Organization Active NPI

NP Healthcare Clinic

  • Clinic/Center
  • Greenville, MS
National Provider Identifier
1063909539
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NP HEALTHCARE CLINIC
Practice address
559A Highway 1 N
Greenville, MS 38701-3136
Phone
(662) 702-5159
Fax
(662) 702-5164
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Alexis Cross
Title
Nurse Practitioner
Phone
(662) 379-3648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

559A Highway 1 N
Greenville, MS 38701-3136

Mailing address

PO Box 5164
Greenville, MS 38704-5164
Phone (662) 379-3648

Other practice location 1

1509 E Union St
Greenville, MS 38703-3249
Phone (662) 379-3648

Other practice location 2

559A Highway 1 N
Greenville, MS 38701
Phone (662) 702-5159

Other practice location 3

559A Highway 1 N
Greenville, MS 38701
Phone (662) 702-5159

Other identifiers 1

IdentifierTypeStateIssuer
06233378MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180801000868 MS Part B Supplier - Clinic/Group Practice 2567710940 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, MS

National Provider Directory

National Provider Directory

Locations

559A Highway 1 N
Greenville, MS 38701
Phone (662) 702-5159

1509 E Union St
Greenville, MS 38703
Phone (662) 379-3648

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": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1063909539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5164",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045164",
            "telephone_number": "662-379-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559A HIGHWAY 1 N",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387013136",
            "telephone_number": "662-702-5159",
            "fax_number": "662-702-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 E Union St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "387033249",
            "country_code": "US",
            "telephone_number": "662-379-3648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559A Highway 1 N",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "38701",
            "country_code": "US",
            "telephone_number": "662-702-5159",
            "fax_number": "662-702-5164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "559A Highway 1 N",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MS",
            "postal_code": "38701",
            "country_code": "US",
            "telephone_number": "662-702-5159",
            "fax_number": "662-702-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NP HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-379-3648"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06233378",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.