Edith Moody Faulkner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R865568 Issued in MS

Practice address

1205 Highway 182 W Ste B
Starkville, MS 39759-9820

Phone

(662) 377-5199

Fax

(662) 377-2264

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Edith W Minyard Former name

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edithfaulkner@nmhs.medalliesdirect.net

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.

• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• Clay County Medical Corporation

  • Emergency Care Clinic/Center
  • West Point, MS
  • NPI 1578670972
  Medicare reassignment NPD
• Clay County Medical Corporation

  • Surgery Physician
  • West Point, MS
  • NPI 1164961330
  NPD
• Clay County Medical Corporation

  • Ophthalmology Physician
  • West Point, MS
  • NPI 1174353247
  NPD
• Clay County Medical Corporation

  • Anesthesiology Physician
  • West Point, MS
  • NPI 1396852695
  NPD
• North Mississippi Medcial Center, Inc.

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Center Inc.

  • Cardiovascular Disease Physician
  • Starkville, MS
  • NPI 1366983934
  NPD
• Amory Surgery Clinic, PLLC

  • Surgery Physician
  • Amory, MS
  • NPI 1821441080
  NPD (past)

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

• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521
  Care Compare affiliation
• Clay County Medical Corporation

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1134460736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-3204",
            "fax_number": "662-377-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HIGHWAY 182 W STE B",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599820",
            "telephone_number": "662-377-5199",
            "fax_number": "662-377-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "EDITH",
        "middle_name": "MOODY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R865568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008880771",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "MINYARD",
            "middle_name": "W",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Families First Home Care Services LLC
• Catherine Randall Fandel, DPT
• Jacob Keith Fanning, DMD
• Anna Farmer
• Danielle Rebecca Farmer, DPT
• Taylor Shepherd Faulkner, MS, LPC, NCC
• Gessika Fennell
• Ferguson & Coats DMD PLLC
• Wesley Michael Ferguson, D.M.D.
• Loretta Fields, MS

• Family Nurse Practitioner in Starkville, MS
• Providers in Starkville, 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 12, 2024; 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.

Verify at the official NPI Registry.