Individual provider Active NPI

Carrie Janous, CFNP

  • Family Nurse Practitioner
  • Cleveland, MS
National Provider Identifier
1275624868
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R860588 Issued in MS
Practice address
810 E Sunflower Rd
Suite 100E
Cleveland, MS 38732-2800
Phone
(662) 846-6034
Fax
(662) 846-6260
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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 R860588 MS Primary

Addresses

Primary practice location

810 E Sunflower Rd
Suite 100E
Cleveland, MS 38732-2800

Mailing address

810 E Sunflower Rd
Suite 100E
Cleveland, MS 38732-2800
Phone (662) 846-6034

Other identifiers 1

IdentifierTypeStateIssuer
01773773MedicaidMS

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
I20051230000301 MS Practitioner - Nurse Practitioner 0941222152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Family Medical Services IncGroup PAC ID 0749458487, 7 clinicians

Practice addresses (Care Compare)

1554 S Colorado St
Greenville, MS 38703-7219
Phone (662) 334-8557

Hospital & facility affiliations

  • Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Family Medical Services Inc CurrentSince Feb 24, 2022 Accepting new patients
Greenville Family Medical Center Inc CurrentSince Jan 1, 2015 Accepting new patients

Locations

1467 Highway 1 S
Greenville, MS 38701
Phone (601) 335-1621

1554 S Colorado St
Greenville, MS 38703
Phone (662) 334-8557

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1275624868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD",
            "address_2": "SUITE 100E",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-846-6034",
            "fax_number": "662-846-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD",
            "address_2": "SUITE 100E",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-846-6034",
            "fax_number": "662-846-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOUS",
        "first_name": "CARRIE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01773773",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

Verify at the official NPI Registry.