Active NPI
Healthy You Medical Clinic LLC
- Family Nurse Practitioner
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HEALTHY YOU MEDICAL CLINIC LLC
- Practice address
- 223 W Center St Ste B
Canton, MS 39046-3702 - Phone
- (601) 407-9955
- Fax
- (601) 407-9874
- NPI assigned
- Sep 12, 2023
- Last updated
- Nov 13, 2023
- 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
- Brandlynne P Parker, NP
- Title
- Nurse Practitioner
- Phone
- (601) 407-9955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
223 W Center St Ste B
Canton, MS 39046-3702
Mailing address
PO Box 1064
Canton, MS 39046-1064
Phone (601) 407-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2295113 | Healthy You Medical Clinic LLC | Certificate of waiver | Dec 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
223 W Center St
Ste B
Canton, MS 39046
Phone (601) 407-9955
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Raymond, MS
- NPI 1265189971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1073390092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1064",
"city": "CANTON",
"state": "MS",
"postal_code": "390461064",
"telephone_number": "601-407-9955",
"fax_number": "601-407-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W CENTER ST STE B",
"city": "CANTON",
"state": "MS",
"postal_code": "390463702",
"telephone_number": "601-407-9955",
"fax_number": "601-407-9874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY YOU MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "BRANDLYNNE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "601-407-9955",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.