Individual provider Active NPI

Paula Clearman, F.N.P.

  • Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1124055488
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
538914 Issued in MS
Practice address
213 Hospital Rd E
Philadelphia, MS 39350-2119
Phone
(601) 656-1001
Fax
(601) 656-7555
NPI assigned
Jun 26, 2006
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 538914 MS Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329001048 MS Practitioner - Nurse Practitioner 1557317963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neshoba County General HospitalGroup PAC ID 6204738289, 30 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital Nurse Practitioner CurrentSince Sep 1, 2014 Accepting new patients
Neshoba County General Hospital CurrentSince Sep 1, 2014 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

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

213 Hospital Rd E
Philadelphia, MS 39350
Phone (601) 656-6116

Interoperability endpoints

  • Direct secure messaging: paulaclearman@neshobahealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1124055488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HOSPITAL RD E",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502119",
            "telephone_number": "601-656-1001",
            "fax_number": "601-656-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HOSPITAL RD E",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502119",
            "telephone_number": "601-656-1001",
            "fax_number": "601-656-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARMAN",
        "first_name": "PAULA",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "538914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.