NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC. (NPI# 1972065829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972065829 |
| 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 | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | TAMMY G CHAPMAN (CFO) |
| 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 | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09011971 | 05 |
| Other Name | Type Code |
|---|---|
| NORTH MS PRIMARY HEALTH CARE, INC. MOBILE UNIT | Doing Business As Name - Organization |
| 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 |
| 1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
| 1063078079 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 2716 W Oxford Loop Ste 171, Oxford, MS 38655-5722 | 2019-05-15 |
| 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 |
|---|---|---|---|---|
| 1821092552 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2005-06-10 |
| 1821628405 | Brandon Wesley Hutchison | Nurse Practitioner | 15921 Boundary Dr, Ashland, MS 38603-7740 | 2020-01-22 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123519 | Daniel Purtell | Nurse Practitioner | 10 Slash Ct, Ashland, VA 23005-2170 | 2020-08-07 |
| 1942819974 | Nicholas Heith Elliott | Nurse Practitioner | 40 Winborn Ave, Ashland, MS 38603-6631 | 2020-07-27 |
| 1942836382 | Timothy Browning | Nurse Practitioner | 100 Laurel Ct, Ashland, KY 41101-2194 | 2020-03-17 |
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1811520190 | Heidi Barnes | Nurse Practitioner | 6628 Us Route 60, Ashland, KY 41102-9529 | 2020-02-14 |
| 1982235016 | Anna Layne Salow | Nurse Practitioner | 2302 Moore St, Ashland, KY 41101-3821 | 2020-01-28 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1295245207 | Christine Michelle Meeting | Nurse Practitioner | 1251 Township Road 1253, Ashland, OH 44805-4606 | 2017-10-04 |
| 1144739384 | Lindsay Robbins Culver | Nurse Practitioner | 635 N Wasington Highway, Ashland, VA 23005-1463 | 2017-09-20 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| Find all providers in ASHLAND | ||||
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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.