Pisgah Community Care Providers PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PISGAH COMMUNITY CARE PROVIDERS PLLC

Doing business as

Pisgah Community Care

Practice address

3946 Highway 43 North
Brandon, MS 39047

Phone

(662) 607-3163

NPI assigned

Sep 18, 2026

Last updated

Sep 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Graham, NURSE PRACTITIONER

Title

Managing Member

Phone

(601) 540-8658

Specialties & licenses 1

Addresses

Other names 1

• Pisgah Community Care Doing business as

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1215849948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GOSHEN SPRINGS LN",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477246",
            "telephone_number": "662-607-3163",
            "fax_number": "601-741-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 HIGHWAY 43 NORTH",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "39047",
            "telephone_number": "662-607-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISGAH COMMUNITY CARE PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "601-540-8658",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pisgah Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Brandon, MS
• Providers in Brandon, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.