Michelle S Atkinson, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R853540 Issued in MS

Practice address

1930 N Pearl St
Carthage, MS 39051-8220

Phone

(601) 267-8368

Fax

(601) 267-6639

NPI assigned

Jul 10, 2006

Last updated

Mar 17, 2018By the provider in NPPES

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

• Michelle S Smith Professional name

Medicare fee-for-service enrollment

Enrolled in MS, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Band of Choctaw IndiansGroup PAC ID 4385546662, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choctaw Health Center Hospital, Philadelphia, MS, CCN 250127

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment Care Compare group NPD
• Premier Medical Group of Mississippi LLC

  dba Kosciusko Medical Clinic

  • Clinic/Center
  • Kosciusko, MS
  • NPI 1790827038
  Medicare reassignment NPD
• Mississippi Band of Choctaw Indians

  dba Conehatta Satellite Clinic

  • Federal Public Health Clinic/Center
  • Conehatta, MS
  • NPI 1013092600
  NPD
• Mississippi Band of Choctaw Indians

  dba Bogue Chitto Satellite Clinic

  • Federal Public Health Clinic/Center
  • Philadelphia, MS
  • NPI 1144305731
  NPD
• Mississippi Band of Choctaw Indians

  dba Red Water Satellite Clinic

  • Federal Public Health Clinic/Center
  • Carthage, MS
  • NPI 1275611543
  NPD
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center Ambulance

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD
• Premier Medical Group of Mississippi LLC

  dba Jackson Medical Clinic LLC

  • Clinic/Center
  • Jackson, MS
  • NPI 1548219884
  NPD (past)
• State Veterans Affairs Board

  • Skilled Nursing Facility
  • Jackson, MS
  • NPI 1982811642
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154355428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N PEARL ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390518220",
            "telephone_number": "601-267-8368",
            "fax_number": "601-267-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 N PEARL ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390518220",
            "telephone_number": "601-267-8368",
            "fax_number": "601-267-6639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3150",
            "fax_number": "662-290-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R853540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121839",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SMITH",
            "middle_name": "S",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Coghlan Agent, FNP-C
• Amber K Atkinson, NP
• Baptist Medical Center - Leake, Inc.
• Baptist Medical Center -Leake Inc (BMC Hospitalist)
• Baptist Medical Center-Leake Inc
• Baptist Medical Center-Leake, Inc. (BMC Leake Carthage Primary Care)
• Baptist-Leake Extended Care Facility

• Nurse Practitioner in Carthage, MS
• Providers in Carthage, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.