heather S Licensed Professional Counselor Holland, April A Holland Initiative Inc 5779 Getwell Rd Bldg D #3 Southaven, MS 38672 Phone: 662-510-6507 County: DeSoto Licensed Professional Counselor Hopper, Patrick Hogan Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Licensed Professional Counselor Johnson, Nancy L 1088 Rogers Rd Cordova, TN 38018 Phone: 9017551396 County: Shelby Licensed Professional Counselor Lacey-Godfrey, Lynette D 299 S 9th St #103 Oxford, MS 38655 Phone: 662-832-6470 County: Lafayette Licensed Professional Counselor Starkville Counseling Assoc 519 Dr. Martin Luther King Jr Dr Starkville, MS 39759 Phone: 662-323-5588 County: Oktibbeha 25 Security Dr Jackson, TN 38305 Phone: 731-664-9119 County: Madison Licensed Professional Counselor Licensed Professional Counselor Professional Care Svcs Of W TN Inc 5281 Navy Road Millington, TN 38053 Phone: 901-873-0305 County: Shelby 1088 Rogers Rd Cordova, TN 38018 Phone: 901-755-1396 County: Shelby Gatlin, Rebecca D Laney, Linda S Lewis, Tammy L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 141 Provider Listing by Specialty Licensed Professional Counselor Licensed Professional Counselor Licensed Professional Counselor Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby 1331 Union Ave #742 Memphis, TN 38104 Phone: 901-722-8751 County: Shelby New Directions Counseling Center 8830 Centre St #6 Southaven, MS 38671 Phone: 662-253-8324 County: DeSoto Licensed Professional Counselor Storey, Elizabeth Linebarger Martin, Lou Scott, Janet E Licensed Professional Counselor Mitchell, Joyce S 1207 Office Park Dr #B Oxford, MS 38655 Phone: 662-236-9333 County: Lafayette Desoto Family Counseling Center 187 Stateline Rd #17 Southaven, MS 38671 Phone: 662-342-2700 County: DeSoto Licensed Professional Counselor Licensed Professional Counselor Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Nova Counseling Inc 407 N Market St Paris, TN 38242 Phone: 731-642-9026 County: Henry Mullins, Charles A Thompson, John C Williams, Tajuana L Licensed Professional Counselor Williams, Larry Professional Care Svcs Of W TN Inc 12615 S Main St Somerville, TN 38068 Phone: 731-465-9831 County: Fayette Licensed Professional Counselor Wood, Anthony Jerome Desoto Family Counseling Center 187 Stateline Rd #17 Southaven, MS 38671 Phone: 662-342-2700 County: DeSoto Licensed Professional Counselor Licensed Professional Counselor New Prespectives 215 Hawks Rd #5 Martin, TN 38237 Phone: 731-587-3545 County: Weakley Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby 322 University Dr Starkville, MS 39759 Phone: 662-338-1880 County: Oktibbeha Licensed Professional Counselor Licensed Professional Counselor Licensed Professional Counselor Starkville Counseling Assoc 519 Dr. Martin Luther King Jr Dr Starkville, MS 39759 Phone: 662-323-5588 County: Oktibbeha New Prespectives 215 Hawks Rd #5 Martin, TN 38237 Phone: 731-587-3545 County: Weakley Terri J Wright 6 County Rd 236 Oxford, MS 38655 Phone: 662-202-7332 County: Lafayette Licensed Professional Counselor Licensed Professional Counselor Magnetic Resonance Imaging (MRI) Rayner Wellness 1207 Office Park Dr Oxford, MS 38655 Phone: 662-380-0577 County: Lafayette Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Nassar, Tracy Palmer, Cassandra Rayner, Jenny S Todd, Leila G Toney, Laura Ann Wade, Christine Marie Licensed Professional Counselor Licensed Professional Counselor Behavioral & Counseling Svcs 550 Lazenby Dr Somerville, TN 38068 Phone: 901-569-0165 County: Fayette 200 6th St N #401 Columbus, MS 39701 Phone: 662-327-5600 County: Lowndes Rohr, Michael E Wells, Debbie K Licensed Professional Counselor Woods, Wendie Wren Wright, Terri J Campbell Clinic Mri 1400 S. Germantown Road Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Magnetic Resonance Imaging (MRI) Semmes-Murphey Clinic Mri 6325 Humphreys Blvd. Memphis, TN 38120 Phone: 901-522-7700 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 142 Provider Listing by Specialty Mammography & Ultrasound MattressesPressure Ulcers Womens Health Center At Baptist Memorial Hospital For Women 6215 Humphreys Blvd.,#100 Memphis, TN 38120 Phone: 901-227-9650 County: Shelby Pressure Management Resources 6935 Appling Farms Pkwy; Ste 106 Memphis, TN 38133 Phone: 901-396-5211 County: Shelby Mammography & Ultrasound Pivnick, Eniko K Medical Genetics Womens Health Center-Collierville 1500 W Poplar Ave Collierville, TN 38017 Phone: 901-861-8900 County: Shelby Ut Medical Group Inc 777 Washington Ave #P110 Memphis, TN 38105 Phone: 901-448-2805 County: Shelby Mammography & Ultrasound Medical Genetics Wilroy, Robert S Womens Health Center-Mobile Mammography Unit 6215 Humphreys Blvd.,#100 Memphis, TN 38120 Phone: 901-227-9669 County: Shelby Ut Medical Group Inc 777 Washington Ave #P110 Memphis, TN 38105 Phone: 901-448-2805 County: Shelby Mammography & Ultrasound Medical Oncology Womens Health Center-Oak Court 4545 Poplar Ave Memphis, TN 38117 Phone: 901-766-2383 County: Shelby Maternal Fetal Medicine Bors-Koefoed, Roy Mid-South Maternal Fetal Medicine 6266 Poplar Ave Memphis, TN 38119 Phone: 901-682-2595 County: Shelby Maternal Fetal Medicine Schneider, Michael Benedict Mid-South Maternal Fetal Medicine 6266 Poplar Ave Memphis, TN 38119 Phone: 901-682-2595 County: Shelby Maternity Management Services Alere Women's And Children's Health 1355 Lynnfield Drive, Suite 277 Memphis, TN 38119 Phone: 901-767-8802 County: Shelby Martin, Michael G The West Clinic 1588 UNION AVE Memphis, TN 38104 Phone: 901-683-0055 County: Shelby Neonatal / Perinatal Medicine Ferguson, John M Ut Medical Group Inc 50 N Dunlap St Memphis, TN 38103 Phone: 901-287-4800 County: Shelby Neonatal / Perinatal Medicine Guthrie, Scott Osborn Ut Medical Group Inc 50 N Dunlap St Memphis, TN 38103 Phone: 901-287-4800 County: Shelby Neonatal / Perinatal Medicine Koneru, Padmaja East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby Neonatal / Perinatal Medicine Krishnan, Ramesh Kumar Ut Medical Group Inc 50 N Dunlap St Memphis, TN 38103 Phone: 901-287-4800 County: Shelby Neonatal / Perinatal Medicine Kudumula, Ravi Hardin Co Reg Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Neonatal / Perinatal Medicine Kudumula, Ravi Ut Medical Group Inc 853 Jefferson Ave Memphis, TN 38103 Phone: 901-448-5950 County: Shelby Neonatal / Perinatal Medicine Naida, Abubakar M. Millington Pediatrics 8222 US Hwy 51 N Millington, TN 38053 Phone: 901-873-0711 County: Shelby Neonatal / Perinatal Medicine Robinson, Marilyn Bearden East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby Neonatal / Perinatal Medicine Robinson, Marilyn B Ut Medical Group Inc 50 N Dunlap St Memphis, TN 38103 Phone: 901-287-4800 County: Shelby Neonatology Arrindell, Esmond L East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 143 Provider Listing by Specialty Neonatology Neonatology Nephrology East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby Ut Medical Group Inc 853 Jefferson Ave #201 Memphis, TN 38103 Phone: 901-448-5950 County: Shelby Clarksdale Hma Physician Mgmt 785 Ohio Ave #2H Clarksdale, MS 38614 Phone: 662-624-3003 County: Coahoma Neonatology Neonatology Nephrology Ut Medical Group Inc 853 Jefferson Ave Memphis, TN 38103 Phone: 901-448-5950 County: Shelby East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Neonatology Nephrology Nephrology Ut Medical Group Inc 50 N Dunlap St Memphis, TN 38103 Phone: 901-287-4800 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-448-8637 County: Shelby Kidney Care Consultants 3950 New Covington Pike #290 Memphis, TN 38128 Phone: 901-382-5256 County: Shelby Neonatology Nephrology Nephrology Ut Medical Group Inc 853 Jefferson Ave Memphis, TN 38103 Phone: 901-448-5950 County: Shelby Kidney Care Consultants 3950 New Covington Pike #300 Memphis, TN 38128 Phone: 901-382-5256 County: Shelby Mid South Nephrology Consultants 6490 Mt Moriah Ext #200 Memphis, TN 38115 Phone: 901-565-0244 County: Shelby Neonatology Nephrology Nephrology Ut Medical Group Inc 853 Jefferson Ave Memphis, TN 38103 Phone: 901-448-5950 County: Shelby Clarksdale Hma Physician Mgmt 785 Ohio Ave #2D Clarksdale, MS 38614 Phone: 662-627-7726 County: Coahoma Kidney Care Center 6005 Park Ave #722B Memphis, TN 38119 Phone: 901-684-3955 County: Shelby Neonatology Nephrology Nephrology East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby Kidney Group Of Memphis 2225 Union Ave #100 Memphis, TN 38104 Phone: 901-726-1161 County: Shelby Nephrology Assoc 2104 5th St N #4 Columbus, MS 39705 Phone: 662-329-3838 County: Lowndes Neonatology Nephrology Nephrology East Memphis Neonatology Assoc 6215 Humphreys Blvd #310 Memphis, TN 38120 Phone: 901-747-0291 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #360 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby 7640 Wolf River Cir 2nd Fl Germantown, TN 38138 Phone: 901-541-5065 County: Shelby Bolfing, Mary Frances Dereddy, Narendra R Dhanireddy, Ramasubbareddy Dudani, Rajesh El Abiad, Mohamad Tammam Hamlett, James M Hayden, Jane Ellen Pourcyrous, Massroor Sander, Craig J Alabsi, Ahmed Ibrahim Alshallah, Zaher Balamuthusamy, Saravanan Ballouk, Wesam F Banerjee, Satyaki Beemidi, Vikram R Britton, Marcus Louis Daher, Fadi Deogaygay, Bernadette Abeledo Din, Tameez Ud Dunn, Thomas Jason Ebaugh, Lynn This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 144 Provider Listing by Specialty Nephrology Nephrology Nephrology Mittal Kidney & Dialysis 6027 Walnut Grove Rd #402 Memphis, TN 38120 Phone: 901-767-0101 County: Shelby Mid South Nephrology Consultants 401 Southcrest Cir #201 Southaven, MS 38671 Phone: 901-565-0244 County: DeSoto Nephrology Nephrology Nephrology Svcs Medical Group Of Memphis 50 Humphreys Blvd #28 Memphis, TN 38120 Phone: 901-747-3501 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Internal Medicine 6490 Mt Moriah Ext #200 Memphis, TN 38115 Phone: 901-565-0244 County: Shelby Nephrology Nephrology Mittal Kidney & Dialysis 6027 Walnut Grove Rd #402 Memphis, TN 38120 Phone: 901-767-0101 County: Shelby Mid-South Renal Clinic 1120 Hwy 77 #1 2nd Fl Marion, AR 72364 Phone: 870-733-1177 County: Crittenden Nephrology Nephrology Ut Medical Group Inc 1325 Eastmoreland Ave #360 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Nephrology Svcs Medical Group Of Memphis 50 Humphreys Blvd #28 Memphis, TN 38120 Phone: 901-747-3501 County: Shelby Nephrology & Hypertension Assoc 2301 S Lamar Blvd #130 Oxford, MS 38655 Phone: 662-236-2900 County: Lafayette Nephrology Nephrology Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Nephrology Assoc 2104 5th St N #4 Columbus, MS 39705 Phone: 662-329-3838 County: Lowndes Nephrology Nephrology Mittal Kidney & Dialysis 6027 Walnut Grove Rd #402 Memphis, TN 38120 Phone: 901-767-0101 County: Shelby Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Nephrology Nephrology Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Kidney Specialists 176 S Bellevue Blvd #502 Memphis, TN 38104 Phone: 901-726-1199 County: Shelby George, Sajid Melvin George, Lekha K Goel, Arvind Gosmanova, Elvira O Nephrology Hamilton, Morris R Nephrology & Hypertension Assoc 2301 S Lamar Blvd #130 Oxford, MS 38655 Phone: 662-236-2900 County: Lafayette Nephrology Hamze, Omar Oussama Kidney Care Consultants 3950 New Covington Pike #290 Memphis, TN 38128 Phone: 901-382-5256 County: Shelby Nephrology Hastings, Margaret Colleen Ut Medical Group Inc 777 Washington Ave #P110 Memphis, TN 38103 Phone: 901-448-2870 County: Shelby Hernandez, Jacinto A Htike, Naing Lin Kazmi, Asif Saeed Kelley, Bobby J Kellum, Kenneth M Khosla, Nitin Kovesdy, Csaba Paul Kraus, Alfred P Nephrology Kulubya, Patrick Serwano Mid South Nephrology Consultants 401 Southcrest Cir #201 Southaven, MS 38671 Phone: 901-565-0244 County: DeSoto Nephrology Kumar, Aneel Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-448-5750 County: Shelby Nephrology Lam, Son G Lebrun, Christopher Jospeh Lee, John M Mansour, Nawar E This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 145 Provider Listing by Specialty Nephrology Nephrology Nephrology Jonathan H Massey Md 1300 Access Rd #300 Oxford, MS 38655 Phone: 662-232-8005 County: Lafayette Kidney Care Consultants 6025 Walnut Grove Rd #400 Memphis, TN 38120 Phone: 901-382-5256 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8810 County: Shelby Nephrology Nephrology Nephrology Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee 6005 Park Ave #511 Memphis, TN 38119 Phone: 901-767-0402 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Nephrology Quarles, Leigh Daryl Massey, Jonathan Hurt Milev, Tzonko V Miller, Christopher D Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Nephrology Mirza, Mashhud Munir Mid-South Renal Clinic 1120 Hwy 77 #1 2nd Fl Marion, AR 72364 Phone: 870-733-1177 County: Crittenden Nephrology Mock, Gregory Paul Nephrology Assoc 129 Brookmoore Dr Columbus, MS 39705 Phone: 662-329-3838 County: Lowndes Nephrology Morris, John Thomas John T Morris Iii Md 7640 Wolf River Cir 2nd Fl Germantown, TN 38138 Phone: 901-755-0208 County: Shelby Nephrology Mulay, Ramakant M Medical Nephrology Assoc 1575 Parr Ave #B Dyersburg, TN 38024 Phone: 731-286-1510 County: Dyer Pathak, Minesh B Pulusani, Deepika Reddy Nephrology Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Nephrology Rivera (Hospitalist), Juan P The Ryman Clinic 6570 Stage Rd #202 Bartlett, TN 38134 Phone: 901-213-4225 County: Shelby Nephrology Ruiz, Julio P Mid South Nephrology Consultants 6490 Mt Moriah Ext #200 Memphis, TN 38115 Phone: 901-565-0244 County: Shelby Nephrology Sarkar, Shyamal Showkat, Arif Siddiqui, Omer Muhammad Asif Nephrology Siddiqui, Omer Muhammad Asif West Tn Er Group 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-3190 County: Shelby Nephrology Stepniakowski, Konrad Tomasz Mid South Nephrology Consultants 6490 Mt Moriah Ext #200 Memphis, TN 38115 Phone: 901-565-0244 County: Shelby Nephrology Vo, Hieu Quang Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8810 County: Shelby Nephrology Advanced Kidney Specialists 170 Murray Guard Dr Jackson, TN 38305 Phone: 731-984-8390 County: Madison 220 S Claybrook #314 Memphis, TN 38104 Phone: 901-276-6277 County: Shelby Nephrology Nephrology Kidney Care Consultants 3950 New Covington Pike #300 Memphis, TN 38128 Phone: 901-382-5256 County: Shelby Nephrology & Hypertension Assoc 1542 Medical Park Cir Tupelo, MS 38801 Phone: 662-844-4711 County: Lee Shafique, Rehan Williams, Hugh H Wooldridge, Thomas D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 146 Provider Listing by Specialty Neurology Neurology Neurology Bolivar Physician Practices 903 E Sunflower Rd #400 Cleveland, MS 38732 Phone: 662-545-3205 County: Bolivar Adult Neurology Clinic 97 Stateline Rd Southaven, MS 38671 Phone: 662-536-0577 County: DeSoto Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-544-7881 County: Shelby Neurology Neurology Neurology Gastrointestinal & Liver Clinic 6630 Summer Knoll Cir #101 Bartlett, TN 38134 Phone: 901-266-1080 County: Shelby Butler Neurology 1264 Wesley Dr #209 Memphis, TN 38116 Phone: 901-396-4958 County: Shelby Wesley Neurology Clinic 8000 Centerview Pkwy Ste#305 Cordova, TN 38018 Phone: 901-624-2960 County: Shelby Neurology Neurology Neurology Ut Methodist Physicians 1325 Eastmoreland Ave #370 Memphis, TN 38104 Phone: 901-866-8801 County: Shelby Neurology Clinic 8000 Centerview Pkwy Ste# 300 Memphis, TN 38018 Phone: 901-747-1111 County: Shelby Sentinel Neurological Svcs Inc 1835 Union Ave #321 Memphis, TN 38104 Phone: 662-363-8156 County: Shelby Neurology Neurology Neurology Neurology Outreach Clinics 6005 Park Ave #722B Memphis, TN 38119 Phone: 901-683-8448 County: Shelby Wesley Neurology Clinic 1211 Union Ave #400 Memphis, TN 38104 Phone: 901-725-8920 County: Shelby Delta Neurology Clinic 785 Ohio Ave #2C Clarksdale, MS 38614 Phone: 662-627-2544 County: Coahoma Neurology Neurology Neurology 6005 Park Ave #722B Memphis, TN 38119 Phone: 901-683-8448 County: Shelby Ut Methodist Physicians 1325 Eastmoreland Ave #370 Memphis, TN 38104 Phone: 901-866-8801 County: Shelby Neurology Group 100 Hospital St Booneville, MS 38829 Phone: 615-855-1374 County: Prentiss Neurology Neurology Wesley Neurology Clinic 8000 Centerview Pkwy Ste# 305 Cordova, TN 38018 Phone: 901-624-2960 County: Shelby Madison Clinic Corp 37 Sandstone Cir Jackson, TN 38305 Phone: 731-664-9928 County: Madison Neurology Neurology Mid-South Neurology Clinic 8584 Cordes Cir Germantown, TN 38139 Phone: 901-531-7007 County: Shelby Heartsouth 2425 Proper St Corinth, MS 38834 Phone: 662-287-7785 County: Alcorn Ahmed, Mohammad A N Ahmed, Shameela Neaz Alexandrov, Andrei V Alhamda, Ahmed Basem Assaf, Mohammad Neurology Ault, Bettina Harman Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3006 County: Shelby Neurology Bertorini, Tulio E Wesley Neurology Clinic 8000 Centerview Pkwy Ste# 305 Cordova, TN 38018 Phone: 901-624-2960 County: Shelby Biswas, Debashis Butler, Darel Anthony Cape, Barbara L Chai, Yaohui Chang, Jason Jinwoo Condon, Gregory Josef Dick, Maroun T Dutta, Monisha Elahi, Hafiz Awais Grant-Brown, Latai Ebrette Hadidi, Mohamad Faseeh Hoos, Richard Tipton Ibrahim, Malik Kerby, Andrew L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 147 Provider Listing by Specialty Neurology Neurology Neurology Wesley Neurology Clinic 1211 Union Ave #400 Memphis, TN 38104 Phone: 901-725-8920 County: Shelby Wesley Neurology Clinic 1211 Union Ave #400 Memphis, TN 38104 Phone: 901-725-8920 County: Shelby Clarksdale Hma Physician Mgmt 785 Ohio Ave #3H Clarksdale, MS 38614 Phone: 662-627-3003 County: Coahoma Neurology Neurology Neurology Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8811 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3006 County: Shelby Wesley Neurology Clinic 8000 Centerview Pkwy Ste#305 Cordova, TN 38018 Phone: 901-624-2960 County: Shelby Neurology Neurology Neurology Ut Medical Group Inc 1265 Union Ave Memphis, TN 38104 Phone: 901-726-0999 County: Shelby Alan Nadel, Md 6005 Park Ave #804 Memphis, TN 38119 Phone: 901-680-9377 County: Shelby Grenada Neurology Clinic 1300 Sunset Dr O Grenada, MS 38901 Phone: 662-227-0998 County: Grenada Neurology Neurology Neurology Ut Methodist Physicians 1325 Eastmoreland Ave #370 Memphis, TN 38104 Phone: 901-758-7888 County: Shelby Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Farouk A Raquib Md 255 Medical Dr #3 Winfield, AL 35594 Phone: 205-487-4535 County: Marion Neurology Neurology Neurology Wesley Neurology Clinic 1211 Union Ave #400 Memphis, TN 38104 Phone: 901-725-8920 County: Shelby Heartsouth 2425 Proper St Corinth, MS 38834 Phone: 662-287-7785 County: Alcorn Batesville Hma Medical Group 303 Medical Center Dr Batesville, MS 38606 Phone: 662-281-0112 County: Panola Neurology Neurology Neurology Golden Triangle Neurology Clinic 516B Lincoln Rd Columbus, MS 39705 Phone: 662-327-2700 County: Lowndes Tri-State Neurology 1325 Eastmoreland Ave #460 Memphis, TN 38104 Phone: 901-820-0141 County: Shelby Oxford Neuromuscular Assoc 1300 Access Rd #200 Oxford, MS 38655 Phone: 662-281-0112 County: Lafayette Neurology Neurology Neurology Wesley Neurology Clinic 1211 Union Ave #400 Memphis, TN 38104 Phone: 901-725-8920 County: Shelby Wesley Neurology Clinic 1211 Union Ave #400 Memphis, TN 38104 Phone: 901-725-8920 County: Shelby West Tn Neurology 6570 Stage Rd #202 Bartlett, TN 38134 Phone: 901-213-4225 County: Shelby Landy, Stephen H Ledoux, Mark Steven Malkoff, Marc D Malkoff, Marc D Martinez, Jesus Felix Mccain, Reynolds P Mitchell, Christopher Wesley Mortazavi, Hamid Mudigoudar, Basanagoud D Nadel, Alan Obrien, Barbara Cape Owens, William Earl Petrinjac-Nenadic, Rada Pfeiffer, Ronald F Phoncharoensri, Dittana Pillai, Rekha Plunkett, Karen W Raquib, Farouk A Roland, Malcolm M S Roland, Malcolm M S Saeed, Salman This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 148 Provider Listing by Specialty Neurology Neuropathology Neurosurgery Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Crosby Clinic 6027 Walnut Grove Rd #409 Memphis, TN 38120 Phone: 901-683-4594 County: Shelby Neurology Neuropsychology Neurosurgery Memphis Neurology 401 Southcrest Cir #105 Southaven, MS 38671 Phone: 901-405-0275 County: DeSoto Center For Pediatric Neuropsychology 777 Washington Ave #P235 Memphis, TN 38105 Phone: 901-572-5220 County: Shelby Mid-South Neurological Clinic 234 Germantown Bend Cv Cordova, TN 38018 Phone: 901-757-4199 County: Shelby Neurology Neuropsychology Neurosurgery Tri-State Neurology 5100 Sanderlin Ave #1800 Memphis, TN 38117 Phone: 901-820-0141 County: Shelby Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Friedman Clinic 50 Humphreys Ctr #32 Memphis, TN 38120 Phone: 901-747-4320 County: Shelby Neurology Neuroradiology Neurosurgery Neurology Clinic 1325 McFarland Blvd #202 Tuscaloosa, AL 35476 Phone: 205-333-2999 County: Tuscaloosa Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Baptist Memorial Medical Group Inc 255 Baptist Blvd #301 Columbus, MS 39705 Phone: 662-244-2781 County: Lowndes Neurology Neuroradiology Neurosurgery Tri-State Neurology 6005 Park Ave #202 Memphis, TN 38119 Phone: 901-820-0141 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Phoenix Neurosurgery 5673 S Rex Rd Memphis, TN 38119 Phone: 901-276-6400 County: Shelby Neurology Neurosurgery Neurosurgery Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Baptist Memorial Medical Group Inc 255 Baptist Blvd #301 Columbus, MS 39705 Phone: 662-244-2550 County: Lowndes Baptist Memorial Medical Group Inc 2301 S Lamar Blvd # 130 Oxford, MS 38655 Phone: 662-513-1300 County: Lafayette Neurology Neurosurgery Neurosurgery Ut Methodist Physicians 1325 Eastmoreland Ave #370 Memphis, TN 38104 Phone: 901-866-8801 County: Shelby The Neurosurgical Center 55 Physicians Ln #1 Southaven, MS 38671 Phone: 662-349-5660 County: DeSoto 1203 Belk Blvd #110 Oxford, MS 38655 Phone: 662-234-5820 County: Lafayette Sonmezturk, Hasan Huseyin Sonone, Rahul Vasant Swaminathan, T R Todorov, Alexandre B Wang, James Jinxing Wilbourn, Rance B Zand, Ramin Ellison, David W Brewer, Vickie Renea Jain, Neelam Allred, John W Patay, Zolton Chang, David Tachen Clark, Winston C Crosby, Glenn Allen Feild, J Rodney Friedman, Harry Mendel, Richard C Parsioon, Fereidoon Walker, James Benning Windham, Thomas L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 149 Provider Listing by Specialty Nuclear Medicine Obstetrics and Gynecology Obstetrics and Gynecology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Delta Ob/Gyn 801 First St Cleveland, MS 38732 Phone: 662-843-0880 County: Bolivar Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 7705 Poplar Ave #340 Germantown, TN 38138 Phone: 901-755-8696 County: Shelby Delta Ob/Gyn 801 First St Cleveland, MS 38732 Phone: 662-843-0880 County: Bolivar New Albany Ob-Gyn Clinic 117 Fairfield Dr New Albany, MS 38652 Phone: 662-534-0029 County: Union Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Mcnairy Clinic Corp 705 E Poplar Ave Selmer, TN 38375 Phone: 731-646-2181 County: McNairy Grenada Lake Medical Center 1900 Grandview Dr Grenada, MS 38901 Phone: 662-226-5121 County: Grenada Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Allaince Health Partners 303 Medical Center Dr Batesville, MS 38606 Phone: 662-563-5611 County: Panola Alliance Health Partners 303 Medical Center Dr Batesville, MS 38606 Phone: 662-563-5611 County: Panola Jackson Regional Womens Ctr 72 Physicians Dr Jackson, TN 38305 Phone: 731-668-4455 County: Madison Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Grenada Lake Medical Center 1900 Grandview Dr Grenada, MS 38901 Phone: 662-226-5121 County: Grenada Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 853 Jefferson Ave # E102 Memphis, TN 38103 Phone: 901-448-6634 County: Shelby Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby OB/GYN Assoc Of The Mid-South 7705 Poplar Ave #240 Germantown, TN 38138 Phone: 901-791-9800 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma Memphis Womens Consultants 7655 Poplar Ave #130 Germantown, TN 38138 Phone: 901-757-0229 County: Shelby Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Shulkin, Barry L Albritton, John F Apostolakis-Kyrus, Katherine Asaju, Sunday Olanrewaju Aycock, William W Azari, Ahmad Balthrop, Erica R Bannister, Lea M Baugh, Bradley R Baxter, James Daniel Beer, Rodolfo Scott Betcher, Raymond E Bishop, Laura Joanne Blackett, Melrose I Blackwood, Mark E Blossom, Amy Paxton Bondurant, Sidney W Boxell, Sandra J Brathwaite, Natalie R Bronstein, Michael S Brown, Leslie Michelle This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 150 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Alliance Health Partners 303 Medical Center Dr Batesville, MS 38606 Phone: 662-563-5611 County: Panola Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma Columbus Ob-Gyn Specialty Center 425 Hospital Dr #5 Columbus, MS 39705 Phone: 662-240-0095 County: Lowndes Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Buchanan Womens Center 616 Alcorn Dr Corinth, MS 38834 Phone: 662-286-0206 County: Alcorn Ut Medical Group Inc 6215 Humphreys Blvd #201 Memphis, TN 38120 Phone: 901-866-8085 County: Shelby Crittenden Regional Hospital 304 S Rhodes West Memphis, AR 72301 Phone: 870-733-1240 County: Crittenden Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Premier Womens Care 1995 Hwy 51 S #112 Covington, TN 38019 Phone: 901-476-9311 County: Tipton 312 S Rhodes West Memphis, AR 72301 Phone: 870-733-1240 County: Crittenden Obstetrics and Gynecology Obstetrics and Gynecology Clark, James M 315 Walnut Bend S Cordova, TN 38018 Phone: 901-755-8880 County: Shelby Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma Brummitt, Kenyetta D Buchanan, Shantwania A Butcher, Sharon Ann Byrd, Kenneth N Obstetrics and Gynecology Cameron, Robert L Baptist Memorial Medical Group Inc 1312 Bishop St Union City, TN 38261 Phone: 731-885-5100 County: Obion Obstetrics and Gynecology Campbell, Rwanda D Dyersburg Clinic Corp 315 E. Tickle St. #A Dyersburg, TN 38024 Phone: 731-285-2100 County: Dyer Obstetrics and Gynecology Carney, Judi Lynn Woman's Care Center Of Memphis 80 Humphreys Center Dr #330 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Carney, Lee A Carter, Margaret F Caruthers Jr, Thomas J Cesare, Charles D Obstetrics and Gynecology Cesario, Jason Steven Magnolia Physician Services Inc 3714 Hwy 72 E Corinth, MS 38834 Phone: 662-287-6913 County: Alcorn Obstetrics and Gynecology Chaney, James P Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Obstetrics and Gynecology Chappell, B Todd Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Childrey, Gregory W Chin, Robert Chin, Robert Obstetrics and Gynecology Mcnairy Clinic Corp 699 E Poplar Ave Selmer, TN 38375 Phone: 731-646-6777 County: McNairy Obstetrics and Gynecology Cole, Kristi Mcintyre Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Obstetrics and Gynecology Cole, Samuel Ward Oxford Clinic For Women 2200 S Lamar Blvd #C Oxford, MS 38655 Phone: 662-234-1731 County: Lafayette Obstetrics and Gynecology Cooley, Kira Mattison Christ Community Health Svcs 5366 Mendenhall Mall Memphis, TN 38115 Phone: 901-260-8551 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 151 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Oxford Clinic For Women 2200 S Lamar Blvd #C Oxford, MS 38655 Phone: 662-234-1731 County: Lafayette Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma Detti, Laura Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby 7640 Clarington Cv #B Southaven, MS 38671 Phone: 662-349-3355 County: DeSoto Obstetrics and Gynecology Daniels, Anthony E Couey, Ira Lamar Counce, Michael F Cox, Sam J Memphis Mid-South Ob/Gyn Alliance 7705 Poplar Ave #240 Germantown, TN 38138 Phone: 901-754-6877 County: Shelby Obstetrics and Gynecology Crenshaw, Thomas H Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby Obstetrics and Gynecology Crigler, Lakisha A Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-4793 County: Coahoma Obstetrics and Gynecology Crisler, Crista L Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Obstetrics and Gynecology Cyrus, Rushelle Jones Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby Damallie, Kushna K Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8220 County: Shelby Dang, Hai V Obstetrics and Gynecology Obstetrics and Gynecology Memphis Obstetrics & Gynecology 6246 Poplar Ave Memphis, TN 38119 Phone: 901-761-4491 County: Shelby Blytheville Womans Group 1100 Medical Dr. Blytheville, AR 72315 Phone: 870-780-1363 County: Mississippi Obstetrics and Gynecology David, Mary Stuart Womens Clinic Of Dyersburg 1535 Parr Ave Dyersburg, TN 38024 Phone: 731-286-1319 County: Dyer Obstetrics and Gynecology Davis, Charles Leon Alliance Health Partners 303 Medical Center Dr Batesville, MS 38606 Phone: 662-563-5611 County: Panola Obstetrics and Gynecology Davis, Walter Lawrence Ridgeline Obstetrics & Gynecology 1601 New Castle Rd Forrest City, AR 72335 Phone: 901-737-3071 County: Saint Francis Obstetrics and Gynecology Denbo, Miriah Beth Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Dewane, Joseph C Obstetrics and Gynecology Dirghangi, Jayanta K 7655 Poplar Ave #360 Germantown, TN 38138 Phone: 901-752-5666 County: Shelby Obstetrics and Gynecology Donato, Heather Ocain Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Obstetrics and Gynecology Duggirala, Shweta Rao Womens Care Center Of Memphis 6215 Humphreys #500 Memphis, TN 38120 Phone: 901-682-0630 County: Shelby Obstetrics and Gynecology Dulaney, Bettyjo Betty Jo Dulaney Md 2157 Judicial Dr Germantown, TN 38138 Phone: 901-385-2639 County: Shelby Obstetrics and Gynecology Edelson, Michael L Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 152 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology OB GYN Ctrs Of Memphis 1264 Wesley Dr #402 Memphis, TN 38116 Phone: 901-396-5577 County: Shelby Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8220 County: Shelby Baptist Memorial Medical Group Inc 1995 Hwy 51 S #203A Covington, TN 38019 Phone: 901-475-5480 County: Tipton Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Christ Community Health Svcs 5366 Mendenhall Mall Memphis, TN 38115 Phone: 901-260-8551 County: Shelby Dyersburg Clinic Corp 315 E Tickle St #B Dyersburg, TN 38024 Phone: 731-285-2100 County: Dyer Advanced Obstetrics & Gynecology 236 Starlyn Ave New Albany, MS 38652 Phone: 662-534-4121 County: Union Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Mcnairy Clinic Corp 705 E Poplar Ave Selmer, TN 38375 Phone: 731-646-2181 County: McNairy 211 E Court Selmer, TN 38375 Phone: 731-645-3216 County: McNairy Obstetrics and Gynecology Obstetrics and Gynecology Gayden, John O Magnolia Physician Services Inc 41 Mitchell Ave Walnut, MS 38683 Phone: 662-223-4248 County: Tippah Obstetrics and Gynecology Fornera, Gary R Ehiremen, Stephen Eguabor Elsaccar, Ossama A Engbretson, Laura Lynne Estepp, Rye Ellen Evans, Diane L Evans, Diane L Mcnairy Clinic Corp 699 E Poplar Ave Selmer, TN 38375 Phone: 731-645-6777 County: McNairy Obstetrics and Gynecology Evans, Pamela R 300 Hospital Cir #102 Paris, TN 38242 Phone: 731-644-7662 County: Henry Feldbaum, Victor M Filetti, Lusia Cristina Finan, Eugene Michael Fleming, Andrenette M Frayer, Craig A Freeman, Robin Frohn, William Eric Ganapathy, Lakshmanan Obstetrics and Gynecology Fleming, Andrenette M 9005 Hwy 64 #101 Arlington, TN 38002 Phone: 901-383-7445 County: Shelby Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Memphis Ob/Gyn Assoc 7865 Educators Ln #200 Bartlett, TN 38133 Phone: 901-373-9221 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Mississippi County Hospital System 1521 N 10th St #A Blytheville, AR 72315 Phone: 870-838-7277 County: Mississippi Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Fowler, Mark J Geissler, Helena Marie Giddens, Gus Aric This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 153 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Physicians & Surgeons Clinic Ob/Gyn 255 Baptist Blvd Columbus, MS 39705 Phone: 662-328-9331 County: Lowndes Memphis Mid-South Ob/Gyn Alliance 6215 Humphreys Blvd #400 Memphis, TN 38120 Phone: 901-685-7342 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Pemiscot Co Memorial Hospital 701 E Lincoln Hayti, MO 63851 Phone: 573-359-3550 County: Pemiscot Martin Clinic Corp 164 Mt Pelia Rd Martin, TN 38237 Phone: 731-587-8155 County: Weakley Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 880 Madison Ave #3E01 Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Tri-Lakes Medical Center 303 Medical Center Dr Batesville, MS 38606 Phone: 662-712-1518 County: Panola Ob/Gyn Specialists 6401 Poplar Ave #530 Memphis, TN 38119 Phone: 901-767-9368 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby OB/GYN Assoc Of The Mid-South 7705 Poplar Ave #240 Germantown, TN 38138 Phone: 901-791-9800 County: Shelby Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Pemiscot Co Memorial Hospital 106 W 12th St Caruthersville, MO 63830 Phone: 573-333-2285 County: Pemiscot Womens Healthcare Office Of OB/GYN 6825 Winchester Rd #1 Memphis, TN 38115 Phone: 901-345-4640 County: Shelby Oxford Clinic For Women 2200 S Lamar Blvd #C Oxford, MS 38655 Phone: 662-234-1731 County: Lafayette Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womens Physicians Group 7705 Poplar Ave #150 Germantown, TN 38138 Phone: 901-273-1190 County: Shelby Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Nwmc-Physician Services 191 Carraway Dr Unit B Winfield, AL 35594 Phone: 205-487-7979 County: Marion Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 80 Humphreys Center Dr #330 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Woman's Care Center Of Memphis 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Giddens, Mary Andrea Givens, Vanessa Givens, Vanessa Mcmackin Gomez, Luis Martin Gonzalez, Ariel J Grandberry, Deidrea Latrice Greenwell, Thomas D Griffin, Meredith Kirk Guzman, Generoso R Haley, Charles T Hamby, Donald L Hardy, Brenda Mozette Harper, Julie Golden Harraway-Smith, Carolyn Loraine Haskins, Laura B Hassan, Randa M Hayden, Leslie Thompson Healy, Regina Gadomski Henderson, William E Henson, Barney J Hinote, Candace Denise This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 154 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology OB GYN Ctrs Of Memphis 1264 Wesley Dr #402 Memphis, TN 38116 Phone: 901-396-5577 County: Shelby Oxford Obstetrics & Gynecology Assoc 1204 Medical Park Dr Oxford, MS 38655 Phone: 662-236-5717 County: Lafayette Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology 505 Willowbrook Rd Columbus, MS 39705 Phone: 662-329-9191 County: Lowndes Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby Hodges, Frederick Taliaferro Holzhauer, James L Obstetrics and Gynecology Homsi, Riad Ibrahim Just For Women 80 Humphreys Center Dr #201 Memphis, TN 38120 Phone: 901-507-8675 County: Shelby Obstetrics and Gynecology Hord, Delphia M Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma Obstetrics and Gynecology Hoskins, Kelly Elizabeth Memphis Ob/Gyn Assoc 7900 Airways Blvd #2 Southaven, MS 38671 Phone: 662-349-5554 County: DeSoto Obstetrics and Gynecology Hsu, Patrick S 703 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-286-0930 County: Alcorn Obstetrics and Gynecology Hudson, Clay Brooke Columbus Ob-Gyn Specialty Center 425 Hospital Dr #5 Columbus, MS 39705 Phone: 662-240-0095 County: Lowndes Hunt, Marion Glenn Joe, Penn Q Keegan, Mary Leigh Kennedy, A Franklin Obstetrics and Gynecology Obstetrics and Gynecology Center For Womens Health 403 Doctors Dr New Albany, MS 38652 Phone: 662-534-0890 County: Union Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Women's Care Center Of Memphis 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Memphis Ob/Gyn Assoc 7900 Airways Blvd #2 Southaven, MS 38671 Phone: 662-349-5554 County: DeSoto Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Ob/Gyn Specialists 6401 Poplar Ave #530 Memphis, TN 38119 Phone: 901-767-9368 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Crittenden Hospital Assoc 228 Tyler St #304 West Memphis, AR 72301 Phone: 870-733-1718 County: Crittenden Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Obstetrics and Gynecology Obstetrics and Gynecology Dyersburg Clinic Corp 315 E Tickle St Dyersburg, TN 38024 Phone: 731-285-1935 County: Dyer John Landrigan Md 5180 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2703 County: Shelby Johnson, William W Johnson, Mary Katherine Jones-Shephard, Claudette E Joseph, Sonia R Joyner, Johnny B King, T Franklin Kumar, Alok Lacy, Susan N Lacy, Pamela Landrigan, John W This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 155 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology OB GYN Ctrs Of Memphis 1264 Wesley Dr #402 Memphis, TN 38116 Phone: 901-396-5577 County: Shelby Li, Sherri Xuan Pemiscot Co Memorial Hospital 907 E Reed Hayti, MO 63851 Phone: 573-359-3660 County: Pemiscot Lawrence, Joseph K Obstetrics and Gynecology Lazar, Edward H OB/GYN Assoc Of The Mid-South 7705 Poplar Ave #240 Germantown, TN 38138 Phone: 901-791-9800 County: Shelby Obstetrics and Gynecology Lazarus, Edward Jay Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8220 County: Shelby Obstetrics and Gynecology Lee, Helen Seunglim Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Obstetrics and Gynecology Lee, Daniel Arthur Memphis Ob/Gyn Assoc 7900 Airways Blvd #2 Southaven, MS 38671 Phone: 662-349-5554 County: DeSoto Obstetrics and Gynecology Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Obstetrics and Gynecology Ling, Frank W Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Obstetrics and Gynecology Lipscomb, Gary H Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-866-8812 County: Shelby Obstetrics and Gynecology Liu, Katherine Cherry Christ Community Health Svcs 2400 Poplar Ave #501 Memphis, TN 38112 Phone: 901-271-0896 County: Shelby Obstetrics and Gynecology Logan, Quinisha Kayon Magnolia Physician Services Inc 3714 Hwy 72 E Corinth, MS 38834 Phone: 662-287-6913 County: Alcorn Lenahan, William L Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby 200 Carraway Dr #B-2 Winfield, AL 35594 Phone: 205-487-2004 County: Marion Lewis, Torrance R Mid-South Minimally Invasive Ob/Gyn Svcs 8065 Club Pkwy #1 Cordova, TN 38016 Phone: 901-336-4797 County: Shelby Long, Diane M Obstetrics and Gynecology Love, Beverly Ray Dyersburg Clinic Corp 315 E Tickle St #A Dyersburg, TN 38024 Phone: 731-285-2100 County: Dyer Luangjamekorn, Verachai Obstetrics and Gynecology Lund, Elizabeth D Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Obstetrics and Gynecology Lynn, Carol Ingraham Carol I Lynn Md Gynecology 2136 Exeter Dr. #103 Germantown, TN 38138 Phone: 901-755-2900 County: Shelby Obstetrics and Gynecology Mak, Ernest Phillips Clinic Corp 1803 Martin Luther King Dr #D Helena, AR 72342 Phone: 870-816-3800 County: Phillips Obstetrics and Gynecology Manejwala, Fazal Mehmood Memphis Ob/Gyn Assoc 7900 Airways Blvd #2 Southaven, MS 38671 Phone: 662-349-5554 County: DeSoto Obstetrics and Gynecology Mann, Elizabeth K Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Obstetrics and Gynecology Manuele, James Carl Grenada Lake Medical Center 1900 Grandview Dr Grenada, MS 38901 Phone: 662-226-5121 County: Grenada This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 156 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8220 County: Shelby Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Kristen Miller Obstetrics & Gynecology 6750 Poplar Ave #210 Germantown, TN 38138 Phone: 901-756-6522 County: Shelby Mari, Giancarlo Mcdonald, Mary N Miller, Kristin M Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womans Clinic 2000 N State St Clarksdale, MS 38614 Phone: 662-627-7361 County: Coahoma OB GYN Ctrs Of Memphis 1264 Wesley Dr #402 Memphis, TN 38116 Phone: 901-396-5577 County: Shelby New Albany Ob-Gyn Clinic 117 Fairfield Dr New Albany, MS 38652 Phone: 662-534-0029 County: Union Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Usha J Mehta Md 7600 Airways Blvd #A Southaven, MS 38671 Phone: 662-349-1000 County: DeSoto Memphis Ob/Gyn Assoc 7705 Poplar Ave #340 Germantown, TN 38138 Phone: 901-755-8696 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Oxford Clinic For Women 2200 S Lamar Blvd #C Oxford, MS 38655 Phone: 662-234-1731 County: Lafayette Mcnairy Clinic Corp 705 E Poplar Ave Selmer, TN 38375 Phone: 731-646-2181 County: McNairy Ob/Gyn Specialists 6401 Poplar Ave #530 Memphis, TN 38119 Phone: 901-767-9368 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 7900 Airways Blvd #2 Southaven, MS 38671 Phone: 662-349-5554 County: DeSoto Memphis Ob/Gyn Assoc 7918 Wolf River Blvd Germantown, TN 38138 Phone: 901-624-4444 County: Shelby Moore Clinic For Womens Health 1801 Martin Luther King Dr Helena, AR 72342 Phone: 870-338-2727 County: Phillips Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Christ Community Health Svcs 1211 Union Ave # 200 Memphis, TN 38104 Phone: 901-260-8551 County: Shelby Jackson Regional Womens Ctr 72 Physicians Dr Jackson, TN 38305 Phone: 731-668-4455 County: Madison OB GYN Ctrs Of Memphis 1264 Wesley Dr #402 Memphis, TN 38116 Phone: 901-396-5577 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Dyersburg Clinic Corp 315 E Tickle St #B Dyersburg, TN 38024 Phone: 731-285-2100 County: Dyer N Ms Medical Clinics Inc 2500 Military Rd #6 Columbus, MS 39705 Phone: 662-327-8924 County: Lowndes Ob/Gyn Specialists 6401 Poplar Ave #530 Memphis, TN 38119 Phone: 901-767-9368 County: Shelby Marley, Bouldin A Martin, Kyle Patterson Martin, Jerry Keith Mcadory, Jane Elizabeth Mcallister, Mitchell S Mcclinton, Pascaline Mcglothan, Corey Shane Mehta, Usha Jagdish Merski, Dennis W Mestemacher, Christine Smith Micetich, Keith Miles, Charles D Mitchell, Gregory Eugene Moise, Claudia L Moise, Claudia L Moore, Pittman D Moore, Dwight M Moore, Yvonne Frank This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 157 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8220 County: Shelby Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741.2151 County: Bolivar Oxford Obstetrics & Gynecology Assoc 1204 Medical Park Dr Oxford, MS 38655 Phone: 662-236-5717 County: Lafayette Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 7865 Educators Ln #200 Bartlett, TN 38133 Phone: 901-373-9221 County: Shelby OB GYN Consultants Of Memphis 220 S Claybrook #403 Memphis, TN 38104 Phone: 901-274-9717 County: Shelby Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Columbus Ob-Gyn Specialty Center 425 Hospital Dr #5 Columbus, MS 39705 Phone: 662-240-0095 County: Lowndes Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Mcdonald Murrmann Womens Clinic 7205 Wolf River Blvd #150 Germantown, TN 38138 Phone: 901-752-4500 County: Shelby Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 80 Humphreys Center Dr #330 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby 6027 Walnut Grove Rd #216 Memphis, TN 38120 Phone: 901-685-6815 County: Shelby Ob/Gyn Specialists 6401 Poplar Ave #530 Memphis, TN 38119 Phone: 901-767-9368 County: Shelby Obstetrics and Gynecology Patterson, James K Moses, Linda Fay Mullenix, Jason Bryan Murch, Theresa A Murrmann, Susan G Neblett, Paul David Nieto Jr, Arthur Phillips Clinic Corp 1803 Martin Luther King Dr #D Helena, AR 72342 Phone: 870-816-3800 County: Phillips Obstetrics and Gynecology Nieves, Paul Bryan Baptist Memorial Medical Group Inc 1312 Bishop St Union City, TN 38261 Phone: 731-885-5100 County: Obion Norwood, Gregory Pearce Oraedu, Kingsley Ogonna Otey, Stephen K Page, Audrey M Pasley, Monica Armstead Obstetrics and Gynecology Patterson Ob/Gyn 2671 Appling Rd Memphis, TN 38133 Phone: 901-213-0505 County: Shelby Obstetrics and Gynecology Patterson, Rushton E 2671 Appling Rd Memphis, TN 38133 Phone: 901-213-0505 County: Shelby Patton, Gregory O Peeler, George Huff Phillips, Owen P Pickens, John H Pilgrim, Paula Obstetrics and Gynecology Pinkley, Leonard F Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Obstetrics and Gynecology Podraza, Michael St Francis Medical Partners East 6005 Park Ave #828B Memphis, TN 38119 Phone: 901-254-8180 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 158 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Mid-South Ob/Gyn Alliance 6215 Humphreys Blvd #400 Memphis, TN 38120 Phone: 901-685-7342 County: Shelby Memphis Mid-South Ob/Gyn Alliance 6215 Humphreys Blvd #400 Memphis, TN 38120 Phone: 901-685-7342 County: Shelby Alliance Health Partners 303 Medical Center Dr Batesville, MS 38606 Phone: 662-563-5611 County: Panola Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology The West Clinic 100 N Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Womens Clinic Of Forrest City 902 Holiday Dr #102 Forrest City, AR 72335 Phone: 870-633-0091 County: Saint Francis Oxford Clinic For Women 2200 S Lamar Blvd #C Oxford, MS 38655 Phone: 662-234-1731 County: Lafayette Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Women's Physicans Group 1469 Poplar Ave Memphis, TN 38104 Phone: 901-276-3222 County: Shelby Baptist Memorial Medical Group Inc 1312 Bishop St Union City, TN 38261 Phone: 731-885-5100 County: Obion Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Ms Co Womens Medical Ctr 1521 N 10th #G Blytheville, AR 72315 Phone: 870-763-0222 County: Mississippi Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Ob/Gyn Specialists 6401 Poplar Ave #530 Memphis, TN 38119 Phone: 901-767-9368 County: Shelby Ut Medical Group Inc 880 Madison Ave #3E01 Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8320 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Cornerstone Womens Ctr 6831 Crumpler Blvd #100 Olive Branch, MS 38654 Phone: 662-890-5559 County: DeSoto Womens Care Center 1028 Cresthaven Rd #101 Memphis, TN 38119 Phone: 901-680-8146 County: Shelby 315 Walnut Bend S Cordova, TN 38018 Phone: 901-755-8880 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Grenada Lake Medical Center 1900 Grandview Dr Grenada, MS 38901 Phone: 662-226-5121 County: Grenada Magnolia Womens Clinic 512 Alcorn Dr Corinth, MS 38834 Phone: 662-286-6090 County: Alcorn Reed, Cheston M Reed, Mark E Riedley-Malone, Shannon E Riseling, Elizabeth Mannwright Ruffin, Jessica Minor Ryan, Charles G Salam, Omar S Sanford, Jack C Sarinoglu, Cem Seymore, Melvinie E Shahriari, Siamak Shier, Janice Marie Simha, Samuel Simpson, Don E Slocki, Lawrence Michael Smith, Ronald Blake South, Christy D Stack, Michael Lee Stanford, Edward Joseph Stinson, William David Obstetrics and Gynecology Stovall, Thomas Gregory Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 159 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 6215 Humphreys Blvd #500 Memphis, TN 38120 Phone: 901-682-0430 County: Shelby Memphis Ob/Gyn Assoc 7705 Poplar Ave #340 Germantown, TN 38138 Phone: 901-755-8696 County: Shelby Alliance Health Partners 303 Medical Center Dr Batesville, MS 38606 Phone: 662-563-5611 County: Panola Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Pemiscot Co Memorial Hospital 907 E Reed Hayti, MO 63851 Phone: 573-359-3660 County: Pemiscot Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Woman's Care Center Of Memphis 80 Humphreys Center Dr #330 Memphis, TN 38120 Phone: 901-747-1200 County: Shelby Ut Medical Group Inc 880 Madison Ave 3D01 Memphis, TN 38103 Phone: 901-448-3700 County: Shelby Womens Health Specialists 7800 Wolf Trail Cv Germantown, TN 38138 Phone: 901-682-9222 County: Shelby Obstetrics and Gynecology Obstetrics and Gynecology Obstetrics and Gynecology Womens Care Center Of Memphis 6215 Humphreys #500 Memphis, TN 38120 Phone: 901-682-0630 County: Shelby Consolidated Medical Practices Of Memphis 7516 Capital Dr Germantown, TN 38138 Phone: 901-753-4200 County: Shelby Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Obstetrics and Gynecology Whaley, Lance Dewey Sullivant, Henry P Summitt, Margaret Z Summitt, Robert L Taylor, Herbert A Taylor, Kristal Obstetrics and Gynecology Tejwani, Indurani 6005 Park Ave #508 Memphis, TN 38119 Phone: 901-683-7319 County: Shelby Obstetrics and Gynecology Thayer, Gilbert Michael Hardin Co Reg Health Ctr 105 Davis St Savannah, TN 38372 Phone: 731-925-8879 County: Hardin Thompson, Elaine Allen Thorpe, Edwin M Tinker, Cory Ray Tobiasz, Ana M Todd, Tanja L Tonkin, Leah Carmen Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Obstetrics and Gynecology Townsend, Arthur M Associates Obstetrics & Gynecology 7655 Poplar Ave Germantown, TN 38138 Phone: 901-726-4000 County: Shelby Tucker, George Sean Turner, Douglas M Unda-Rivera, Rafael Francisco Vogt, Val Yvette Wang, Jenny Qian Obstetrics and Gynecology 60 Physician Ln #2 Southaven, MS 38671 Phone: 662-349-7045 County: DeSoto Obstetrics and Gynecology Wilburn Wren, Kristie Renee Madison Clinic Corp 1020 E Main St Brownsville, TN 38012 Phone: 731-779-0788 County: Haywood This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 160 Provider Listing by Specialty Obstetrics and Gynecology Obstetrics and Gynecology Oncology Jackson Regional Womens Ctr 72 Physicians Dr Jackson, TN 38305 Phone: 731-668-4455 County: Madison Baptist Memorial Medical Group Inc 1312 Bishop St Union City, TN 38261 Phone: 731-885-5100 County: Obion Oncology Hematology Consultants 100 Kiana Ct Paducah, KY 42001 Phone: 270-554-0011 County: McCracken Obstetrics and Gynecology Obstetrics and Gynecology Oncology Woman's Care Center Of Memphis 6215 Humphreys Blvd #301 Memphis, TN 38120 Phone: 901-767-3810 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Obstetrics and Gynecology Obstetrics and Gynecology (High Risk Only) Oncology Williams, Lane E Williams, Judith Jordan Williams, David J Womens Clinic Of New Albany 460 W Bankhead St New Albany, MS 38652 Phone: 662-534-4783 County: Union Obstetrics and Gynecology Wilson, James A Memphis Ob/Gyn Assoc 3775 Covington Pike Memphis, TN 38135 Phone: 901-373-1682 County: Shelby Obstetrics and Gynecology Witty, Joseph B 2102 5th St N #1 Columbus, MS 39705 Phone: 662-329-1393 County: Lowndes Obstetrics and Gynecology Wood, Duke J Physicians & Surgeons Clinic Ob/Gyn 900 Earl Frye Blvd #A Amory, MS 38821 Phone: 662-256-9331 County: Monroe Obstetrics and Gynecology Wortham, George F Memphis Ob/Gyn Assoc 6215 Humphreys Blvd #401 Memphis, TN 38120 Phone: 901-767-8442 County: Shelby Young, Robert R Young, Roger Charles Meyer, Norman L Ut Medical Group Inc 880 Madison Ave #3C Memphis, TN 38103 Phone: 901-866-8814 County: Shelby Occupational Medicine Kirkpatrick, Robert Ut Medical Group Inc 1301 Primacy Pkwy Memphis, TN 38119 Phone: 901-448-0275 County: Shelby Occupational Medicine Mcafee, James E Columbus Occupational Medicine 915 Alabama St Columbus, MS 39702 Phone: 662-241-5390 County: Lowndes Occupational Medicine Wren, Kelvin Occutran Treatment Center 6570 Stage Rd #255 Memphis, TN 38134 Phone: 901-388-3600 County: Shelby Ocular Prosthetics Thomas Ocular Prosthetics, Inc. 1900 Kirby Parkway, Suite 102 Germantown, TN 38138 Phone: 901-753-4724 County: Shelby Conkright, William Aubrey Hill, Julian B Johnson, Robert A The West Clinic 100 N Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Oncology Kellum, Andrew H N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Oncology Montgomery, Charles W N Ms Hematology/Oncology Assoc 961 S Gloster St Tupelo, MS 38801 Phone: 662-844-9166 County: Lee Oncology Morgan, Dennis Paul Family Cancer Ctr Foundation Inc 504 Azalea Dr #A Oxford, MS 38655 Phone: 662-236-7738 County: Lafayette Oncology Sultani, Mtanius A Medical Oncology Inc 581 Medical Dr Clarksdale, MS 38614 Phone: 662-627-7163 County: Coahoma This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 161 Provider Listing by Specialty Oncology Ophthalmology Ophthalmology The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Ophthalmic Plastic Surgical Assoc. 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby T Kevin Braswell Md 990 Avent Dr Grenada, MS 38901 Phone: 662-226-2030 County: Grenada Oncology Ophthalmology Ophthalmology The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Total Eye Care 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby Tupelo Eye Clinic 610 Brunson Dr Tupelo, MS 38801 Phone: 662-844-7211 County: Lee Oncology Ophthalmology Ophthalmology Oncology Hematology Consultants 100 Kiana Ct Paducah, KY 42001 Phone: 270-554-0011 County: McCracken Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Ophthalmology Ophthalmology Ophthalmology Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Thomas J Beasley Md 1204 N Washington Forrest City, AR 72335 Phone: 870-633-7742 County: Saint Francis Ut Medical Group Inc 930 Madison Ave #100 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Ophthalmology Ophthalmology Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Bennett Ophthalmology Group 2475 5th St N Columbus, MS 39705 Phone: 662-328-1254 County: Lowndes Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ophthalmology Ophthalmology Ophthalmology Skyline Eye Clinic 668 Skyline Dr Jackson, TN 38301 Phone: 731-424-2414 County: Madison Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Vrf Eye Specialty Group 825 Ridge Lake Blvd. Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ophthalmology Ophthalmology Ophthalmology Sidney H Kriger Md 6401 Poplar Ave #340 Memphis, TN 38119 Phone: 901-683-5500 County: Shelby Columbus Eye Clinic & Refractive Surgery Ctr 425 Hospital Dr #8 Columbus, MS 39705 Phone: 662-328-2061 County: Lowndes Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Tauer, Kurt Wheeler, Benton M Winkler, Charles Frank Aufderheide, Adam Christopher Bailey, Thomas D Bateman, Mark R Battles, Michele Miller Beale, Howard L Beale, Howard L Beale, Howard L Beasley, Thomas J Bennett, James D Booth, Blake August Bradley, Scott T Braswell, Thomas K Brawner, William C Brennen, Peter Michael John Brennen, Peter Michael John Brown, Calvin Christopher Brown, Larry Dale Brown, Calvin Christopher This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 162 Provider Listing by Specialty Ophthalmology Ophthalmology Ophthalmology W Memphis Eye Ctr 303 W Polk West Memphis, AR 72301 Phone: 870-732-2100 County: Crittenden Tupelo Eye Clinic 610 Brunson Dr Tupelo, MS 38801 Phone: 662-844-7211 County: Lee Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Ophthalmology Ophthalmology Kathryn W Byrd Md 6515 Poplar Ave #112 Memphis, TN 38119 Phone: 901-681-9600 County: Shelby Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Ut Medical Group Inc 920 Madison Ave #700 Memphis, TN 38103 Phone: 901-448-6381 County: Shelby Ophthalmology Ophthalmology Ophthalmology Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Ophthalmology Ophthalmology Ophthalmology W Tn Eye Assoc 112 Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-1994 County: Madison Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Retina Specialists Of N Al 3302 W Linden St #C Corinth, MS 38834 Phone: 800-239-2023 County: Alcorn Ophthalmology Ophthalmology Ophthalmology Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Cooper-Pang Eye Clinic 561 Medical Dr Clarksdale, MS 38614 Phone: 662-627-5256 County: Coahoma Eye Specialists Assoc 1900 Kirby Pkwy #100 Germantown, TN 38138 Phone: 901-754-0930 County: Shelby Ophthalmology Ophthalmology Ophthalmology T Kevin Braswell Md 990 Avent Dr Grenada, MS 38901 Phone: 662-226-2030 County: Grenada Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Passons Eye Center 909 Ridgeway Loop Rd Memphis, TN 38120 Phone: 901-683-1112 County: Shelby Ophthalmology Ophthalmology Ophthalmology Cape Regional Eye Ctr 401 Tickle Street Dyersburg, TN 38024 Phone: 731-286-2801 County: Dyer Eye Specialists Assoc 1900 Kirby Pkwy #100 Germantown, TN 38138 Phone: 901-754-0930 County: Shelby Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Bryant, G Edward Byrd, Kathryn W Calderon, Cindy Susan Calderon, Cindy Susan Calzada, Jorge Ignacio Campbell, Mike C Cape, Richard C Chappell, Joseph J Charles, Steven T Charles, Steven T Chaum, Edward Cooper, Tom Smythe Crothers, Andrew W Currey, Thomas A Cutler Peck, Carolee Marie Ditta, Lauren Claire Doherty, Terrence James Dorin, Scott E Duncan, Kristen Taylor Echols, James Robert Elfervig, John L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 163 Provider Listing by Specialty Ophthalmology Ophthalmology Ophthalmology Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Memphis Eye & Cataract Assoc 6485 Poplar Ave Memphis, TN 38119 Phone: 901-767-3937 County: Shelby Mid-South Retina Assoc 6005 Park Ave #624B Memphis, TN 38119 Phone: 901-682-1100 County: Shelby Ophthalmology Ophthalmology Ophthalmology Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby 920 Madison Ave #605 Memphis, TN 38103 Phone: 901-522-1700 County: Shelby Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Ophthalmology Garrett, Jennifer Hussey Farmer, William D Fingerhut, David Elliot Fleming, James C Ut Medical Group Inc 7945 Wolf River Blvd # 240 Germantown, TN 38138 Phone: 901-347-8331 County: Shelby Ophthalmology Flores, Ana L Memphis Eye Clinic 6029 Walnut Grove Rd #101 Memphis, TN 38120 Phone: 901-747-3900 County: Shelby Ophthalmology Frederick, William R 126 Hickory Hill Dr Helena, AR 72342 Phone: 870-338-9882 County: Phillips Ophthalmology Freeman, James F Memphis Eye & Cataract Assoc 6485 Poplar Ave Memphis, TN 38119 Phone: 901-767-3937 County: Shelby Ophthalmology Freeman, Jerre M Memphis Eye & Cataract Assoc 6485 Poplar Ave Memphis, TN 38119 Phone: 901-767-3937 County: Shelby Freeman, John Macklin Furr, Philip M Ophthalmology Heartsouth 1804 Shiloh Rd Corinth, MS 38834 Phone: 662-212-9001 County: Alcorn Ophthalmology Gettelfinger, Thomas C Memphis Eye & Cataract Assoc 6485 Poplar Ave Memphis, TN 38119 Phone: 901-767-3937 County: Shelby Ophthalmology Gillespie, William M Gordon, Lawrence Wooten Graves, Emily Taylor Ophthalmology Graves, Emily Taylor Ut Medical Group Inc 930 Madison Ave #400 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Grissom, Hilary Carol Skyline Eye Clinic 668 Skyline Dr Jackson, TN 38301 Phone: 731-424-2414 County: Madison Ophthalmology Columbus Eye Clinic & Refractive Surgery Ctr 425 Hospital Dr #8 Columbus, MS 39705 Phone: 662-328-2061 County: Lowndes Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Ophthalmology Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Rice Eye Assoc 6238 Poplar Ave Memphis, TN 0 Phone: 901-761-4292 County: Shelby Ophthalmology Ophthalmology Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Jackson Clinic 2863 Hwy 45 Bypass Jackson, TN 38305 Phone: 731-660-8355 County: Madison Girschek, Brendan Paul Gollamudi, Subba Rao Haik, Barrett George Hamilton, Ralph F Hammond, Stephen D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 164 Provider Listing by Specialty Ophthalmology Ophthalmology Ophthalmology Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Mid South Retina Assoc 6005 Park Ave #624B Memphis, TN 38119 Phone: 901-682-1100 County: Shelby Ophthalmology Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Memphis Eye & Cataract Assoc 6485 Poplar Ave Memphis, TN 38119 Phone: 901-767-3937 County: Shelby Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ophthalmology Ophthalmology Ophthalmology Skyline Eye Clinic 668 Skyline Dr Jackson, TN 38301 Phone: 731-424-2414 County: Madison Rice Eye Assoc 6238 Poplar Ave Memphis, TN 0 Phone: 901-761-4292 County: Shelby Sidney H Kriger Md 6401 Poplar Ave #340 Memphis, TN 38119 Phone: 901-683-5500 County: Shelby Ophthalmology Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ophthalmology Ophthalmology Ophthalmology 4571 Summer Ave Memphis, TN 38122 Phone: 901-680-0043 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Hancock, Heather A Hart, James C Herron, Bruce E Hoehn, Mary Ellen Holliday, James N Ophthalmology Huddleston, Stephen Michael Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Ophthalmology Hyatt, John David Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Iannaccone, Alessandro Irvine, William D Irvine, David Jerkins, Brian Montgomery Kanner, Elliott M Khamapirad, Tawan Sunny Krauss, Andrew M Kriger, Sidney H Lagonigro, Paul Joseph Lawrence, Scott D Ophthalmology Ophthalmology Southern Tn Eye Specialists Inc 336 Poplar View Pkwy #1 Collierville, TN 38017 Phone: 901-854-6220 County: Shelby 6258 Poplar Ave Memphis, TN 38119 Phone: 901-680-1990 County: Shelby Ophthalmology Linn, John E Kavoussi, Harold Peter Kerr, Natalie C Ut Medical Group Inc 930 Madison Ave #400 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Linder, James Samuel Ophthalmology Total Eye Care 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 165 Provider Listing by Specialty Ophthalmology Ophthalmology Ophthalmology Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Cooper-Pang Eye Clinic 561 Medical Dr Clarksdale, MS 38614 Phone: 662-627-5256 County: Coahoma Ophthalmology Ophthalmology Ophthalmology Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Skyline Eye Clinic 668 Skyline Dr Jackson, TN 38301 Phone: 731-424-2414 County: Madison Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Ophthalmology Ophthalmology 2890 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-3937 County: Lafayette Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Passons Eye Center 909 Ridgeway Loop Rd Memphis, TN 38120 Phone: 901-683-1112 County: Shelby Ophthalmology Ophthalmology Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby Pelton Eye Centers Of Mississippi 425-B N Davis Ave Cleveland, MS 38732 Phone: 662-545-4600 County: Bolivar Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Mid-South Retina Assoc 609 Skyline Dr Jackson, TN 38301 Phone: 731-682-1100 County: Madison Ophthalmology Ophthalmology Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby Linn, John E Loden, James C Mayo, William S Ophthalmology Mcgowin, Alinda Guynes Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Mclaurin, Eugene Bramlett Total Eye Care 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby Ophthalmology Meyer, David Meyer Eye Group 1068 Cresthaven Rd #400 Memphis, TN 38119 Phone: 901-522-6520 County: Shelby Ophthalmology Mills, Katie A Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Morris, William R Neel, Sean Torin Netland, Peter Ngakeng, Vanessa E Odonnell, Thomas James Oester, Alan E Pan, Jane Chichun Pang, Victor Partal, Andreea Evelin Passons, Gary A Peltan, Harold L Phillips, Margaret Elizabeth Priester, William Bradford Randolph, John Carlton This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 166 Provider Listing by Specialty Ophthalmology Ophthalmology Ophthalmology Loden Vision Ctr Of Paris 1024 Kelly Drive Paris, TN 38242 Phone: 731-884-7562 County: Henry Vrf Eye Specialty Group 825 Ridge Lake Blvd. Memphis, TN 38120 Phone: 901-685-2200 County: Shelby West Tn Eye Association 112 Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-1994 County: Madison Ophthalmology Ophthalmology Ophthalmology Rayner Eye Clinic 1308 Belk Dr Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Desoto Eye Care 726 Goodman Rd E #B Southaven, MS 38671 Phone: 662-349-1959 County: DeSoto Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ophthalmology Ophthalmology Ophthalmology Rice Eye Assoc 6238 Poplar Ave Memphis, TN 38119 Phone: 901-761-4292 County: Shelby Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby Mid-South Retina Assoc 6005 Park Ave #624B Memphis, TN 38119 Phone: 901-682-1100 County: Shelby Ophthalmology Ophthalmology Ophthalmology Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Eye Surgery Consultants 2210 Barron Rd #114 Poplar Bluff, MO 63901 Phone: 573-686-4800 County: Butler Ophthalmology Ophthalmology Ophthalmology Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Mayo Eye Center Inc 2890 S Lamar Oxford, MS 38655 Phone: 662-234-3937 County: Lafayette 529 N 10th St Blytheville, AR 72315 Phone: 901-680-0080 County: Mississippi Ophthalmology Ophthalmology Sullivan, Jason Murray Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Shipp Eye Clinic 3302-C W Linden St Corinth, MS 38834 Phone: 662-286-6068 County: Alcorn Randolph, John Carlton Randolph, John Carlton Rice, Kevin Eric Richardson, Randy K Rowland, Anne Pearce Russell, Randy H Savage, James Amos Schaeffer, Alan R Schanzer, Mary Cathleen Shildkrot, Yevgeniy Shipp, James Byron Shipp, Bernard L Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Shipp Eye Clinic 3302-C W Linden St Corinth, MS 38834 Phone: 662-286-6068 County: Alcorn Salim, Sarwat Shipp, John R Shipp, John R Shukla, Salil Sievers, Richard E Smith, Robert Porter Smith, Constance H Ophthalmology Skyline Eye Clinic 668 Skyline Dr Jackson, TN 38301 Phone: 731-424-2414 County: Madison Ophthalmology Tann, Thomas Meredith Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 167 Provider Listing by Specialty Ophthalmology Ophthalmology Ophthalmology W Tn Eye Care 795 Ridge Lake Blvd #103 Memphis, TN 38120 Phone: 901-683-7255 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Memphis Retina 1264 Wesley Dr #302 Memphis, TN 38116 Phone: 901-348-0415 County: Shelby Ophthalmology Ophthalmology Ophthalmology West Tn Eye Association 112 Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-1994 County: Madison Wesson Ophthalmology Assoc 3353 N Gloster St Tupelo, MS 38804 Phone: 662-844-3555 County: Lee Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Ophthalmology Ophthalmology Ophthalmology 6005 Park Ave #830B Memphis, TN 38119 Phone: 901-685-1886 County: Shelby 612 Brunson Dr Tupelo, MS 38801 Phone: 662-842-7372 County: Lee Ophthalmology Ophthalmology Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Skyline Eye Clinic 668 Skyline Dr Jackson, TN 38301 Phone: 731-424-2414 County: Madison Ophthalmology Ophthalmology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Crossroads Eye Center 3035 Corder Dr Corinth, MS 38834 Phone: 662-286-9292 County: Alcorn 5366 Estate Office Dr. #1 Memphis, TN 38119 Phone: 901-683-9183 County: Shelby Ophthalmology Ophthalmology Optometry Desoto Eyecare Inc 726 Goodman Rd #B Southaven, MS 38671 Phone: 662-349-1959 County: DeSoto Memphis Eye & Cataract Assoc 6485 Poplar Ave Memphis, TN 38119 Phone: 901-767-3937 County: Shelby New Albany Vision Clinic 484 W Bakhead St New Albany, MS 38652 Phone: 662-534-0101 County: Union Toyos, Rolando Underwood, David Wayne Usdan, David A Vaidya, Nadeem N Waite, Aaron Noble Walton, Robert Christopher Wertheimer, Michael Leonard Wesberry Jr, Jesse M Wesson, Matthew B Wesson, Thomas W Wilson, Matthew Walls Woods, Arthur H Wooten, Darwin B Wright, Harvey Banks Yoser, Seth L Zoghby, Jonathan T Irvine, David Optometry Anderson, Kristin Kay Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Barberic, Kathryn Christopher Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Optometry Barr, Janice A Bennett, Robin D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 168 Provider Listing by Specialty Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Urban Eye 412 Oil Well Rd Jackson, TN 38305 Phone: 731-554-3333 County: Madison Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry West Tennessee Eye 2070 Whitney Ave Memphis, TN 38127 Phone: 901-357-0371 County: Shelby Nw Tn Eye Clinic 105 Hwy 431 Martin, TN 38237 Phone: 731-587-2022 County: Weakley 2109 West St #1 Germantown, TN 38138 Phone: 901-754-6020 County: Shelby Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Batesville Vision Clinic 365 Hwy 51 N Batesville, MS 38606 Phone: 662-563-9880 County: Panola Loden Vision Ctr Of Paris 1024 Kelley Dr Paris, TN 38242 Phone: 731-642-5003 County: Henry Bodack, Marie I Borgman, Christopher J Bowles, Haley M Brenner, Benjamin D Bright, Sandra Lynn Brown, Rose Mary L Burke, James H Bynum, Frances Dickson Campbell, John B Carrico, David O Optometry Optometry Brooks Eye Center Inc 3545 Bluecutt Rd Columbus, MS 39705 Phone: 662-327-2020 County: Lowndes Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Bruce Eye Clinic Inc 208 W Calhoun St Bruce, MS 38915 Phone: 662-983-2323 County: Calhoun 723 Falls Blvd Ste #A Wynne, AR 72396 Phone: 870-238-9407 County: Cross Brooks, James E Brown, James Edward Chang, Freddy Wilfred Childers, Kerry Dale Christensen, Michael T Cisarik, Patricia Michelle Clark, Shane A Optometry Cleveland, Craig Webster Craig W Cleveland Od 202 N Second St Booneville, MS 38829 Phone: 662-728-6191 County: Prentiss Optometry Conn, Emily Rhetta Coldwater Vision Center 412 Central Ave Coldwater, MS 38618 Phone: 662-622-5173 County: Tate Optometry Connor, Charles G Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Conway, Karen E Meyer Eye Group 1000 Brookfield Dr #250 Memphis, TN 38119 Phone: 901-522-6520 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 169 Provider Listing by Specialty Optometry Optometry Optometry West Tennessee Eye 8120 Hwy 51 N #7 Millington, TN 38053 Phone: 901-873-1122 County: Shelby Eye Care Ctr 107 Kennedy Dr Martin, TN 38237 Phone: 731-587-3555 County: Weakley Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry 465 N Germantown Pkwy Cordova, TN 38018 Phone: 901-881-8748 County: Shelby West Tn Eye Association 112 Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-1994 County: Madison Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry T Kevin Braswell Md 990 Avent Dr Grenada, MS 38901 Phone: 662-226-2030 County: Grenada Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Eye Care Ctr 107 Kennedy Dr Martin, TN 38237 Phone: 731-587-3555 County: Weakley 302 Railroad St Water Valley, MS 38965 Phone: 662-473-2181 County: Yalobusha Optometry Elam, Jimmy H Cooper, Christopher Hathran Cox, Erika Patrice Optometry Currey Jr, Thomas A Eye Specialist 1900 Kirby Pkwy #100B Germantown, TN 38138 Phone: 901-754-0930 County: Shelby Optometry Curtis, David H Curtis Optometry Clinic & Dispensary 1823 5th St N Columbus, MS 39705 Phone: 662-328-5225 County: Lowndes Optometry Damari, David Armand Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Dasinger, Kelley Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Dasinger, Michael C Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Davis, Donnie Ray Davis, Cayce W Dew, Tara Leanne Donaldson Ii, Daniel Wayne Dorkowski, Michael Thomas Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Dorkowski, Michael Thomas West Tennessee Eye 2070 Whitney Ave Memphis, TN 38127 Phone: 901-357-0371 County: Shelby Optometry Drescher, Robin J Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Dumas, Janette Daniele Duncan, Jason Dean Edmondson Ii, William Edwards, Stephen P Optometry Eyecare For You 3964 Elvis Presley Blvd Memphis, TN 38116 Phone: 901-346-4733 County: Shelby Optometry Elkins, Lindsay M Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Ensor, Michael S Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 170 Provider Listing by Specialty Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby 105 S Fulton St Iuka, MS 38852 Phone: 662-423-3785 County: Tishomingo Optometry Optometry Halkiades, David Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Care Ctr 107 Kennedy Dr Martin, TN 38237 Phone: 731-587-3555 County: Weakley Optometry Optometry Total Eye Care 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Lifetime Vision Center 330 Dillard Ave Forrest City, AR 72335 Phone: 870-633-1174 County: Saint Francis Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Shannon & Graham Eye Clinic 14 E Marion St Pontotoc, MS 38863 Phone: 662-489-4741 County: Pontotoc Optometry Optometry Total Eye Care 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Ervin, Cheryl Elaine Eubank, Tressa Fay Evans, David G Fors, Lawrence Allen Fuller, Daniel G Gayso, Don W Gerstner, Michael Daniel Gibson, Frank S Gilliam, Russell M Goldring, Glenn I Gore, Martha F Graham, Philip Randle Grant, Rachel L Gray, Keith Gray, Phillip Adam Optometry Dr Richard C Buck Od 2760 N Germantown Pkwy #204 Memphis, TN 38133 Phone: 901-384-9259 County: Shelby Optometry Harper, James M Harper Eye Center 479 S Washington Ripley, TN 38063 Phone: 731-635-1369 County: Lauderdale Optometry Harper, Joe John 479 S Washington Ripley, TN 38063 Phone: 731-635-1369 County: Lauderdale Optometry Harris, Paul Alan Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Harville, Betty J Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Hauser, Whitney Hargrove W Tn Eye Care 795 Ridge Lake Blvd #103 Memphis, TN 38120 Phone: 901-683-7255 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 171 Provider Listing by Specialty Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Drs Whitley & Hughes 312 S Main St Covington, TN 38019 Phone: 901-476-8614 County: Tipton Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Insight Eyecare Inc 205 House-Carlson Dr Batesville, MS 38606 Phone: 662-561-1234 County: Panola West Tn Eye Association 112 Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-1994 County: Madison Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Henderson Vision Center 2600 McIngvale Hernando, MS 38632 Phone: 662-429-7099 County: DeSoto Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1245 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Hill Family Eye Center Inc 108 S Main Booneville, MS 38829 Phone: 662-720-1910 County: Prentiss Dar Salud Care 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby For Sight Eye Care 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Dr Richard C Buck Od 7706 Winchester Road #105 Memphis, TN 38125 Phone: 901-752-1551 County: Shelby Optometry Optometry Optometry Desoto Eyecare Inc 726 Goodman Rd E #B Southaven, MS 38671 Phone: 662-349-1959 County: DeSoto Professional Eyecare Optical/Eyewear Gallery 428 Perkins Ext Memphis, TN 38117 Phone: 901-763-2020 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Kiser, Taylor N Heard, Cynthia Hellums, Michael Shawn Henderson, Kenya Hill, Adam Tate Holdinghausen, Karmen Hooker Jr, Phillip A Optometry Horton, Matthew Frank West Tennessee Eye 2070 Whitney Ave Memphis, TN 38127 Phone: 901-357-0371 County: Shelby Hughes, Marty Lee Hughes, Matthew P Jackson, John Mark Johnson, Erick V Johnson, Erick V Johnson, Warren Stephen Jones, Jennifer Supple Dr Richard C Buck Od 2760 N Germantown Pkwy #204 Memphis, TN 38133 Phone: 901-384-9259 County: Shelby Jones, Jennifer L Kabat, Alan G Kehbein, Karen A Kerr, Aaron Mckeever Kessler, Courtney Kessler Kim, Jeung Hyoun Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 172 Provider Listing by Specialty Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby 723 Falls Blvd Ste #A Wynne, AR 72396 Phone: 870-238-9407 County: Cross Optometry Optometry Mitchell, Andrea Jo Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Vrf Eye Specialty Group 5146 Stage Rd #101 Memphis, TN 38134 Phone: 901-685-2200 County: Shelby Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Coldwater Vision Center 412 Central Ave Coldwater, MS 38618 Phone: 662-622-5173 County: Tate Optometry Optometry Millington Eye Care 7773 Church St Millington, TN 38053 Phone: 901-872-3937 County: Shelby Dr Ashley M Ramshur 2431 N Germantown Pkwy Cordova, TN 38016 Phone: 901-214-0014 County: Shelby Kress, William D Lebowitz, Carrie D Lee, Soyeon Lee, William Paul Maples, Willis C Mathews, Dennis E May, Kristopher A May, Lara E Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Mcquirter, Henry G Lepine, Reena Ann Lievens, Christopher William Manning, Thomas Earl Dyersburg Family Eye Care 401 E Tickle St Dyersburg, TN 38024 Phone: 731-285-5411 County: Dyer Mcgriff, Wilson W Meyer-Jackson, Julia Rebecca Optometry Prime Care Medical Ctr 270 E Court Ave #B Selmer, TN 38375 Phone: 731-645-7932 County: McNairy Optometry Morris, Dale Lynn Lifetime Vision Center 330 Dillard Ave Forrest City, AR 72335 Phone: 870-633-1174 County: Saint Francis Optometry Muir, Morton Eric M E Muir Od 214 W Sunflower Cleveland, MS 38732 Phone: 662-843-4025 County: Bolivar Optometry Mulliniks, Haylie Lynn Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Mulliniks, Haylie Lynn Mcmillian, Jeffrey A 185 Wesley Reed Dr Atoka, TN 38004 Phone: 901-840-3937 County: Tipton W Tn Eye Care 391 Southcrest Cir #104 Southaven, MS 38671 Phone: 901-683-7255 County: DeSoto Optometry Optometry Vrf Eye Specialty Group 825 Ridge Lake Blvd Memphis, TN 38120 Phone: 901-685-2200 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Neiberg, Maryke Nijhuis This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 173 Provider Listing by Specialty Optometry Optometry Optometry 2109 West St #1 Germantown, TN 38138 Phone: 901-754-6020 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Golden Triangle Family Eye Care 428 Hospital Drive Columbus, MS 39705 Phone: 662-241-9661 County: Lowndes Optometry Optometry 20 / 20 Eye World Inc 1607 Hwy 1 South Greenville, MS 38701 Phone: 662-378-2085 County: Washington Eyecare For You 3964 Elvis Presley Blvd Memphis, TN 38116 Phone: 901-346-4733 County: Shelby Optometry Optometry Midtown Eye Care 16 N McLean Blvd Memphis, TN 38104 Phone: 901-725-3937 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Charles Retina Institute 6401 Poplar Ave #190 Memphis, TN 38119 Phone: 901-767-4499 County: Shelby 175 J I Bell Lane Savannah, TN 38372 Phone: 731-925-4902 County: Hardin Nelms, Brandon Van Optometry Newman, Christina Michelle Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Newman, Erin Davis Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Nicks, Zakiya Oni Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Nordtvedt, Elizabeth G West Tn Eye Association 112 Stonebridge Blvd Jackson, TN 38305 Phone: 731-664-1994 County: Madison Optometry Norton, Leroy 4557 Millbranch Rd Memphis, TN 38116 Phone: 901-346-8222 County: Shelby Optometry Norwood, Allison B New Albany Vision Clinic 484 Bankhead St New Albany, MS 38652 Phone: 662-534-0101 County: Union Pitts, Jennifer Jill Portera, Joseph P Powelson, Jared Thomas Rafieetary, Mohammad Optometry Ramshur, Ashley M Dr. Ashley M Ramshur 2431 N. Germantown Pkwy Cordova, TN 38016 Phone: 901-214-0014 County: Shelby Optometry Randle, Eric Dale Holly Springs Eyecare 130 W Van Dorn Ave Holly Springs, MS 38635 Phone: 662-252-3323 County: Marshall Optometry Rhodes, Meredith M Garrett Eye Clinic 1804 E Shiloh Rd Corinth, MS 38834 Phone: 662-212-9001 County: Alcorn Richardson, Nicholas T Ridings, Clifton Wayne Rixon, Andrew John Rogers, Jerry D Optometry Rushing, Brandon J Total Eye Care 6060 Primacy Pkwy #200 Memphis, TN 38119 Phone: 901-761-4620 County: Shelby Optometry Russell, Ryan D Tupelo Eye Clinic 610 Brunson Dr Tupelo, MS 38801 Phone: 662-844-7211 County: Lee Optometry Salley, Seth Aaron Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 174 Provider Listing by Specialty Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Dyersburg Family Eye Care 401 E Tickle St Dyersburg, TN 38024 Phone: 731-285-5411 County: Dyer Eye Ctr At Southern College Of Optometry 1245 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry 3775 Hacks Cross Rd Memphis, TN 38125 Phone: 901-214-0065 County: Shelby 119 S Main St Sardis, MS 38666 Phone: 662-487-1316 County: Panola Optometry Optometry Skyline Eye Clinic 138 W Houston Selmer, TN 38375 Phone: 731-645-7255 County: McNairy Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Skyline Eye Clinic 19028 Main St W Huntingdon, TN 38344 Phone: 731-986-4162 County: Carroll 2109 West St #1 Germantown, TN 38138 Phone: 901-754-6020 County: Shelby Sanderson, Jennifer Sandy, Michael M Savoy, Richard S Scarbrough Jr., Hughlon Brown Optometry Schlesselman, Anna J Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Schnell, Pamela H Eye Ctr At Southern College Of Optometry 1245 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Schoen, Allan George Coldwater Vision Center 412 Central Ave Coldwater, MS 38618 Phone: 662-622-5173 County: Tate Schroeder, Justin Michael Scott, Sallye S Sharpe, John S Shum, Steven R Optometry Smith, Leesa H 20/20 Eye World Inc 1607 Hwy 1 South Greenville, MS 38701 Phone: 662-378-2085 County: Washington Optometry Smith, Daniel Erin Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Smith, Janna Zbozien Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Smith, Joanne P Smith, James P Optometry Smith, Thomas K Smith & Smith 592 N Main St McKenzie, TN 38201 Phone: 731-352-2020 County: Carroll Optometry Smith, Christina M Smith Eyecare Ctr Inc 5255 Elvis Presley Blvd Memphis, TN 38116 Phone: 901-395-0990 County: Shelby Optometry Smith, Mark T Th Smith Od & Thomas K Smith Od 592 N Main St Carroll, TN 38201 Phone: 731-352-2020 County: Carroll Optometry Smoak, Sonya Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby Optometry Snyder, Jennifer M Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 175 Provider Listing by Specialty Optometry Optometry Optometry West Tennessee Eye 2070 Whitney Ave Memphis, TN 38127 Phone: 901-357-0371 County: Shelby Batesville Vision Clinic 365 Hwy 51 N Batesville, MS 38606 Phone: 662-563-9880 County: Panola Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Oxford Eye Clinic 2167 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-6683 County: Lafayette Oxford Family Vision Clinic Inc 1110 N Lamar Blvd Oxford, MS 38655 Phone: 662-234-0400 County: Lafayette Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby West Tennessee Eye 8120 Hwy 51 N #7 Millington, TN 38053 Phone: 901-873-1122 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1245 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Professional Eyecare & Optical 2118 E Main St Humboldt, TN 38343 Phone: 731-784-1973 County: Gibson Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Rayner Eye Clinic 1308 Belk Blvd Oxford, MS 38655 Phone: 662-234-6551 County: Lafayette Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Optometry Optometry Batesville Vision Clinic 365 Hwy 51 N Batesville, MS 38606 Phone: 662-563-9880 County: Panola 1750 Madison Ave #270 Memphis, TN 38104 Phone: 901-722-8598 County: Shelby Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Snyder, Jennifer M Sparks, Bernard I Sparrow, Sylvia Elizabeth Speth, Esla S Steel, Scott A Steele, Glen T Stone, Tu Lam Stone, Glen Henry Strickland, William Me Talley, David Keith Taub, Marc B Taylor, Daniel Arnett Taylor, Lana L Tharp, Linda Tison, Kara L Turner, Michael G Utech, Marlon Ray Utley, Dustin Kyle Valentino, Mary B Venable, James E Walker, Patricia E This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 176 Provider Listing by Specialty Optometry Optometry Oral/Maxillofacial Surgery Oxford Eye Clinic 2167 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-6683 County: Lafayette Eye Ctr At Southern College Of Optometry 1245 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby N Ms Oral/Maxillofacial Surgery Assoc 1043 S Madison St Tupelo, MS 38801 Phone: 662-842-8200 County: Lee Optometry Oral/Maxillofacial Surgery Oral/Maxillofacial Surgery 725 W Market St Bolivar, TN 38008 Phone: 731-658-5197 County: Hardeman N Ms Oral/Maxillofacial Surgery Assoc 207 Alcorn Dr Corinth, MS 38834 Phone: 662-287-8299 County: Alcorn 9370 Goodman Rd Olive Branch, MS 38654 Phone: 662-895-4070 County: DeSoto Oral/Maxillofacial Surgery West, William F Wally, Ryan S Walters, George W Optometry Weeden, Michael Leslie Corinth Eye Clinic Inc 3201 Gaines Rd Corinth, MS 38834 Phone: 662-286-8860 County: Alcorn Optometry Wetick, Stephen M Southern Eye Assoc 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby Optometry Whitley, Stan J Drs Whitley & Hughes 312 S Main St Covington, TN 38019 Phone: 901-476-8614 County: Tipton Optometry Williamson, James Allan Eye Ctr At Southern College Of Optometry 1225 Madison Ave Memphis, TN 38104 Phone: 901-722-3385 County: Shelby Optometry Woodall, Hayley L Centrosalud 1068 Cresthaven Rd #300 Memphis, TN 38119 Phone: 901-683-0024 County: Shelby Zarn, Melissa A Bauer, Frederick S Chrisman, James Leland N Ms Oral/Maxillofacial Surgery Assoc 1043 S Madison St Tupelo, MS 38801 Phone: 662-842-8200 County: Lee Oral/Maxillofacial Surgery Everitt, William F William F Everitt Iii Dds 218 S Thomas #122 Tupelo, MS 38801 Phone: 662-690-5354 County: Lee Oral/Maxillofacial Surgery Gerard, Nicholas Oscar Mid South Oral Surgery 1650 Bonnie Lane #101 Cordova, TN 38016 Phone: 901-275-8159 County: Shelby Oral/Maxillofacial Surgery Griffin, John E Oral & Facial Surgical Ctr 300 Hospital Dr Columbus, MS 39701 Phone: 662-327-2100 County: Lowndes Oral/Maxillofacial Surgery Ligon, Thomas Allen Dr Allen Ligon Oral & Maxillofacial Surgery 1121 Mimosa Dr Oxford, MS 38655 Phone: 662-236-5300 County: Lafayette Roberts, Steven Bradford Spencer, Timothy Eugene Oral/Maxillofacial Surgery N Ms Oral/Maxillofacial Surgery Assoc 1043 S Madison St Tupelo, MS 38801 Phone: 662-842-8200 County: Lee Oral/Maxillofacial Surgery Whitaker, Scott D Oxford Maxillofacial Surgery Center 2886 S Lamar Blvd Oxford, MS 38655 Phone: 662-236-7888 County: Lafayette Oral/Maxillofacial Surgery Wikle, Charles W N Ms Oral/Maxillofacial Surgery Assoc 1043 S Madison St Tupelo, MS 38801 Phone: 662-842-8200 County: Lee Oral/Maxillofacial Surgery Williams, Micheal Anthony Ctr For Oral & Facial Surgery Of Memphis 2900 Kirby Pkwy #10 Memphis, TN 38119 Phone: 901-398-0793 County: Shelby Oral/Maxillofacial Surgery Wilson, Gary Trent Mcrae-Wilson Oral & Maxillofacial Surgery Grp 5565 Murray Rd Memphis, TN 38119 Phone: 901-767-0088 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 177 Provider Listing by Specialty Orthopaedic Orthopaedic Surgery Orthopaedics & Surgery Ortho One Orthopaedics And Sports Medicine 3964 Goodman Rd #128 Southaven, MS 38672 Phone: 662-534-2227 County: DeSoto Specialty Orthopedics 5210 Poplar Ave #200 Memphis, TN 38119 Phone: 901-682-9161 County: Shelby Grenada Lake Medical Center 965 Avent Dr #101 Grenada, MS 38901 Phone: 662-227-7794 County: Grenada Orthopaedic Surgery Orthopaedics Galjour, George Christopher Orthopaedics & Surgery Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Micek, Timothy J Craig Jr, James T James T Craig Jr Md Inc 2817 N Highland Ave #A Jackson, TN 38305 Phone: 731-661-9107 County: Madison Orthopaedic Surgery Ehlert, Kurt Jonathan Mid-South Orthopedic Hospitalists 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Orthopaedic Surgery Hennessey, Barry J Hmc Physicians Svcs Inc 340 Main St Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Orthopaedic Surgery Olson, Randy Lloyd Dyersburg Clinic Corp 1718 Parr Ave #C Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Orthopaedic Surgery Senter, Bruce S Magnolia Orthopaedic & Sports Medicine Clinic 611 Alcorn Dr #100 Corinth, MS 38834 Phone: 662-286-6369 County: Alcorn Taylor, John Charles Barr, William M Beaty Jr, James H Orthopaedics Orthopaedics & Surgery DHP Of Desoto Professional Assn 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Specialty Orthopedics 6005 Park Ave #430B Memphis, TN 38119 Phone: 901-682-9161 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Mid-South Orthopedic Hospitalists 6025 Walnut Grove Rd #304 Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery The Austin Center 146 Timber Creek Ste #101 Cordova, TN 38018 Phone: 901-753-4543 County: Shelby East Memphis Orthopaedic Group 6005 Park Ave #309 Memphis, TN 38119 Phone: 901-682-5642 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Mid-South Orthopedic Hospitalists 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Potter, Steven Mcneal Albers, William E Altmyer, Chad Steele Austin, Susan Marguerite Azar, Frederick M Bloomstein, Larry Zients Bobo, Robert T Botero, Herman G Bourland, Robert L Bowman, John Michael This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 178 Provider Listing by Specialty Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Ortho One Orthopaedics And Sports Medicine 206 Oxford Rd New Albany, MS 38652 Phone: 662-534-2227 County: Union Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Campbell Clinic 1458 W Poplar Ave #100 Collierville, TN 38017 Phone: 901-759-5571 County: Shelby Box, Samuel Keith Orthopaedics & Surgery Boyd, Daniel Lee Oxford Surgical Specialists 497 Azalea Dr #102 Oxford, MS 38655 Phone: 662-513-2000 County: Lafayette Orthopaedics & Surgery Brown, David Allen DHP Of Tn 6025 Walnut Grove Rd #304 Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Orthopaedics & Surgery Burrow, Jamey Walcott Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Calandruccio, James H Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Calfee, Michael David Advanced Orthopedics & Sports Medicine 1720 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-8484 County: Obion Orthopaedics & Surgery Camillo, Francis Xavier Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Canale, S Terry Conquest, Catherine A Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Campbell Clinic 7545 Airways Blvd Southaven, MS 38671 Phone: 901-759-3100 County: DeSoto Orthopaedics & Surgery Orthopaedics & Surgery DHP Of Desoto Professional Assn 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Campbell Clinic 1458 W Poplar Ave #100 Collierville, TN 38017 Phone: 901-759-5571 County: Shelby Cannon, David Lorne Caudle, Robert Joseph Crenshaw Jr, Andrew H Crockarell Jr, John Reams Orthopaedics & Surgery Orthopaedics & Surgery Bone & Joint Specialist 1004 Cornerstone Dr Paris, TN 38242 Phone: 731-644-0474 County: Henry Southern Spine Specialists 1500 W Poplar Ave #201 Collierville, TN 38017 Phone: 901-818-2168 County: Shelby Chandler, Gerald Blake Curlee, Patrick Matthew Orthopaedics & Surgery Orthopaedics & Surgery Ms Orthopaedics & Sports Medicine 391 Southcrest Cir #205 Southaven, MS 38671 Phone: 662-536-0900 County: DeSoto Campbell Clinic 7545 Airways Blvd Southaven, MS 38671 Phone: 901-759-3100 County: DeSoto Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Tri-State Orthopaedics 1264 Wesley Dr #502 Memphis, TN 38116 Phone: 901-346-5488 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby DHP Of Desoto Professional Assn 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Christian, Claiborne Ashby Cleveland, Kevin Bron Conoley, Jack Autrey Dabov, Gregory David Dalal, Apurva R Dipaolo, Daneca M This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 179 Provider Listing by Specialty Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Orthoone Sports Medicine & Orthopaedics 99 Market Center Dr Collierville, TN 38017 Phone: 901-853-1174 County: Shelby DHP Of Desoto Professional Assn 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Orthopaedics & Surgery Orthopaedics & Surgery Magnolia Orthopaedic & Sports Medicine Clinic 611 Alcorn Dr #100 Corinth, MS 38834 Phone: 662-286-6369 County: Alcorn Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Specialty Orthopedics 6005 Park Ave #430B Memphis, TN 38119 Phone: 901-682-9161 County: Shelby Dlabach, Jeffrey Alan Dockery, John Dee Engelking, Jon H Ennis, Richard L Orthopaedics & Surgery Orthopaedics & Surgery Mid-South Orthopedic Hospitalists 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Clarksdale Hma Physician Mgmt 785 Ohio Ave #1H Clarksdale, MS 38614 Phone: 662-621-2438 County: Coahoma Orthopaedics & Surgery Orthopaedics & Surgery Bolivar Physician Practices 907 E Sunflower Rd #102 Cleveland, MS 38732 Phone: 662-843-8885 County: Bolivar Univ Sports Medicine 1190 S 18th St Extd Oxford, MS 38655 Phone: 662-234-0424 County: Lafayette Orthopaedics & Surgery Orthopaedics & Surgery Magnolia Orthopaedic & Sports Medicine Clinic 611 Alcorn Dr #100 Corinth, MS 38834 Phone: 662-286-6369 County: Alcorn Clarksdale Hma Physician Mgmt 785 Ohio Ave #1H Clarksdale, MS 38614 Phone: 662-621-2438 County: Coahoma Orthopaedics & Surgery Foropoulos, John E Dolan, James Bailey Dotson, Wayne A Downs, Daniel M Edwards, Kenny Bernard Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Orthopaedics & Surgery Evans, John Ellis Field, Edward D Fisher, Edward Herbert Orthopaedics & Surgery Magnolia Orthopaedic & Sports Medicine Clinic 611 Alcorn Dr #100 Corinth, MS 38834 Phone: 662-286-6369 County: Alcorn Frazier, Randall P Orthopaedics & Surgery Freeman Iii, Barney L Campbell Clinic 1458 W Poplar Ave #100 Collierville, TN 38017 Phone: 901-759-5571 County: Shelby Orthopaedics & Surgery Gabel, Steven James Mid-South Orthopedic Hospitalists 6025 Walnut Grove Rd #304 Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Orthopaedics & Surgery Galyon, James T East Memphis Orthopaedic Group 6005 Park Ave #309 Memphis, TN 38119 Phone: 901-682-5642 County: Shelby Orthopaedics & Surgery Gardocki, Raymond Joseph Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Gladwell, Heather Anne Henry Co Orthopaedic Surgery & Sports Medicine Inc 1015 Kelley Dr #200 Paris, TN 38242 Phone: 731-644-2271 County: Henry Elizondo, Philip A Clarksdale Hma Physician Mgmt 785 Ohio Ave #1H Clarksdale, MS 38614 Phone: 662-621-2438 County: Coahoma This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 180 Provider Listing by Specialty Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Carl Huff Md 1855 Hwy 51 Bypass #B Dyersburg, TN 38024 Phone: 731-285-1585 County: Dyer 107 W Pleasant Ave Covington, TN 38019 Phone: 901-475-9229 County: Tipton Guyton, James L Huff, Carl W Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Campbell Clinic 1458 W Poplar Ave #100 Collierville, TN 38017 Phone: 901-759-5571 County: Shelby Harkess, James W Ishikawa, Susan Naomi Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Kent, Vincent Carl Orthopaedics & Surgery Lamar, Wayne Terry Wayne T Lamar Md 2168 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-8432 County: Lafayette Orthopaedics & Surgery Lavelle, David G Janovich, John R 1995 Hwy 51 S #102 Covington, TN 38019 Phone: 901-476-3424 County: Tipton Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby East Memphis Orthopaedic Group 6005 Park Ave #309 Memphis, TN 38119 Phone: 901-682-5642 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Orthopaedics & Surgery Orthopaedics & Surgery Hospitalists Llc, Mid South Orthopaedic 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Mid-South Orthopedic Hospitalists 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Msk Group, Tabor Orthopedics 6005 Park Ave #608 Memphis, TN 38119 Phone: 901-767-8662 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Mid-South Orthopedic Hospitalists 6025 Walnut Grove Rd # 304 Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Oxford Surgical Specialists 497 Azalea Dr #102 Oxford, MS 38655 Phone: 662-513-2000 County: Lafayette Heck Jr, Robert Kurt Orthopaedics & Surgery Heromin, Ronald J Orthopaedic Ctr Of Henderson Co 202 W Church St Lexington, TN 38351 Phone: 731-450-2663 County: Henderson Orthopaedics & Surgery Hood, Michael Allen Delta Orthopaedics & Sports Medicine 200 W Broadway West Memphis, AR 72301 Phone: 870-735-4400 County: Crittenden Orthopaedics & Surgery Hudson Iii, Jim Kyle Jobe, Mark T Jones, Gordon S Karpitskaya, Yekaterina Kelly, Derek M Lindy, Peter B Linton, Russell C Lonergan, Robert P Luber, Kurre T This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 181 Provider Listing by Specialty Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Collierville Orthopedics & Sports Medicine 1458 W Poplar Ave #200 Collierville, TN 38017 Phone: 901-850-1150 County: Shelby Lund, Peter J Mihalko, William M Palmieri, Ana Katarina Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Forrest City Clinic Co 902 Holiday Dr. #106 Forrest City, AR 72335 Phone: 870-633-1061 County: Saint Francis Campbell Clinic 7545 Airways Blvd Southaven, MS 38671 Phone: 901-759-3100 County: DeSoto Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Campbell Clinic 1458 W Poplar Ave #100 Collierville, TN 38017 Phone: 901-759-5571 County: Shelby Mid-South Orthopedic Hospitalists 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 7545 Airways Blvd Southaven, MS 38671 Phone: 901-759-3100 County: DeSoto Orthoone Orthopaedics & Sports Medicine 206 Oxford Rd New Albany, MS 38652 Phone: 662-534-2227 County: Union Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Samuel G Meredith Md 228 Tyler #301 West Memphis, AR 72301 Phone: 870-735-4400 County: Crittenden East Memphis Orthopaedic Group 6005 Park Ave #309 Memphis, TN 38119 Phone: 901-682-5642 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Dyersburg Clinic Corp 1718 Parr Ave #C Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Ms Orthopaedics & Sports Medicine 391 Southcrest Cir #205 Southaven, MS 38671 Phone: 662-536-0900 County: DeSoto DHP Of Desoto Professional Assn 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Collierville Orthopedics & Sports Medicine 1458 W. Poplar Ave #200 Collierville, TN 38017 Phone: 901-850-1150 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthoone Sports Medicine & Orthopaedics 99 Market Center Dr Collierville, TN 38017 Phone: 901-861-9610 County: Shelby Maleki, Khosrow Martinez, Santos F Mascioli, Anthony Andrew Meredith, Samuel Gilbert Metz, Eric B Micek, Timothy J Mihalko, Marc Jeffrey Miller Iii, Robert H Mitias, Hanna Johnny M Moffatt Iii, William L Morris, John Thomas Murphy, Garnett Andrew Park, Ashley Lewis Paynter, Thomas B Perez, Edward A Phillips, Barry B Phillips, Earl Lynn Pickering, Robert Mitchell This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 182 Provider Listing by Specialty Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Oxford Surgical Specialists 497 Azalea Dr #102 Oxford, MS 38655 Phone: 662-513-2000 County: Lafayette Mid-South Orthopedic Hospitalists 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-0248 County: DeSoto Mid-South Orthopedic Hospitalists 7535 Airways Blvd #201 Southaven, MS 38671 Phone: 662-349-0248 County: Desoto Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Mid-South Orthopedic Hospitalists 6025 Walnut Grove Rd # 304 Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Specialty Orthopedics 6005 Park Ave #430B Memphis, TN 38119 Phone: 901-682-9161 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Orthopaedics & Surgery Memphis Spine Center 2120 Exeter Rd #130 Germantown, TN 38138 Phone: 901-507-2225 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby 1100 Bishop St Union City, TN 38261 Phone: 731-885-0111 County: Obion Pickering, Trevor R Posman, Clifford Lewis Pratt, Edward S Ringel, Stephen J Rivera-Tavarez, Carlos Eric Rudloff, Matthew Ian Orthopaedics & Surgery Orthopaedics & Surgery Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Msk Group, Tabor Orthopedics 6005 Park Ave #608 Memphis, TN 38119 Phone: 901-767-8662 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Clarksdale Hma Physician Mgmt 785 Ohio Ave #1H Clarksdale, MS 38614 Phone: 662-621-2438 County: Coahoma Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Ragsdale, Keener Blake Rhea, Charles S Richardson, David Reynolds Saenz, Jay M Sandifer, Fred Monroe Sawyer, Jeffrey Raymond Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby W Tn Orthopaedics & Sports Medicine 1720 E Reelfoot Ave #103 Union City, TN 38261 Phone: 731-559-9766 County: Obion Richardson, E Greer Schwartz, Laurence Williamson Sellman, Daniel C Simard, Jean Stclair, Deborah Sue Orthopaedics & Surgery Tabor Jr, Owen Msk Group, Tabor Orthopedics 6005 Park Ave #608 Memphis, TN 38119 Phone: 901-767-8662 County: Shelby Orthopaedics & Surgery Tabor Sr, Owen Msk Group, Tabor Orthopedics 6005 Park Ave #608 Memphis, TN 38119 Phone: 901-767-8662 County: Shelby Orthopaedics & Surgery Tauxe, Gary Louis Campbell Clinic 1458 W Poplar Ave #100 Collierville, TN 38017 Phone: 901-759-5571 County: Shelby Orthopaedics & Surgery Taylor, John C Specialty Orthopedics 6005 Park Ave #430B Memphis, TN 38119 Phone: 901-682-9161 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 183 Provider Listing by Specialty Orthopaedics & Surgery Orthopaedics & Surgery Oxford Surgical Specialists 497 Azalea Dr #102 Oxford, MS 38655 Phone: 662-513-2000 County: Lafayette Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Terry, Cooper L Throckmorton, Thomas Ward Whittle, Allison Paige Williams, Keith D Orthopaedics & Surgery Orthopaedics & Surgery Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Msk Group, Tabor Orthopedics 6005 Park Ave #608 Memphis, TN 38119 Phone: 901-767-8662 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Amory Hma Physician Mgmt 1127 Earl Frye Blvd #B Amory, MS 38821 Phone: 662-256-6227 County: Monroe Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Orthopaedics & Surgery Ms Orthopaedics & Sports Medicine 391 Southcrest Cir #205 Southaven, MS 38671 Phone: 662-536-0900 County: DeSoto 526 Chickasawba St Blytheville, AR 72315 Phone: 870-762-2447 County: Mississippi Orthopaedics & Surgery Younas, Shiraz Ahmad Toy, Patrick Christopher Turba, John Edward Varner, James C Warner Jr, William C Campbell Clinic 1400 S Germantown Rd Germantown, TN 38138 Phone: 901-759-3100 County: Shelby Orthopaedics & Surgery Whalley, Kevin M 965 Avent Dr #103 Grenada, MS 38901 Phone: 662-226-4088 County: Grenada Wolf, Frederick G Wood Ii, George W Yao, Joseph Orthopaedics & Surgery Campbell Clinic 1211 Union Ave #500 Memphis, TN 38104 Phone: 901-759-3100 County: Shelby Orthotics Anderson Brace & Limb 300 East Parkview Dyersburg, TN 38024 Phone: 731-286-6006 County: Dyer Orthotics Jonesboro Prosthetic & Orthotic Laboratory 116 Hickory Hill Drive Helena, AR 72342 Phone: 800-232-6436 County: Phillips Orthotics Jonesboro Prosthetic & Orthotic Laboratory 306 Recovery Road Kennett, MO 63857 Phone: 800-232-6436 County: Dunklin Orthotics Jonesboro Prosthetic & Orthotic Laboratory 3150 Eldridge Road, Suite 1 Forrest City, AR 72335 Phone: 800-232-6436 County: Saint Francis Orthotics Jonesboro Prosthetic & Orthotic Laboratory 526 Chickasawba Blytheville, AR 72315 Phone: 800-232-6436 County: Mississippi Orthotics Jonesboro Prosthetic & Orthotic Laboratory 820 Professional Acres Jonesboro, AR 72401 Phone: 800-232-6436 County: Craighead Orthotics Jonesboro Prosthetic & Orthotic Laboratory Highway 61 & Lee, PT Department Hayti, MO 63851 Phone: 800-232-6436 County: Pemiscot Orthotics Spears - Popa 100 Peeler Road Covington, TN 38019 Phone: 866-763-6999 County: Tipton Orthotics Spears - Popa 300 Hospital Circle, Suite 202 Paris, TN 38242 Phone: 866-763-6999 County: Henry This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 184 Provider Listing by Specialty Orthotics Spears - Popa 32 Garland Drive Jackson, TN 38305 Phone: 866-763-6999 County: Madison Orthotics Spears - Popa 326 Asbury Road Ripley, TN 38063 Phone: 866-763-6999 County: Lauderdale Orthotics Spears - Popa 470 Mall Boulevard, Suite D Dyersburg, TN 38025 Phone: 866-763-6999 County: Dyer Orthotics Spears - Popa 722 North White Station Road Memphis, TN 38122 Phone: 901-763-6999 County: Shelby Otolaryngology Beckford, Neal S Otolaryngology Assoc Of The Mid-South 7675 Wolf River Cir #202 Germantown, TN 38138 Phone: 901-737-3021 County: Shelby Otolaryngology Berry, James Montgomery Ear Nose & Throat Physicians Of N Ms 618 Pegram Dr Tupelo, MS 38801 Phone: 662-844-6513 County: Lee Otolaryngology Bindra, Gurpal S 1716 Parr Ave #B Dyersburg, TN 38024 Phone: 731-286-0149 County: Dyer Otolaryngology Otolaryngology Otolaryngology Assoc 2430 5th St N Columbus, MS 39701 Phone: 662-327-4432 County: Lowndes Desoto Ear Nose & Throat 5960 Getwell Rd #212D Southaven, MS 38672 Phone: 662-895-6455 County: DeSoto Otolaryngology Otolaryngology Otolaryngology Assoc 2430 5th St N Columbus, MS 39701 Phone: 662-327-4432 County: Lowndes Duberstein Sinus Center 3068 Covington Pike #1 Memphis, TN 38128 Phone: 901-382-3501 County: Shelby Otolaryngology Otolaryngology Delta Ear Nose Throat & Allergy 785 Ohio Ave #2H Clarksdale, MS 38614 Phone: 662-627-3884 County: Coahoma Mid-South Ear Nose & Throat 8090 Walnut Run Rd Cordova, TN 38018 Phone: 901-755-5300 County: Shelby Otolaryngology Otolaryngology William J Bulkley Md 1000 W Kings Hwy Paragould, AR 72450 Phone: 870-240-8020 County: Greene Ear Nose & Throat Consultants Of N Ms 497 Azalea Dr #101 Oxford, MS 38655 Phone: 662-234-1337 County: Lafayette Otolaryngology Otolaryngology 6616 Kirby Center Cv Memphis, TN 38115 Phone: 901-363-8400 County: Shelby Mid-South Otolaryngology Assoc 6890 Elmore Rd #2 Southaven, MS 38671 Phone: 662-349-4250 County: DeSoto Boggess, Joseph S Borden, Robert Clayton Bosch, Charles W Bulkley, William Jennison Clemons, Mark P Otolaryngology Colvin Iv, Greene Berry Desoto Ear Nose & Throat 5960 Getwell Rd #212D Southaven, MS 38672 Phone: 662-895-6455 County: DeSoto Otolaryngology Cosby, Walter N Otolaryngology Assoc 2430 5th St N Columbus, MS 39701 Phone: 662-327-4432 County: Lowndes Cunningham, Jeffrey Jordan Duberstein, Larry E Duncan, Thane E Dye, Bradford J Fisher, Robert M Otolaryngology Franklin, Edgar R Ear Nose & Throat Group Inc 5625 Poplar Ave Memphis, TN 38119 Phone: 901-761-1220 County: Shelby Otolaryngology Garner, Justin M Otolaryngology Assoc 2430 5th St N Columbus, MS 39701 Phone: 662-327-4432 County: Lowndes This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 185 Provider Listing by Specialty Otolaryngology Otolaryngology Otolaryngology Mid-South Ear Nose & Throat 8090 Walnut Run Cordova, TN 38018 Phone: 901-755-5300 County: Shelby Desoto Ear Nose & Throat 5960 Getwell Rd #212D Southaven, MS 38672 Phone: 662-895-6455 County: DeSoto Mid-South Ear Nose & Throat 6286 Briarcrest Ave #300 Memphis, TN 38120 Phone: 901-755-5300 County: Shelby Otolaryngology Otolaryngology Otolaryngology Ear Nose & Throat Group Inc 5625 Poplar Ave Memphis, TN 38119 Phone: 901-761-1220 County: Shelby Otolaryngology Assoc Of The Mid-South 7675 Wolf River Cir #202 Germantown, TN 38138 Phone: 901-737-3021 County: Shelby Mid-South Ear Nose & Throat 8090 Walnut Run Rd Cordova, TN 38018 Phone: 901-755-5300 County: Shelby Otolaryngology Otolaryngology Otolaryngology 100 Norman Rd Corinth, MS 38834 Phone: 662-287-8035 County: Alcorn W Boyd Massey Md 1300 Sunset Dr #R Grenada, MS 38901 Phone: 662-227-1695 County: Grenada Ear Nose & Throat Physicians Of N Ms 611 Alcorn Dr #110 Corinth, MS 38834 Phone: 662-396-4104 County: Alcorn Grant, Thomas Richard Hall, Christopher James Hans, Osvaldo Otolaryngology Klug, Dean A Mid-South Ear Nose & Throat 6286 Briarcrest Ave #300 Memphis, TN 38120 Phone: 901-755-5300 County: Shelby Otolaryngology Laurenzo, John F Ear Nose & Throat Consultants Of N Ms 497 Azalea Dr #101 Oxford, MS 38655 Phone: 662-234-1337 County: Lafayette Otolaryngology Lazar, Rande H Otolaryngology Consultants Of Memphis 791 Estate Pl Memphis, TN 38120 Phone: 901-821-4300 County: Shelby Otolaryngology Lewis, David M 621 E Matthews Jonesboro, AR 72401 Phone: 870-932-6799 County: Craighead Lim, Victoria Lynn Long, Thomas E Massey, W Boyd Milburn, Mark Andrew Naidu, Srikanth Injeti Peery, Michael L Otolaryngology Otolaryngology Ear Nose & Throat Physicians Of N MS 618 Pegram Dr Tupelo, MS 38801 Phone: 662-844-6513 County: Lee Otolaryngology Assoc Of The Mid-South 7675 Wolf River Cir #202 Germantown, TN 38138 Phone: 901-737-3021 County: Shelby Mcauley, James R Petri, Jan H Otolaryngology Otolaryngology Mccalla Ear Nose & Throat 1719 Kirby Pkwy Memphis, TN 38120 Phone: 901-274-5786 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8220 County: Shelby Mccalla, Mary R Preston, Todd W Otolaryngology Otolaryngology Forrest City Clinic Co 902 Holiday Dr #103 Forrest City, AR 72335 Phone: 888-547-9821 County: Saint Francis Mid-South Ear Nose & Throat 8090 Walnut Run Rd Cordova, TN 38018 Phone: 901-755-5300 County: Shelby Otolaryngology Otolaryngology 2403 5th St N Columbus, MS 39705 Phone: 662-327-0901 County: Lowndes Purchase Derm-Ent 225 Medical Center Dr #304 Paducah, KY 42003 Phone: 270-441-4301 County: McCracken Mcgarrah, Pamela Denise Meeks, Edwin D Rains, B Manrin Resser, John Randall This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 186 Provider Listing by Specialty Otolaryngology Otolaryngology Otolaryngology 5118 Park Ave #602 Memphis, TN 38117 Phone: 901-682-1113 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8570 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Otolaryngology Otolaryngology Ear Nose & Throat Physicians Of N Ms 618 Pegram Dr Tupelo, MS 38801 Phone: 662-844-6513 County: Lee Clarksdale Hma Physician Mgmt 785 Ohio Ave #3F Clarksdale, MS 38614 Phone: 662-624-5026 County: Coahoma Otolaryngology Otolaryngology Amory Hma Physician Mgmt 1107 Earl Frye Blvd #1 Amory, MS 38821 Phone: 662-256-9327 County: Monroe Ear Nose & Throat Group Inc 5625 Poplar Ave Memphis, TN 38119 Phone: 901-761-1220 County: Shelby Otolaryngology Otolaryngology Shea Clinic 6133 Poplar Pike Memphis, TN 38119 Phone: 901-761-9720 County: Shelby Ear Nose & Throat Consultants Of N Ms 497 Azalea Dr #101 Oxford, MS 38655 Phone: 662-234-1337 County: Lafayette Otolaryngology Otolaryngology 2120 Exeter Rd #210 Germantown, TN 38138 Phone: 901-757-9500 County: Shelby Ear Nose & Throat Group Inc 5625 Poplar Ave Memphis, TN 38119 Phone: 901-761-1220 County: Shelby Rosenberg, Zachary Otolaryngology Ruleman, C Allan Ear Nose & Throat Group Inc 5625 Poplar Ave Memphis, TN 38119 Phone: 901-761-1220 County: Shelby Otolaryngology Samant, Sandeep Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8220 County: Shelby Otolaryngology Schlesinger, Victor A Drs Schlesinger & Weems 6005 Park Ave #908 Memphis, TN 38119 Phone: 901-761-2170 County: Shelby Otolaryngology Shea, Martin Coyle Mid-South Ear Nose & Throat 6286 Briarcrest Ave #300 Memphis, TN 38120 Phone: 901-755-5300 County: Shelby Shires, Courtney Brooke Simmons, Ryan Curtis Sprehe, Samuel E Staffel, Jon Gregory Templeton, Terry P Otolaryngology Otolaryngology Shea Clinic 6133 Poplar Pike Memphis, TN 38119 Phone: 901-761-9720 County: Shelby Mid-South Ear Nose & Throat 6286 Briarcrest Ave #300 Memphis, TN 38120 Phone: 901-755-5300 County: Shelby Otolaryngology Otolaryngology Shete Ear Nose & Throat Clinic 5100 Sanderlin Ave #1200 Memphis, TN 38117 Phone: 901-644-2857 County: Shelby BMHSI Of Ms 452 Bankhead St New Albany, MS 38652 Phone: 662-534-3724 County: Union Shea, Paul Flanagan Shete, Mona Manohar Touliatos, John Spero Tucker, Byron Shane Vieira, Francisco O Walker, James Hammond Williams, Glenn Blake Windham, Byron P Wright, Leonard D Otolaryngology Yarber, Robert H Ear Nose & Throat Physicians Of N Ms 618 Pegram Dr Tupelo, MS 38801 Phone: 662-844-6513 County: Lee Otology Emmett, John R Shea Clinic 6133 Poplar Pike Memphis, TN 38119 Phone: 901-761-9720 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 187 Provider Listing by Specialty Otology Pain Management Mid-South Ear Nose & Throat 6286 Briarcrest Ave #300 Memphis, TN 38120 Phone: 901-755-5300 County: Shelby 2120 Exeter Rd #100 Germantown, TN 38138 Phone: 901-754-3365 County: Shelby Fetterman, Bruce Leroy Otology Mckinnon, Brian John Shea Clinic 6133 Poplar Pike Memphis, TN 38119 Phone: 901-761-9720 County: Shelby Otology Shea, John J Shea Clinic 6133 Poplar Pike Memphis, TN 38119 Phone: 901-761-9720 County: Shelby Otology Shea, John J Shea Ctr For Ears Hearing & Balance Inc 6401 Poplar Ave #300 Memphis, TN 38119 Phone: 901-763-1234 County: Shelby Pain Management Babenco, Henry D Advanced Orthopedics & Sports Medicine 1720 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-8484 County: Obion Pain Management Gipson, Stephen L Gipson Specialty Ctr 6005 Park Ave #400 Memphis, TN 38119 Phone: 901-767-9500 County: Shelby Pain Management Kaufman, Seth I The West Clinic 100 N Humphreys Blvd Memphis, TN 38120 Phone: 901-683-0055 County: Shelby Kraus, Alan J Pain Management Mays, Kit S Pain Clinic Associates 55 Humphreys Ctr #200 Memphis, TN 38120 Phone: 901-747-0040 County: Shelby Pain Management Nasir, Syed M Pemiscot Co Memorial Hospital 946 E Reed St Hayti, MO 63851 Phone: 573-359-1782 County: Pemiscot Pain Management Owen, Bethany M Pain Clinic Associates 55 Humphreys Ctr Dr #200 Memphis, TN 38120 Phone: 901-747-0040 County: Shelby Pain Management Parker, Autry J Pain Services 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-763-0037 County: Shelby Pain Management Richey, Steven Thomas Michael E Steuer Md 122 Airways Pl Southaven, MS 38671 Phone: 662-349-9990 County: DeSoto Pain Management Schnapp, Moacir Pain Clinic Associates 55 Humphreys Ctr #200 Memphis, TN 38120 Phone: 901-747-0040 County: Shelby Pain Management Mays And Schnapp Pain Clinic & Rehabilitation Center 55 Humphreys Center Drive, Suite 200 Memphis, TN 38120 Phone: 901-747-0040 County: Shelby Pathology Adler, Justin C The Pathology Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2131 County: Shelby Pathology Alberhasky, Mark T Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Alberhasky, Robert C Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Alkhawaja, Maha Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Alvarez-Paiva, Gustavo Alejandro Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Anasari, Sikander J Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 188 Provider Listing by Specialty Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Poplar Healthcare 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Pathology Pathology Pathology University Pathology Group 930 Madison Ave Memphis, TN 38103 Phone: 901-448-7020 County: Shelby The Pathology Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2131 County: Shelby Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Pathology Pathology Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Pathology Pathology Pathology Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pathology Pathology Pathology Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pca Southeast 1602 Hatcher Ln Columbia, TN 38401 Phone: 931-388-0777 County: Maury Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Pathology Pathology Poplar Healthcare 3495 Hacks Cross Rd Memphis, TN 38125 Phone: 901-526-7444 County: Shelby Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Oxford Pathology Inc 1207 Office Park Dr #A Oxford, MS 38655 Phone: 662-513-5747 County: Lafayette Arnold, Bruce F Balazs, Louisa Baldwin, Heather Sehnert Battles, Oscar Baxter, Jere Bentley, Gail Berg, Karin Diane Bergmann, Karin Diane Berry, Allen D Bieniek, Radoslaw Boden, Donna J Bramlett, Charles B Bruner, Kathy S Budke, Amy Jo Bugg, Michael Frederick Cachia, Richard Callihan, Thomas R Campana, Dario Casey, Terrence T Chand, Eric M Chandler, Lisa L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 189 Provider Listing by Specialty Pathology Pathology Pathology Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pca Southeast 1602 Hatcher Ln Columbia, TN 38401 Phone: 931-388-0777 County: Maury Pathology Pathology Pathology Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Jpb Pathology Inc PO Box 428 Oxford, MS 38655 Phone: 662-232-8121 County: Lafayette Pathology Pathology Pathology Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Pathology Pathology Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7477 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Chesney, Thomas M Clark, Bradley Douglas Coleman, Paul H Connor, Dan Ellis Davis, Ben W Dean, Patrick J Dolz, Mark Stephen Doucette, Saryn Downing, James R Dress, Matthew Alan Dunnington, James Eisenstein, Warren Farthing, William H Ferrell, Harold W Fullenwider, John P Gates, Jay Alan Geiger, Terrence L Gibbs, Jerry L Pathology Pathology Pathology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer The Pathology Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2131 County: Shelby Debelenko, Larisa V Erickson, Douglas J Glotzbach, Raymond This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 190 Provider Listing by Specialty Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Pathology Pathology Poplar Healthcare 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Goldstein, Adrian Michael Golembeski, Christopher Paul Hall, J Cameron Hanes, Thomas E Ibrahim, Fadi Jaramillo, Mike David Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Phillip R Bowden Md 1417 Monroe Ave Memphis, TN 38104 Phone: 901-272-7200 County: Shelby Pathology Pathology Pathology Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby The Pathology Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2131 County: Shelby Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer University Pathology Group 930 Madison Ave Memphis, TN 38103 Phone: 901-448-7020 County: Shelby Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gerald S Husted Md PO Box 108 Blytheville, AR 72316 Phone: 870-838-7319 County: Mississippi Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Goodman, Susan C Graham, Larry G Groshart, Kenneth D Gui, Xianyong Hall, Graves Scott Hanna, Atef Harboldt, Samuel L Hayden, Randall T Hessler, Richard B Husted, Gerald S Jenkins, Jesse J Johns, Camelia D Johnston, Gina A Jordan, Anne M Kingma, Douglas William This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 191 Provider Listing by Specialty Pathology Pathology Pathology Poplar Healthcare 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7477 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pca Southeast 1602 Hatcher Ln Columbia, TN 38401 Phone: 931-388-0777 County: Maury Pathology Pathology Pathology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Pathology Pathology Anatomical Pathology Consortium 150 Collins St Memphis, TN 38112 Phone: 901-526-1912 County: Shelby Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7477 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-1912 County: Shelby Pathology Pathology Pathology Amory Hma Physician Mgmt 1105 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-7111 County: Monroe Pca Southeast 1602 Hatcher Ln Columbia, TN 38401 Phone: 931-388-0777 County: Maury Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Kinsey, Richard Shawn Kirchberg, Roy W Knapp, Richard M Kundu, Mondira Lazar, Robert S Lennington, Wayne Jacob Lewis, James Wilton Lyda, Mark Harry Makapugay, Lydia M Metcalfe, James K Moinuddin, Shamim M Montes, Carolina M Moody, Laura O Moore, Joseph C Nelson, Eugene H Ollapally, Elsie P Olson, John R Onciu, Mihaela A Onciu, Mihaela A Onyeagocha, Chukwuma Onwumere Orucevic, Amila This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 192 Provider Listing by Specialty Pathology Pathology Pathology Anatomical Pathology Consortium 150 Collins St Memphis, TN 38112 Phone: 901-526-1912 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Osborn, Frank David Piech, Kenneth S Schatz, Mary Pathology Pathology Pathology University Pathology Group 930 Madison Ave Memphis, TN 38103 Phone: 901-448-7020 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Osborne, Pamela T Pierce, Edgar Seibert, Louis Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology Pathology Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology Pathology Pca Southeast 1602 Hatcher Ln Columbia, TN 38401 Phone: 931-388-0777 County: Maury Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Papuchis, Trudy Parveen, Talat Patton, Kurt Thoreau Pearson, Jack T Purdy, Julianne K Rabaa, Ehab Rai, Har Pratap Rietz, Heather Marguerite Shamsuddin, Abdul Silvernagel, Sean Wyatt Slemmer, James Smith, Samuel A Pathology Pathology Pathology Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Perrizo, Karla Marie Rund, Chad Richard Soldo, Catherine This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 193 Provider Listing by Specialty Pathology Pathology Pathology BMH-Booneville Booneville, MS 38829 Phone: 931-388-0777 County: Prentiss Poplar Healthcare 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Pathology Pathology Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Poplar Healthcare 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Pathology Gastrointestinal Specialists Foundation Inc 80 Humphreys Ctr Dr #200 Memphis, TN 38120 Phone: 901-578-2538 County: Shelby Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Southeast, Pca Pathology Sparacino, Maria G Bolivar Pathology Services 901 Hwy 8 E Cleveland, MS 38732 Phone: 662-846-2519 County: Bolivar Pathology Spencer, G David Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Pathology Stevenson, Alan Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Stockstill, Ronald The Pathology Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2131 County: Shelby Pathology Tennenbaum, Joshua Brett Thomison, John B Thomison, Rena Melton Thomison Iii, John Brown Thompson, Andre Wallen, Ellen B Wang, Gordon Guan Wang, Weihua Wang, Gordon Guan Warner, Harrison F Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Pathology 200 Hwy 30 W New Albany, MS 38652 Phone: 662-538-7631 County: Union Pathology Pathology Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Taylor, Dean G Templeton, John Todd, Michael A Wahl, Robert W Wearner, Neal Pathology Welch, Derek Christopher Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 194 Provider Listing by Specialty Pathology White, Barry James Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7444 County: Shelby Pathology Williams, Susan T Gi Pathology 150 Collins St Memphis, TN 38112 Phone: 901-526-7477 County: Shelby Pathology Wright, Amy Dyersburg Hospital Corp 400 Tickle St Dyersburg, TN 38024 Phone: 731-288-3606 County: Dyer Pathology Xie, Huiwen Bill Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Pathology Zhang, Yanlong Michael Pathology Grp Of The Mid-South Inc 7550 Wolf River Blvd #200 Germantown, TN 38138 Phone: 901-542-6800 County: Shelby Pathology Zhang, Jiong Poplar Healthcare 3495 Hacks Cross Rd Memphis, TN 38125 Phone: 901-526-7444 County: Shelby Pathology Ameripath Mississippi Inc 306 Hospital Dr Columbus, MS 39705 Phone: 662-327-1262 County: Lowndes Pathology Associated Pathologists 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Pediatric Allergy / Immunology Conley, Mary Ellen Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Cardiology Chase, Nancy A Nancy A Chase Md, Pediatric Cardiology 805 Estate Place Ste #1 Memphis, TN 38120 Phone: 901-287-4150 County: Shelby Pediatric Cardiology Pediatric Cardiology Waller Iii, Benjamin R Ut Medical Group Inc 777 Washington Ave #P110 Memphis, TN 38105 Phone: 901-448-2020 County: Shelby Pediatric Child / Adolescent Psychiatry Arnold, Valerie K Sjcrh 280 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3024 County: Shelby Pediatric Child / Adolescent Psychiatry Battaile, Najiba Abulhush Ut Medical Group Inc 135 N Pauline St Memphis, TN 38105 Phone: 901-448-2400 County: Shelby Chase, Nancy A Pediatric Child / Adolescent Psychiatry Pediatric Cardiology Child & Adolescent Psychiatric Assoc 1135 Cully Rd #100 Cordova, TN 38016 Phone: 901-752-1980 County: Shelby 805 Estate Pl #1 Memphis, TN 38120 Phone: 901-287-4150 County: Shelby Chin, Thomas Ut Medical Group Inc 777 Washington Ave #P Memphis, TN 38105 Phone: 901-448-2020 County: Shelby Pediatric Cardiology Douglas, Dane E Pediatric Cardiology Consultants 6401 Poplar Ave #402 Memphis, TN 38119 Phone: 901-682-7774 County: Shelby Pediatric Cardiology Joshi, Vijaya M Ut Medical Group Inc 777 Washington Ave #P Memphis, TN 38105 Phone: 901-448-2020 County: Shelby Heston, Jerry D Pediatric Child / Adolescent Psychiatry Shaw, Jonathan David 1384 Cordova Cv #1 Germantown, TN 38138 Phone: 901-753-7700 County: Shelby Pediatric Critical Care Anand, Kanwalijeet S Sjcrh 270 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3014 County: Shelby Pediatric Critical Care Elbahlawan, Lama Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 195 Provider Listing by Specialty Pediatric Critical Care Pediatric Endocrinology Pediatric Gastroenterology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 271 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3015 County: Shelby Pediatric Critical Care Pediatric Endocrinology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Endocrine Clinic 55 Physicians Ln. #2 Southaven, MS 38671 Phone: 901-763-3636 County: DeSoto Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Critical Care Pediatric Endocrinology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Critical Care Pediatric Gastroenterology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 264 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3008 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Developmental/Behavioral Pediatric Gastroenterology Pediatric Hematology / Oncology Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3006 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology / Oncology Consolidated Medical Practices Of Memphis 2996 Kate Bond Blvd. #413 Bartlett, TN 38133 Phone: 901-384-0065 County: Shelby Sjcrh 273 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3017 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Endocrinology Pediatric Gastroenterology Eshun, John Kraka Pediatric Hematology / Oncology Sjcrh 269 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3013 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Frantz, Melinda Lamptey, Aubrey A Morrison, Raymond R Rajasekaran, Surender Eastmead, Donald Joseph Burghen, George A Burghen, George A Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby Ferry, Robert J Karabell, Ana H Shelso, John Howard Black, Dennis D Cavender, Cary Paul Corkins, Mark R Lazar, Linda F Armstrong, Gregory T Aygun, Banu Baker, Justin N Bhojwani, Deepa Broniscer, Alberto Campbell, Patrick K This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 196 Provider Listing by Specialty Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Hematology / Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Daw, Najat C Fritts, Sherry B Furman, Wayne L Gajjar, Amar J Green, Daniel M Hankins, Jane S Hartford, Christine Mary Howard, Scott Charles Hudson, Melissa M Inaba, Hiroto Jeha, Sima Kane, Javier R Kaplan, Stuart Joel Kastan, Michael B Laver, Joseph H Leung, Winghang E Mcgregor, Amy Lee Metzger, Monika Mirro, Joseph Navid, Fariba Pillai, Asha B This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 197 Provider Listing by Specialty Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Hematology / Oncology Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Infectious Disease Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Hematology / Oncology Pediatric Infectious Disease Pediatric Infectious Disease Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pui, Chinghon A Reiss, Ulrike M Ribeiro, Raul Correa Rodriguez-Galindo, Carlos Rubnitz, Jeffrey E Sandlund, John T Santana, Victor M Spunt, Sheri L Wang, Winfred C Ware, Russell Wilimas, Judith A Woodard, Joseph P Adderson, Elisabeth E Caniza, Miguela A Flynn, Patricia M Gaur, Aditya H Knapp, Katherine M Mccullers, Jonathan A Patel, Nehali M Shenep, Jerry Lynn Slobod, Karen S This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 198 Provider Listing by Specialty Pediatric Infectious Disease Pediatric Neurology Pediatric Ophthalmology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby UT Lebonheur Pediatric Specialists Inc 930 Madison Ave #400 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Sjcrh 277 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3021 County: Shelby Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Ut Medical Group Inc 930 Madison Ave #100 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Sjcrh 275 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3019 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Visionary Eye Care 6252 Poplar Ave Memphis, TN 38119 Phone: 901-754-3937 County: Shelby Pediatric Neurology Pediatric Neurology Pediatric Ophthalmology Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Sjcrh 267 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3011 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-448-6650 County: Shelby Pediatric Neurology Pediatric Oncology Pediatric Ophthalmology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pandya-Lipman Eye Specialist 3964 Goodman Rd #125 Southaven, MS 38672 Phone: 662-890-7361 County: DeSoto Pediatric Neurology Pediatric Oncology Pediatric Otolaryngology Sjcrh 274 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3018 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Childrens Ear Nose & Throat Care 60 Physicians Ln #1 Southaven, MS 38671 Phone: 662-349-0707 County: DeSoto Pediatric Neurology Pediatric Oncology Pediatric Otolaryngology Tuomanen, Elaine I Chesney, Russell W Delos-Santos, Noel Mores Arya, Kapil Fulton, Stephen Parker Igarashi, Masanori Jabbour, J T Memphis Neurology 7645 Wolf River Cir #100 Germantown, TN 38138 Phone: 901-405-0275 County: Shelby Lynn, Ronald Banks Natarajan, Shiva Shanker Shah, Namrata S Wheless, James W Morris, Brannon E Qaddoumi, Ibrahim A Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Bohn, Shiva Calderwood, Julie K Hidaji, Faramarz Fred Kerr, Natalie C Pandya-Lipman, Rashmi K Chanin, Louis R Mclevy, Jennifer Dawn UT Lebonheur Pediatric Specialists Inc 777 Washington Ave # G10 Memphis, TN 38105 Phone: 901-287-4400 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 199 Provider Listing by Specialty Pediatric Otolaryngology Pediatric Radiology Pediatric Surgery UT Lebonheur Pediatric Specialists Inc 777 Washington Ave # G10 Memphis, TN 38105 Phone: 901-287-4400 County: Shelby Pediatric Radiology Associates 806 Estate Pl Memphis, TN 38119 Phone: 901-681-4000 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Otolaryngology Pediatric Rheumatology Pediatric Surgery UT Lebonheur Pediatric Specialists Inc 777 Washington Ave # G10 Memphis, TN 38105 Phone: 901-287-4400 County: Shelby Sjcrh 272 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3016 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Pulmonary Medicine Pediatric Surgery Pediatric Surgery / General Surgery Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3006 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 279 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3023 County: Shelby Pediatric Pulmonary Medicine Pediatric Surgery Pediatric Urology Sjcrh 276 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3020 County: Shelby Pediatric Surgical Group Inc 777 Washington Ave #P230 Memphis, TN 38105 Phone: 901-287-6031 County: Shelby Sjcrh 263 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3007 County: Shelby Pediatric Radiology Pediatric Surgery Pediatrics Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatric Surgical Group Inc 777 Washington Ave #P230 Memphis, TN 38105 Phone: 901-287-6031 County: Shelby River City Pediatrics 6401 Poplar Ave #610 Memphis, TN 38119 Phone: 901-761-1280 County: Shelby Pediatric Radiology Pediatric Surgery Pediatrics Sjcrh 266 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3010 County: Shelby Pediatric Surgical Group Inc 777 Washington Ave #P230 Memphis, TN 38105 Phone: 901-287-6031 County: Shelby Pediatric & Teen Medical Ctr 1521 N 10th St #H Blytheville, AR 72315 Phone: 870-763-1700 County: Mississippi Pediatric Radiology Pediatric Surgery Pediatrics Mid-South Imaging & Therapeutics Pa 806 Estate Pl Memphis, TN 38119 Phone: 901-287-4000 County: Shelby Baptist Memorial Medical Group Inc 6215 Humphreys Ste #300 Memphis, TN 38120 Phone: 901-227-9870 County: Shelby Alliance Health Partners 435 Hwy 6 E Batesville, MS 38606 Phone: 662-563-5632 County: Panola Stocks, Rosemary S Thompson, Jerome W Haberman, Brent K Schoumacher, Robert A Kaufman, Robert A Lederman, Henrique Riggs, W Webster Riggs, W Webster Myers, Linda K Davidoff, Andrew Michael Hixson, Sherman Douglas Huang, Eunice Yueedean Langham, Max Raymond Lewis, Florence Catherine Rao, Bhaskar Narayan Shochat, Stephen J Jancelewicz, Timothy Giel, Dana W Abbasi, Seema Abraham, Anes W Adedipe, Olugbenga M This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 200 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Progressive Physicians Practice 7900 Airways Blvd Bldg C #5B Southaven, MS 38671 Phone: 662-536-2100 County: DeSoto Contemporary Pediatrics 4250 Faronia Memphis, TN 38116 Phone: 901-345-0202 County: Shelby Wynne Medical Clinic 710 S Falls Blvd Wynne, AR 72396 Phone: 870-238-2321 County: Cross Pediatrics Pediatrics Pediatrics Christ Community Health Svcs 1211 Union Ave #200 Memphis, TN 38104 Phone: 901-271-0330 County: Shelby Pediatric Place Of Union City 1117 S Miles Ave #3 Union City, TN 38261 Phone: 731-885-4338 County: Obion Martin Pediatric & Adolescent Clinic 142 Mt Pelia Rd Martin, TN 38237 Phone: 731-587-9542 County: Weakley Pediatrics Pediatrics Pediatrics Primary Care Pediatrics 8081 Hwy 51 N Millington, TN 38053 Phone: 901-873-4242 County: Shelby 1998 Hwy 51 S Covington, TN 38019 Phone: 901-476-1155 County: Tipton Childrens Health Ctr Of Columbus Inc 114 Lehmburg Rd Columbus, MS 39701 Phone: 662-329-2955 County: Lowndes Adesoji, Remilekun Subedat Algea, William David Algea, Janice S Pediatrics Algodi, Zhear Amory Hma Physician Mgmt 1107 Earl Frye Blvd #5 Amory, MS 38821 Phone: 662-257-6705 County: Monroe Pediatrics Alsaek, Yaser Crittenden Hospital Assoc 228 Tyler #304 West Memphis, AR 72301 Phone: 870-733-9347 County: Crittenden Pediatrics Asafo-Boakye, Benjamin Great River Pediatric Clinic 1521 N Tenth St #F Blytheville, AR 72315 Phone: 870-780-6832 County: Mississippi Pediatrics Assfoura, Rana Bartlett Childrens Clinic 6385 Stage Rd #2 Bartlett, TN 38134 Phone: 901-386-1683 County: Shelby Barnes, Grover W Bates, John B Beasley, Jimmie L Pediatrics Benveniste, Harvey S 453 W Madison St Houston, MS 38851 Phone: 662-456-9090 County: Chickasaw Pediatrics Berger, Jennifer Haaga Primary Care Group 1458 West Poplar Ave #201 Collierville, TN 38017 Phone: 901-821-9990 County: Shelby Pediatrics Bergeron, Christian Blake Primary Care Group 6215 Humphreys Blvd #200 Memphis, TN 38120 Phone: 901-821-9990 County: Shelby Pediatrics Best, Jara Lavonda Pediatric Consultants 1458 W Poplar Ave #201 Collierville, TN 38017 Phone: 901-457-2880 County: Shelby Bradshaw, Elizabeth Pleasants Brewer-Mcdaniel, Susan C Buckle, Raphael Augustine Pediatrics Campbell, Douglas Turner Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, AR 72301 Phone: 870-732-1191 County: Crittenden Pediatrics Carter, James Edward Memphis & Shelby Co Pediatric Grp 1444 E Shelby Dr #317 Memphis, TN 38116 Phone: 901-396-8281 County: Shelby Pediatrics Casama, Dorothy Joy Baptist Memorial Medical Group Inc 36 Capital Way #E Atoka, TN 38004 Phone: 901-837-6801 County: Tipton Pediatrics Caudill, Jonathan Sheperd Oxford Pediatric Group 1203 Medical Park Dr. Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 201 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Christ Community Health Svcs 1211 Union Ave #200 Memphis, TN 38104 Phone: 901-260-8551 County: Shelby 5660 Mt Moriah Rd Memphis, TN 38115 Phone: 901-363-6823 County: Shelby Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Pediatrics Delamerens-Pratt, Maite T Cazalas, Christi Lee Chandrashekaran, Rama Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, AR 72301 Phone: 870-732-1191 County: Crittenden Pediatrics Crisler, Herman Andrew Pediatrics Memphis Pediatrics 1255 S Germantown Rd Germantown, TN 38138 Phone: 901-432-1591 County: Shelby Pediatrics Dellinger, Janet W Chidester, Catherine Ann 1355 W Brierbrook Rd Germantown, TN 38138 Phone: 901-755-8300 County: Shelby Memphis Pediatrics 1255 S Germantown Rd Germantown, TN 38138 Phone: 901-432-1591 County: Shelby Pediatrics Pediatrics Christ Community Health Svcs 2569 Douglass Ave Memphis, TN 38114 Phone: 901-271-6200 County: Shelby Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby Pediatrics Pediatrics Grenada Lake Medical Center 100 Avent Dr #100B Grenada, MS 38901 Phone: 662-227-6488 County: Grenada Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette Pediatrics Pediatrics Pediatric Assoc 1501 Brayton Ave Dyersburg, TN 38024 Phone: 731-285-4111 County: Dyer Memphis Pediatrics 1255 S Germantown Rd Germantown, TN 38138 Phone: 901-432-1591 County: Shelby Chipman, Lauren T Chisley, Tywanna L Choueiry, Mona A Dellinger, Hubert L Dennis, David Michael Dick, Charlotte Jane Pediatrics Pediatrics Memphis Pediatrics 1255 S Germantown Rd Germantown, TN 38138 Phone: 901-432-1591 County: Shelby Baptist Memorial Medical Group Inc 1995 Hwy 51 S #203B Covington, TN 38019 Phone: 901-475-5422 County: Tipton Christian, Aimee M Dillon, Joshua Lee Donlon, Richard N Pediatrics Doshi, Nidhiben P Rural Health Clinics Of West Tn 1716 Parr Ave Ste A Dyersburg, TN 38024 Phone: 731-285-3300 County: Dyer Pediatrics Eiseman, Robert M Primary Care Group 920 Estate Dr #3 Memphis, TN 38119 Phone: 901-767-3620 County: Shelby Pediatrics Elahi, Lubna Sial Memphis Pediatrics 1255 S Germantown Rd Germantown, TN 38138 Phone: 901-432-1591 County: Shelby Pediatrics Ellis, John W Primary Care Group 6215 Humphreys Blvd #200 Memphis, TN 38120 Phone: 901-821-9990 County: Shelby Pediatrics Erbele, Phillip Wayne Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8551 County: Shelby Pediatrics Eshun, Dorcas Poni Aaron E Henry Comm Health Svcs Ctr Inc 800 Ohio Ave Clarksdale, MS 38614 Phone: 662-624-2504 County: Coahoma This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 202 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Centrosalud 2900 Kirby Rd #11 Memphis, TN 38119 Phone: 901-737-7393 County: Shelby Pediatric & Adolescent Med Of E Memphis 1102 Brookfield Rd 2nd Fl Memphis, TN 38119 Phone: 901-761-1880 County: Shelby Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, TN 72301 Phone: 870-732-1191 County: Crittenden Pediatrics Pediatrics Pediatrics Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, AR 72301 Phone: 870-732-1191 County: Crittenden Magnolia Pediatric Clinic 401 Alcorn Dr #2B Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Segars Clinic 1507 W Quitman Iuka, MS 38852 Phone: 662-423-1000 County: Tishomingo Pediatrics Pediatrics Pediatrics Amory Hma Physician Mgmt 1107 Earl Frye Blvd #5 Amory, MS 38821 Phone: 662-257-6705 County: Monroe Primary Care Group 6215 Humphreys Blvd #200 Memphis, TN 38120 Phone: 901-821-9990 County: Shelby Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, AR 72301 Phone: 870-732-1191 County: Crittenden Pediatrics Pediatrics Pediatrics 1109 E Reelfoot Ave #D Union City, TN 38261 Phone: 731-884-2140 County: Obion Delta Health Center Inc 702 Martin Luther King Rd Mount Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar 462 W Bankhead St New Albany, MS 38652 Phone: 662-534-2020 County: Union Pediatrics Gossett, Gail J Espinal, Ronald Rafael Evans, Loraine J Ewing, Alicia P Fattah, Emad Abdel Pediatrics Fite, James W 340 Van Dorn St Grenada, MS 38901 Phone: 662-226-0325 County: Grenada Pediatrics Fitzwater, Douglas S 412 Ward Ave Caruthersville, MO 63830 Phone: 573-333-0033 County: Pemiscot Pediatrics Flores-Perkins, Silvia Patricia Raleigh Group 2860 Covington Pike Memphis, TN 38128 Phone: 901-252-6034 County: Shelby Folz, Tamara Paskowitz Fowler, Blakley Atkins Frizzell, Noel K Ganpot, Sally Ann Gautier, Kenneth Bryan Tri-Lakes Medical Center 564 Hwy 6 East Batesville, MS 38606 Phone: 662-563-7873 County: Panola Pediatrics Geiger, Janet Dang Baptist Memorial Medical Group Inc 6401 Poplar Ave #610 Memphis, TN 38119 Phone: 901-761-1280 County: Shelby Pediatrics George, Beena R Drs George & John 6005 Park Ave #306 Memphis, TN 38119 Phone: 901-685-9640 County: Shelby Glover, Suzanne Elizabeth Glynn, Margaret M Goodman, David A Googe, Jim Pediatrics 2900 Kirby Pkwy #15 Memphis, TN 38119 Phone: 901-726-1762 County: Shelby Pediatrics Granados, Javel Maningat Senatobia Childrens Clinic 104 Court St Senatobia, MS 38668 Phone: 662-562-4418 County: Tate Pediatrics Guacaneme, Angel O Dar Salud Care 6063 Mt Moriah Ext #4 Memphis, TN 38115 Phone: 901-531-8800 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 203 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Pemiscot Co Memorial Hospital 106 W 12th St Caruthersville, MO 63830 Phone: 573-333-2285 County: Pemiscot Raleigh Group 2860 Covington Pike Memphis, TN 38128 Phone: 901-252-6034 County: Shelby Magnolia Pediatric Clinic 401 Alcorn Dr #2B Corinth, MS 38834 Phone: 662-293-7390 County: Alcorn Pediatrics Pediatrics Pediatrics 213 Lakeview Dr Somerville, TN 38068 Phone: 901-465-5466 County: Fayette Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby Memphis & Shelby Co Pediatric Grp 1444 E Shelby Dr #317 Memphis, TN 38116 Phone: 901-396-8366 County: Shelby Pediatrics Pediatrics Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #300 Memphis, TN 38120 Phone: 901-227-9521 County: Shelby Pediatric Partners Of Memphis 6063 Mt Moriah Rd Extd #13 Memphis, TN 38115 Phone: 901-366-0080 County: Shelby Pediatrics Pediatrics Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby Madison Clinic Corp 37 Sandstone Cir Jackson, TN 38305 Phone: 731-664-9928 County: Madison Pediatrics Pediatrics Primary Care Group 6215 Humphreys Blvd #200 Memphis, TN 38120 Phone: 901-821-9990 County: Shelby Lafayette Pediatric Clinic 2166 S Lamar Blvd Oxford, MS 38655 Phone: 662-236-3939 County: Lafayette Pediatrics Pediatrics Hardin Co Reg Health Ctr 150 E End Dr Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Senatobia Childrens Clinic 104 Court St Senatobia, MS 38668 Phone: 662-562-4418 County: Tate Pediatrics Pediatrics Shelby County Healthcare 2574 Frayser Blvd Memphis, TN 38127 Phone: 901-515-5300 County: Shelby Primary Care Group 920 Estate Dr #3 Memphis, TN 38119 Phone: 901-767-3620 County: Shelby Gubin, Alan S Hamilton, Derrick Pediatrics Hans, Marta E 102 Norman Rd Corinth, MS 38834 Phone: 662-286-6997 County: Alcorn Pediatrics Hanson, Charles Christopher Laurelwood Pediatrics 5050 Sanderlin Ave Memphis, TN 38117 Phone: 901-683-9371 County: Shelby Pediatrics Harris, Joe T Childrens Clinic Of Oxford 2888 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-8286 County: Lafayette Pediatrics Hester, Karen C Family Medicine Assoc Of Blytheville 1521 N Tenth St #C Blytheville, AR 72315 Phone: 870-762-5360 County: Mississippi Pediatrics Higgins, Megan Janette Paris Pediatrics 243 Jim Adams Dr Paris, TN 38242 Phone: 731-644-2747 County: Henry Hillebert, Susan A Holland, Nancy Elizabeth Holtzman, Lori Rae Hubbard, Amy Elizabeth Huggins, Marybeth H Igbinedion, Adesuwa Johnson, Rhonda Charlene Jones, Vickie Denese Jones, Renee A Jones, Brinders Kearney, Nicole S King, Tanya Jean Fitts Krasin, Audrey Leigh Kronenberg, Joel I This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 204 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics UT Boling Ctr For Dd 711 Jefferson Ave Memphis, TN 38105 Phone: 901-448-6111 County: Shelby Raleigh Group 2860 Covington Pike Memphis, TN 38128 Phone: 901-252-6034 County: Shelby Primary Care Group 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2711 County: Shelby Pediatrics Pediatrics Pediatrics Madison Clinic Corp 60 Physicians Dr Jackson, TN 38305 Phone: 731-664-9928 County: Madison Laurelwood Pediatrics 5050 Sanderlin Ave Memphis, TN 38117 Phone: 901-683-9371 County: Shelby Senatobia Childrens Clinic 104 Court St Senatobia, MS 38668 Phone: 662-562-4418 County: Tate Pediatrics Pediatrics Pediatrics Pediatric Consultants 777 Washington Ave #P410 Memphis, TN 38105 Phone: 901-523-2945 County: Shelby Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, AR 72301 Phone: 870-732-1191 County: Crittenden Laurelwood Pediatrics 5050 Sanderlin Ave Memphis, TN 38117 Phone: 901-683-9371 County: Shelby Pediatrics Pediatrics Pediatrics Lentz Pediatrics 9486 Hwy 412 W Lexington, TN 38351 Phone: 731-968-0984 County: Henderson Childrens Clinic Of Clarksdale 2245 N State St Clarksdale, MS 38614 Phone: 662-627-4131 County: Coahoma Raleigh Group 2860 Covington Pike Memphis, TN 38128 Phone: 901-252-6034 County: Shelby Pediatrics Pediatrics Pediatrics Senatobia Childrens Clinic 104 Court St Senatobia, MS 38668 Phone: 662-562-4418 County: Tate Delta Health Center Inc 702 Martin Luther King Rd Mound Bayou, MS 38762 Phone: 662-741-2151 County: Bolivar All Childrens Clinic 103 Halls Cv Senatobia, MS 38668 Phone: 662-562-9003 County: Tate Pediatrics Pediatrics Pediatrics Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Madison Clinic Corp 37 Sandstone Cir Jackson, TN 38305 Phone: 731-664-9928 County: Madison Childrens Clinic Of Clarksdale 2245 N State St Clarksdale, MS 38614 Phone: 662-627-4131 County: Coahoma Pediatrics Pediatrics Pediatrics Pediatric Consultants 777 Washington Ave #410 Memphis, TN 38105 Phone: 901-523-2945 County: Shelby Pediatric Consultants 777 Washington Ave #410 Memphis, TN 38105 Phone: 901-523-2945 County: Shelby Baptist Memorial Medical Group Inc 2600 5th St N Columbus, MS 39705 Phone: 662-244-2960 County: Lowndes Kube, David Arnold Kuhl, Douglas Michael Lankford, Ann Catherine Lentz, Jonathan David Levine, Robert D Liu, Joyce L Livingston, Leon O Macgaw, Douglas M Magdovitz, Nouth Chanmanivone Mallare, Johanna Trinidad Mangrem, Carole L Manickavasagam, Ezhilarasi Martin, Laurence F Mathis, Christopher Lynn Meeks, Charles B Metin, Nuray Miller, Ashley B Mink, Jennifer Dayle Minniear, Timothy D Mitchell, Julia Lane Morris, Andrea N This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 205 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Narayanan Pediactric Clinic 3964 Goodman Rd #133 Southaven, MS 38672 Phone: 662-895-9498 County: DeSoto Centrosalud 6063 Mt Moriah Ext #4 Memphis, TN 38115 Phone: 901-531-8800 County: Shelby Primary Care Group 6215 Humphreys Blvd #200 Memphis, TN 38120 Phone: 901-821-9990 County: Shelby Pediatrics Pediatrics Pediatrics Pediatrics East Inc 8110 Walnut Run Cordova, TN 38018 Phone: 901-754-9600 County: Shelby Raleigh Group 2860 Covington Pike Memphis, TN 38128 Phone: 901-252-6034 County: Shelby E Arkansas Childrens Clinic 901 Holiday Dr Forrest City, AR 72335 Phone: 870-633-0880 County: Saint Francis Pediatrics Pediatrics Pediatrics Hardin Co Reg Health Ctr 150 E End Dr Savannah, TN 38372 Phone: 731-925-2300 County: Hardin UT Boling Ctr For Dd 711 Jefferson Ave Memphis, TN 38105 Phone: 901-448-6111 County: Shelby Lafayette Pediatric Clinic 1115 Mimosa Dr Oxford, MS 38655 Phone: 662-236-3939 County: Lafayette Pediatrics Pediatrics Pediatrics Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby E Arkansas Childrens Clinic 901 Holiday Dr Forrest City, AR 72335 Phone: 870633-0880 County: Saint Francis Pillow Clinic 101 Shirley Hicks Dr Helena, AR 72342 Phone: 870-572-5996 County: Phillips Pediatrics Pediatrics Pediatrics Drs Sisson & Odom 900 Earl Frye Blvd #B Amory, MS 38821 Phone: 662-256-9391 County: Monroe Alliance Health Partners 435 Hwy 6 E Batesville, MS 38606 Phone: 662-563-5632 County: Panola Mcnairy Clinic Corp 705 E Poplar Ave Selmer, TN 38375 Phone: 731-646-2181 County: McNairy Pediatrics Pediatrics Pediatrics Cordova Pediatrics 1665 Bonnie Ln #101 Cordova, TN 38016 Phone: 901-531-8555 County: Shelby Madison Clinic Corp 60 Physicians Dr Jackson, TN 38305 Phone: 731-664-9928 County: Madison 7460 Wolf River Blvd Germantown, TN 38138 Phone: 901-763-0200 County: Shelby Pediatrics Pediatrics Pemiscot Co Memorial Hospital 907 E Reed Hayti, MO 63851 Phone: 573-359-3660 County: Pemiscot Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby Narayanan, Manoj N Nearn, Andrew Buchman Newhouse, Patricia Ann Norman, Johnita K Odom, Terry Odum, Erica P Nevilles Oyefeso, Olumide Padilla, Jadira Irizarry Palakurthi, Preeti S Palmer, Frederick Bristol Patton, William C Payne, Aena Pela, Tarebiye Pender, John V Pendergrass, Landon B Perel, Christy Phillips, Catherine Durst Pillow, Jill Porat, Shimshon Pride-Boone, Janice Pediatrics Purvis, John Haigler Crittenden Hospital Assoc 2921 Hwy 77 #20 Marion, AR 72364 Phone: 870-739-5311 County: Crittenden This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 206 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Raleigh Group 2860 Covington Pike Memphis, TN 38128 Phone: 901-252-6034 County: Shelby Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette Pediatric Assoc Of W Memphis 108 W Tyler West Memphis, AR 72301 Phone: 870-732-1191 County: Crittenden Pediatrics Pediatrics Pediatrics 800 Ohio Ave Clarksdale, MS 38614 Phone: 662-624-2504 County: Coahoma Baptist Memorial Medical Group 6401 Poplar Ave #610 Memphis, TN 38119 Phone: 901-761-1280 County: Shelby Primary Care Group 920 Estate Dr #3 Memphis, TN 38119 Phone: 901-767-3620 County: Shelby Pediatrics Pediatrics Primary Care Group 6215 Humphreys Blvd #200 Memphis, TN 38120 Phone: 901-821-9990 County: Shelby Senatobia Childrens Clinic 104 Court St Senatobia, MS 38668 Phone: 662-562-4418 County: Tate Pediatrics Pediatrics Primary Care Group 920 Estate Dr #3 Memphis, TN 38119 Phone: 901-767-3620 County: Shelby Amory Hma Physician Mgmt 1107 Earl Frye Blvd #5 Amory, MS 38821 Phone: 662-257-6705 County: Monroe Pediatrics Pediatrics Paris Pediatrics 243 Jim Adams Dr Paris, TN 38242 Phone: 731-644-2747 County: Henry Sheffield Pediatrics 1750 MADISON #280 Memphis, TN 38104 Phone: 901-725-1094 County: Shelby Pediatrics Pediatrics Pediatric Consultants 777 Washington Ave #410 Memphis, TN 38105 Phone: 901-523-2945 County: Shelby Senatobia Childrens Clinic 104 Court St Senatobia, MS 38668 Phone: 662-562-4418 County: Tate Pediatrics Pediatrics E Arkansas Childrens Clinic 901 Holiday Dr Forrest City, AR 72335 Phone: 870-633-0880 County: Saint Francis Laurelwood Pediatrics 5050 Sanderlin Ave Memphis, TN 38117 Phone: 901-683-9371 County: Shelby Ragland, David K Ramgoolam, Andres Pediatrics Rangaswami, Narayanaswami Crittenden Regional Hospital 2921 Hwy 77 #20 Marion, AR 72364 Phone: 870-739-5311 County: Crittenden Pediatrics Rangaswami, Narayanaswami Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2711 County: Shelby Pediatrics Reddy, Dubbaka D 305 E Main St Adamsville, TN 38310 Phone: 731-632-0901 County: McNairy Pediatrics Reed, Patrice Cowan Memphis Pediatrics 1255 S Germantown Rd Germantown, TN 38138 Phone: 901-432-1591 County: Shelby Pediatrics Saino, James D Pediatric Physicians 1172 Vickery Ln Cordova, TN 38016 Phone: 901-757-0095 County: Shelby Sanford, William D. Schulz, Angela Marie Scott, Dawn Heather Segal, Jack Selby, Debra S Sepulveda, Vanessa S Shafer-Franks, Candace D Shah, Ayesha S Shahbaz, Fatima Shaiju, Aneesha Sheffield, Mary Ann Sheffield, Nicole M Sidhu, Desh D Siegel, Joel Israel This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 207 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Alliance Health Partners 435 Hwy 6 E Batesville, MS 38606 Phone: 662-563-5632 County: Panola Pediatric Assoc 3876 New Covington Pike Memphis, TN 38128 Phone: 901-377-2111 County: Shelby Columbus Childrens Clinic Inc 2402 5th St N Columbus, MS 39705 Phone: 662-327-8410 County: Lowndes Pediatrics Pediatrics Pediatrics Alliance Health Partners 435 Hwy 6 E Batesville, MS 38606 Phone: 662-563-7873 County: Panola Pediatric Physicians 1172 Vickery Ln Cordova, TN 38016 Phone: 901-757-0095 County: Shelby Memphis & Shelby Co Pediatric Grp 1444 E Shelby Dr #317 Memphis, TN 38116 Phone: 901-396-8281 County: Shelby Pediatrics Pediatrics Pediatrics 340 Van Dorn St Grenada, MS 38901 Phone: 662-226-0325 County: Grenada Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Magnolia Pediatric Clinic 401 Alcorn Dr #2B Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Pediatrics Pediatrics Baptist Memorial Medical Group Inc 6401 Poplar Ave #610 Memphis, TN 38119 Phone: 901-761-1280 County: Shelby One Hospital Dr Cleveland, MS 38732 Phone: 662-843-8314 County: Bolivar Pediatrics Tobiou, Joseph Alejandro Tavarez Siew, Darrick T Simmons, Harold D Simmons, Harold D Pediatrics Singletary, Molly S Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette Pediatrics Sinha, Sunil Kumar UT Lebonheur Pediatric Specialists Inc 777 Washington Ave #240 Memphis, TN 38105 Phone: 901-287-6959 County: Shelby Pediatrics Sisson, Jr, Charles A Drs Sisson & Odom 900 Earl Frye Blvd #B Amory, MS 38821 Phone: 662-256-9391 County: Monroe Pediatrics Skiwski, Jason J Childrens Health Ctr Of Columbus Inc 114 Lehmburg Rd Columbus, MS 39701 Phone: 662-329-2955 County: Lowndes Slagle, Stephanie K Snapp, Sharon Marie Snider, Mark Andrew Stecker, Ellen Jane Stender, Sarah R Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Pediatrics Suara, Rahaman O Hardeman Co. Community Health Center 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Pediatrics Sweeten, Bianca J Comprehensive Medical Assoc 1331 Union Ave #900 Memphis, TN 38104 Phone: 901-726-1762 County: Shelby Sykes, Pamela O Terrell, William Thomas, Jackson S Tibbs, Robert C Pediatrics Amory Hma Physician Mgmt 1107 Earl Frye Blvd #5 Amory, MS 38821 Phone: 662-257-6705 County: Monroe Pediatrics Tsiu, Willie Primary Care Group 920 Estate Dr #3 Memphis, TN 38119 Phone: 901-767-3620 County: Shelby Pediatrics Ugorji, Nneoma A Tipton Pediatrics 1995 Hwy 51 S #108 Covington, TN 38019 Phone: 901-476-7600 County: Tipton This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 208 Provider Listing by Specialty Pediatrics Pediatrics Pediatrics Crittenden Hospital Assoc 2921 Hwy 77 #20 Marion, AR 72364 Phone: 870-739-5311 County: Crittenden Oxford Pediatric Group 1203 Medical Park Dr Oxford, MS 38655 Phone: 662-513-4399 County: Lafayette 2900 Kirby Pkwy #15 Memphis, TN 38119 Phone: 901-726-1762 County: Shelby Pediatrics Pediatrics Wiseman Ii, William Samuel Narayanan Pediactric Clinic 3964 Goodman Rd #133 Southaven, MS 38672 Phone: 662-895-9498 County: DeSoto Pediatric Partners Of Memphis 6063 Mt Moriah Rd Extd #13 Memphis, TN 38115 Phone: 901-366-0080 County: Shelby Pediatrics Pediatrics Crittenden Regional Hospital 2921 Hwy 77 #20 Marion, AR 72364 Phone: 870-739-5311 County: Crittenden Pediatric & Adolescent Med Of E Memphis 1102 Brookfield Rd 2nd Fl Memphis, TN 38119 Phone: 901-761-1880 County: Shelby Pediatrics Pediatrics 2028 Poplar Ave #112 Collierville, TN 38017 Phone: 901-854-5455 County: Shelby Childrens Clinic Of Clarksdale 2245 N State St Clarksdale, MS 38614 Phone: 662-627-4131 County: Coahoma Ukwe, Ndidibuike Ninabundo Vaghela, Rachana Vanrajsinh Vaidya, Pankaj Venkataraman, Jaya Pediatrics Verma, Satish C All Childrens Clinic 103 Halls Cv Senatobia, MS 38668 Phone: 662-562-9003 County: Tate Pediatrics Wang, Zhengyi Amory Hma Physician Mgmt 1107 Earl Frye Blvd #5 Amory, MS 38821 Phone: 662-257-6705 County: Monroe Pediatrics Ware, Julie Lynne Pediatric & Adolescent Med Of E Memphis 1102 Brookfield Rd 2nd Fl Memphis, TN 38119 Phone: 901-761-1880 County: Shelby Warrington Iii, James Edward Watson, Deborah D Welch, Susan Kay Wells, Peggy J Pediatrics West, Margaret H Pediatric Consultants 51 N Dunlap #410 Memphis, TN 38105 Phone: 901-523-2945 County: Shelby Pediatrics Whitaker, Toni Michele Univ Of TN Boling Ctr For DD-Uap 711 Jefferson Ave Memphis, TN 38105 Phone: 901-448-6111 County: Shelby Pediatrics Williams, Tavares K Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Williams-Neal, Ethelyn J Pediatrics Baptist Memorial Medical Group Inc 1998 Hwy 51 S Covington, TN 38019 Phone: 901-476-7570 County: Tipton Pediatrics Woods, Zakiya Donelson Memphis & Shelby Co Pediatric Grp 1444 E Shelby Dr #317 Memphis, TN 38116 Phone: 901-396-8366 County: Shelby Pediatrics Wright, Monica Latrece Cordova Pediatrics 1665 Bonnie Ln #101 Cordova, TN 38016 Phone: 901-531-8555 County: Shelby Pediatrics Yanishevski, Svetlana Laurelwood Pediatrics 5050 Sanderlin Ave Memphis, TN 38117 Phone: 901-683-9371 County: Shelby Pediatrics Yates, Virgil D 1101 Chickasaw S Fulton, TN 38257 Phone: 731-479-1301 County: Obion Pediatrics Yukon, Charles L 1355 W Brierbrook Rd Germantown, TN 38138 Phone: 901-755-8300 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 209 Provider Listing by Specialty Pediatrics Ziebarth, David M Pediatric Physicians 1172 Vickery Ln Cordova, TN 38016 Phone: 901-757-0095 County: Shelby Pediatrics / Neonatology John, Isaac Isaac John, Md 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2645 County: Shelby Physical Medicine / Rehabilitation Aaron, Ryan Christopher Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Physical Medicine / Rehabilitation Brough, David Thomas Memphis Spine Center 2120 Exeter Rd #130 Germantown, TN 38138 Phone: 901-507-2225 County: Shelby Physical Medicine / Rehabilitation Cunningham, Dale Preston Cunningham Physical Medicine 7705 Poplar Ave Ste 170 Germantown, TN 38138 Phone: 901-737-9787 County: Shelby Physical Therapy / Rehabilitation Services Bingham, Ronald C EMG Clinics Of Tn 310 Judge Smith Dr Marion, AR 72364 Phone: 800-224-1807 County: Crittenden Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Cornerstone Rehabilitation Of Oxford Inc 2205 Jeff Davis Oxford, MS 38655 Phone: 662-238-2800 County: Lafayette 905 Garfield St Tupelo, MS 38801 Phone: 662-842-9677 County: Lee Buglewicz, Andrew A Physical Therapy / Rehabilitation Services Clancy, Sally O Cornerstone Rehabilitation Of Oxford Inc 2205 Jeff Davis Oxford, MS 38655 Phone: 662-238-2800 County: Lafayette Physical Therapy / Rehabilitation Services Gray, Laura A Physical Therapy / Rehabilitation Services Hinton, Danielle L Baptist Memorial Medical Group Inc 2110 Exeter Rd #240 Germantown, TN 38138 Phone: 901-757-1350 County: Shelby Physical Therapy / Rehabilitation Services Hope, Dereck B Cunningham, Mark L 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-349-4000 County: DeSoto Cornerstone Rehabilitation Of Senatobia 102 N Robinson Senatobia, MS 38668 Phone: 662-560-0602 County: Tate Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services West Tn Rehab Group 60 Lynoak Cv Jackson, TN 38305 Phone: 731-664-7744 County: Madison EMG Clinics Of Tn 310 Judge Smith Dr Marion, AR 72364 Phone: 800-224-1807 County: Crittenden Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Saint Francis Rehab 5959 Park Ave-Rehab Memphis, TN 38119 Phone: 901-765-2400 County: Shelby Memphis Spine Center 2120 Exeter Rd #130 Germantown, TN 38138 Phone: 901-507-2225 County: Shelby Curwen, Davidson Clive Ellen, Jonathan Johnson, Miles M Lee-Sigler, Judith Rae Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Mississippi State University 360 Hardy Rd Mississippi State, MS 39762 Phone: 662-325-2431 County: Oktibbeha Cornerstone Rehabilitation Inc 50 S Main St Water Valley, MS 38965 Phone: 662-473-4777 County: Yalobusha Gray, Bobby Joseph Mcgavock, Jennifer S This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 210 Provider Listing by Specialty Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Specialty Clinic 201 W Main Office Plaza #G Union City, TN 38261 Phone: 731-885-0063 County: Obion 4100 Austin Peay Memphis, TN 38128 Phone: 901-213-5460 County: Shelby Merritt, Belinda Ann Physical Therapy / Rehabilitation Services Sullivan, Donald James Physical Therapy / Rehabilitation Services Tait, John R Moye, Jeff 5271 Getwell Rd Southaven, MS 38672 Phone: 662-510-5694 County: DeSoto Oxford Physical Medicine & Rehab 705 N Lamar Blvd Oxford, MS 38655 Phone: 662-236-7070 County: Lafayette Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Eastern Ar Physical Therapy 300 Eldridge Rd #1 Forrest City, AR 72335 Phone: 870-633-3278 County: Saint Francis 3363 N Highland Ave Jackson, TN 38305 Phone: 731-668-9899 County: Madison Murry, James W Physical Therapy / Rehabilitation Services Valdivia, Remy Physical Therapy / Rehabilitation Services Wicker, Brian K Hardy Blvd Mississippi State, MS 39762 Phone: 662-325-7543 County: Oktibbeha Cornerstone Rehabilitation Of Oxford Inc 2205 Jeff Davis Oxford, MS 38655 Phone: 662-238-2800 County: Lafayette Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Randall, Kevin L Rizk, Tewfik Physical Therapy / Rehabilitation Services Baptist Rehabilitation Germantown At Bartlett 7424 US Hwy 64; Suite 112 Memphis, TN 38133 Phone: 901-385-3877 County: Shelby Physical Therapy / Rehabilitation Services Baptist Rehabilitation Germantown At Cordova 7950 Club Center Cove Cordova, TN 38018 Phone: 901-754-0384 County: Shelby Physical Therapy / Rehabilitation Services Baptist Rehabilitation Germantown At Midtown 1111 Union Avenue Memphis, TN 38104 Phone: 901-529-4045 County: Shelby Physical Therapy / Rehabilitation Services Baptist Rehabilitation-Collierville 440 West Powell Collierville, TN 38017 Phone: 901-850-2128 County: Shelby Physical Therapy / Rehabilitation Services Tewfik Rizk, M.D. 920 Madison #921 Memphis, TN 38103 Phone: 901-527-8865 County: Shelby Baptist Rehabilitation At Desoto Athletic Club-Olive Branch 7037 Hacks Cross Road Olive Branch, MS 38654 Phone: 662-890-2615 County: Desoto Baptist Rehabilitation-Desoto 401 Southcrest Circle, #101 Southaven, MS 38671 Phone: 662-772-2120 County: Desoto Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Physical Therapy / Rehabilitation Services Shinall, Kelly D Cornerstone Rehabilitation Of Oxford Inc 2205 Jeff Davis Oxford, MS 38655 Phone: 662-238-2800 County: Lafayette Baptist Rehabilitation At Desoto Athletic Club-Southaven 3121 Creech Drive, Suite 1 Southaven, MS 38672 Phone: 662-349-7329 County: Desoto Baptist Rehabilitation-East 50 Humphreys Center Dr #23 Memphis, TN 38120 Phone: 901-226-4522 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 211 Provider Listing by Specialty Physical Therapy / Rehabilitation Services Physician Assistant Physician Assistant Baptist Rehabilitation-Golden Triangle 525 Willowbrook Road Columbus, MS 39701 Phone: 662-244-2074 County: Lowndes Mckenzie Clinic Corp 45 Hurst St Trezevant, TN 38258 Phone: 731-669-3993 County: Carroll Bmg Family Physicians Group Foundation 3091 Kirby-Whitten Rd Bartlett, TN 38134 Phone: 901-752-6963 County: Shelby Physical Therapy / Rehabilitation Services Physician Assistant Physician Assistant Baptist Rehabilitation-North Mississippi 703A North Lamar Oxford, MS 38655 Phone: 662-236-9294 County: Lafayette Columbus Orthopaedic Clinic 670 Leigh Dr Columbus, MS 39705 Phone: 662-328-1012 County: Lowndes Plastic Surgery Group Of Memphis 80 Humphreys Ctr Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Physical Therapy / Rehabilitation Services Physician Assistant Physician Assistant Bonk Internal Medicine 5575 Poplar Ave #504 Memphis, TN 38119 Phone: 901-761-1850 County: Shelby DHP Of Tn 6025 Walnut Grove Rd #304 Memphis, TN 38120 Phone: 901-226-0200 County: Shelby Physician Assistant Physician Assistant Conrad Pearson Clinic 125 Guthrie Dr Southaven, MS 38671 Phone: 662-349-1964 County: DeSoto Advanced Dermatology & Skin Cancer Assoc 7658 Poplar Pike Germantown, TN 38138 Phone: 901-759-2322 County: Shelby Baptist Rehabilitation-Tipton 100 Peeler Rd Covington, TN 38019 Phone: 901-475-9292 County: Tipton Physical Therapy / Rehabilitation Services Baptist Rehabilitation-Union City 711 E Reelfoot Union City, TN 38261 Phone: 731-885-9099 County: Obion Physical Therapy / Rehabilitation Services Baptist Rehabilitation-Union County 123 Fairfield Drive New Albany, MS 38652 Phone: 662-539-4044 County: Union Physical Therapy / Rehabilitation Services Magnolia Regional Health Center Physical Therapy 1001 South Harper Road Corinth, MS 38834 Phone: 662-287-1400 County: Alcorn Blount, Gary Chris Caswell, Jason Wayne Chanin-Bonk, Amy Civington Nichols, Callie Courtney Physician Assistant Cownover, Staci T Primary Care Group 76 Capital Way Ste#C Atoka, TN 38004 Phone: 901-840-1202 County: Tipton Physician Assistant Denzin, Tessa G Christ Community Health Svcs 3362 S Third St Memphis, TN 38109 Phone: 901-271-6300 County: Shelby Physician Assistant Dierkes, Susan P Lakeside Health Clinic 706 East Wood St Paris, TN 38242 Phone: 731-924-2000 County: Henry Ellender, Claire Catherine Farmer, Allyn Noelle Fisher, Michael Francis Hamilton, Melanie June Physician Assistant Hart, James S Alliance Medical Clinic 1010 Wayne Rd #202 & 203 Savannah, TN 38372 Phone: 731-925-9260 County: Hardin Physician Assistant Hart, James S Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Physician Assistant Hart, James S Delta Convenient Care 21 Meridian Springs Dr #B Jackson, TN 38301 Phone: 731-512-0104 County: Madison This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 212 Provider Listing by Specialty Physician Assistant Physician Assistant Physician Assistant Collierville Orthopedics & Sports Medicine 472 W Poplar Ave #200 Collierville, TN 38017 Phone: 901-850-1150 County: Shelby Advanced Orthopedics & Sports Medicine 1720 E Reelfoot Ave Union City, TN 38261 Phone: 731-885-8484 County: Obion Tanenbaum Dermatology Ctr 760 Brookhaven Cir Memphis, TN 38117 Phone: 901-761-0500 County: Shelby Physician Assistant Physician Assistant Physician Assistant Lakeside Health Clinic 706 East Wood St Paris, TN 38242 Phone: 731-924-2000 County: Henry Advanced Dermatology & Skin Cancer Assoc 7658 Poplar Pike Germantown, TN 38138 Phone: 901-759-2322 County: Shelby Dermatology Clinic Of N Ms 7585 Clarington Cv Southaven, MS 38671 Phone: 662-349-0200 County: DeSoto Physician Assistant Tribble, Jada A Hess, Jennifer A Hubbard, Lisa H Physician Assistant Johnson, Liji L Christ Community Health Svcs 5366 Mendenhall Mall Memphis, TN 38115 Phone: 901-271-6100 County: Shelby Physician Assistant King, Clayton J Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Physician Assistant Krulish, Arianne A Christ Community Health Svcs 3124 N Thomas St Memphis, TN 38127 Phone: 901-260-8400 County: Shelby Physician Assistant Kwon, Justin K Hardeman Co. Community Health Center 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Physician Assistant Mclain, Darin K Hardin Co Reg Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Miller, Stephanie Rachel Mulrooney, Shelley N Nugent, Anna E Hardin Co Reg Health Ctr 105 Davis St Savannah, TN 38372 Phone: 731-925-8879 County: Hardin Physician Assistant Price, Allison C Carroll County Anesthesia 1188 N Market St Paris, TN 38242 Phone: 731-642-8883 County: Henry Physician Assistant Reuter, Rhea Elise St Francis Cardiovascular Surgery 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-236-0508 County: Shelby Physician Assistant Salmon, Daniel D Christian Family Medicine 622 W Market St #100 Bolivar, TN 38008 Phone: 731-658-4500 County: Hardeman Physician Assistant Smith, Amy Shannon Carroll County Anesthesia 1188 N Market St Paris, TN 38242 Phone: 731-642-8883 County: Henry Snell, Tara Beth Stone, Jennifer H Physician Assistant St Francis Cardiovascular Surgery 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-236-0508 County: Shelby Physician Assistant Tucker, Justin B Christ Community Health Svcs 1211 Union Ave #200 Memphis, TN 38104 Phone: 901-270-0330 County: Shelby Physician Assistant Unger, Robert C Pediatric Place Of Union City 1345 Edwards St Union City, TN 38261 Phone: 731-885-4338 County: Obion Physician Assistant Werner, Lisa A Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8450 County: Shelby Physician Assistant Wise, John Augustan St Francis Cardiovascular Surgery 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-236-0508 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 213 Provider Listing by Specialty Physician Assistant Physicians Assistant Physicians Assistant St Francis Surgical Assoc 2996 Kate Bond Rd #203 Bartlett, TN 38133 Phone: 901-300-2970 County: Shelby Baptist Memorial Medical Group Inc. 631 RB Wilson Dr Huntingdon, TN 38344 Phone: 731-986-7021 County: Carroll Martin Clinic Corp 811 Morrow St #208 Dresden, TN 38225 Phone: 731-364-3353 County: Weakley Physicians Assistant Physicians Assistant Physicians Assistant Hardeman Co. Community Health Center 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Mckenzie Clinic Corp 201 Hospital Dr McKenzie, TN 38201 Phone: 731-352-4127 County: Carroll Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Wise, John Augustan Adams, Gene Dewayne Blaine, Clinton Jed Blount, Gary Chris Dierkes, Susan P Foust, Daphne Lynn Physicians Assistant Physicians Assistant Physicians Assistant Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Mckenzie Clinic Corp 45 Hurst St Trezevant, TN 38258 Phone: 731-669-3993 County: Carroll Dogwood Clinic Inc 405 Tyson Ave #B Paris, TN 38242 Phone: 731-644-3339 County: Henry Alexander, Marty M Blount, Gary Chris Gibson, Alycia D Physicians Assistant Physicians Assistant Physicians Assistant Hardeman Co. Community Health Center 629 Nuckolls Rd Bolivar, TN 38008 Phone: 731-658-3388 County: Hardeman Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Mckenzie Medical Ctr 136 S Wilson St Dresden, TN 38225 Phone: 731-364-4900 County: Weakley Amajoyi-Anable, Cecilia Booth, Robert D Gibson, Leslie E Physicians Assistant Physicians Assistant Physicians Assistant Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby Oxford Surgical Specialists 497 Azalea Dr #102 Oxford, MS 38655 Phone: 662-513-2000 County: Lafayette Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Physicians Assistant Physicians Assistant Physicians Assistant Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Martin Clinic Corp 130 E Locust St Dresden, TN 38225 Phone: 731-364-3196 County: Weakley Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Physicians Assistant Physicians Assistant Physicians Assistant Advanced Orthopedics & Sports Medicine 641 RB Wilson Dr Huntingdon, TN 38344 Phone: 731-986-2000 County: Carroll Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Specialty Physician Group 7655 Poplar Ave #350 Germantown, TN 38138 Phone: 901-761-2470 County: Shelby Badura, Kelly Marie Barker, Linda Ann Blaine, Clinton Jed Burns, Anna Marie Castle, John Paul Clark, Karen Gunderson, Karen M Hansbury, Ellen N Heinsch, Stephanie Nicole This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 214 Provider Listing by Specialty Physicians Assistant Physicians Assistant Physicians Assistant Sharon Clinic 5320 Hwy 45 Sharon, TN 38255 Phone: 731-456-2006 County: Weakley Syed A A Zaidi Md 326 Asbury Ave #101 Ripley, TN 38063 Phone: 731-221-1637 County: Lauderdale Martin Medical Ctr 230 N Front Greenfield, TN 38230 Phone: 731-678-0130 County: Weakley Physicians Assistant Physicians Assistant Physicians Assistant Emergency Coverage Corp 1995 Hwy 51 S Covington, TN 38019 Phone: 901-476-2621 County: Tipton Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Physicians Assistant Physicians Assistant Physicians Assistant Baptist Memorial Medical Group Inc 5659 S Rex Road Memphis, TN 38119 Phone: 901-763-3636 County: Shelby Orthoone Orthopaedics & Sports Medicine 206 Oxford Rd New Albany, MS 38652 Phone: 662-534-2227 County: Union Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Physicians Assistant Physicians Assistant Physicians Assistant Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Mid-South Cancer Center 8000 Wolf River Blvd #100 Germantown, TN 38138 Phone: 901-763-0446 County: Shelby Marlar, Audie B Miller, Stephanie Rachel Mitchell, William Dale Mortier, Nicole A Rains, Jessica R Ridley, Michael Joe Robbins, David B Robles, Bertha Izaura Scates, Michael Trent Schultz, William Schwamb, Holly A Scott, Mark J Physicians Assistant Physicians Assistant Physicians Assistant Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Physicians Assistant Physicians Assistant Physicians Assistant Orthoone Orthopaedics & Sports Medicine 206 Oxford Rd New Albany, MS 38652 Phone: 662-534-2227 County: Union Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Dyersburg Clinic Corp 575 E. Tickle St. Dyersburg, TN 38024 Phone: 731-285-4104 County: Dyer Physicians Assistant Physicians Assistant Physicians Assistant Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Newman, Jerry L Page, Michael Brady Parker, Susan E Rochester, Richard J Root, Sarah L Sass, Kirsten Ingeborg Shelton, Susan Sims, Larry Smith, Janine K This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 215 Provider Listing by Specialty Physicians Assistant Plastic Surgery Plastic Surgery Christ Community Health Svcs 2861 Broad Ave Memphis, TN 38112 Phone: 901-260-8500 County: Shelby Cosmetic Surgery Specialist Of Memphis 6401 Poplar Ave #360 Memphis, TN 38119 Phone: 901-752-1412 County: Shelby 1329 Cordova Cv Germantown, TN 38138 Phone: 901-737-2345 County: Shelby Physicians Assistant Plastic Surgery Dyersburg Clinic Corp 2545 Washington Ave Brownsville, TN 38012 Phone: 731-772-9042 County: Dyer Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8525 County: Shelby Walker, John G Weatherford, Alan D Aldea, Peter A Alvarez, Sonia Marie Physicians Assistant Plastic Surgery Lexington Family Physicians 250 Boswell St Lexington, TN 38351 Phone: 731-968-2006 County: Henderson Hand Surgery Clinic 1365 Flowering Dogwood Ln #F Dyersburg, TN 38024 Phone: 731-285-1119 County: Dyer Weatherford, Alan D Barton, Melissa L Physicians Assistant Plastic Surgery Primary Care Ctr 500 Hospital Dr Trenton, TN 38382 Phone: 731-855-3510 County: Gibson Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Physicians Assistant Plastic Surgery Martin Clinic Corp 801 S Meridian Greenfield, TN 38230 Phone: 731-235-0555 County: Weakley Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Plastic Surgery Plastic Surgery Clinic Of Plastic & Reconstructive Surgery 1000 Brookfield Dr #100 Memphis, TN 38119 Phone: 901-765-4700 County: Shelby Plastic Surgery Group Of Memphis 80 Humphreys Ctr Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Plastic Surgery Plastic Surgery Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Cosmetic Surgery Specialist Of Memphis 6401 Poplar Ave #360 Memphis, TN 38119 Phone: 901-752-1412 County: Shelby Wendt, Natalie Lanette Wilbert, David J Adams, William M Adams, R Louis Burruss, George L Chandler, Robert Gregory Cooper, Laura Beth Eby, Patricia L Efird, Walter G Plastic Surgery Gbulie, Uzoma B Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8525 County: Shelby Plastic Surgery Goshorn, Neumon T Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Plastic Surgery Hickerson, William L Ut Medical Group Inc 890 Madison Ave Memphis, TN 38103 Phone: 901-545-8999 County: Shelby Plastic Surgery Koleyni, Asghar Memphis Plastic Surgery Group 6005 Park Ave #1007B Memphis, TN 38119 Phone: 901-761-2400 County: Shelby Plastic Surgery Lachica, Roberto Danilo Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8290 County: Shelby Plastic Surgery Luce, Edward Andrew Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 216 Provider Listing by Specialty Plastic Surgery Plastic Surgery Podiatry Clinic Of Plastic & Reconstructive Surgery 1000 Brookfield Dr #100 Memphis, TN 38119 Phone: 901-765-4700 County: Shelby Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Poplar Podiatry 1038 S Yates Rd Memphis, TN 38119 Phone: 901-681-9141 County: Shelby Plastic Surgery Plastic Surgery Podiatry Southeastern Plastic Surgery Assoc 255 Baptist Blvd #306 Columbus, MS 39705 Phone: 662-327-9788 County: Lowndes Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8525 County: Shelby Excelsior Podiatry Clinic 214 Lakeview Dr Somerville, TN 38068 Phone: 901-516-4005 County: Fayette Plastic Surgery Plastic Surgery Podiatry Plastic Surgery Group Of Memphis 80 Humphreys Center Dr #100 Memphis, TN 38120 Phone: 901-761-9030 County: Shelby Ut Medical Group Inc 890 Madison Ave Memphis, TN 38103 Phone: 901-545-8999 County: Shelby Greenwood Leflore Foot Ctr 309 W Church St Greenwood, MS 38930 Phone: 662-453-9004 County: Leflore Plastic Surgery Plastic Surgery Podiatry Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8525 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8290 County: Shelby 1950 Pickwick St Savannah, TN 38372 Phone: 731-925-3342 County: Hardin Murphy, James Garnett Pernia, Luis R Quigley, Karen K Senchenkov, Alexander Tavin, Ellis Tong, Winnie Mao Yiu Van Vliet, Michael Verhalen, Jon P Plastic Surgery Plastic Surgery Shell Plastic Surgery 2716 West Oxford Loop #271 Oxford, MS 38655 Phone: 662-236-6465 County: Lafayette Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8290 County: Shelby Shell, Dan H Wallace, Robert D Plastic Surgery Podiatry Ashbery, Thomas E. Bell, John E Boles, Preston Boyd, Bruce K Podiatry Bradley Jr, Jesse H Bradley Foot Care Center 116 W Tyler West Memphis, AR 72301 Phone: 870-733-0888 County: Crittenden Podiatry Butler, Walter Murray 6401 Poplar Ave #505 Memphis, TN 38119 Phone: 901-682-0423 County: Shelby Appling, Robert W 3051 Kirby Whitten Pkwy #5 Bartlett, TN 38134 Phone: 901-383-7272 County: Shelby Orthoone Orthopaedics & Sports Medicine 99 Market Center Dr Collierville, TN 38017 Phone: 901-861-9610 County: Shelby Plastic Surgery Podiatry Podiatry 508 Alcorn Dr Corinth, MS 38834 Phone: 662-286-3280 County: Alcorn William Terry Holt Dpm 657 Skyline Dr Ste A Jackson, TN 38301 Phone: 731-427-5581 County: Madison Foot Care Of NE Ar 801 D Osler Dr Jonesboro, AR 72401 Phone: 870-933-8900 County: Craighead Stevenson, Robin M Stewart, Sherrill B Arcuri, Nicholas A Caldwell, Eddy L This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 217 Provider Listing by Specialty Podiatry Podiatry Podiatry 713 Terry St Ripley, MS 38663 Phone: 662-837-6083 County: Tippah Ms County Hospital System 1100 Medical Dr Blytheville, AR 72315 Phone: 870-838-7523 County: Mississippi East Arkansas Foot Specialists Inc 228 W Tyler #208 West Memphis, AR 72301 Phone: 870-735-6500 County: Crittenden Podiatry Podiatry Dr Michael Lyons 1558 Monteith Ave Hernando, MS 38632 Phone: 662-449-3663 County: DeSoto 425 Wayne Rd Savannah, TN 38372 Phone: 731-925-9788 County: Hardin Calvert, Henry Earl Podiatry Cawthon, Anthony Jerome 2033 Greystone Park Jackson, TN 38305 Phone: 731-660-3664 County: Madison Podiatry Chase, Steven K 4387 Stage Rd Memphis, TN 38128 Phone: 901-386-0525 County: Shelby Podiatry Christensen, Vern M Foot Specialists Of MS 1107 Earl Frye Blvd #2 Amory, MS 38821 Phone: 662-257-2357 County: Monroe Podiatry Cook, Joel M Drs Gold & Cook 3804 Elvis Presley Blvd Memphis, TN 38116 Phone: 901-396-2277 County: Shelby Podiatry Croft, Darrell G Associated Foot Surgeons Of Memphis 2120 Exeter Rd #200 Germantown, TN 38138 Phone: 901-756-1680 County: Shelby Podiatry Davis, Tyrone Teako Total Foot Care Inc Of Tn 1204 Madison Ave Memphis, TN 38104 Phone: 901-523-7698 County: Shelby Day Iii, Frederick Nicholas Doran, Michael Christopher Podiatry Horowitz, Brian Hurst, Robert Darrin Podiatry Hutchison, Paul W Duncan, Tracy 511 N 6th Blytheville, AR 72315 Phone: 870-763-2326 County: Mississippi Paul W. Hutchison Dpm 7878 Winchester Memphis, TN 38125 Phone: 901-365-3668 County: Shelby Podiatry Podiatry 2120 Exeter Rd #200 Germantown, TN 38138 Phone: 901-755-3380 County: Shelby 1300 Sunset Dr #P Grenada, MS 38901 Phone: 662-226-3333 County: Grenada Podiatry Podiatry Artineli Foot Care Solutions 1750 Madison Avenue Ste #260 Memphis, TN 38104 Phone: 901-500-5103 County: Shelby Advanced Regional Foot Clinic 1720 E Reelfoot Ave #204 Union City, TN 38261 Phone: 731-885-7870 County: Obion Erali, Richard P Griffin, Shanta L Juchheim, A M Khumalo, Bhekumuzi M Podiatry Podiatry Mid-South Foot & Ankle Specialists 8200 Old Dexter Rd Ste#106 Cordova, TN 38016 Phone: 901-309-7700 County: Shelby Podiatry Centers Of Memphis 995 S Yates Rd #2 Memphis, TN 38119 Phone: 901-763-0461 County: Shelby Podiatry Podiatry Cleveland Foot Clinic Inc 140 North St Cleveland, MS 38732 Phone: 662-843-3668 County: Bolivar Lexington Clinic Corp 270 W Church St #A Lexington, TN 38351 Phone: 731-968-2421 County: Henderson Herbstrith, Ami L Hicks, Charles E Kiel, Brian N Kirk, Patricia A This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 218 Provider Listing by Specialty Podiatry Podiatry Podiatry 270 W Church St #D Lexington, TN 38351 Phone: 731-249-5230 County: Henderson Wolf River Family Footcare 7424 Hwy 64 #119 Bartlett, TN 38133 Phone: 901-381-2800 County: Shelby Stephen D Raines Dpm 1415 Reelfoot Ave Union City, TN 38261 Phone: 731-885-0220 County: Obion Kirk, Patricia A Podiatry Knowles, Antonio Lavale Adult & Pediatric Foot Center 5362 Estate Office Park Dr #1 Memphis, TN 38119 Phone: 901-537-0078 County: Shelby Podiatry Langford, Jerry H 1100 Halle Park Cir #101 Collierville, TN 38017 Phone: 901-360-0990 County: Shelby Podiatry Long, David H East Wood Clinic 1323 E Wood St Paris, TN 38242 Phone: 731-642-2011 County: Henry Podiatry Lu, Elizabeth T Nw Tn Foot Clinic 600 Hwy 51 Bypass Dyersburg, TN 38024 Phone: 731-589-2602 County: Dyer Podiatry Lucas, Nathan Advanced Foot & Ankle Care Of Memphis 2900 Kirby Pkwy #5 Memphis, TN 38119 Phone: 901-309-8898 County: Shelby Podiatry Lyons, Michael George Dr Michael Lyons 425 E Commerce St Hernando, MS 38632 Phone: 662-449-3663 County: DeSoto Macevoy, Adam Raines, Stephen D Podiatry Podiatry E Memphis Podiatry Group 5180 Park Ave #220 Memphis, TN 38119 Phone: 901-682-4668 County: Shelby 5145 Millbranch Ave Memphis, TN 38116 Phone: 901-332-1567 County: Shelby Podiatry Shainberg, David G Mantell, Gary M Moinester, David M Podiatry Centers Of Memphis 6575 Stage Rd Memphis, TN 38134 Phone: 901-382-0393 County: Shelby Podiatry Nethery, Wendy M Magnolia Orthopaedic & Sports Medicine Clinic 611 Alcorn Dr #100 Corinth, MS 38834 Phone: 662-286-6369 County: Alcorn Podiatry Ognibene, Frank A 2120 Exeter Rd #220 Germantown, TN 38138 Phone: 901-757-0045 County: Shelby Podiatry Protzel, Hugh R Foot & Ankle Center Of SE MO 522 Virginia St Sikeston, MO 63801 Phone: 573-472-2202 County: Scott Podiatry Raich, Allen K Allen K Raich Dpm 1121 Poplar View Ln N Collierville, TN 38119 Phone: 901-853-3015 County: Shelby Robinson, Ricky L Podiatry Poplar Podiatry 1038 S Yates Rd Memphis, TN 38119 Phone: 901-681-9141 County: Shelby Podiatry Shwer, Brian I 3051 Kirby Whitten Pkwy #5 Bartlett, TN 38134 Phone: 901-383-7272 County: Shelby Podiatry Siciliano, Carl J Wolf River Family Footcare 7424 Hwy 64 #119 Bartlett, TN 38133 Phone: 901-381-2800 County: Shelby Podiatry Song, Seung-Jae Texas Ognibene Foot Clinic 2120 Exeter Rd #220 Germantown, TN 38138 Phone: 901-757-0045 County: Shelby Podiatry Steely, William M Steely Foot Clinic 575 Mall Blvd #L2 Dyersburg, TN 38024 Phone: 731-285-3338 County: Dyer This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 219 Provider Listing by Specialty Podiatry Podiatry Psychiatry Yalobusha General Hospital 604 S Main St West Valley, MS 38965 Phone: 662-473-4050 County: Yalobusha East Arkansas Foot Specialists Inc 1038 S Yates Rd Memphis, TN 38119 Phone: 870-735-6500 County: Shelby Baptist Memorial Medical Group Inc. 2520 Fifth Street N Columbus, MS 39705 Phone: 662-244-2561 County: Lowndes Podiatry Prosthetics Psychiatry Tait, Laurel A Varva, Chris A Chris A Varva Dpm 2168 S Lamar Blvd Oxford, MS 38655 Phone: 662-832-3338 County: Lafayette Podiatry Webster, Chad Eric Mid-South Foot & Ankle Specialists 76 Capital Way Ste#E Atoka, TN 38004 Phone: 901-309-7700 County: Tipton Podiatry Webster, Julie Cathleen Mid-South Foot & Ankle Specialists 76 Capital Way Ste#E Atoka, TN 38004 Phone: 901-309-7700 County: Tipton Podiatry Wenzler, Robert J Dr Michael Lyons 928 E Goodman Rd Southaven, MS 38671 Phone: 662-470-4608 County: DeSoto Podiatry Williams, Carey Craig N Ms Foot Specialists 1210 Office Park Dr #201 Oxford, MS 38655 Phone: 662-513-6600 County: Lafayette Podiatry Yeager, Susan M N Ms Foot Specialists 1735 University Ave Oxford, MS 38655 Phone: 662-513-6600 County: Lafayette Zimmerman, Stephen H Precision Prosthetics 1505 S. Perkins Rd. Memphis, TN 38117 Phone: 901-682-1006 County: Shelby Psychiatric and Substance Abuse Treatment Parkwood Olive Branch Iop Office 6911 Parkwood Dr. Olive Branch, MS 38654 Phone: 662-893-7038 County: Desoto Psychiatric and Substance Abuse Treatment Willowbrook Services- Columbus 525 Willowbrook Road, Suite C Columbus, MS 39705 Phone: 662-244-2560 County: Lowndes Psychiatry Ahmed, Bilal Ut Medical Group Inc 135 N Pauline St Memphis, TN 38105 Phone: 901-448-2400 County: Shelby Psychiatry Akinwumiju, Olayinka Olaniyi Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Psychiatry Akinwumiju, Olayinka Olaniyi Riverdale Behavioral Health 8135 Goodman Rd Olive Branch, MS 38654 Phone: 662-895-4900 County: DeSoto Ali, Saleem Akber Ali, Irfan Irfan Ali Md 1715 Aaron Brenner Dr #326 Memphis, TN 38120 Phone: 901-747-2335 County: Shelby Psychiatry Allen, David Psychiatry Group 3173 Kirby Whitten Rd #104 Bartlett, TN 38135 Phone: 901-384-8040 County: Shelby Psychiatry Anderson, Otis Batesville Hma Medical Group 155 Keating Rd Batesville, MS 38606 Phone: 662-563-5636 County: Panola Psychiatry Augustus, Valerie Louise Christian Psychiatric Svcs 2645 Appling Rd #103 Memphis, TN 38133 Phone: 901-372-0914 County: Shelby Psychiatry Beatus Jr., Benjamin L Baptist Memorial Medical Group Inc. 2100 Exeter Rd Germantown, TN 38138 Phone: 901-757-3414 County: Shelby Psychiatry Bell Jr, Iverson C Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 220 Provider Listing by Specialty Psychiatry Psychiatry Psychiatry Karen Berry Md 1715 Aaron Brenner Dr #326 Memphis, TN 38120 Phone: 901-405-6474 County: Shelby Robert Buchalter Md & Assoc 6005 Park Ave #524B Memphis, TN 38119 Phone: 901-767-0500 County: Shelby 150 Timber Creek #6 Cordova, TN 38018 Phone: 901-751-4430 County: Shelby Psychiatry Psychiatry Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Berry, Karen W Binford, R Bailey Buchalter, Robert Chandel, Vijaya K Psychiatry Psychiatry Black Holdings Group 8000 Centerview Pkwy #104 Cordova, TN 38018 Phone: 901-755-6280 County: Shelby Psychiatry Digaetano, Dolores M Gordon, Martha Ann Psychiatry Greene, James Allen Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Psychiatry Grimaldi, John A Dacunha, Carl Maclin 1715 Aaron Brenner Dr #326 Memphis, TN 38120 Phone: 901-747-2335 County: Shelby Ut Medical Group Inc 135 N Pauline St Memphis, TN 38105 Phone: 901-448-2400 County: Shelby Psychiatry Psychiatry Boyd, Daniel S 2911 Brunswick Rd Memphis, TN 38133 Phone: 901-309-3195 County: Shelby Chamberlin Clinic 8316 Macon Terrace #103 Cordova, TN 38018 Phone: 901-757-0568 County: Shelby John J Harris Md 6263 Poplar Ave #535 Memphis, TN 38119 Phone: 901-682-3035 County: Shelby Psychiatry Psychiatry Psychiatry Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Mental Health Resources 1037 Cresthaven Rd Memphis, TN 38119 Phone: 901-682-6136 County: Shelby 6263 Poplar Ave #402 Memphis, TN 38119 Phone: 901-683-4500 County: Shelby Psychiatry Psychiatry Hill, Paul B Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton 401 E Jackson Ave Oxford, MS 38655 Phone: 731-986-2933 County: Lafayette Psychiatry Goldin, Melvin L Black, Audria Kaye Britton, Ernest L Brown, Charlene R Brunt, C Hal 2911 Brunswick Rd Memphis, TN 38133 Phone: 901-373-0999 County: Shelby Ennis, Kenneth A Evans, Isham Harrison Psychiatry 6401 Poplar Ave #318 Memphis, TN 38119 Phone: 901-683-0030 County: Shelby Harris, John J Haykal, Radwan F Psychiatry 1715 Aaron Brenner Dr #326 Memphis, TN 38120 Phone: 901-405-6440 County: Shelby Psychiatry Hoehn, Robert Gardell 1384 Cordova Cv #1 Germantown, TN 38138 Phone: 901-753-7700 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 221 Provider Listing by Specialty Psychiatry Psychiatry Psychiatry Pemiscot Co Memorial Hospital 907 E Reed Hayti, MO 63851 Phone: 573-359-3660 County: Pemiscot Medical Psychiatric Assoc 6005 Park Ave #509 Memphis, TN 38119 Phone: 901-766-7500 County: Shelby Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Psychiatry Psychiatry Psychiatry Batesville Hma Medical Group 155 Keating Rd Batesville, MS 38606 Phone: 662-563-5636 County: Panola Blues City Psychiatry 5050 Poplar Ave #618 Memphis, TN 38119 Phone: 901-682-3535 County: Shelby Vogelfanger & Struble Clinic 6005 Park Ave #630B Memphis, TN 38119 Phone: 901-767-1136 County: Shelby Psychiatry Psychiatry Psychiatry Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Community Counseling Services 1001 Main St Columbus, MS 39701 Phone: 662-328-9225 County: Lowndes Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Psychiatry Psychiatry Psychiatry 9075 Sandidge Rd Olive Branch, MS 38654 Phone: 901-277-3053 County: DeSoto 1601 Newcastle Rd Forrest City, AR 72335 Phone: 870-261-0000 County: Saint Francis Psychiatry Psychiatry Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Baptist Memorial Medical Group Inc 2520 5th St N Columbus, MS 39705 Phone: 662-244-2561 County: Lowndes Psychiatry Psychiatry 3960 Knight Arnold Rd #301 Memphis, TN 38118 Phone: 901-369-6933 County: Shelby Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Huffman, Lara F Jackson, Anthony W Jaramillo, Juan Ramiro King, Paul Klosky, James L Levitch, Melvyn A Psychiatry Lorenzo, Edilberto B New Medico Healthcare Corp 1231 First St #2 Kennett, MO 63857 Phone: 870-630-8244 County: Dunklin Morgan, Jack Colbert Mukatira, Shubi Razdan Overstreet, Raymond G Pang, Jim Rack, Michael J Rao, Ashok B Psychiatry Rayudu, Subbulaxmi L Magnolia Counseling Assoc 590 Hwy 6 E Batesville, MS 38606 Phone: 662-563-8703 County: Panola Rhodes, Charles T Rice, Steven N Rich, Anthony Ryan, Colleen Psychiatry Saini, Tejinder S Healthquest 58 Timber Creek Dr Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Psychiatry Salgueiro, Carlos A Midsouth Medicine-Psychiatry 208 N 5th St Blytheville, AR 72315 Phone: 870-763-2461 County: Mississippi Psychiatry Seay, Michael Bruce Midsouth Mental Health Svcs Inc 1835 Union Ave #101 Memphis, TN 38104 Phone: 901-319-4942 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 222 Provider Listing by Specialty Psychiatry Psychiatry Pemiscot Co Memorial Hospital 907 E Reed Hayti, MO 63851 Phone: 573-359-3660 County: Pemiscot Psychiatry Virk, Ejaz S Singleton, Margaret Smith, Eric L Psychiatry Group 3173 Kirby Whitten Rd #104 Bartlett, TN 38134 Phone: 901-384-8040 County: Shelby Psychiatry 5158 Stage Rd #120 Memphis, TN 38134 Phone: 901-383-1924 County: Shelby Mental Health Resources, 1037 Cresthaven Memphis, TN 38119 Phone: 901-682-6136 County: Shelby Psychiatry Psychological Counseling Mid South Psychiatry 3173 Kirby Whitten Rd #104 Bartlett, TN 38134 Phone: County: Shelby Psychiatry Vogelfanger, Roger 1540 Appling Care Ln #100 Cordova, TN 38018 Phone: 901-377-5891 County: Shelby Vogelfanger & Struble Clinic 6005 Park Ave #524B Memphis, TN 38119 Phone: 901-767-1136 County: Shelby Psychiatry Psychiatry Ut Medical Group Inc 135 N Pauline St Memphis, TN 38105 Phone: 901-448-2400 County: Shelby Baptist Memorial Medical Group Inc. 525 Willowbrook Rd #C Columbus, MS 39705 Phone: 662-244-2560 County: Lowndes Psychiatry Psychiatry Vogelfanger & Struble Clinic 6005 Park Ave #630B Memphis, TN 38119 Phone: 901-767-1136 County: Shelby William Wolters Md 3173 Kirby Whitten Rd #104 Bartlett, TN 38134 Phone: 901-384-8040 County: Shelby Psychiatry Psychiatry Healthquest 58 Timber Creek Dr. Cordova, TN 38018 Phone: 901-566-1002 County: Shelby Psychiatry Group 3173 Kirby Whitten Rd #104 Bartlett, TN 38135 Phone: 901-384-8040 County: Shelby Psychiatry Psychological Counseling Smith, Leslie E Snyder, Linda B Struble, David Sun, Zhiqiang Swamy, Usha B Professional Care Svcs Of W TN Inc 1997 Hwy 51 S Covington, TN 38019 Phone: 901-476-8967 County: Tipton Psychological Counseling Tullis, Kenneth F Vydas, Saul Wolters, William Clay Woods, James R Daybreak Treatment Center 2262 South Germantown Road Germantown, TN 38138 Phone: 901-753-4300 County: Shelby Parkwood Batesville Outreach Office 160 Highway 51 North Batesville, MS 38605 Phone: 662-563-5407 County: Panola Psychological Counseling Parkwood Cleveland Outreach Office 201 East Sunflower #1 Cleveland, MS 38732 Phone: 662-843-9999 County: Bolivar Psychological Counseling Parkwood Grenada Outreach Office 1321 II Sunset Drive Grenada, MS 38901 Phone: 662-227-9733 County: Grenada Psychological Counseling Parkwood Tupelo Outreach Office 302-C South Spring Tupelo, MS 38802 Phone: 662-287-7574 County: Lee Psychology Agostin, Tracy M 8134 Country Village Dr #102 Cordova, TN 38018 Phone: 901-756-8398 County: Shelby Psychology Amos, W Edward Optimum Behavioral Health Inc 5384 Poplar Ave #313 Memphis, TN 38119 Phone: 901-237-0261 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 223 Provider Listing by Specialty Psychology Psychology Psychology Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby 1000 S Cooper St Memphis, TN 38104 Phone: 901-844-4357 County: Shelby Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Psychology Clark, Lisa L Angelillo, Joseph C Armstrong, David R 5050 Poplar Ave Ste #511 Memphis, TN 38157 Phone: 901-428-4810 County: Shelby Psychology Aronov, Neil E Associates In Psychology & Psychiatry 6292 Massey Oaks Cove Memphis, TN 38120 Phone: 901-766-7500 County: Shelby Psychology Battle, Allen O Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Psychology Bishop, Geraldine Louise Geraldine Bishop Phd Inc 1540 Appling Care Ln #100 Cordova, TN 38016 Phone: 901-388-1893 County: Shelby Psychology Camp, Diane E 5100 Poplar Ave #808 Memphis, TN 38137 Phone: 901-322-6066 County: Shelby Psychology Campbell, Matthew Warren 2005 Harris Dr Oxford, MS 38655 Phone: 870-763-0855 County: Lafayette Chapman, Joel W Psychology 8134 Country Village Dr #102 Cordova, TN 38018 Phone: 901-756-8398 County: Shelby Psychology Coday, Mace C Ut Methodist Physicians 57 Germantown Court Ste #100 Memphis, TN 38018 Phone: 901-758-7888 County: Shelby Psychology Cohen, Sheila L 150 Timber Creek #6 Cordova, TN 38018 Phone: 901-751-4430 County: Shelby Psychology Conklin, Heather M Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Psychology Covey, Floyd L 328 Poplar View Ln E #1 Collierville, TN 38017 Phone: 901-854-9030 County: Shelby Psychology Crabtree, Valerie M Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Crouse, Russell D Psychology Davis, Anna F 3173 Kirby Pkwy #106 Bartlett, TN 38134 Phone: 901-685-9341 County: Shelby Psychology Deason, David M Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby Psychology Delconte, Garry S 2262 Germantown Rd S Germantown, TN 38138 Phone: 901-276-8470 County: Shelby Psychology Garrott, Allison M Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby Psychology Gentry, William R 1922 Exeter Rd #7 Germantown, TN 38138 Phone: 901-761-1520 County: Shelby Psychology Greenberg, Roy D Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 224 Provider Listing by Specialty Psychology Psychology Psychology 155 N Main St Ste 102B Collierville, TN 38017 Phone: 901-302-6620 County: Shelby 4646 Poplar Ave #320 Memphis, TN 38117 Phone: 901-682-1477 County: Shelby 65 Germantown Ct #417 Cordova, TN 38018 Phone: 901-624-3939 County: Shelby Psychology Psychology Psychology 6263 Poplar Ave #932 Memphis, TN 38119 Phone: 901-761-1119 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby 4646 Poplar Ave #326 Memphis, TN 38117 Phone: 901-761-1520 County: Shelby Psychology Lee, Roland N Hanauer, Allison C Harris, Elizabeth A Psychology Hawkes, Martha Nan 7655 Poplar Ave #365 Germantown, TN 38138 Phone: 901-751-3571 County: Shelby Psychology Johnston, Rose M Jurbergs, Andrea N Landau, Denise L Lawhead, Catherine A Psychology Kara, Ashok 5050 Poplar Ave #1610 Memphis, TN 38157 Phone: 901-682-7310 County: Shelby Associates In Psychology & Psychiatry 5170 Sanderlin #204 Memphis, TN 38117 Phone: 901-761-2622 County: Shelby Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby Psychology Psychology 144 S Thomas St #104A Tupelo, MS 38801 Phone: 662-840-2711 County: Lee Psychology Psychology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby 260 Southwest Dr Jonesboro, AR 72401 Phone: 870-932-1707 County: Craighead Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Haynes, Bradley B Hester, Samuel B Psychology Koranek, Margaret Elizabeth Kores, Robert C Lee, Elizabeth B Psychology Leech, Shirley J 1331 Union Ave #847 Memphis, TN 38104 Phone: 901-726-1284 County: Shelby Baptist Memorial Hospital-Union City 1201 Bishop St Union City, TN 38261 Phone: 731-884-8203 County: Obion Psychology Psychology 5583 Murray Rd #208 Memphis, TN 38119 Phone: 901-762-4488 County: Shelby 7075 Golden Oaks Loop W Southaven, MS 38671 Phone: 901-485-1848 County: DeSoto Psychology Psychology Psychology 6244 Poplar Ave #200 Memphis, TN 38119 Phone: 662-624-5458 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Little & Assoc 8830 Centre St #5 Southaven, MS 38671 Phone: 662-510-3986 County: DeSoto Hollis, Allan R Johnson, Joel I Kronenberg, Mindy E Krull, Kevin R Leonard, Paul S Little-Hendren, Marsha This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 225 Provider Listing by Specialty Psychology Psychology Psychology Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Mealer Psychological 5668 S Rex Rd #101 Memphis, TN 38119 Phone: 901-487-4788 County: Shelby Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Psychology Psychology Psychology 65 Germantown Ct #417 Cordova, TN 38018 Phone: 901-624-3939 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby 4646 Poplar Ave #326 Memphis, TN 38117 Phone: 901-761-1520 County: Shelby Psychology Paul, Connie S Luscomb, Richard L Lyons, Beth A Psychology Malone, Christine M 5600 Goodman Rd #B Olive Branch, MS 38654 Phone: 901-619-7173 County: DeSoto Psychology Marshall, Cecilia M 426 S Lamar Blvd #3 Oxford, MS 38655 Phone: 662-236-2011 County: Lafayette Psychology Martin, Carolyn C 1540 Appling Care Ln #100 Cordova, TN 38016 Phone: 901-388-1893 County: Shelby Psychology Mcphail, Ricky L 8134 Country Village Dr #102 Cordova, TN 38016 Phone: 901-756-8398 County: Shelby Psychology Mealer, Cynthia Ziegler Mealer Psychological 245 Germantown Bend Cv Cordova, TN 38018 Phone: 901-833-1746 County: Shelby Mealer, William F Miles, Mark A Murphy, William D Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby Psychology Murphy, Philip E 3238 Players Club Cir #65 Memphis, TN 38125 Phone: 731-784-5542 County: Shelby Psychology Neal, Paul J Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby Psychology Page, Ina J Pate, Leanne Psychology 5154 Stage Rd #102 Memphis, TN 38134 Phone: 901-372-9133 County: Shelby Psychology Phipps, Sean Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Psychology Pourmotabbed, Tahere Psychiatry Group 3173 Kirby Whitten Rd #104 Bartlett, TN 38134 Phone: 901-384-8040 County: Shelby Psychology Richie, Sarah D Nichols, Wyatt Lee 1540 Appling Care Ln #100 Cordova, TN 38018 Phone: 901-388-1893 County: Shelby Memphis Neuropsychology 8000 Centerview Pkwy #103 Cordova, TN 38018 Phone: 901-737-6677 County: Shelby Psychology Psychology 5575 Poplar Ave #320 Memphis, TN 38119 Phone: 901-550-5376 County: Shelby Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby Norvell, Roxanne Rogers - Wood, Nikel Ar This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 226 Provider Listing by Specialty Psychology Psychology Psychology 1922 Exeter Rd #106 Germantown, TN 38138 Phone: 901-759-0984 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby 5050 Poplar Ave #1633 Memphis, TN 38157 Phone: 901-766-1890 County: Shelby Psychology Winborn, Lisa Christopher Rose, Sheena E Psychology Rosenthal, Renate H Tyc, Vida L Ut Medical Group Inc 920 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-2400 County: Shelby 6911 Parkwood Dr Olive Branch, MS 38654 Phone: 662-893-7135 County: DeSoto Psychology Psychology 6263 Poplar Ave #932 Memphis, TN 38119 Phone: 901-763-2188 County: Shelby Chamberlin Clinic 8316 Macon Terrace #103 Cordova, TN 38018 Phone: 901-757-0568 County: Shelby Ross, Susan A Psychology Rothwall, Priscilla Vinick, Barry A Walls, Nanetta R Psychology Family Services Of North MS 2885 McCullough Blvd #F Tupelo, MS 38826 Phone: 662-796-0700 County: Lee 174 Murray Guard Dr #B Jackson, TN 38305 Phone: 731-668-1137 County: Madison Psychology Psychology Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Psychology Psychology 5374 Estate Office Park Dr #3 Memphis, TN 38119 Phone: 901-396-4200 County: Shelby Behavior Attention & Developmental Disabilities Consultants 5779 Getwell Rd Bldg D #3 Southaven, MS 38672 Phone: 662-510-6507 County: DeSoto Smith, Matthew Paul Smith, Judy Lynn Psychology Stenberg, Brent E Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby West-Willette, Carolyn Wilkins, Megan L Williamson, Shelia M Psychology Wilson, Shirley A 7160 Tchulahoma Bldg B #1 Southaven, MS 38671 Phone: 662-349-6658 County: DeSoto Winborn, Mark D Psychology 1540 Appling Care Ln #100 Cordova, TN 38018 Phone: 901-388-1893 County: Shelby Psychology Wise, Edward A Mental Health Resources 1037 Cresthaven Memphis, TN 38119 Phone: 901-682-6136 County: Shelby Psychology Worley, Patricia J 6263 Poplar Ave #932 Memphis, TN 38119 Phone: 901-763-0717 County: Shelby Psychology Wright, Patricia M Germantown Psychological Assoc 7516 Enterprise Ave #1 Germantown, TN 38138 Phone: 901-755-5802 County: Shelby Psychology Yopp, Justin M Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Psychology Zinkus, Peter W 777 Washington Ave #360 Memphis, TN 38105 Phone: 901-287-6352 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 227 Provider Listing by Specialty Psychology Pulmonary Medicine Pulmonary Medicine 206 N Fifth St Blytheville, AR 72315 Phone: 870-762-1883 County: Mississippi N Ms Pulmonology Clinic Inc 100 Hospital St #300 Booneville, MS 38829 Phone: 662-728-2147 County: Prentiss Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Pulmonary Medicine Pulmonary Medicine Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #212 Southaven, MS 38671 Phone: 662-349-0488 County: DeSoto Pulmonary Medicine Pulmonary Medicine BMHSI Of Ms 2301 S Lamar Blvd Oxford, MS 38655 Phone: 662-232-8568 County: Lafayette Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Pulmonary Medicine Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Pulmonary Medicine Pulmonary Medicine Wesley Neurology Clinic 8000 Centerview Pkwy #305 Cordova, TN 38018 Phone: 901-624-2960 County: Shelby Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #206 Southaven, MS 38671 Phone: 662-349-0488 County: DeSoto Pulmonary Medicine Pulmonary Medicine Baptist Memorial Medical Group Inc 2301 S Lamar Blvd #100 Oxford, MS 38655 Phone: 662-232-8100 County: Lafayette Corinth Pulmonary Clinic 209 N Harper Rd Corinth, MS 38834 Phone: 662-286-1901 County: Alcorn Pulmonary Medicine Pulmonary Medicine Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Madison Clinic Corp 174 Murray Guard Dr Jackson, TN 38305 Phone: 731-660-6168 County: Madison Ziolko, Mary E Psychology Hart, Douglas J Christian Psychological Center 3950 Central Ave Memphis, TN 38111 Phone: 901-458-6291 County: Shelby Pulmonary Medicine Abouchala, Nabil Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Adams, James Bo W Memphis Critical Care Associates 3960 Knight Arnold Rd #215A Memphis, TN 38118 Phone: 901-369-6015 County: Shelby Pulmonary Medicine Bravo, Andres S Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Pulmonary Medicine Burbeck, Joy Carol Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Busch, Lance E Columbus Pulmonary Clinic 255 Baptist Blvd #302 Columbus, MS 39705 Phone: 662-327-3195 County: Lowndes Chase, David G Dalvi, Anant G Evans, Jeffrey N Freire, Amado Xavier Freire, Amado Xavier Gardner, Jennifer Ruth Golden, Emmel B Headley, A Stacey Henderson, Todd M Hofmann, Marc Eugene Ivan, Romero Legro H Kyaw, Yadana Mcalpin, B Wayne Mccartney, Jeffrey P This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 228 Provider Listing by Specialty Pulmonary Medicine Pulmonary Medicine Pulmonary Medicine Baptist Memorial Medical Group Inc 2301 S Lamar Blvd #100 Oxford, MS 38655 Phone: 662-232-8100 County: Lafayette Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #212 Southaven, MS 38671 Phone: 901-767-5864 County: DeSoto 6005 Park Ave #501 Memphis, TN 38119 Phone: 901-761-5877 County: Shelby Pulmonary Medicine Pulmonary Medicine Trew, Gary F Inpatient Physicians Of The Mid South 6263 Poplar Ave #1052 Memphis, TN 38119 Phone: 901-761-6157 County: Shelby Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Pulmonary Medicine Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby Memphis Lung Physicians Foundation Inc 1500 W Poplar Ave #206 Collierville, TN 38017 Phone: 901-767-5864 County: Shelby Mceachern, Robert C Mcgehee, John L Meduri, G Umberto Ratnakant, Sanjay Richards, William S Schriner, Robert W Pulmonary Medicine Pulmonary Medicine Clarksdale Hma Physician Mgmt 785 Ohio Ave #3H Clarksdale, MS 38614 Phone: 662-627-3003 County: Coahoma Smz Specialists 76 Doctors Dr Munford, TN 38058 Phone: 901-840-4446 County: Tipton Pulmonary Medicine Pulmonary Medicine Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby BMHSI Of Ms 2301 S Lamar Blvd #100 Oxford, MS 38655 Phone: 662-234-0119 County: Lafayette Pulmonary Medicine Pulmonary Medicine Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Pulmonary Medicine Pulmonary Medicine Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #212 Southaven, MS 38671 Phone: 901-767-5864 County: DeSoto Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Munir, Aman U Muthiah, Muthiah Pugazhenthi Nelson, Jeffery E Panton-Latouche, Suzetteann Denise Shirazee, Syed H Shubair, Mohammed Kandil Sinclair, Scott E Smith, C Michael Soskel, Norman Pulmonary Medicine Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Wagh, Ajay A Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Wilons, Michael D Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Wollak, Istvan David Memphis Lung Physicians Foundation Inc 401 Southcrest Cir #212 Southaven, MS 38671 Phone: 901-767-5864 County: DeSoto Pulmonary Medicine Wright, Jeffrey Glen Memphis Lung Physicians Foundation Inc 6025 Walnut Grove Rd #508 Memphis, TN 38120 Phone: 901-767-5864 County: Shelby Pulmonary Medicine Yataco, Joseph C Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-866-8803 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 229 Provider Listing by Specialty Radiation Oncology Radiation Oncology Radiation Oncology Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: Desoto Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby William F Richards Md 271 W Polk West Memphis, AR 72301 Phone: 870-735-5912 County: Crittenden Radiation Oncology Radiation Oncology Radiation Oncology 504 Azalea Oxford, MS 38655 Phone: 662-513-9650 County: Lafayette Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Cancer Care Ctr Of Jackson 322 Hospital Blvd Jackson, TN 38305 Phone: 731-668-1668 County: Madison Radiation Oncology Radiation Oncology Baptist Memorial Medical Group Inc 55 Humphreys Ctr Dr #100 Memphis, TN 38120 Phone: 901-227-4052 County: Shelby 581 Medical Dr Clarksdale, MS 38614 Phone: 662-624-8731 County: Coahoma Radiation Oncology Sandhu, David Burnett, John Arthur Cantrell, John E Radiation Oncology Chen, Quan Radiation Oncology Memphis 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3213 County: Shelby Radiation Oncology Cotter, Gregory William Baptist Memorial Medical Group Inc. 55 Humphreys Ctr Dr #100 Memphis, TN 38120 Phone: 901-227-4052 County: Shelby Radiation Oncology Ghandour, Omar Faruk Boston Baskin Cancer Foundation Inc 2996 Kate Bond Rd # 100 Bartlett, TN 38133 Phone: 901-383-5590 County: Shelby Radiation Oncology Jones, Robert H 2520 5th St N Columbus, MS 39705 Phone: 662-244-4673 County: Lowndes Radiation Oncology Koerner, Paul D Cancer Care Ctr Of Jackson 322 Hospital Blvd Jackson, TN 38305 Phone: 731-668-1668 County: Madison Krasin, Matthew J Kun, Larry E Lee, Jea Youl Marks, Michael Edward Baptist Memorial Medical Group Inc 55 Humphreys Ctr Dr #100 Memphis, TN 38120 Phone: 901-227-4052 County: Shelby Radiation Oncology Merchant, Thomas Edward Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiation Oncology Monaghan, Thomas Walker Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: Desoto Radiation Oncology Pai-Panandiker, Atmaram Shambhu Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Peacock, Loverd Permenter, William D Richards, William F Radiation Oncology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiation Oncology Sroufe, Rameses Lumumba Baptist Memorial Medical Group Inc 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-2877 County: DeSoto Radiation Oncology Taylor, Marie Elizabeth Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Radiation Oncology Tibbs, Martha K Radiation Oncology Memphis 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2050 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 230 Provider Listing by Specialty Radiation Oncology Radiology Radiology 1201 Bishop St Union City, TN 38261 Phone: 731-884-8611 County: Obion Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Nea Baptist Clinic 4800 E Johnson Ave Jonesboro, AR 72401 Phone: 870-936-8000 County: Craighead Radiology Radiology Dunne Medical 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7369 County: Mississippi Lexington Hospital Corporation 200 W Church St Lexington, TN 38351 Phone: 877-848-1463 County: Henderson Triplett, Jeffrey T Radiation Oncology Wortham, Angela Hackett Baptist Memorial Medical Group Inc 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Radiology Abraham, Jacob Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Acker, James D Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Allison, Jack R Clinical Radiologist 631 R B Wilson Dr Huntingdon, TN 38344 Phone: 731-986-7355 County: Carroll Radiology Amminger, Peter B Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Armstrong, Marsha Christine Womens Diagnostic Group 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-227-9600 County: Shelby Barr, John Dean Bhushan, Vikas Chisholm, Daniel Paschall Cohen, David B Radiology Radiology Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Radiology Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-8699 County: Shelby Radiology Radiology Medical Imaging Of Grenada 960 Avent Dr Grenada, MS 38901 Phone: 662-227-7082 County: Grenada Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Radiology Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Golden Triangle Radiology 2520 5th St N Columbus, MS 39705 Phone: 662-244-1000 County: Lowndes Radiology Radiology Womans Diagnostic Group 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-227-9600 County: Shelby Advanced Radiology 367 Hospital Blvd Jackson, TN 38305 Phone: 800-274-7777 County: Madison Boughner, Brice Brady, Michael B Bristow, Arthur B Buchignani, John S Buckley Jr, Madison H Cowles, Stefan J Cramer, Timothy Jay Creasy, Jeffrey L Dahlke, Charles B Decosta, Brian Richard This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 231 Provider Listing by Specialty Radiology Radiology Radiology Midsouth Imaging & Therapeutics 6305 Humphreys Blvd #205 Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Womens Diagnostic Group 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-227-9600 County: Shelby Radiology Radiology Radiology Vascular Access Of Memphis 401 Getwell Dr. Senatobia, MS 38668 Phone: 901-619-2068 County: Tate 200 S Rhodes #B West Memphis, AR 72301 Phone: 870-735-5555 County: Crittenden Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Ferraro, Francis Didier, Scott David Dougan, Max R Duke, Robert A Diagnostic Imaging 6401 Poplar Ave #100 Memphis, TN 38119 Phone: 901-387-2340 County: Shelby Radiology Dunne, James Patrick Dunne Medical 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7369 County: Mississippi Radiology Eggers, Frank M Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Eisenberg, Alan D Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Ellis, Mark L Golden Triangle Radiology 2520 5th St N Columbus, MS 39705 Phone: 662-244-1000 County: Lowndes Ellzey, John Andrew Ferguson, Edgar Scott Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Fletcher, Barry D Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Flinn, George S Diagnostic Ultrasound Consultants 1300 Wolf Park Dr Germantown, TN 38138 Phone: 901-756-5141 County: Shelby Radiology Gallimore, George W Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Garner, Dewey Duane Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Gayden, Evelyn W Getachew, Mekasha M Radiology Glenn, Martha Elizabeth Womens Diagnostic Group 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-227-9600 County: Shelby Radiology Gold, Robert E Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Gray, Robert L Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Radiology Gray, Richard Ian Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Radiology Green, John A Lexington Hospital Corporation 200 W Church St Lexington, TN 38351 Phone: 877-848-1463 County: Henderson This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 232 Provider Listing by Specialty Radiology Radiology Radiology Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-3213 County: Shelby Dunne Medical 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7369 County: Mississippi Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Radiology Radiology Radiology Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Independent Radiology Assoc 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Womans Diagnostic Group 50 Humphreys Blvd # 23 Memphis, TN 38120 Phone: 901-226-0810 County: Shelby Radiology Radiology Radiology Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Independent Radiology Assoc 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Radiology Radiology Radiology Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Helena Radiology Inc 1801 Martin Luther King Dr Helena, AR 72342 Phone: 870-816-3920 County: Phillips Advanced Radiology 367 Hospital Blvd Jackson, TN 38305 Phone: 800-274-7777 County: Madison Radiology Radiology Radiology Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Green, Jeffrey W Gunn, Mark G Hadley, Jonathan Hamilton, Fred H Harr, David L Helton, Kathleen J Horras, Randy Joseph Hudkins, Matthew G Jones, Mark Allen Jordan, B J Jordan, Covin Mckinley Kaste, Sue C Kochanski, Sandra C Krisle, Joe R Lawrence, William Keith Lee, Bonmyong Bora Legan, John M Lewis, Errol Lipman, Craig Laurence Lundy, Michael M Machin, James E This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 233 Provider Listing by Specialty Radiology Radiology Radiology Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2191 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Womens Diagnostic Group 6215 Humphreys Blvd #100 Memphis, TN 38120 Phone: 901-227-9600 County: Shelby Womans Diagnostic Group 50 Humphreys Blvd # 23 Memphis, TN 38120 Phone: 901-226-0810 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Magnolia Imaging Associates 611 Alcorn Dr Corinth, MS 38834 Phone: 662-293-1477 County: Alcorn Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Radiology Radiology Advanced Radiology 367 Hospital Blvd Jackson, TN 38305 Phone: 800-274-7777 County: Madison Diagnostic Imaging 200 Tyler St West Memphis, AR 72301 Phone: 901-766-0969 County: Crittenden Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Diagnostic Imaging 6401 Poplar Ave #100 Memphis, TN 38119 Phone: 901-387-2340 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Magill, H Lynn Mallampati, Gautham Mcallister, Ashford Mccarville, Mary B Mccrudden, Brian E Mcleod, Alan J Miller, Anna Mills, Mark R Mize, Anna E Moinuddin, Mohammed Murphree, Jason M Murray, Ian F Nauert, Timothy C Norris, Virgil L Optican, Robert J Orcutt, Marsha J Owen, Virginia S Owens, Donald Parthasarathy, Ranganathan Parvey, Louis S Payne, Steven D This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 234 Provider Listing by Specialty Radiology Radiology Radiology Advanced Radiology 367 Hospital Blvd Jackson, TN 38305 Phone: 800-274-7777 County: Madison Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Radiology Radiology Radiology Advanced Radiology 367 Hospital Blvd Jackson, TN 38305 Phone: 800-274-7777 County: Madison Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Radiology Radiology Sjcrh 262 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-4055 County: Shelby Dunne Medical 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7369 County: Mississippi Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Radiology Radiology Diagnostic Imaging 6401 Poplar Ave #100 Memphis, TN 38119 Phone: 901-387-2340 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Independent Radiology Assoc 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Radiology Radiology Radiology Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Midsouth Imaging & Therapeutics 6305 Humphreys Blvd #205 Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Radiology Radiology Nea Baptist Clinic 4800 E Johnson Ave Jonesboro, AR 72401 Phone: 870-936-8000 County: Craighead Radiology Assoc Of Oxford 2301 S Lamar Blvd Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Perchik, Joel Perkins, Charles Lee Pinstein, Martin L Pretorius, Eugene S Roberts, Matthew W Roberts, Larry Roberts, Graham Lee Roney, Ronald S Sabin, Noah D Salazar, Jorge A Schulze, Eric S Shankar, Sridhar Sherwood, Scot Hamilton Sneed, Thomas A Stephenson, Carol A Tanner, Paul R Thomas, James E Thomas, Lloyd R Thompson, Thomas R Thompson, Terry L Tonkin, Allen K This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 235 Provider Listing by Specialty Radiology Vu, Loi T Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Warner, Ronnie Memphis Physicians Radiological Group 5959 Park Ave Memphis, TN 38119 Phone: 901-765-2190 County: Shelby Radiology Witte, Dexter H Midsouth Imaging & Therapeutics 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Wolfe, James H Independent Radiology Assoc 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Radiology Advanced Radiology 367 Hospital Blvd Jackson, TN 38305 Phone: 800-274-7777 County: Madison Radiology Delta Radiology 901 Hwy 8 E Cleveland, MS 38732 Phone: 662-846-0061 County: Bolivar Radiology Dunne Medical 1520 N Division St Blytheville, AR 72315 Phone: 870-838-7369 County: Mississippi Radiology Golden Triangle Radiology 2520 5th St N Columbus, MS 39705 Phone: 662-328-2476 County: Lowndes Radiology Independent Radiology Assoc 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Radiology Lexington Hospital Corporation 200 W Church St Lexington, TN 38351 Phone: 877-848-1463 County: Henderson Radiology Mid South Imaging And Therapeutics 6305 Humphreys Blvd #205 Memphis, TN 38120 Phone: 901-747-1000 County: Shelby Radiology Ntnl Radiology Group Of Arkansas 1-40 at Hwy 284 Forrest City, AR 72335 Phone: 870-838-7300 County: Saint Francis Radiology Ntnl Radiology Group Of Arkansas Division & Highland Sts Blytheville, AR 72315 Phone: 870-261-7000 County: Mississippi Radiology Radiology Assoc Of Oxford 2301 S Lamar Oxford, MS 38655 Phone: 901-755-7001 County: Lafayette Radiology Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-2300 County: Shelby Radiology / Diagnostic Gaycken, Bettina Anne Margaret Womans Diagnostic Group 50 Humphreys Blvd # 23 Memphis, TN 38120 Phone: 901-226-0810 County: Shelby Radiology / Interventional Radiology Joshi, Salil S Sjcrh 278 Danny Thomas Pl Memphis, TN 38105 Phone: 901-595-3022 County: Shelby Radiology / Pediatric Radiology Parvey, Louis S Pediatric Radiology Associates 806 Estate Pl Memphis, TN 38119 Phone: 901-287-4000 County: Shelby Rheumatology Adams, Robert F Primary Care Group 388 S Pauline St Memphis, TN 38104 Phone: 901-525-0278 County: Shelby Rheumatology Aelion, Jacob A Arthritis Clinic 371 N Parkway #400 Jackson, TN 38305 Phone: 731-664-0002 County: Madison Rheumatology Akhigbe, Titilola O Ut Medical Group Inc 388 S Pauline Memphis, TN 38103 Phone: 901-525-0278 County: Shelby Rheumatology Alissandratos, Jane K Rheumatology/Osteoporosis Ctr Of Memphis 540 Trinity Creek Cv Cordova, TN 38018 Phone: 901-309-5000 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 236 Provider Listing by Specialty Rheumatology Rheumatology Rheumatology Rheumatology/Osteoporosis Ctr Of Memphis 540 Trinity Creek Cv Cordova, TN 38018 Phone: 901-309-5000 County: Shelby 6005 Park Ave #409 Memphis, TN 38119 Phone: 901-681-9670 County: Shelby Arthritis Clinic 371 N Parkway #400 Jackson, TN 38305 Phone: 731-664-0002 County: Madison Rheumatology Rheumatology/Osteoporosis Ctr Of Memphis 540 Trinity Creek Cv Cordova, TN 38018 Phone: 901-309-5000 County: Shelby Midsouth Internists 6025 Walnut Grove Rd #417 Memphis, TN 38120 Phone: 901-537-1892 County: Shelby Rheumatology Rheumatology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #365 Memphis, TN 38104 Phone: 901-448-7000 County: Shelby Rheumatology Sleep Medicine Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Rheumatology Spine Surgery Macon Primary Care Clinic 606 N Jefferson Macon, MS 39341 Phone: 662-726-4264 County: Noxubee Spine Specialty Center 6005 Park Ave #400 Memphis, TN 38119 Phone: 901-767-9500 County: Shelby Rheumatology Sports Medicine Memphis Medical Specialists Inc 6005 Park Ave #200 Memphis, TN 38119 Phone: 901-761-2100 County: Shelby Collierville Orthopedics & Sports Medicine 1458 W Poplar Ave #200 Collierville, TN 38017 Phone: 901-850-1150 County: Shelby Arkin, Charles R Ash, Judy D Rheumatology/Osteoporosis Ctr Of Memphis 540 Trinity Creek Cv Cordova, TN 38018 Phone: 901-309-5000 County: Shelby Rheumatology Boatright, Michael David Rheumatology/Osteoporosis Ctr Of Memphis 540 Trinity Creek Cv Cordova, TN 38018 Phone: 901-309-5000 County: Shelby Rheumatology Chapman, Cathy M Rheumatology & Dermatology Assoc 8143 Walnut Grove Rd Cordova, TN 38018 Phone: 901-753-0168 County: Shelby Rheumatology Eddleman, Kirk Cooper Family Cancer Ctr Foundation Inc 504 Azalea Dr. #A Oxford, MS 38655 Phone: 662-236-7738 County: Lafayette Rheumatology Ganguli, Sudha N Rheumatology Specialty Clinic 7660 Poplar Pike Germantown, TN 38138 Phone: 901-753-8633 County: Shelby Gupta, Ramesh C Rheumatology Holt, Huey T Kang, Andrew H Kim, Seunghyun Lodhi, Abdul Marker, Howard W Odhav, Satish K Rheumatology Pattanaik, Debendra N Pattanaik, Debendra N Bravo, Andres S Linville, Douglas A Lendermon, Laura Nell Rheumatology Surgery / Colon / Rectal Rheumatology/Osteoporosis Ctr Of Memphis 540 Trinity Creek Cv Cordova, TN 38018 Phone: 901-309-5000 County: Shelby Midsouth Rectal Clinic Corp 6563 Stage Oaks Dr #100 Bartlett, TN 38134 Phone: 901-362-5252 County: Shelby Menon, Yamini Fox, Michael M This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 237 Provider Listing by Specialty Surgery / Colon / Rectal Surgery / CV / Thoracic Surgery / General St Francis Medical Partners East 6029 Walnut Grove Rd #404 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Baptist Memorial Medical Group Inc 6029 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-226-0456 County: Shelby Baptist Memorial Medical Group Inc 6027 Walnut Grove Rd #203 Memphis, TN 38120 Phone: 901-226-5957 County: Shelby Surgery / Colon / Rectal Surgery / CV / Thoracic Surgery / General St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Magnolia Cardiovascular & Thoracic Clinic 611 Alcorn Dr #200 Corinth, MS 38834 Phone: 662-665-4660 County: Alcorn Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8270 County: Shelby Surgery / CV / Thoracic Surgery / General Surgery / CV / Thoracic Ut Methodist Physicians 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby Michael A Berry Md 255 Baptist Blvd #307 Columbus, MS 39705 Phone: 662-329-9302 County: Lowndes Surgery / CV / Thoracic Surgery / General Ut Medical Group Inc 1325 Eastmoreland Ave #220 Memphis, TN 38104 Phone: 901-725-9450 County: Shelby 806 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-8479 County: Monroe Surgery / General Bratvold, Jared Michael Katz, Joshua Adam Katz, Joshua Adam Blatchford Iii, James W St Francis Cardiovascular Surgery 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-236-0508 County: Shelby Surgery / CV / Thoracic Cieutat, Eve G St Francis Surgical Assoc 2996 Kate Bond Rd #203 Bartlett, TN 38133 Phone: 901-300-2970 County: Shelby Surgery / CV / Thoracic Gibber, Marc St Francis Cardiovascular Surgery 6005 Park Ave #802 Memphis, TN 38119 Phone: 901-236-0508 County: Shelby Surgery / CV / Thoracic Khandekar, Alim Ut Methodist Physicians 1251 Wesley Dr. #151 Memphis, TN 38116 Phone: 901-866-8801 County: Shelby Mutrie, Christopher J Parsons, Billy D Weksler, Benny Yoon, Pyongsoo David Adeleye, Jaiyeola O Clarksdale Hma Physician Mgmt 785 Ohio Ave #3F Clarksdale, MS 38614 Phone: 662-624-5026 County: Coahoma Surgery / General Behrman, Stephen Wheeler Behrman, Stephen Wheeler Berry, Michael Allen Brand, Woodrow W Surgery / General Baptist Memorial Medical Group Inc 6027 Walnut Grove Rd #319 Memphis, TN 38120 Phone: 901-226-3882 County: Shelby Surgery / General Brunson, Bernie Lee Andrews, Charles R 6027 Walnut Grove Rd #212 Memphis, TN 38120 Phone: 901-761-5031 County: Shelby Dyersburg Clinic Corp 1716 Parr Ave #F Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Surgery / General Surgery / General 714 Federal Dr Selmer, TN 38375 Phone: 731-645-7952 County: McNairy Phillips Clinic Corp 1803 Martin Luther King Dr #A Helena, AR 72342 Phone: 870-816-3800 County: Phillips Bakeer, Mohammed S Buechter, Kennan J This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 238 Provider Listing by Specialty Surgery / General Surgery / General Surgery / General New Albany Surgical Group 226 Starlyn Ave New Albany, MS 38652 Phone: 662-534-5057 County: Union O Fred Moore Md 503 Tickle St Dyersburg, TN 38024 Phone: 731-285-5244 County: Dyer Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #208 Memphis, TN 38120 Phone: 901-227-8950 County: Shelby Surgery / General Surgery / General Surgery / General Clarksdale Hma Physician Mgmt 785 Ohio Ave #3B Clarksdale, MS 38614 Phone: 662-624-5026 County: Coahoma Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Corinth Surgical Clinic Inc 703 Alcorn Dr #111 Corinth, MS 38834 Phone: 662-286-3735 County: Alcorn Surgery / General Surgery / General Surgery / General Oxford Surgical & Bariatric Clinic 506 Azalea Dr Oxford, MS 38655 Phone: 662-234-4744 County: Lafayette Ut Medical Group Inc 1265 Union Ave 1 Sherard Memphis, TN 38104 Phone: 901-516-9183 County: Shelby Madison Clinic Corp 379 Hospital Blvd Jackson, TN 38305 Phone: 731-660-3476 County: Madison Surgery / General Surgery / General Surgery / General Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Dicocco Surgery 1205 Russell St Union City, TN 38261 Phone: 731-884-0002 County: Obion St Francis Medical Partners East 6005 Park Ave #821B Memphis, TN 38119 Phone: 901-726-1056 County: Shelby Surgery / General Surgery / General Surgery / General Huntingdon Surgical 641 R B Wilson Dr #J Huntingdon, TN 38344 Phone: 731-986-8623 County: Carroll Forrest City Clinic Co 904 Holiday Dr #402 Forrest City, AR 72335 Phone: 870-633-5504 County: Saint Francis Surgery / General Surgery / General St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Clarksdale Hma Physician Mgmt 785 Ohio Ave #3F Clarksdale, MS 38614 Phone: 662-624-5026 County: Coahoma 6027 Walnut Grove Rd #118 Memphis, TN 38120 Phone: 901-767-8301 County: Shelby Surgery / General Duncan, William L Bullwinkel, Bruce A Burnsed, David W Byars, Richard Walker Caceres, Manuel Carty, Calphor Stanford Cathey, Reginald Lamont Caylor, James A Dyersburg Clinic Corp 503 E Tickle St #A Dyersburg, TN 38024 Phone: 731-285-5244 County: Dyer Caylor, James A Davis, Dennis Allan De La Borbolla, Luis Campos Dicocco, Jennifer Marie Doroghazi, Paul M Dunavant, William David Surgery / General Surgical Assoc Of Martin 300 W Peach St Martin, TN 38237 Phone: 731-587-2525 County: Weakley Edge, Stephen Barrow Edmonson, James D Edwards, George T Edwards, Norma M Edwards, Norma M Surgery / General Ellis, Richard A 7655 Poplar Ave #230 Germantown, TN 38138 Phone: 901-753-6163 County: Shelby Surgery / General Escarcega, Rogelio Rogelio Escarcega Md 1720 E Reelfoot Ave #204 Union City, TN 38261 Phone: 731-885-4500 County: Obion This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 239 Provider Listing by Specialty Surgery / General Surgery / General Surgery / General Pediatric Surgical Group Inc 777 Washington Ave #P230 Memphis, TN 38105 Phone: 901-287-6031 County: Shelby Baptist Memorial Medical Group Inc 5036 Goodman Road Ste #116 Olive Branch, MS 38654 Phone: 662-420-7061 County: DeSoto Magnolia Surgical Group 618 Alcorn Dr Corinth, MS 38834 Phone: 662-286-6901 County: Alcorn Surgery / General Surgery / General Surgery / General BMHSI Of Ms 232 Starlyn Ave New Albany, MS 38652 Phone: 662-534-5891 County: Union St Francis Medical Partners East 6005 Park Ave #821B Memphis, TN 38119 Phone: 901-726-1056 County: Shelby Lee M Grimm Md 7580 Clarington Cv #3 Southaven, MS 38671 Phone: 662-349-0311 County: DeSoto Surgery / General Surgery / General Surgery / General Ms County Surgical Assn 608 W Union Osceola, AR 72370 Phone: 870-563-3248 County: Mississippi St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Baptist Memorial Medical Group Inc 1500 W Poplar Ave #308 Collierville, TN 38017 Phone: 901-861-9270 County: Shelby Eubanks, James W Trey Farmer, Guy R Fergus, Raymond Scott Surgery / General Fleming, Martin D Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8270 County: Shelby Surgery / General Ford, David W Baptist Memorial Medical Group Inc. 6027 Walnut Grove Rd #319 Memphis, TN 38120 Phone: 901-226-3882 County: Shelby Surgery / General Ford, David W Schoettle & Lanford Surgical Clinic 300 S Rhodes St West Memphis, AR 72301 Phone: 870-735-3664 County: Crittenden Surgery / General Fortune, James E 7580 Clarington Cv #1 Southaven, MS 38671 Phone: 662-349-1940 County: DeSoto Foster, Michael E Francis Iii, Hugh Francis Iii, Hugh Surgery / General Gibson Iv, David Benjamin St Francis Medical Partners East 2996 Kate Bond Rd #309 Memphis, TN 38134 Phone: 901-726-1056 County: Shelby Surgery / General Gibson Iv, David Benjamin St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Surgery / General Ginn, Gregory Earl Baptist Memorial Medical Group Inc 1995 Hwy 51 S #203 Covington, TN 38019 Phone: 901-475-5422 County: Tipton Gregory, Ray N Grimm, Leander M Grisham, Andre D Surgery / General Gross, Russell J Baptist Memorial Medical Group Inc 1995 Hwy 51 S #101 Covington, TN 38019 Phone: 901-476-9921 County: Tipton Surgery / General Hammond, Douglas Alan St Francis Medical Partners East 6005 Park Ave #821B Memphis, TN 38119 Phone: 901-726-1056 County: Shelby Surgery / General Hammond, Douglas Alan St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 240 Provider Listing by Specialty Surgery / General Surgery / General Surgery / General Madison Clinic Corp 379 Hospital Blvd #101 Jackson, TN 38305 Phone: 731-984-7005 County: Madison BMH Prof Bldg Forrest City, AR 72335 Phone: 870-633-7940 County: Saint Francis Baptist Memorial Medical Group Inc. 1109 E. Reelfoot Ave #A Union City, TN 38261 Phone: 731-886-0811 County: Obion Surgery / General Jackson, Steven M Harmon, Harvey C Hartzheim, Paul David Dyersburg Clinic Corp 1716 Parr Ave #C Dyersburg, TN 38024 Phone: 731-288-7250 County: Dyer Surgery / General Hindman, Jason Wayne Baptist Memorial Medical Group Inc. 6027 Walnut Grove Rd #319 Memphis, TN 38120 Phone: 901-226-3882 County: Shelby Surgery / General Iskander, Henein Surgery / General Forrest City Clinic Co 904 Holiday Dr #402 Forrest City, AR 72335 Phone: 870-633-5500 County: Saint Francis Surgery / General Jackson, Bryan Scott Memphis Surgical Specialists 3950 New Covington Pike #200 Memphis, TN 38128 Phone: 901-382-3333 County: Shelby Surgery / General Jernigan, Thomas W Hoang, Hoat M 806 Earl Frye Blvd Amory, MS 38821 Phone: 662-256-8479 County: Monroe Jernigan Surgery Clinic 1205 Russell St Union City, TN 38261 Phone: 731-884-0002 County: Obion Surgery / General Surgery / General Magnolia Surgical Group 703 Alcorn Dr #102 Corinth, MS 38834 Phone: 662-286-2522 County: Alcorn Magnolia Professional Assoc 703 Alcorn Dr #105 Corinth, MS 38834 Phone: 662-286-2522 County: Alcorn Surgery / General Surgery / General Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8270 County: Shelby Karl C Jonas Jr Md 1995 Hwy 51 S #204 Covington, TN 38019 Phone: 901-476-9087 County: Tipton Holley, Andy W Hou, Betty Ws Johnson, Mathew B Jonas, Karl C Surgery / General Surgery / General Schoettle & Lanford Surgical Clinic 300 S Rhodes St West Memphis, AR 72301 Phone: 870-735-3664 County: Crittenden Cah Acquisition Co Ii 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Huffstutter, Paul J Jonas Jr, Karl C Katz, Peter L Surgery / General King, Michael L Surgical Clinic Of N Ms 2215 Jefferson Davis Dr Oxford, MS 38655 Phone: 662-234-3303 County: Lafayette Surgery / General King Jr, William Scott St Francis Medical Partners East 6005 Park Ave #821B Memphis, TN 38119 Phone: 901-726-1056 County: Shelby Surgery / General King Jr, William Scott St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Surgery / General Kirk, Henry Alden Surgery Consultants Of Oxford 2169 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-1530 County: Lafayette Surgery / General Laughlin Jr, Albert E St Francis Medical Partners East 6005 Park Ave #821B Memphis, TN 38119 Phone: 901-726-1056 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 241 Provider Listing by Specialty Surgery / General Surgery / General Surgery / General St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby 611 Alcorn Dr #210 Corinth, MS 38834 Phone: 662-284-9910 County: Alcorn 7655 Poplar Ave #230 Germantown, TN 38138 Phone: 901-753-6163 County: Shelby Laughlin Jr, Albert E Surgery / General Loiseau, Jeanclaude 1264 Wesley Dr #304 Memphis, TN 38116 Phone: 901-398-1990 County: Shelby Surgery / General Major, James W Clarksdale Hma Physician Mgmt 785 Ohio Ave #1G Clarksdale, MS 38614 Phone: 662-624-8000 County: Coahoma Surgery / General Major, James W Phillips Clinic Corp 1805 Martin Luther King Dr Helena, AR 72342 Phone: 870-338-8682 County: Phillips Surgery / General Mathis, Robert P Surgery / General Surgery / General Mroz-Baier Breast Care Clinic 6005 Park Ave #700 Memphis, TN 38119 Phone: 901-527-3391 County: Shelby 226 Bethlehem St Holly Springs, MS 38635 Phone: 662-252-1674 County: Marshall Surgery / General Monroe, Justin Mattison, Ronald E Mcclanahan, Jan T Mcclanahan & Vallette Surgical Assoc 2600 5th St N Columbus, MS 39705 Phone: 662-241-4223 County: Lowndes Surgery / General Mcdaniel Iii, Carter E St Francis Medical Partners East 1325 Eastmoreland Ave #580 Memphis, TN 38104 Phone: 901-726-1056 County: Shelby Surgery / General Mcdaniel Iii, Carter E Surgical Associates 1286 Peabody Memphis, TN 38104 Phone: 901-276-6000 County: Shelby St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Surgery / General Surgery / General Mason Surgical Clinic 301 Oxford Rd New Albany, MS 38652 Phone: 662-534-7474 County: Union Edward B Mcwhirt Md 1029 Medical Ctr Cir #401B Mayfield, KY 42066 Phone: 270-251-4400 County: Graves Surgery / General Surgery / General Ut Methodist Physicians 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby George M Miller Jr Md 1300 Sunset Dr #R Grenada, MS 38901 Phone: 662-226-7540 County: Grenada Martin, Rodney A Mason, Harvey F Mathew, Alexander Miller, Mark P Mcwhirt, Edward B Miller, George Maurice Monaghan, Brooks Varner Surgery / General St Francis Medical Partners East 6029 Walnut Grove Rd #404 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Surgery / General Monroe, Justin St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Surgery / General Moore, Olyn Fred O Fred Moore Md 503 Tickle St Dyersburg, TN 38024 Phone: 731-285-5244 County: Dyer Surgery / General Moore Iii, Olyn Fred Dyersburg Clinic Corp 503 E Tickle St #A Dyersburg, TN 38024 Phone: 731-285-5244 County: Dyer Surgery / General Mroz, Christine T Mroz-Baier Breast Care Clinic 6005 Park Ave #700 Memphis, TN 38119 Phone: 901-527-3391 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 242 Provider Listing by Specialty Surgery / General Surgery / General Surgery / General St Francis Surgical Assoc 2996 Kate Bond Rd #403 Memphis, TN 38133 Phone: 901-300-2970 County: Shelby 6215 Humphreys Blvd #505 Memphis, TN 38120 Phone: 901-747-7001 County: Shelby Pemiscot Co Memorial Hospital 106 W 12th St Caruthersville, MO 63830 Phone: 573-333-2285 County: Pemiscot Surgery / General Payne Iii, Melvin Pelletier Mukherjee, Sourabh Munene, Gitonga Ut Medical Group Inc 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby Surgery / General Nelson, John Shelton Christ Community Health Svcs 1211 Union Ave #200 Memphis, TN 38104 Phone: 901-271-0330 County: Shelby Surgery / General Nezakatgoo, Nosratollah Ut Medical Group Inc 1265 Union Ave 1 Sherard Memphis, TN 38104 Phone: 901-516-9183 County: Shelby Surgery / General Oladiran, Babatunde Pemiscot Co Memorial Hospital 907 E Reed Hayti, MO 63851 Phone: 573-359-3660 County: Pemiscot Surgery / General Oswaks, Roy Michael Mroz-Baier Breast Care Clinic 6005 Park Ave #700 Memphis, TN 38119 Phone: 901-527-3391 County: Shelby Surgery / General Parnell, Donald Batesville Hma Medical Group 303 Medical Center Dr Batesville, MS 38606 Phone: 662-712-2222 County: Panola Patterson, Russell H Surgery / General St Francis Medical Partners East 2996 Kate Bond Rd #309 Memphis, TN 38134 Phone: 901-726-1056 County: Shelby Surgery / General Payne Iii, Melvin Pelletier Puangsuvan, Somporn Surgery / General Purohit, Ramesh C Rc & Pr Purohit PO Box 602 Batesville, MS 38606 Phone: 662-563-4404 County: Panola Surgery / General St Francis Medical Partners East General Surgery 6029 Walnut Grove Rd #404 Medical Plaza 3 Memphis, TN 38120 Phone: 901-726-1056 County: Shelby Hmc Physicians Svcs Inc 935 Wayne Rd Savannah, TN 38372 Phone: 731-926-8090 County: Hardin Surgery / General Rebeiro, Egbert Pedigo, Phillip A Baptist Memorial Medical Group Inc. 2100 Exeter Rd Germantown, TN 38138 Phone: 901-757-3414 County: Shelby Surgery / General Peeples, Guy Langley Schoettle & Lanford Surgical Clinic 300 S Rhodes St West Memphis, AR 72301 Phone: 870-735-3664 County: Crittenden Surgery / General Powell, Benjamin Scott Ut Medical Group Inc 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby Surgery / General Pritchard, Frances Elizabeth Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8270 County: Shelby Rao, Gade S Surgery / General Surgical Specialists 143 Kennedy Dr #B Martin, TN 38237 Phone: 731-587-3030 County: Weakley Surgery / General Rohrer, Michael J Ut Medical Group Inc 1325 Eastmoreland Ave #310 Memphis, TN 38104 Phone: 901-448-4100 County: Shelby Surgery / General Rosenkrans, Ramon H Tri-Lakes Medical Center 303 Medical Center Dr Batesville, MS 38606 Phone: 662-712-1518 County: Panola Surgery / General Saliba, Jabbar Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 243 Provider Listing by Specialty Surgery / General Surgery / General Surgery / General Madison Clinic Corp 379 Hospital Blvd #101 Jackson, TN 38305 Phone: 731-984-7005 County: Madison Baptist Memorial Medical Group Inc 6025 Walnut Grove Rd #400 Memphis, TN 38120 Phone: 901-226-0391 County: Shelby Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Surgery / General Surgery / General Surgery / General 6005 Park Ave #601 Memphis, TN 38119 Phone: 901-821-0073 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-448-6650 County: Shelby West Tn Surgical 1150 Hwy 51 Bypass W #C Dyersburg, TN 38024 Phone: 731-285-4345 County: Dyer Saridakis, Michael A Sellars, John Robert Surgery / General Smith, Lovell Bernard Baptist Memorial Medical Group Inc. 1500 W Poplar Ave #308 Collierville, TN 38017 Phone: 901-861-9270 County: Shelby Surgery / General Smith, Chadwick P Hardin Co Reg Health Ctr 765 Florence Rd Savannah, TN 38372 Phone: 731-925-2300 County: Hardin Surgery / General Smith, Stanley L Stanley L Smith Jr Md 6027 Walnut Grove Rd #116 Memphis, TN 38120 Phone: 901-761-1155 County: Shelby Surgery / General Spears, Hubert E Surgery Consultants Of Oxford 2169 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-1530 County: Lafayette Surgery / General Stennett, Jerry L Columbus Surgery 255 Baptist Blvd #307 Columbus, MS 39705 Phone: 662-328-1862 County: Lowndes Stewart, Leslie Douglas Stoikes, Nathaniel Floyd Nicolas Thompson, Keith E Tosh, William Matthew Surgery / General Surgery / General North Oak Regional Hospital Inc 401 Getwell Dr #B Senatobia, MS 38668 Phone: 662-612-0013 County: Tate Madison Clinic Corp 4022 Liberty St Milan, TN 38358 Phone: 731-686-7004 County: Gibson Surgery / General Surgery / General Stokes Surgery Group 1500 Poplar Ave #304 Collierville, TN 38017 Phone: 901-316-5648 County: Shelby Mcclanahan & Vallette Surgical Assoc 2600 5th St N Columbus, MS 39705 Phone: 662-241-4223 County: Lowndes Surgery / General Surgery / General Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Ut Medical Group Inc 1265 Union Ave 1 Sherard Memphis, TN 38104 Phone: 901-516-9183 County: Shelby Surgery / General Surgery / General Oxford Surgical & Bariatric Clinic 506 Azalea Dr Oxford, MS 38655 Phone: 662-234-4744 County: Lafayette Baptist Memorial Medical Group Inc 6215 Humphreys Blvd #208 Memphis, TN 38120 Phone: 901-227-8950 County: Shelby Surgery / General Surgery / General Madison Clinic Corp 379 Hospital Blvd #101 Jackson, TN 38305 Phone: 731-984-7005 County: Madison Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8425 County: Shelby Stokes, Myron C Stokes, Myron C Sutton, Herbert Lee Therrien, David Scott Thomas, George E Tozer Ii, Kenneth H Vallette, Richard C Vanatta, Jason Michael Vanderwalde, Lindi Hanna Voeller, Guy R This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 244 Provider Listing by Specialty Surgery / General Surgery / Vascular Surgical / Critical Care Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8270 County: Shelby St Francis Surgical Assoc 2996 Kate Bond Rd #403 Memphis, TN 38133 Phone: 901-300-2970 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Surgery / General Surgery / Vascular Surgical Critical Care Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #310 Memphis, TN 38104 Phone: 901-448-4100 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Surgery / General Surgery / Vascular Surgical Critical Care Drs Morisy & Wood Plc 6025 Walnut Grove Rd #201 Memphis, TN 38120 Phone: 901-685-6066 County: Shelby Baptist Memorial Medical Group Inc 6029 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-226-0456 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Surgery / General Surgery / Vascular Surgical Critical Care George E Woodman Md 6029 Walnut Grove Rd #100 Memphis, TN 38120 Phone: 901-869-2000 County: Shelby Cardiovascular Surgery Clinic 6029 Walnut Grove Rd #401 Memphis, TN 38120 Phone: 901-747-3066 County: Shelby Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-8699 County: Shelby Surgery / General Surgery / Vascular Surgical Oncology Wright Medical Service 810 E Sunflower Rd #100-A Cleveland, MS 38732 Phone: 662-843-3606 County: Bolivar Dyersburg Clinic Corp 1718 Parr Ave #A Dyersburg, TN 38024 Phone: 731-286-4445 County: Dyer Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8520 County: Shelby Webb, David Louis Weinberg, Jordan Allan Wood, Janice C Woodman, George Ellis Wright, Bennie B Akbik, Mohamad J Byrne, Christopher H Craig, John Michael Dias-Perera, Anton Surath Nisetus Gebhart, James R Zarzaur Jr, Ben Evans, Cory Robert Maish Iii, George O Savage, Stephanie Ann Deneve, Jeremiah Lee Surgery / Ophthalmic Plastic Surgery / Vascular Surgical Oncology Ut Medical Group Inc 930 Madison Ave #200 Memphis, TN 38103 Phone: 901-448-6650 County: Shelby Surgery Consultants Of Oxford 2169 S Lamar Blvd Oxford, MS 38655 Phone: 662-234-1530 County: Lafayette Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-866-8520 County: Shelby Surgery / Thoracic Surgery / Vascular Surgical Oncology / Breast Mid South Reg Thoracic Ctr 6029 Walnut Grove Rd #100 Memphis, TN 38120 Phone: 901-259-4130 County: Shelby Ut Medical Group Inc 1325 Eastmoreland Ave #410 Memphis, TN 38104 Phone: 901-725-1921 County: Shelby Michael P Berry Md 1385 W Brierbrook Rd Germantown, TN 38138 Phone: 901-692-9600 County: Shelby Fleming, James C Ninan, Mathew Lovelace, Michael H Stickley, Shaun Michael Dickson, Paxton V Berry, Michael Paul This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 245 Provider Listing by Specialty Transplant Surgery Trauma Surgery Urology Ut Medical Group Inc 1265 Union Ave 1 Sherard Memphis, TN 38104 Phone: 901-516-9183 County: Shelby Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8350 County: Shelby Trauma Surgery Urgent Care Urology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Collierville Family Health 2028 W Poplar Ave #115 Collierville, TN 38017 Phone: 901-221-8983 County: Shelby New Albany Urology 303 J H Phillips New Albany, MS 38652 Phone: 662-539-0233 County: Union Trauma Surgery Urgent Care Urology Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Baptist Memorial Medical Group Inc 8970 Winchester Rd Memphis, TN 38125 Phone: 901-794-5806 County: Shelby 6005 Park Ave #807 Memphis, TN 38119 Phone: 901-683-0642 County: Shelby Trauma Surgery Urgent Care Bond, Kevin H Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Baptist Memorial Medical Group Inc. 1500 W Poplar Ave #308 Collierville, TN 38017 Phone: 901-861-9270 County: Shelby Modanlou, Kian A Bee, Tiffany K Brocker, Jason A Croce, Martin A Schroeppel, Thomas John Naren, Saraswathy B Zhou, Fang Brahmadevi, Sowmya Trauma Surgery Urology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Urology Professional Association 830 Gloster St 4th Floor E Tower Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Trauma Surgery Urology Ut Medical Group Inc 877 Jefferson Ave Memphis, TN 38103 Phone: 901-448-4454 County: Shelby Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Holub, Janette Lynn Magnotti, Louis J Farmer Ii, Clarance Stephen Adams Jr, John R Trauma Surgery Urology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby Southeast Urology Network 995 S Yates #1 Memphis, TN 38119 Phone: 901-527-7100 County: Shelby Minard, Gayle Alabaster, A Michael Aleman, Michael Abraham Bernstein, Benjamin Bingham, William V Urology Golden Triangle Urology 321 Hospital Dr. #1 Columbus, MS 39705 Phone: 662-327-2921 County: Lowndes Urology Campbell, Charles E 609 Fulton Blytheville, AR 72315 Phone: 662-513-9936 County: Mississippi Urology Castleberry, Gordon M Starkville Urology 102 Doctors Park Starkville, MS 39759 Phone: 662-324-1097 County: Oktibbeha Urology Chauhan, Ravi Dinesh Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 246 Provider Listing by Specialty Urology Urology Urology James W Cole Md 212 Alcorn Dr Corinth, MS 38834 Phone: 662-287-9970 County: Alcorn Urology Professional Association 830 Gloster St 4th Floor E Tower Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Urology Urology Urology Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Ut Methodist Physicians 57 Germantown Court Ste #204 Memphis, TN 38018 Phone: 901-758-7770 County: Shelby Urology Urology Urology Ut Medical Group Inc 880 Madison Ave Memphis, TN 38103 Phone: 901-545-6969 County: Shelby S.K. Ganguli Md 6005 Park Ave #804 Memphis, TN 38119 Phone: 901-529-0672 County: Shelby Conrad Pearson Clinic 125 Guthrie Dr Southaven, MS 38671 Phone: 662-349-1964 County: DeSoto Urology Urology Urology Southeast Urology Network 995 S Yates #1 Memphis, TN 38119 Phone: 901-527-7100 County: Shelby Urology Group 6029 Walnut Grove Rd #300 Memphis, TN 38120 Phone: 901-767-8158 County: Shelby Columbus Urology Group 321 Hospital Dr Columbus, MS 39701 Phone: 662-327-2921 County: Lowndes Urology Urology Urology Southeast Urology Network 995 S Yates #1 Memphis, TN 38119 Phone: 901-527-7100 County: Shelby Joshua G Griffin Md 321 Hospital Dr Columbus, MS 39701 Phone: 662-327-2921 County: Lowndes Martin Clinic Corp 143 Kennedy Dr Martin, TN 38237 Phone: 731-587-5321 County: Weakley Urology Urology Urology Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Urology Group 6029 Walnut Grove Rd #300 Memphis, TN 38120 Phone: 901-767-8158 County: Shelby Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Urology Urology Urology Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Oxford Urology Assoc 1201 Medical Park Dr Oxford, MS 38655 Phone: 662-234-1448 County: Lafayette Urology Professional Association 830 Gloster St 4th Floor E Tower Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Cole, James W Conrad, Lynn W Cox, Clair E Dang, Gerald Triminh Donato, Robert Alfred Eber, Paul Richard Farabaugh, Paul Bradley Farabaugh, Paul Bradley Farmer, Clarance S Ganguli, Santosh Greenberger, Mark D Griffin, Joshua Grant Gubin, David A Hardin, Brent M Hasen Jr, Howard B Hasen Jr, Howard B Hollabaugh Jr, Robert Sterling Howland, Robert L Hussain, Ahmed Kalish, Jonathan R Kalish, Jonathan R This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 247 Provider Listing by Specialty Urology Urology Urology Conrad Pearson Clinic 3950 New Covington Pike #340 Memphis, TN 38128 Phone: 901-372-3453 County: Shelby Bolivar Urology Clinic 907 E Sunflower Rd #103 Cleveland, MS 38732 Phone: 662-846-9990 County: Bolivar Dyersburg Clinic Corp 1718 Parr Ave #B Dyersburg, TN 38024 Phone: 731-285-4104 County: Dyer Urology Urology Urology Ut Medical Group Inc 1264 Wesley Dr #601 Memphis, TN 38116 Phone: 901-347-8350 County: Shelby Dyersburg Clinic Corp 575 E Tickle St Dyersburg, TN 38024 Phone: 731-285-4104 County: Dyer Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Urology Urology Urology Conrad Pearson Clinic 3950 New Covington Pike #340 Memphis, TN 38128 Phone: 901-372-3453 County: Shelby Mckenzie Medical Ctr 205 Hospital Dr #A McKenzie, TN 38201 Phone: 731-352-7907 County: Carroll Urology Professional Association 830 Gloster St 4th Floor E Tower Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Urology Urology Urology Urology Group 6029 Walnut Grove Rd #300 Memphis, TN 38120 Phone: 901-767-8158 County: Shelby Madison Clinic Corp 37 Sandstone Cir Jackson, TN 38305 Phone: 731-664-9928 County: Madison Southeast Urology 995 S Yates #1 Memphis, TN 38119 Phone: 901-527-7100 County: Shelby Urology Urology Urology Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Associated Urologists Of Memphis 995 S Yates #1 Memphis, TN 38119 Phone: 901-527-7100 County: Shelby The Urology Group 6029 Walnut Grove Rd #300 Memphis, TN 38120 Phone: 901-767-8158 County: Shelby Urology Urology Urology Urology 830 S Gloster Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Mississippi County Hospital System 609 Fulton Blytheville, AR 72315 Phone: 870-763-0855 County: Mississippi Oxford Urology Assoc 1201 Medical Park Dr Oxford, MS 38655 Phone: 662-234-1448 County: Lafayette Urology Urology Urology Urology Professional Association 830 Gloster St 4th Floor E Tower Tupelo, MS 38801 Phone: 662-377-7100 County: Lee Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8350 County: Shelby Columbus Urology 321 Hospital Dr Columbus, MS 39705 Phone: 662-327-2931 County: Lowndes Larimer, Perry J Ledbetter, Christopher K Maddux Jr, Holt Benjamin Mcgowan, Leslie R Mcswain, H Michael Milam, William Hughes Milam, William Hughes Miles, Derek Monnig, Jack A Morgan Iii, James Orville Morris, Brent Jerome Newman, Larry B Niles, Brian S Patterson, Anthony L Perkins, Thomas F Posey, Jon Timothy Posey, Jon Timothy Raghavaiah, Nimmagadda Rayford, Walter Renfroe, Doyle Land Santa-Cruz, Robert W This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 248 Provider Listing by Specialty Urology Urology Urology Southeast Urology Network 995 S Yates #1 Memphis, TN 38119 Phone: 901-527-7100 County: Shelby Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8350 County: Shelby Greenwood Urology Clinic 205 8th St Greenwood, MS 38930 Phone: 662-453-6732 County: Leflore Urology Urology Urology Magnolia Specialty Clinic 1001 S Harper Rd Corinth, MS 38834 Phone: 662-665-8041 County: Alcorn Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Oxford Urology Clinic 1115 Mimosa Oxford, MS 38655 Phone: 662-234-7800 County: Lafayette Urology Urology Urology 1325 Eastmoreland Ave #435 Memphis, TN 38104 Phone: 901-726-5073 County: Shelby Thompson Clinic 1500 W POPLAR #304 Collierville, TN 38017 Phone: 901-861-8188 County: Shelby 100 Hospital St #100A Booneville, MS 38829 Phone: 662-720-9413 County: Prentiss Urology Woodson, Benjamin Warren Saslawsky, Mark J Senf, William L Seymour, Lawrence D Urology Shappley, William V Urology Group 6029 Walnut Grove Rd #300 Memphis, TN 38120 Phone: 901-767-8158 County: Shelby Urology Shelton, Thomas B Conrad Pearson Clinic 1325 Wolf Park Dr #102 Germantown, TN 38138 Phone: 901-252-3400 County: Shelby Urology Shoaf, Guy Michael Urology Assoc 1201 Medical Park Dr Oxford, MS 38655 Phone: 662-234-1448 County: Lafayette Urology Smith, Ricky A Urology Of Memphis 2996 Kate Bond Rd # 307 Bartlett, TN 38133 Phone: 901-373-8333 County: Shelby Steiner, Mitchell S Stewart, Adam Fredrick Thompson, Tommy Vasudevan, P P Vasudevan Md 1393 Hwy 242 S Helena, AR 72342 Phone: 870-338-6749 County: Phillips Urology Wake, Robert W Ut Medical Group Inc 7945 Wolf River Blvd Germantown, TN 38138 Phone: 901-347-8350 County: Shelby Urology Wallace, Charles R Charles Wallace, Md 1325 Eastmoreland Ave #425 Memphis, TN 38104 Phone: 901-272-3200 County: Shelby Urology Walzer, Yair Mid-South Urology 640 N Germantown Pkwy #200 Cordova, TN 38018 Phone: 901-753-9821 County: Shelby Weldon, Thomas E Wilkes, Thurston E Wolfe, Joseph W Urology Columbus Urology Group 321 Hospital Dr Columbus, MS 39701 Phone: 662-327-2921 County: Lowndes Urology Zamzow, Brent A Dyersburg Clinic Corp 1718 Parr Ave # B Dyersburg, TN 38024 Phone: 731-285-4104 County: Dyer Wheel Chairs, Custom Glass Seating And Mobility 1687 Shelby Oaks, Suite 9 Memphis, TN 38134 Phone: 901-379-0096 County: Shelby Wheel Chairs, Custom National Seating & Mobility, Inc. 3930 South Perkins Memphis, TN 38118 Phone: 901-362-9880 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 249 Provider Listing by Specialty FACILITY PROVIDERS: This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 250 Provider Listing by Specialty Inpatient Facilities Inpatient Facilities Inpatient Facilities Inpatient Facilities Inpatient Facilities Inpatient Facilities Alliance Healthcare System, Inc 1430 Highway 4 East Holly Springs, MS 38635 Phone: 662-252-1212 County: Marshall Baptist Memorial Hospital-Lauderdale 326 Asbury Ave Ripley, TN 38063 Phone: 731-221-2200 County: Lauderdale Baptist Rehabilitation-Germantown 2100 Exeter Road Germantown, TN 38138 Phone: 901-757-1350 County: Shelby Baptist Memorial Hospital For Women 6225 Humphreys Blvd Memphis, TN 38120 Phone: 901-227-9000 County: Shelby Baptist Memorial Hospital-Memphis 6019 Walnut Grove Rd Memphis, TN 38120 Phone: 901-226-5000 County: Shelby Bolivar Medical Center Highway 8, East Cleveland, MS 38732 Phone: 662-846-0061 County: Bolivar Inpatient Facilities Inpatient Facilities Inpatient Facilities Baptist Memorial Hospital-Booneville 100 Hospital St Booneville, MS 38829 Phone: 662-720-5000 County: Prentiss Inpatient Facilities Baptist Memorial Hospital-Collierville 1500 W Poplar Ave Collierville, TN 38017 Phone: 901-861-9000 County: Shelby Inpatient Facilities Baptist Memorial Hospital-Desoto 7601 Southcrest Pkwy Southaven, MS 38671 Phone: 662-772-4000 County: Desoto Inpatient Facilities Baptist Memorial Hospital-Golden Triangle 2520 5th Street, North Columbus, MS 39701 Phone: 662-244-1000 County: Lowndes Inpatient Facilities Baptist Memorial Hospital-Golden Triangle 2520 5th Street, North Columbus, MS 39701 Phone: 662-244-1000 County: Lowndes Inpatient Facilities Baptist Memorial Hospital-Huntingdon 631 R.B. Wilson Drive Huntingdon, TN 38344 Phone: 731-986-4461 County: Carroll Baptist Memorial Hospital-North Mississippi 2301 South Lamar Oxford, MS 38655 Phone: 662-232-8100 County: Lafayette Crittenden Regional Hospital 200 Tyler Avenue West Memphis, AR 72301 Phone: 870-735-1500 County: Crittenden Inpatient Facilities Crossridge Community Hospital 310 South Falls Boulevard Wynne, AR 72396 Phone: 870-238-3300 County: Cross Baptist Memorial Hospital-Tipton 1995 Highway 51, South Covington, TN 38019 Phone: 901-476-2621 County: Tipton Inpatient Facilities Baptist Memorial Hospital-Union City 1201 Bishop Street Union City, TN 38261 Phone: 731-885-2410 County: Obion Inpatient Facilities Baptist Memorial Hospital-Union County 200 Highway 30 West New Albany, MS 38652 Phone: 662-538-7631 County: Union Inpatient Facilities Baptist Memorial Restorative Care Hospital 6019 Walnut Grove Road, 1 West Memphis, TN 38120 Phone: 901-226-1400 County: Shelby Inpatient Facilities Inpatient Facilities Desoto Healthcare Center 7805 Southcrest Parkway Southaven, MS 38671 Phone: 662-349-7500 County: Desoto Inpatient Facilities Dyersburg Regional Medical Center 400 Tickle Street Dyersburg, TN 38024 Phone: 731-287-2410 County: Dyer Inpatient Facilities Fayette Medical Center 1653 Temple Ave N Fayette, AL 35555 Phone: 205-932-5966 County: Fayette Inpatient Facilities Forrest City Medical Center 1601 Newcastle Rd. Forrest City, AR 72335 Phone: 870-261-0000 County: Saint Francis This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 251 Provider Listing by Specialty Inpatient Facilities Inpatient Facilities Henderson County Community Hospital 200 W. Church St. Lexington, TN 38351 Phone: 731-968-3646 County: Henderson Northwest Regional Medical Center 1970 Hospital Dr Clarksdale, MS 38614 Phone: 662-627-3211 County: Coahoma Inpatient Facilities Inpatient Facilities Inpatient Facilities Gilmore Memorial Regional Medical Center 1105 Earl Frye Blvd. Amory, MS 38821 Phone: 662-256-7111 County: Monroe Inpatient Facilities Great River Medical Center 1520 North Division Street Blytheville, AR 72315 Phone: 870-838-7300 County: Mississippi Hillcrest Hospital 140 Burke-Calhoun City Rd. Calhoun City, MS 38916 Phone: 662-628-6611 County: Calhoun Noxubee General Hospital 606 North Jefferson Macon, MS 39341 Phone: 662-726-4231 County: Noxubee Inpatient Facilities Inpatient Facilities Inpatient Facilities Grenada Lake Medical Center 960 Avent Drive Grenada, MS 38901 Phone: 662-227-7000 County: Grenada Lakeside Behavioral Health System 2911 Brunswick Road Memphis, TN 38133 Phone: 901-377-4700 County: Shelby Parkwood Behavioral Health System 8135 Goodman Rd. Olive Branch, MS 38654 Phone: 662-895-4900 County: Desoto Inpatient Facilities Hardin Medical Center 935 Wayne Road Savannah, TN 38372 Phone: 731-926-8000 County: Hardin Inpatient Facilities Magnolia Regional Health Center 611 Alcorn Dr. Corinth, MS 38834 Phone: 662-293-1000 County: Alcorn Inpatient Facilities Inpatient Facilities Inpatient Facilities Inpatient Facilities Pemiscot Memorial Hospital 946 E. Reed Street Hayti, MO 63851 Phone: 573-359-1372 County: Pemiscot Haywood Park Community Hospital 2545 N. Washington Ave. Brownsville, TN 38012 Phone: 731-772-4110 County: Haywood Mcnairy Regional Hospital 705 E. Poplar Avenue Selmer, TN 38375 Phone: 731-645-3221 County: Mcnairy Pioneer Community Hospital Of Aberdeen 400 South Chestnut Aberdeen, MS 39730 Phone: 662-369-2455 County: Monroe Inpatient Facilities Inpatient Facilities Inpatient Facilities Healthsouth Cane Creek Rehabilitation Hospital 180 Mt. Pelia Road Martin, TN 38237 Phone: 731-587-4231 County: Weakley Inpatient Facilities Helena Regional Medical Center 1801 Martin Luther King Drive Helena, AR 72342 Phone: 870-338-5800 County: Phillips Mississippi County Hospital System 1520 North Division Street Blytheville, AR 72315 Phone: 870-762-6725 County: Mississippi Quitman County Hospital 340 Getwell Street Marks, MS 38646 Phone: 662-326-8031 County: Quitman Inpatient Facilities Inpatient Facilities North Oak Regional Medical Center 401 Getwell Rd. Senatobia, MS 38668 Phone: 662-562-3100 County: Tate Regional Hospital Of Jackson 367 Hospital Blvd. Jackson, TN 38305 Phone: 731-661-2000 County: Madison Inpatient Facilities Northwest Medical Center-Winfield, 1530 US Hwy 43 Winfield, AL 35594 Phone: 205-487-7000 County: Marion This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 252 Provider Listing by Specialty Inpatient Facilities Inpatient Facilities Regional Medical Center At Memphis (The MED) 877 Jefferson Avenue Memphis, TN 38103 Phone: 901-545-7100 County: Shelby Trace Regional Hospital 1002 East Madison Houston, MS 38851 Phone: 662-456-3701 County: Chickasaw Inpatient Facilities Tri-Lakes Medical Center 303 Medical Center Drive Batesville, MS 38606 Phone: 662-563-5611 County: Panola Saint Francis Hospital 5959 Park Ave Memphis, TN 38119 Phone: 901-765-1000 County: Shelby Inpatient Facilities Saint Francis Hospital - Bartlett 2986 Kate Bond Rd Bartlett, TN 38133 Phone: 901-820-7050 County: Shelby Inpatient Facilities Smc Regional Medical Center 611 West Lee Street Osceola, AR 72370 Phone: 870-563-7000 County: Mississippi Inpatient Facilities St. Jude Children's Research Hospital 262 Danny Thomas Place Memphis, TN 38105 Phone: 901-595-3300 County: Shelby Inpatient Facilities Tallahatchie General Hospital 201 South Market Charleston, MS 38921 Phone: 662-647-5535 County: Tallahatchie Inpatient Facilities Tippah County Hospital 1005 City Ave., North Ripley, MS 38663 Phone: 662-837-9221 County: Tippah Inpatient Facilities Inpatient Facilities Tyler Holmes Memorial Hospital 409 Tyler Holmes Drive Winona, MS 38967 Phone: 662-283-4114 County: Montgomery Inpatient Facilities Volunteer Community Hospital 161 Mt. Pelia Road Martin, TN 38237 Phone: 731-587-4261 County: Weakley Inpatient Facilities Yalobusha General Hospital 630 South Main Street Water Valley, MS 38965 Phone: 662-473-1411 County: Yalobusha Dialysis Services Fresenius D/B/A BMA Blytheville 1001 Moultrie Blytheville, AR 72315 Phone: 870-762-7700 County: Mississippi Dialysis Services Fresenius D/B/A BMA Of Graceland 1200 Farrow Memphis, TN 38116 Phone: 901-398-1163 County: Shelby Dialysis Services Fresenius D/B/A BMA St. Francis County Dialysis Center 210 Barrow Hill Road Forrest City, AR 72335 Phone: 870-630-6484 County: Saint Francis Dialysis Services Fresenius D/B/A BMA Tipton County 2047 Highway 51 South Covington, TN 38019 Phone: 901-475-1555 County: Tipton Dialysis Services Fresenius D/B/A FMC Dialysis Services Of East Memphis 6490 Mt. Moriah Memphis, TN 38115 Phone: 901-367-1001 County: Shelby Dialysis Services Fresenius D/B/A Fresenius Medical Care Of Collierville 155 Crescent Drive Collierville, TN 38017 Phone: 901-861-8041 County: Shelby Dialysis Services Fresenius D/B/A Fresenius Memphis 1428 Monroe Memphis, TN 38104 Phone: 901-272-8683 County: Shelby Dialysis Services Fresenius D/B/A MKDS Fresenius Medical Care Of Memphis Midtown 2225 Union Avenue, Suite 200 Memphis, TN 38104 Phone: 901-725-7586 County: Shelby Dialysis Services Fresenius D/B/A MKDS Fresenius Medical Care Of North Memphis 3850 Austin Peay, Suite 10 Memphis, TN 38128 Phone: 901-388-1749 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 253 Provider Listing by Specialty Dialysis Services Fresenius D/B/A MKDS Fresenius Medical Care Of Whitehaven 4115 S. Plaza Drive Memphis, TN 38116 Phone: 901-398-6388 County: Shelby Dialysis Services Fresenius D/B/A West Memphis Dialysis 310 S. Rhodes West Memphis, AR 72301 Phone: 870-735-5445 County: Crittenden Dialysis Services Dialysis Services Renal Care Group D/B/A RCG Memphis East 7640 Wolf River Circle Germantown, TN 38138 Phone: 901-757-4119 County: Shelby Dialysis Services Renal Care Group D/B/A RCG Union City 1117 Miles Ave.; Suite #6 Union City, TN 38261 Phone: 731-884-0914 County: Obion Dialysis Services Memphis Central Dialysis 889 Linden Memphis, TN 38126 Phone: 901-525-1719 County: Shelby Renal Care Group D/B/A Renal Care Group Aberdeen 308 Hwy. 8 West Aberdeen, MS 39730 Phone: 662-369-6149 County: Monroe Dialysis Services Dialysis Services Memphis East Dialysis 50 Humphreys Blvd # 42 Memphis, TN 38120 Phone: 901-747-3901 County: Shelby Dialysis Services Memphis South Dialysis 1205 Marlin Road Memphis, TN 38116 Phone: 901-346-6637 County: Shelby Dialysis Services Renal Care Group D/B/A Fresenius Medical Care Winona 410 Highway 82 Winona, MS 38967 Phone: 662-283-6353 County: Montgomery Dialysis Services Renal Care Group D/B/A Martin Dialysis Center 113 E. C. Thurman Cove Martin, TN 38237 Phone: 731-587-3390 County: Weakley Renal Care Group D/B/A Renal Care Group Clarksdale 2010 N. State St. Clarksdale, MS 38614 Phone: 662-627-4786 County: Coahoma Dialysis Services Renal Care Group D/B/A Renal Care Group Cleveland 222 N. Pearman Avenue Cleveland, MS 38732 Phone: 662-843-6965 County: Bolivar Dialysis Services Renal Care Group D/B/A Renal Care Group Columbus 92 Brookmoore Drive Columbus, MS 39705 Phone: 662-327-9208 County: Lowndes Dialysis Services Renal Care Group D/B/A Renal Care Group Corinth 810 Alcorn Drive Corinth, MS 38834 Phone: 662-287-9577 County: Alcorn Dialysis Services Renal Care Group D/B/A Renal Care Group Eupora 241 Meadowlane Street Eupora, MS 39744 Phone: 662-258-6528 County: Webster Dialysis Services Renal Care Group D/B/A Renal Care Group Grenada 35 W. Monroe Grenada, MS 38901 Phone: 662-226-8229 County: Grenada Dialysis Services Renal Care Group D/B/A Renal Care Group Helena 108 D'Anna Place Helena, AR 72342 Phone: 870-338-7800 County: Phillips Dialysis Services Renal Care Group D/B/A Renal Care Group Holly Springs 1325 Hwy. 4 East Holly Springs, MS 38635 Phone: 662-252-6210 County: Marshall Dialysis Services Renal Care Group D/B/A Renal Care Group Macon 703 N. Washington Macon, MS 39341 Phone: 662-726-9866 County: Noxubee Dialysis Services Renal Care Group D/B/A Renal Care Group Oxford 1760 Barron Street Oxford, MS 38655 Phone: 662-234-3412 County: Lafayette Dialysis Services Renal Care Group D/B/A Renal Care Group Sardis 200 E. Frontage Road Sardis, MS 38666 Phone: 662-487-3938 County: Panola This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 254 Provider Listing by Specialty Dialysis Services Renal Care Group D/B/A Renal Care Group Starkville 104 W. Garrard Road Starkville, MS 39759 Phone: 662-324-8300 County: Oktibbeha Dialysis Services Renal Care Group D/B/A Renal Care Group Tunica 1821 U.S. Hwy. 61 North Tunica, MS 38676 Phone: 662-363-2620 County: Tunica Dialysis Services Renal Care Group D/B/A Renal Care Group Tupelo 1031 S. Madison Street Tupelo, MS 38801 Phone: 662-844-0009 County: Lee Dialysis Services Renal Care Group D/B/A Renal Care Group Tupelo Home 1542 Medical Park Circle Tupelo, MS 38801 Phone: 662-841-2315 County: Lee Dialysis Services Renal Care Group D/B/A Southaven Dialysis 7318 Southcrest Parkway Southaven, MS 38671 Phone: 662-349-2548 County: Desoto Surgery Centers Baptist Desoto Surgery Center 391 Southcrest Circle #100 Southaven, MS 38671 Phone: 662-349-0910 County: Desoto Surgery Centers Baptist Germantown Surgery Center 2100 Exeter Rd #101 Germantown, TN 38138 Phone: 901-75-73400 County: Shelby Surgery Centers Surgery Centers Campbell Clinic Surgery Center 1410 Brierbrook Road Germantown, TN 38138 Phone: 901-759-5454 County: Shelby Midtown Surgery Center 255 South Pauline Street Memphis, TN 38104 Phone: 901-527-6871 County: Shelby Surgery Centers Surgery Centers East Memphis Surgery Center 80 Humphreys Center Dr #101 Memphis, TN 38120 Phone: 901-747-3233 County: Shelby Oxford Surgery Center 499 Azalea Drive Oxford, MS 38655 Phone: 662-234-7979 County: Lafayette Surgery Centers Surgery Centers Eye Care Surgery Center Of Memphis 5350 Poplar Ave #950 Memphis, TN 38119 Phone: 901-683-4600 County: Shelby Ridge Lake Ambulatory Surgery Center 825 Ridge Lake Blvd. Memphis, TN 38120 Phone: 901-685-1088 County: Shelby Surgery Centers Surgery Centers Eye Care Surgery Center Of Olive Branch 6947 Crumpler Blvd., Suite 105 Olive Branch, MS 38654 Phone: 901-683-4600 County: Desoto Saint Francis Surgery Center 5999 Park Ave Memphis, TN 38119 Phone: 901-818-1080 County: Shelby Surgery Centers Surgery Centers Eye Care Surgery Center Of Southaven 7600 Airways Blvd #D Southaven, MS 38671 Phone: 901-683-4600 County: Desoto Semmes-Murphey Surgery Center 6325 Humphreys Blvd. Memphis, TN 38120 Phone: 901-522-7700 County: Shelby Surgery Centers Surgery Centers Hamilton Eye Institute Surgery Center 930 Madison Ave #370 Memphis, TN 38103 Phone: 901-448-3900 County: Shelby Shea Ear Clinic 6133 Poplar Pike Memphis, TN 38119 Phone: 901-761-9720 County: Shelby Surgery Centers Surgery Centers Surgery Centers Surgery Centers Meca Laser & Surgery Center 6485 Poplar Avenue Memphis, TN 38119 Phone: 901-767-4014 County: Shelby Memphis Surgery Center 1044 Cresthaven Memphis, TN 38119 Phone: 901-682-1516 County: Shelby Union City Surgery Center 1722 E Reelfoot Ave, Suite 1 Union City, TN 38261 Phone: 731-885-6300 County: Obion Urocenter 80 Humphreys Center Dr #310 Memphis, TN 38120 Phone: 901-747-3370 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 255 Provider Listing by Specialty Urgent Care Centers Baptist Minor Medical Center-Bartlett 7424 Highway 64; Suite 111 Memphis, TN 38133 Phone: 901-385-7817 County: Shelby Urgent Care Centers Baptist Minor Medical Center-Cordova 584 North Germantown Pkwy., Suite 110 Cordova, TN 38018 Phone: 901-753-7686 County: Shelby Urgent Care Centers Baptist Minor Medical Center-Olive Branch (Ms) 8990 Germantown Extended Olive Branch, MS 38654 Phone: 901-525-1160 County: Desoto Urgent Care Centers Baptist Minor Medical CenterPoplar/Holmes 3295 Poplar Avenue, Suite 105 Memphis, TN 38111 Phone: 901-327-8188 County: Shelby This list is the most current information available as of the date it was prepared. Please verify participation with the provider of services prior to services being rendered. 01/29/2015 Page 256
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