Individual provider Active NPI

Bethany Anna Free, FNP- BC

  • Family Nurse Practitioner
  • Houston, MS
National Provider Identifier
1235736778
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904095 Issued in MS
Practice address
1002 E Madison St
Houston, MS 38851-2428
Phone
(662) 567-2865
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 904095 MS Primary

Addresses

Primary practice location

1002 E Madison St
Houston, MS 38851-2428

Mailing address

129 New Wine Dr
Houston, MS 38851-2511
Phone (662) 567-2865

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
I20201211000178 MS Practitioner - Nurse Practitioner 6002228269 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medserve, PAGroup PAC ID 8628253978, 7 clinicians
Southern Health Corp of Houston, Inc.Group PAC ID 0042102352, 10 clinicians
Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

1000 E Madison St
Houston, MS 38851-2417
Phone (301) 206-0901

1002 E Madison St
Houston, MS 38851-2428

129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141

5713 Hwy 45 Alt S
West Point, MS 39773-0414
Phone (662) 854-9012

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904095MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince May 1, 2022 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince Dec 20, 2025 Accepting new patients
Upperline Healthcare, PC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Multi-Specialty CurrentSince May 4, 2022 Accepting new patients
Upperline Healthcare, PC Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Progressive Health of Houston, LLC Multi-Specialty CurrentSince Nov 25, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Multi-Specialty CurrentSince May 1, 2022 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince May 4, 2022 Accepting new patients
Medserve, PA Multi-Specialty CurrentSince Sep 16, 2024 Accepting new patients
Pioneer Health Services of Monroe County, Inc Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC Past Accepting new patients
Acute Care & Family Clinic of Pontotoc Multi-Specialty PastSince May 1, 2004 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC Past Accepting new patients

Locations (25 of 29)

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

205 Byram Pkwy
Byram, MS 39272
Phone (601) 362-5349

230 River Oaks Dr
Canton, MS 39046
Phone (601) 607-9050

1251 Pinehaven Rd
Clinton, MS 39056
Phone (601) 924-2996

2082 Yorkville Rd E
Columbus, MS 39702
Phone (662) 327-7271

310 Emerald Dr
Columbus, MS 39702
Phone (662) 244-8823

81 Windsor Blvd
Columbus, MS 39702
Phone (662) 241-5518

15481 Bowling Green Rd
Durant, MS 39063
Phone (662) 653-4106

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

1000 E Madison St
Houston, MS 38851
Phone (601) 499-0899

1002 E Madison St
Houston, MS 38851
Phone (601) 456-3701

1002 E Madison St
Ste 2
Houston, MS 38851
Phone (662) 456-3000

1002 E Madison St
Ste B
Houston, MS 38851
Phone (662) 456-2800

1004 E Madison St
Houston, MS 38851
Phone (662) 456-1100

457 E Madison St
Houston, MS 38851
Phone (662) 456-4277

3680 Lakeland Ln
Jackson, MS 39216
Phone (601) 376-2561

4540 Manhattan Rd
Jackson, MS 39206
Phone (601) 982-5505

865 North St
Jackson, MS 39202
Phone (601) 348-6531

56 Rockport Rd
Lexington, MS 39095
Phone (662) 834-3021

111 Kelly Blvd
Madison, MS 39110
Phone (601) 898-6080

211 Windmill Dr
Meridian, MS 39305
Phone (601) 486-2525

3716 Highway 39 N
Meridian, MS 39301
Phone (601) 482-7154

517 33rd St
Meridian, MS 39305
Phone (601) 282-1300

518 West Dr
Okolona, MS 38860
Phone (662) 447-1339

5420 Highway 80 E
Pearl, MS 39208
Phone (601) 988-6800

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1235736778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NEW WINE DR",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512511",
            "telephone_number": "662-567-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MADISON ST",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388512428",
            "telephone_number": "662-567-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "BETHANY",
        "middle_name": "ANNA",
        "credential": "FNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MS

Sources for this page

Verify at the official NPI Registry.