Everycare Express Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R862558 Issued in MS

Legal business name

EVERYCARE EXPRESS CLINIC

Practice address

162 Feather LN
Suite E
Canton, MS 39046-8510

Phone

(601) 859-0140

NPI assigned

Oct 30, 2014

Last updated

Dec 31, 2014By 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

Stephanie Jackson, FNP-BCNPI 1821097858

Title

Nurse Practitioner

Phone

(601) 859-0140

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Perry Jackson, CFNP

  • Family Nurse Practitioner
  • Canton, MS
  • NPI 1821097858
  NPD (past) Authorized official

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1225433436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391300417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 FEATHER LN",
            "address_2": "SUITE E",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468510",
            "telephone_number": "601-859-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYCARE EXPRESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-859-0140",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "R862558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780035",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy Jackson LLC (Performance Rehab)
• Michelle C Ellison, P. T.
• En Route Patient Transport, LLC
• Enchanted Helping Hands
• Faith Bridge Care Solutions LLC
• John C Farmer, M.D.
• Chris Fields
• Rochelle Patrice Fields, BS, IBCLC, DOULA CLC
• First Intermed Corporation (MEA Medical Clinic)

• Clinic/Center in Canton, MS
• Providers in Canton, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.