Individual provider Active NPI

Brantley Wallace Catlette, NP

  • Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1194178475
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
901561 Issued in MS
Practice address
2686 W Oxford Loop Ste 125
Oxford, MS 38655-5427
Phone
(662) 233-9033
Fax
(662) 233-9043
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 901561 MS
Nurse Practitioner 363L00000X 901561 MS Primary

Addresses

Primary practice location

2686 W Oxford Loop Ste 125
Oxford, MS 38655-5427

Mailing address

2686 W Oxford Loop Ste 125
Oxford, MS 38655-5427
Phone (662) 233-9033

Other practice location 1

840 N Oak Ave
Ruleville, MS 38771-3227
Phone (662) 756-4000

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
I20161025001886 MS Practitioner - Nurse Practitioner 0244518389 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Family Medical Clinic PLLC CurrentSince Mar 29, 2023 Accepting new patients
Connect Psychiatry LLC Current Accepting new patients
Redmed, LLC CurrentSince Apr 16, 2018 Accepting new patients
Redmed, LLC CurrentSince Apr 16, 2018 Accepting new patients

Locations

171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464

2686 West Oxford Loop
Ste 125
Oxford, MS 38655
Phone (662) 233-9033

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

1200 Central St
Water Valley, MS 38965
Phone (662) 714-4460

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1194178475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 W OXFORD LOOP STE 125",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555427",
            "telephone_number": "662-233-9033",
            "fax_number": "662-233-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 W OXFORD LOOP STE 125",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555427",
            "telephone_number": "662-233-9033",
            "fax_number": "662-233-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Ruleville",
            "state": "MS",
            "postal_code": "387713227",
            "country_code": "US",
            "telephone_number": "662-756-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CATLETTE",
        "first_name": "BRANTLEY",
        "middle_name": "WALLACE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.