Joseph Louis Omedeo Jr., NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903594 Issued in MS

Practice address

423 Central Ave
Coldwater, MS 38618-3915

Phone

(662) 622-7011

NPI assigned

Oct 11, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pravinchandra P. Patel, MD P.C.Group PAC ID 8325117500, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172
• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIHEBD
• Direct secure messaging: joseph.omedeo@patelfamily.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IIHEBD/Endpoint/IIHEBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pravinchandra P. Patel, MD P.C.

  • Family Medicine Physician
  • Coldwater, MS
  • NPI 1457527475
  Medicare reassignment Care Compare group NPD
• Multimodality Pain & Wellness Center

  • Pain Medicine Physician
  • Coldwater, MS
  • NPI 1053954545
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Tate County Hospital

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251
  Care Compare affiliation
• Tate County Hospital

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1003458944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183915",
            "telephone_number": "662-622-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183915",
            "telephone_number": "662-622-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEDEO",
        "first_name": "JOSEPH",
        "middle_name": "LOUIS",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Alan May, OD
• Ellen Algee McCormick, RPH
• Multimodality Pain & Wellness Center
• Anthony Newson, FNP
• North Mississippi Adult Day Care Services LLC
• Rebekah Houston Overstreet, FNP
• Amit Bhagwanji Patel, M.D.
• Pravin P Patel, MD
• Edward Lee Phelps, CRNA
• Pioneer Express Respiratory Care

• Family Nurse Practitioner in Coldwater, MS
• Providers in Coldwater, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.