First Choice Family Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FIRST CHOICE FAMILY MEDICAL CLINIC, LLC

Practice address

75 Highway 388
Brooksville, MS 39739

Phone

(662) 738-5544

NPI assigned

Jun 17, 2020

Last updated

Mar 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy T Glover

Title

Business Office Manager

Phone

(662) 738-5454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Barnes, FNP-BC

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1235689472
  Medicare reassignment Care Compare group NPD
• Karla Jernigan, FNP

  • Family Nurse Practitioner
  • Brooksville, MS
  • NPI 1114701570
  Medicare reassignment Care Compare group NPD
• Holly C Rigdon, NP

  • Family Nurse Practitioner
  • Brooksville, MS
  • NPI 1821243924
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1124644968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393410466",
            "telephone_number": "662-738-5454",
            "fax_number": "662-738-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 388",
            "city": "BROOKSVILLE",
            "state": "MS",
            "postal_code": "39739",
            "telephone_number": "662-738-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "662-738-5454"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooksville Assisted Living Home Inc. (Oakwood Manor)
• Brooksville Clinical Laboratory, Inc.
• Brooksville Medical Clinic Inc
• Drayer Physical Therapy Institute LLC (Rehab At Work)
• Drayer Physical Therapy Mississippi LLC (Rehab At Work)
• First Choice Pharmacy-LTC
• First Choice Pharmacy, LLC
• Mary Ashley Hammons, MS CCC SLP
• Karla Jernigan, FNP
• Rachel Marie Lafferty, PT

• Family Nurse Practitioner in Brooksville, MS
• Providers in Brooksville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.