Batesville Clinic, P.a.
Organization Active NPI Health Service Clinic/Center · Batesville, MS
NPI 1164604682 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1164604682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- BATESVILLE CLINIC, P.A.
- Practice address
- 107 Eureka St
Batesville, MS 38606-2533 - Phone
- (662) 563-7681
- Fax
- (662) 563-8911
- NPI assigned
- Nov 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David A. Ball, M.D.
- Title
- Senior Partner
- Phone
- (662) 563-7681
Practitioners 7
-
Christiana Britt, FNP-BC
-
Edwin Lee Linder, M.D.
-
Hilary Barringer Lott, FNP-C
-
Magan L Shipp, C.N.P.
-
David Alford Ball, M.D.
-
Elizabeth Polk Thomas, F.N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040826000705 | MS | Part B Supplier - Clinic/Group Practice | 0840265690 |
Receives reassigned benefits from 7 practitioners Practice locations: Batesville, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
107 Eureka St
Batesville, MS 38606-2533
Mailing address
107 Eureka St
Batesville, MS 38606-2533
Phone (662) 563-7681
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09010942 | Medicaid | MS | |
| C00362 | Other | MS | MEDICARE |
Other providers in Batesville, MS
- Baptist Memorial Home Care Inc
- Baptist Memorial Home Care Inc
- Baptist Memorial Hospital North Mississippi, Inc
- Baptist Memorial Hospital North Mississippi, Inc
- Gwenette Barron
- Batesville Dental Clinic
- Batesville Emergency Group LLC
- Batesville Emergency Physicians
- Batesville Emergency Physicians
- Batesville Hma Medical Group, LLC
All providers in Batesville, MS · Health Service Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.