Clinic 221, Family Health Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLINIC 221, FAMILY HEALTH CARE, LLC

Practice address

400 Northwest PLZ
Senatobia, MS 38668-1740

Phone

(662) 301-8330

NPI assigned

Oct 19, 2018

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly Warren Briscoe, FNPNPI 1184629206

Title

FNP/Owner

Phone

(662) 301-8330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18806/brand/1/csg/1/fhir/r4

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Briscoe, FNP

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1184629206
  Medicare reassignment Care Compare group NPD Authorized official
• Natalie H Barker, APRN

  • Family Nurse Practitioner
  • Coldwater, MS
  • NPI 1811523590
  Medicare reassignment Care Compare group NPD
• Hillary Caffey, FNP-C

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1942730684
  Medicare reassignment Care Compare group NPD
• Allison Claire Crawford

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1831063965
  Medicare reassignment Care Compare group NPD
• Donica Long, FNP

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1710498746
  Medicare reassignment Care Compare group NPD
• Alicia Miller, FNP-C

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1295419257
  Medicare reassignment Care Compare group NPD
• Tara Puckett, NP-C

  • Nurse Practitioner
  • Coldwater, MS
  • NPI 1942695929
  Medicare reassignment Care Compare group NPD
• Lauren Elizabeth Baker, FNP

  • Primary Care Nurse Practitioner
  • Southaven, MS
  • NPI 1225699325
  Medicare reassignment NPD
• Anna Mary Meyers, NP

  • Family Nurse Practitioner
  • Senatobia, MS
  • NPI 1932115094
  Medicare reassignment NPD
• Cassandra Hawkins, MD

  • Family Medicine Physician
  • Holly Springs, MS
  • NPI 1982609004
  NPD (past)

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1073089843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NORTHWEST PLZ",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTHWEST PLZ",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681740",
            "telephone_number": "662-301-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC 221, FAMILY HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "662-301-8330",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Campbell, FNP-C
• Eli Matthan Canton, DDS
• Alonzo Carter
• Lorie V Chandler, RPH
• James Clark, PHARMD
• Martha M Clinton, FNP-BC
• Cockrell Family Medical Center PC
• Jessie Michael Cockrell, MD
• Community Discount Pharmacy Inc (Community Discount Pharmacy)
• Community Discount Pharmacy Inc (Community Discount Pharmacy)

• Primary Care Clinic/Center in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.