Phyllis McCreary, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

P281168 Issued in MS

Practice address

113A S Davis Ave
Cleveland, MS 38732-3447

Phone

(662) 843-9445

Fax

(662) 843-9447

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeannie McCreary Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Community Mental Health Services

  • Community/Behavioral Health Agency
  • Cleveland, MS
  • NPI 1184741100
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1083882815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113A S DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323447",
            "telephone_number": "662-843-9445",
            "fax_number": "662-843-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113A S DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323447",
            "telephone_number": "662-843-9445",
            "fax_number": "662-843-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "PHYLLIS",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "P281168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018205",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "MCCREARY",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gary Stewart Mason, PHARM D
• Keila Mayfield, FNP
• Peter D. McArthur, M.D.
• Emily McCain, CPT
• Regina Lashone McCray, CCC-SLP
• James McGary III, PHARMD
• Allysa McNeer, CPNP-PC
• Medical Foundation of Central Ms Inc. (Baptist Heart Cleveland)
• Michael D Braswell (DME)
• Mid Delta Family Practice Clinic

• Registered Nurse in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.