Individual provider Active NPI

Sandra Delores Collins, CNM

  • Advanced Practice Midwife
  • Meridian, MS
National Provider Identifier
1013544196
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 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
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909003937 MS Practitioner - Certified Nurse Midwife (CNM) 7113343104 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians
Rush Medical FoundationGroup PAC ID 2567368541, 31 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Medical Foundation, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Rush Medical Foundation CurrentSince Sep 1, 2021 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Rush Medical Foundation CurrentSince Sep 1, 2021 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) 656-1044

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 8

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1013544196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393022106",
            "telephone_number": "601-486-4210",
            "fax_number": "601-486-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RUSH CENTRAL CLINIC",
            "address_2": "1221 24TH AVENUE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013926",
            "telephone_number": "601-486-4210",
            "fax_number": "601-486-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SANDRA",
        "middle_name": "DELORES",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.