TELEHEALTHONE, LLC (NPI# 1336596170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336596170 |
| Entity Type | Organization |
| Organization Name | TELEHEALTHONE, LLC |
| Practice Address |
301 Yazoo Street Lexington MS 39095 |
| Mailing Address |
152 Watford Parkway Suite 202 Canton MS 39046-7900 |
| Practice Telephone | 6018594342 |
| Practice Fax Number | 8449659542 |
| Mailing Telephone | 6018594342 |
| Mailing Fax Number | 8449659592 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | CHRISTOPHER B POWE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6018594342 |
| Authorized Official Credential | ACNP-BC, PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00525567 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1558718304 | Telehealthone, LLC | Nurse Practitioner | 225 Meadowbrook Road, Jackson, MS 39206 | 2016-05-23 |
| 1861852840 | Telehealthone, LLC | Nurse Practitioner | 101 Mansker Drive, Flora, MS 39071-9790 | 2016-03-03 |
| 1427418409 | Telehealthone, LLC | Nurse Practitioner | 1301 East Peace Street, Canton, MS 39046-7900 | 2016-03-03 |
| 1609284330 | Telehealthone, LLC | General Practice | 1037 Lake Village Cir, Suite A, Brandon, MS 39047-6725 | 2014-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELEHEALTHONE, LLC | 152 Watford Pkwy Dr, Canton, MS 39046-7900 |
| Street Address |
301 YAZOO STREET |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868367 | Emily Han | Nurse Practitioner | 3245 Orchard Grass Rd, Lexington, KY 40509-8639 | 2020-10-14 |
| 1548740111 | Doreen M Legere | Nurse Practitioner | Uk Division of Pulmonary Critical Care 800 Rose St, Lexington, KY 40536-0001 | 2018-08-14 |
| 1548747884 | William Brian James | Nurse Practitioner | Univ of Ky 800 Rose Street, Lexington, KY 40536-0001 | 2018-07-19 |
| 1851608459 | Shannon C Shumaker | Nurse Practitioner | 800 Rose Street Gill Heart Institute, Lexington, KY 40536-0298 | 2010-09-03 |
| 1578890224 | Dana Lenore Smith | Nurse Practitioner | 4711 Sunset Boulevard, Agape Primary Care At Twelve Mile Creek, Lexington, SC 29072 | 2009-11-17 |
| 1598090243 | Jill Marie Clemmons | Nurse Practitioner | University of Kentucky Department Of, 740 South Limestone St. Room A125, Lexington, KY 40536-0001 | 2009-10-14 |
| 1679712087 | Juliann Paige Matheny | Nurse Practitioner | 138 Leader Ave Suite 119, Lexington, KY 40506-3446 | 2009-02-09 |
| 1508967571 | Carol Lynn Thompson | Nurse Practitioner | Uk Division of Pulmonary Critical Care, 800 Rose Street, Lexington, KY 40536-0284 | 2006-09-25 |
| 1508868266 | Tonja A Gantt | Nurse Practitioner | 716 Old Cherokee Rd, Lexington, SC 29072-9406 | 2005-08-12 |
| 1083616064 | Debra Dellay | Nurse Practitioner | 989 Governors Ln, Ste 180, Lexington, KY 40513-1175 | 2005-08-10 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.