Paula Clearman, F.N.P.
Individual provider Active NPI Nurse Practitioner · Philadelphia, MS
NPI 1124055488 · NPPES record last updated Jan 30, 2017
Key facts
- NPI
- 1124055488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 538914 (MS)
- Practice address
- 213 Hospital Rd E
Philadelphia, MS 39350-2119 - Phone
- (601) 656-1001
- Fax
- (601) 656-7555
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neshoba County General Hospital
Practice addresses (Care Compare)
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1200
1001 Holland Aveneu
Philadelphia, MS 39350-2161
1002 Saint Francis Dr
Philadelphia, MS 39350-2030
Phone (601) 663-1200
1003 Hollad Ave
Philadelphia, MS 39350-2180
Phone (601) 663-1234
406 Stribling St
Philadelphia, MS 39350-3344
Phone (601) 656-9183
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Centerwell Home Health
- Neshoba County General Hospital
- Neshoba County General Hospital
- Anderson Regional Medical Center
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 |
|---|---|---|---|---|
| I20050329001048 | MS | Practitioner - Nurse Practitioner | 1557317963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 538914 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Nurse Practitioner | Current |
Accepting new patients |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Neshoba County General Hospital | Current |
Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Neshoba County General Hospital | Past | Accepting new patients |
Locations
213 Hospital Rd E
Philadelphia, MS 39350
Phone (601) 656-1001
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200
1056 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-1465
Interoperability endpoints
- paulaclearman@neshobahealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 538914 | MS | Yes |
Addresses
Primary practice location
213 Hospital Rd E
Philadelphia, MS 39350-2119
Mailing address
213 Hospital Rd E
Philadelphia, MS 39350-2119
Phone (601) 656-1001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00218047 | Other | MS | RAILROAD MEDICARE |
| 00116393 | Medicaid | MS |
Other providers in Philadelphia, MS
- Skye Carlisle
- Kajol Ben Champaneri
- Charles E Atkins, Jr DMD
- Chris Cheatham
- Melissa Gray Clark
- Julie Holley Coleman
- Kathryn Comans
- Amanda Gail Conerly
- Jason Brian Copeland
- Lindsey Cosgrove
All providers in Philadelphia, MS · 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 Jan 30, 2017. 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.