Tracy Annette Madison
Individual provider Active NPI Case Manager/Care Coordinator · Florence, MS
NPI 1013287929 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1013287929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 00770423 (MS)
- Practice address
- 485 McLin Cir
Florence, MS 39073-7939 - Phone
- (601) 845-5827
- NPI assigned
- Jan 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00770423 | MS | MD | Case Manager/Care Coordinator |
| 00770594 | MS | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Homemaker Agency,Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 00770423 | MS | Yes |
| Case Manager/Care Coordinator | 171M00000X | 00770594 | MS |
Addresses
Primary practice location
485 McLin Cir
Florence, MS 39073-7939
Mailing address
485 McLin Cir
Florence, MS 39073-7939
Phone (601) 845-5827
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770423 | Medicaid | MS | |
| 00770594 | Medicaid | MS |
Other providers in Florence, MS
- Olivia Kathryn Knight
- Janice C Lemon
- Ronald B. Little
- M&R Personal Care Service LLC
- M360 Transit LLC
- Mari Melanie Mansir
- Martin Health Care, LLC
- Jessica Summer Martin
- Kelley N Martin
- Tynesha Deanna Martin
All providers in Florence, MS · Case Manager/Care Coordinator in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.