Active NPI
Genessa Nicole Egerson, FNP-C
- Family Nurse Practitioner
- Batesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904660
- Practice address
- 303 Medical Center Dr
Batesville, MS 38606-8608 - Phone
- (662) 563-5611
- NPI assigned
- Jun 29, 2021
- Last updated
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 904660 | MS | Primary |
Addresses
Primary practice location
303 Medical Center Dr
Batesville, MS 38606-8608
Mailing address
123 Yocona Ridge Rd
Oxford, MS 38655-6905
Phone (662) 701-7203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 Crescent Meadow Dr
Holly Springs, MS 38635
Phone (662) 502-3149
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Primary Health Care, Inc. | Current | Accepting new patients | |
| North Mississippi Primary Health Care, Inc. | Current | Accepting new patients | |
| North Mississippi Primary Health Care, Inc. | Past | Accepting new patients |
Locations
1705 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 502-3149
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Ashland, MS
- NPI 1821092552
-
- Federally Qualified Health Center (FQHC)
- Ripley, MS
- NPI 1992190367
-
- Federally Qualified Health Center (FQHC)
- Booneville, MS
- NPI 1083009450
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holly Springs, MS
- NPI 1295826337
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
dba CenterWell Home Health
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1104496421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 YOCONA RIDGE RD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386556905",
"telephone_number": "662-701-7203",
"fax_number": "662-712-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MEDICAL CENTER DR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386068608",
"telephone_number": "662-563-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGERSON",
"first_name": "GENESSA",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.