MRS. MELL ANN SCARBOROUGH (NPI# 1972698447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972698447 |
| Entity Type | Individual |
| Full Name | MRS. MELL ANN SCARBOROUGH |
| Credential | FNP |
| Practice Address |
360 Simpson Highway 149 Suite 250 Magee MS 39111-3841 |
| Practice Telephone | 6018491550 |
| Practice Fax Number | 6018491551 |
| Mailing Telephone | 6018491550 |
| Mailing Fax Number | 6018491551 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R548243 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0121446 | 05 |
| Street Address |
360 SIMPSON HIGHWAY 149 SUITE 250 |
| City | MAGEE |
| State | MS |
| Zip Code | 39111-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619934940 | Frank C Wade Jr. | Family Medicine | 360 Simpson Highway 149, Suite 370, Magee, MS 39111-3841 | 2006-04-28 |
| 1609178532 | Leslie Lewis Barry | Nurse Practitioner | 360 Simpson Highway 149, Suite 300, Magee, MS 39111-3841 | 2010-11-29 |
| 1780778928 | Karen M Bruce Md Pllc | Family Medicine | 360 Simpson Highway 149, Suite 350, Magee, MS 39111-3841 | 2006-10-03 |
| 1700978889 | Charles Pruitt | Family Medicine | 360 Simpson Highway 149, Suite300, Magee, MS 39111-3841 | 2006-09-28 |
| 1811918246 | Gene David Cathey | Family Medicine | 360 Simpson Highway 149, Suite 360, Magee, MS 39111-3841 | 2006-07-21 |
| 1710906268 | Debra Mims Develin | Nurse Practitioner | 360 Simpson Highway 149, Magee, MS 39111 | 2006-07-18 |
| 1568411551 | Patrick J. Pasco | Family Medicine | 360 Simpson Highway 149, Suite 380, Magee, MS 39111-3841 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669136 | Maxem Health Urgent Care Magee | Clinic/Center | 1529 Highway 49 S, Suite A, Magee, MS 39111 | 2017-06-14 |
| 1427409200 | Ashley Bounds | Specialist/Technologist | 499 Pinewood Dr., Magee, MS 39111 | 2016-06-23 |
| 1053707083 | Dental Group of Magee Pllc | Dentist | 1667 Highway 49s Ste 6, Magee, MS 39111 | 2015-04-07 |
| 1528387859 | Brandi's Hope Community Services | In Home Supportive Care | 720b 3rd Ave Sw, Magee, MS 39111 | 2010-05-26 |
| 1801128129 | Family Dental Care | Dentist | 203 Main Ave N, Magee, MS 39111 | 2010-02-11 |
| 1033342688 | Family Health Care Clinic, Inc. | Clinic/Center | 820 Johnson Lockhart Drive North East, Magee, MS 39111 | 2009-08-31 |
| 1043403124 | Charlene William Jones-smith | Speech-Language Pathologist | 193 Colonial Circle, Magee, MS 39111 | 2007-08-22 |
| 1326254301 | Envision Eye Care, Inc | Optometrist | 1625 Simpson Hwy 49, Magee, MS 39111 | 2007-05-15 |
| 1487878054 | Jack R Magee Jr. | Dentist | 1425 Simpson Highway 49, Magee, MS 39111 | 2007-04-12 |
| 1104945096 | Magee Benevolent Association | Pediatrics | 310 2nd Se St, Magee, MS 39111 | 2007-03-29 |
| Find all providers in zip 39111 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982247888 | Olivia Carsyn Burch | Nurse Practitioner | 1529 Simpson Highway 49 Ste A, Magee, MS 39111-4209 | 2019-10-23 |
| 1982913729 | Jessica April Garner | Nurse Practitioner | 300 3rd Ave Se, Magee, MS 39111-3665 | 2010-09-28 |
| 1710906268 | Debra Mims Develin | Nurse Practitioner | 360 Simpson Highway 149, Magee, MS 39111 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| 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.