Individual provider Active NPI

Linda L Troy, FNP

  • Family Nurse Practitioner
  • Sardis, MS
National Provider Identifier
1194745638
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
681202 Issued in MS
Practice address
111 S. Main Street
Sardis, MS 38666
Phone
(662) 487-1064
Fax
(662) 487-1381
NPI assigned
Jul 20, 2006
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 681202 MS Primary

Addresses

Primary practice location

111 S. Main Street
Sardis, MS 38666

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 988-2014

Other identifiers 2

IdentifierTypeStateIssuer
11557998OtherMSCAQH
09232509MedicaidMS

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
I20041228000522 MS Practitioner - Nurse Practitioner 5991763666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care Clinic LLCGroup PAC ID 1052587284, 21 clinicians

Practice addresses (Care Compare)

555 Hwy 6 E
Batesville, MS 38606
Phone (662) 578-2030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
681202MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Family Clinic,LLC Family CurrentSince Jun 1, 2021 Accepting new patients
Urgent Team Management of Golden Triangle, LLC Past Accepting new patients
Batesville Emergency Physicians Past Accepting new patients
SFMC Laboratory PastSince May 1, 2012 Accepting new patients

Locations

1914 University Ave
Oxford, MS 38655
Phone (662) 238-7860

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1194745638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S. MAIN STREET",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "38666",
            "telephone_number": "662-487-1064",
            "fax_number": "662-487-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROY",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "681202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11557998",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09232509",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sardis, MS

Sources for this page

Verify at the official NPI Registry.