NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1821092552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821092552 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. |
| Practice Address |
15921 Boundary Dr Ashland MS 38603-7740 |
| Mailing Address |
Po Box 92 Ashland MS 38603-0092 |
| Practice Telephone | 6622248951 |
| Practice Fax Number | 6622246801 |
| Mailing Telephone | 6622248951 |
| Mailing Fax Number | 6622246801 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | MR. JAMES D NUNNALLY (CEO) |
| Authorized Official Telephone | 6622248951 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
15021 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09011971 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009407 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 16025 Boundary Drive, Ashland, MS 38603 | 2019-02-13 |
| 1902292410 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 3114b North Shiloh Road, Corinth, MS 38834 | 2015-04-10 |
| 1063078079 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 2716 W Oxford Loop Ste 171, Oxford, MS 38655-5722 | 2019-05-15 |
| 1972065829 | North Mississippi Primary Health Care, Inc. | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2019-04-01 |
| 1275980211 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 232 Starlyn Ave, New Albany, MS 38652-2428 | 2016-05-19 |
| 1083009450 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 208 N 1st St, Booneville, MS 38829-2718 | 2015-04-02 |
| 1376938746 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 531 Main St, Walnut, MS 38683-9349 | 2015-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. | 15921 W Boundary Drive, Ashland, MS 38603-7740 |
| Street Address |
15921 BOUNDARY DR |
| City | ASHLAND |
| State | MS |
| Zip Code | 38603-7740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821628405 | Brandon Wesley Hutchison | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2020-01-22 |
| 1972065829 | North Mississippi Primary Health Care, Inc. | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2019-04-01 |
| 1871801795 | Ankit Bavariya | Dentist | 15921 Boundary Dr, Ashland, MS 38603 | 2010-09-14 |
| 1023322765 | Derek Alan Clemmer | Dentist | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2010-08-05 |
| 1013167352 | Christina Kent Nunnally | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2008-09-23 |
| 1922047729 | Irshad Hussain | Internal Medicine | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2006-06-06 |
| 1356380067 | Joyce L Smith | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2006-06-06 |
| 1558315408 | Leigh Jarvis Orozco | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376009407 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 16025 Boundary Drive, Ashland, MS 38603 | 2019-02-13 |
| 1235205154 | Ashland Drugs Inc | Pharmacy | 15917 Boundary Street, Ashland, MS 38603 | 2006-11-24 |
| 1730129404 | Arif Aziz Somjee | Internal Medicine | 15921 Boundary Drive, Box 92, Ashland, MS 38603 | 2006-06-08 |
| 1609855154 | Vanguard of Ashland, LLC | Skilled Nursing Facility | 16056 Boundary Dr, Ashland, MS 38603 | 2006-01-12 |
| 1619513868 | Renee Lachon Voshake | Pharmacist | 15917 Boundary Dr, Ashland, MS 38603 | 2019-11-22 |
| 1215344460 | Ashland Drug Store, Inc | Pharmacy | 15917 Boundary Drive, Ashland, MS 38603 | 2014-07-21 |
| 1477857589 | Bailey Melton | Pharmacist | 15917 Boundary Drive, Ashland, MS 38603 | 2011-01-04 |
| 1801915855 | Ruan Kendall | Pharmacist | 15917 Boundary Dr, Hwy 5, Ashland, MS 38603 | 2007-03-29 |
| 1841600442 | Mississippi State Department of Health | Public Health or Welfare | 105 4th Street, Ashland, MS 38603-0000 | 2014-05-05 |
| Find all providers in zip 38603 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
| 1144407420 | Southwest Health Agency for Rural People, Inc | Clinic/Center | 501 Eagle Day Ave, Columbia, MS 39429-3605 | 2008-01-29 |
| 1740310549 | Julia Street Clinic, Inc. | Clinic/Center | 102 Julia Street, Isola, MS 38754 | 2007-03-07 |
| 1932219524 | Access Family Health Services, Inc. | Clinic/Center | 60024 Olive St, Smithville, MS 38870-9719 | 2006-08-30 |
| 1730299827 | Access Family Health Services, Inc. | Clinic/Center | 12725 Highway 23 North, Tremont, MS 38876 | 2006-08-30 |
| 1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
| Find all providers with the same taxonomy | ||||
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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.