Marlana Perkins Hedgepeth, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R755324 Issued in MS

Practice address

80 Hal Crocker Rd
Ellisville, MS 39437-2089

Phone

(601) 477-2221

Fax

(601) 477-2223

NPI assigned

Sep 5, 2006

Last updated

Dec 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Marlana E Hedgepeth Other name

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Ridge Family Clinic LLCGroup PAC ID 3274964283, 3 clinicians

South Ridge Family Clinic LLCGroup PAC ID 7416194790, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Collins, MS, CCN 257087
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058
• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1930/brand/2/csg/102/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/21239/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/6104/brand/1/csg/1/fhir/r4
• Direct secure messaging: marlana.hedgepeth.1@21239.direct.athenahealth.com
• Direct secure messaging: marlana.hedgepeth.1@6104.direct.athenahealth.com

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.

• Pine Ridge Family Clinic, LLC

  • Nurse Practitioner
  • Collins, MS
  • NPI 1366075236
  Medicare reassignment Care Compare group NPD Authorized official
• South Ridge Family Clinic, LLC

  • Family Medicine Physician
  • Ellisville, MS
  • NPI 1881930469
  Medicare reassignment Care Compare group NPD Authorized official
• Heartsouth PLLC

  • Cardiovascular Disease Physician
  • Hattiesburg, MS
  • NPI 1316967219

  Nurse Practitioner

  NPD (past)
• Outreach Health Services,Inc.

  dba Jasper Medical Clinic

  • Health Maintenance Organization
  • Heidelberg, MS
  • NPI 1255521480
  NPD (past)
• Outreach Health Services,Inc.

  • Community Health Clinic/Center
  • Shubuta, MS
  • NPI 1548359565
  NPD (past)
• South Central Clinics, Inc

  dba South Central Family Medicine

  • Rural Health Clinic/Center
  • Laurel, MS
  • NPI 1669609111
  NPD (past)
• Wesley Physician Services LLC

  • Family Medicine Physician
  • Hattiesburg, MS
  • NPI 1538200209
  NPD (past)

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

• Amedisys Mississippi, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Collins, MS
  • NPI 1467400168
  Care Compare affiliation
• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1265534648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394370177",
            "telephone_number": "601-477-2221",
            "fax_number": "601-477-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAL CROCKER RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372089",
            "telephone_number": "601-477-2221",
            "fax_number": "601-477-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "MARLANA",
        "middle_name": "PERKINS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R755324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00346938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572YV",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124941",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1783269",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLANA",
            "last_name": "HEDGEPETH",
            "middle_name": "E",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Haley Hagan
• Vicki Hampton, FNP
• Paul Ivan Hathorn, D.M.D.
• Hattiesburg Clinic PA
• Tina Hawkins, CCSS
• Hillside
• Bonnie Dulaney Hodge, MD
• Home Community Base Waiver - Ess
• Tonya Howard, LPN
• JFMC Ellisville, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.