Sandra Delores Collins, CNM
Individual provider Active NPI Advanced Practice Midwife · Meridian, MS
NPI 1013544196 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1013544196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- Practice address
- Rush Central Clinic
1221 24TH Avenue
Meridian, MS 39301-3926 - Phone
- (601) 486-4210
- Fax
- (601) 486-4219
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laird Hospital, Inc.
Rush Medical Foundation
Practice addresses (Care Compare)
1106 Central Dr
Philadelphia, MS 39350-8972
Phone (601) 656-6921
905 C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 482-4955
Hospital & facility affiliations
- Ochsner Rush Hospital
- Ochsner Laird Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909003937 | MS | Practitioner - Certified Nurse Midwife (CNM) | 7113343104 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients |
Locations
9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874
1221 24th Ave
Meridian, MS 39301
Phone (601) 482-1002
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1106 Central Dr
Philadelphia, MS 39350
Phone (601) 650-9664
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AL | Yes |
Addresses
Primary practice location
Rush Central Clinic
1221 24TH Avenue
Meridian, MS 39301-3926
Mailing address
PO Box 2106
Meridian, MS 39302-2106
Phone (601) 486-4210
Other providers in Meridian, MS
- Leroy Coleman
- Claude Lee Collins Jr.
- Jasmine N Collins
- Kennerh Provine Collins
- Mary W. Collins
- Tearrah Conerly
- Cook Eye Center
- Jeffrey Nelson Cook
- Margaret O. Cook
- Shelly Elaine Cook
All providers in Meridian, MS · Advanced Practice Midwife in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.