Active NPI
Carly Maranne Hazzard Andrews, NP
- Nurse Practitioner
- Cleveland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 902784
- Practice address
- 800 N Pearman Ave
Cleveland, MS 38732-3502 - Phone
- (888) 757-0838
- Fax
- (662) 579-3378
- NPI assigned
- Jul 3, 2018
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902784 | MS | Primary |
Addresses
Primary practice location
800 N Pearman Ave
Cleveland, MS 38732-3502
Mailing address
800 N Pearman Ave
Cleveland, MS 38732-3502
Phone (888) 757-0838
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
Enrollment records 1
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
Practice addresses (Care Compare)
1502 S Colorado St
Greenville, MS 38703-7219
Phone (662) 332-9872
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sunflower Medical Center | Current | Accepting new patients | |
| North Sunflower Medical Center | Current | Accepting new patients | |
| North Sunflower Medical Center | Current | Accepting new patients |
Locations
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
Interoperability endpoints
- carlyhazzardandrews@tgcpa.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Greenville, MS
- NPI 1003844978
-
dba Cleveland Medical Clinic
- Family Medicine Physician
- Cleveland, MS
- NPI 1891705133
-
dba Sunflower Greenwood Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Greenwood, MS
- NPI 1730903287
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Greenville, MS
- NPI 1184232498
Hospital
-
dba Delta Health-The Medical Center
- Rural Acute Care Hospital
- Greenville, MS
- NPI 1306921887
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Clarksdale, MS
- NPI 1578171872
Hospital
-
dba Delta Health Cancer Center
- Oncology Clinic/Center
- Cleveland, MS
- NPI 1972112183
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1194211094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N PEARMAN AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323502",
"telephone_number": "888-757-0838",
"fax_number": "662-579-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N PEARMAN AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323502",
"telephone_number": "888-757-0838",
"fax_number": "662-579-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZZARD ANDREWS",
"first_name": "CARLY",
"middle_name": "MARANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "902784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.