Individual provider Active NPI

Rosie Walker-McNair, M.D.

  • Internal Medicine Physician
  • Jackson, MS
National Provider Identifier
1124109871
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11128 Issued in MS
Practice address
514 A-B Woodrow Wilson
Jackson, MS 39213
Phone
(601) 362-5321
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11128 MS Primary

Addresses

Primary practice location

514 A-B Woodrow Wilson
Jackson, MS 39213

Mailing address

PO Box 3437
Jackson, MS 39207-3437
Phone (601) 362-5321

Other identifiers 1

IdentifierTypeStateIssuer
00116490MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000780 MS Practitioner - Family PracticePractitioner - Internal Medicine 3072564947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

129 White Oak St
Utica, MS 39175-8803
Phone (601) 885-6021

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Adoration Home Health Home health agency, Vicksburg, MS, CCN 257103
  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11128MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Dec 1, 2006 Accepting new patients
Central Mississippi Civic Improvement Association, Inc CurrentSince Dec 1, 2006 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. Past Accepting new patients
Magnolia Medical Group P a Internal Medicine PastSince Jan 1, 2008 Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. Past Accepting new patients

Locations

3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625

514 E Woodrow Wilson Ave
Ste Ab
Jackson, MS 39216
Phone (601) 321-2234

3502 W Northside Dr
Unit 5
Jackson, MS 39213

514 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 713-3900

129 White Oak St
Utica, MS 39175
Phone (601) 885-6021

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: rosie.mcnair@jhchc.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1124109871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3437",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392073437",
            "telephone_number": "601-362-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 A-B WOODROW WILSON",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-362-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-MCNAIR",
        "first_name": "ROSIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "11128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116490",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.