Individual provider Active NPI

Paula Perteet, FNP

  • Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1164089322
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903318 Issued in MS
Practice address
215 Katherine Dr Ste a
Flowood, MS 39232-9588
Phone
(601) 665-4162
Fax
(855) 830-3484
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 903318 MS Primary

Addresses

Primary practice location

215 Katherine Dr Ste a
Flowood, MS 39232-9588

Mailing address

22741 Highway 12
Lexington, MS 39095-3118
Phone (662) 834-1961

Other practice location 1

403 NW Depot St
Durant, MS 39063-3705
Phone (662) 653-3828

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
I20200501000944 MS Practitioner - Nurse Practitioner 3375973555 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

Hospital & facility affiliations

  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903318MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minor Med Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
MDB Care Management LLC CurrentSince Jan 11, 2025 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince May 15, 2021 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince May 15, 2021 Accepting new patients
Minor Med Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
MD Billing, LLC CurrentSince Sep 20, 2023 Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

557 Grants Ferry Rd
Brandon, MS 39047
Phone (601) 207-2017

102 Woodchase Park Dr
Clinton, MS 39056
Phone (601) 924-7043

215 Katherine Dr
#A
Jackson, MS 39232

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

Organizations & group practices 9

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 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1164089322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22741 HIGHWAY 12",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953118",
            "telephone_number": "662-834-1961",
            "fax_number": "662-834-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KATHERINE DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329588",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 NW Depot St",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "MS",
            "postal_code": "390633705",
            "country_code": "US",
            "telephone_number": "662-653-3828",
            "fax_number": "662-653-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERTEET",
        "first_name": "PAULA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.