Ms. Telitha K Grant-spencer
MD | Pediatrics | Female
Ms. Telitha K Grant-spencer, MD is a Sebastopol, Mississippi based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ms. Telitha K Grant-spencer is
1488 Hwy 487, Sebastopol, Mississippi - 39359-0150. She can be contacted on phone at
601-625-7403 and fax number 601-625-7404.
Ms. Telitha K Grant-spencer is a sole proprietor of her business.
NPI number (Unique professional ID) for Ms. Telitha K Grant-spencer is
1851570006 which was assigned by NPPES on 24 Oct, 2007 and it was last updated on 10 Nov, 2016.
Ms. Telitha K Grant-spencer license number is
24502 for Pediatrics (208000000X) in Mississippi.
Ms. Telitha K Grant-spencer is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ms. Telitha K Grant-spencer basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ms. Telitha K Grant-spencer |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Ms. Telitha K Grant-spencer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1488 Hwy 487
Sebastopol, MS, 39359-0150
United States |
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| Phone Number : | 601-625-7403 |
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| Fax Number : | 601-625-7404 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851570006 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Oct, 2007 |
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| Last Updated On : | 10 Nov, 2016 |
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Medicare Participation:
Ms. Telitha K Grant-spencer participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1658447891 |
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| Medicare Enrollment ID : | I20161111000595 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Meharry Medical College School Of Medicine |
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| Graduation Year : | 2004 |
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| Accepts Medicare? | Yes. Ms. Telitha K Grant-spencer accepts medicare insurance. |
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Group Practice Association:
Ms. Telitha K Grant-spencer is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ms. Telitha K Grant-spencer is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| East Central Mississippi Health Care Inc | 0941103717 | 12 | 1488 Hwy 487
Sebastopal Clinic
Sebastopol, MS - 393590150
Ph: 6016257403 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Telitha K Grant-spencer are as mentioned. Primary taxonomy code for Ms. Telitha K Grant-spencer, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | MD.200333 | LA |
| 207R00000X | Internal Medicine | No | 24502 | MS |
| 208000000X | Pediatrics | No | MD.200333 | LA |
| 208000000X | Pediatrics | Yes | 24502 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Ms. Telitha K Grant-spencer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00656244 | MEDICAID | MS | |
| 1069973 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 150
Sebastopol, MS, 39359-0150
United States |
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| Phone Number : | 601-625-7403 |
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| Fax Number : | 601-625-7404 |
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Business Location:
Patients can refer following map for directions to
Ms. Telitha K Grant-spencer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.