Northeast Mississippi Health Care Inc
A Medicare group practice based in Byhalia, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5294717377), with 13 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294717377
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- MS
- Enrollments
- 4
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040602001469 | MS | Part B Supplier - Clinic/Group Practice | 1558410738 |
| O20101201000780 | MS | Part A Provider - Federally Qualified Health Center (FQHC) | 1558410738 |
| O20101201000541 | MS | Part A Provider - Federally Qualified Health Center (FQHC) | 1386792992 |
| O20140723000068 | MS | Part A Provider - Federally Qualified Health Center (FQHC) | 1447665385 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northeast Mississippi Health Care, Inc
dba DeSoto Community Health Center
- Federally Qualified Health Center (FQHC)
- Southaven, MS
- NPI 1447665385
-
Northeast Mississippi Health Care, Inc.
dba Mt. Pleasant Family Health Clinic
- Federally Qualified Health Center (FQHC)
- Mt. Pleasant, MS
- NPI 1386792992
-
Northeast Mississippi Health Care, Inc.
dba Byhalia Family Health Center - Medical
- Federally Qualified Health Center (FQHC)
- Byhalia, MS
- NPI 1558410738
Practice locations
- Southaven, MS2
- Mt Pleasant, MS2
- Byhalia, MS2
Clinicians 13
Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (8).
-
Lacutlass Sharnise Byno, NP
- Family Nurse Practitioner
- Byhalia, MS
- NPI 1952032393
-
Annabelle D. Cabe, M.D.
- Family Medicine Physician
- Byhalia, MS
- NPI 1407850019
-
Donielle Carter
- Family Nurse Practitioner
- Holly Springs, MS
- NPI 1942051024
-
Teresa Crockett, FNP
- Nurse Practitioner
- Byhalia, MS
- NPI 1770587388
-
Mark Eason Gilbert, DDS
- General Practice Dentistry
- Olive Branch, MS
- NPI 1124869193
-
Chassity W Greer, FNP-C
- Family Nurse Practitioner
- Southaven, MS
- NPI 1558761668
-
Joseph Hogue, MD
- Family Medicine Physician
- Memphis, TN
- NPI 1669886594
-
Ellouise Marie Knox, FNP
- Family Nurse Practitioner
- Byhalia, MS
- NPI 1841560927
-
Jasmine Monique Mack, DDS
- General Practice Dentistry
- Byhalia, MS
- NPI 1932859105
-
Nikisha Newsom, FNP
- Family Nurse Practitioner
- Byhalia, MS
- NPI 1033648803
-
Raquel Janay Reed-Washington, FNP-C
- Family Nurse Practitioner
- Southaven, MS
- NPI 1336764778
-
Clifton Rodgers, M.D.
- Family Medicine Physician
- Byhalia, MS
- NPI 1861496507
-
Chrystal Williams-Davis, FNP-BC
- Family Nurse Practitioner
- Byhalia, MS
- NPI 1700274016
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.