Julie Holley Coleman, RN
Individual provider Active NPI Family Nurse Practitioner · Philadelphia, MS
NPI 1063973071 · NPPES record last updated Sep 23, 2020
Key facts
- NPI
- 1063973071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F09201079 (MS)
- Practice address
- 1001 Holland Ave
Philadelphia, MS 39350-2161 - Phone
- (601) 781-2234
- Fax
- (601) 781-2231
- NPI assigned
- Mar 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Mississippi PLLC
Practice addresses (Care Compare)
50 Veterans Memorial Dr
Kosciusko, MS 39090-3424
Phone (662) 307-2884
Hospital & facility affiliations
- Baptist Medical Center-Leake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211026002590 | MS | Practitioner - Nurse Practitioner | 0941698856 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R879513 | MS | MD | Registered Nurse |
| F09201079 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Neshoba County General Hospital | Current |
Accepting new patients | |
| Neshoba County General Hospital | Current |
Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current |
Accepting new patients |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients |
Locations
1621 W Peace St
Canton, MS 39046
Phone (601) 391-2716
115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101
1061 Highway 35 S
Forest, MS 39074
Phone (601) 541-4310
2009 Highway 82 W
Greenwood, MS 38930
Phone (662) 595-4601
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
50 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 633-4216
296 Eastside Dr
Newton, MS 39345
Phone (601) 228-8985
1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730
1612 E County Line Rd
Ridgeland, MS 39157
Phone (601) 429-1160
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584
2121 Grand Ave
Yazoo City, MS 39194
Phone (662) 716-8071
Interoperability endpoints
- juliecoleman1@neshobahealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R879513 | MS | |
| Family Nurse Practitioner | 363LF0000X | F09201079 | MS | Yes |
Addresses
Primary practice location
1001 Holland Ave
Philadelphia, MS 39350-2161
Mailing address
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 781-2234
Other providers in Philadelphia, MS
- Kajol Ben Champaneri
- Charles E Atkins, Jr DMD
- Chris Cheatham
- Melissa Gray Clark
- Paula Clearman
- Kathryn Comans
- Amanda Gail Conerly
- Jason Brian Copeland
- Lindsey Cosgrove
- Covenant Palliative and Hospice, LLC
All providers in Philadelphia, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.