Active NPI
NP Healthcare Clinic
- Clinic/Center
- Greenville, MS
National Provider Identifier
1063909539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06233378 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1730552787
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
- Nicholas Norris, OD
- North Haven Hospice & Palliative Care, LLC
- North Sunflower Medical Center
- Northeast Pharmaceuticals Inc
- Northern Mississippi Vascular Access Center
- Ellis Hilton O'Neal, MD
- Oakes Family Care, LLC Dba the Doctor'S Office: Oakes Family Care
- Oakes Family Pain Solutions PLLC
- Luther Brandon Oakes, M.D.
- Robert P Oliver, MD
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.