Bobby Lee Paxton, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R869787 Issued in MS

Practice address

122 E Baker St
Indianola, MS 38751-2451

Phone

(662) 887-2212

Fax

(662) 887-1279

NPI assigned

Jul 30, 2013

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sunflower County HospitalGroup PAC ID 6709771637, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Sunflower County Hospital Hospital, Indianola, MS, CCN 250095

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bobbypaxton@ifmg.allscriptsdirect.net

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.

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Medicare reassignment Care Compare group NPD
• South Sunflower County Hospital

  • Rural Health Clinic/Center
  • Indianola, MS
  • NPI 1245248699
  NPD
• South Sunflower County Hospital

  • Anesthesiology Physician
  • Indianola, MS
  • NPI 1407064454
  NPD
• South Sunflower County Hospital

  • Clinic/Center
  • Indianola, MS
  • NPI 1487685897
  NPD
• South Sunflower County Hospital

  • Advanced Practice Midwife
  • Indianola, MS
  • NPI 1962395863
  NPD

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

• South Sunflower County Hospital

  • General Acute Care Hospital
  • Indianola, MS
  • NPI 1184679292
  Care Compare affiliation

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1063844249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512451",
            "telephone_number": "662-887-2212",
            "fax_number": "662-887-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512451",
            "telephone_number": "662-887-2212",
            "fax_number": "662-887-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "BOBBY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R869787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Yalobusha Hospice & Palliative Care, Inc.
• Oasis Home Medical Visits
• Open Arms Adult Day Care, LLC
• Patients Choice Medical Center of Humphreys County, LLC
• Lloyd Leon Patton Jr., RPH
• Yolanda Denise Perryman, R.N.
• Pfi Reset LLC
• Pharm Services Inc.
• Guy M Phillips
• Annie Hibbler Pierson

• Family Nurse Practitioner in Indianola, MS
• Providers in Indianola, 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 Jul 30, 2013; 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.