Caffey Clinic LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CAFFEY CLINIC LLC

Practice address

3297 Highway 51 S
Senatobia, MS 38668-2926

Phone

(662) 562-0100

Fax

(662) 562-0115

NPI assigned

Jan 29, 2015

Last updated

Nov 3, 2022By 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

Mrs. Jennie Pryor, RN

Title

Director of Health Services

Phone

(662) 562-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 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.

• Timmy Lee McCoy Sr., FNP-C

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1427694231
  Medicare reassignment NPD

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1235529298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386680531",
            "telephone_number": "662-562-0100",
            "fax_number": "662-562-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682926",
            "telephone_number": "662-562-0100",
            "fax_number": "662-562-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAFFEY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "662-562-0100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Briscoe, FNP
• Bryan L Rhoads Dentistry, PLLC
• Pamela Rena' Buck, PH.D.
• Buckman Enrichment Home
• Linda Fay Butler
• Hillary Caffey, FNP-C
• Stacy Campbell, FNP-C
• Eli Matthan Canton, DDS
• Alonzo Carter
• Lorie V Chandler, RPH

• Nurse Practitioner in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.