Organization Active NPI

Durrett Health Care LLC

  • Clinic/Center
  • New Albany, MS
National Provider Identifier
1023628245
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DURRETT HEALTH CARE LLC
Practice address
1515 Munsford Dr
New Albany, MS 38652-7407
Phone
(662) 534-0046
NPI assigned
Aug 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Mrs. Sandra Cousar Durrett, CFNPNPI 1033195953
Title
Nurse Practitioner/Owner
Phone
(662) 316-5342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1515 Munsford Dr
New Albany, MS 38652-7407

Mailing address

651 Owen Rd
New Albany, MS 38652-9402
Phone (662) 316-5342

Other practice location 1

250 Fairfield Dr
New Albany, MS 38652-3134
Phone (662) 534-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109000280 MS Part B Supplier - Clinic/Group Practice 2062822711 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, MS

National Provider Directory

National Provider Directory

Locations

1515 Munsford Dr
New Albany, MS 38652
Phone (662) 534-0046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1023628245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OWEN RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529402",
            "telephone_number": "662-316-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MUNSFORD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386527407",
            "telephone_number": "662-534-0046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523134",
            "country_code": "US",
            "telephone_number": "662-534-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DURRETT HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "DURRETT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "COUSAR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "662-316-5342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.