Individual provider Active NPI

Genna Yelverton Guedon, N.P.

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1285074369
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R884563 Issued in MS
Practice address
46 Seargent Dr Ste 203
Natchez, MS 39120-4755
Phone
(601) 445-7773
Fax
(601) 445-5911
NPI assigned
Jul 3, 2013
Last updated
Apr 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 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 R884563 MS Primary

Addresses

Primary practice location

46 Seargent Dr Ste 203
Natchez, MS 39120-4755

Mailing address

46 Seargent Dr Ste 203
Natchez, MS 39120-4755
Phone (601) 445-7773

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
I20140506002035 MS Practitioner - Nurse Practitioner 2163655762 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R884563MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of Natchez, PLLC CurrentSince Dec 19, 2019 Accepting new patients
Natchez Regional Clinic Past Accepting new patients

Locations

46 Sgt Prentiss Dr
Ste 203
Natchez, MS 39120
Phone (601) 445-7773

Interoperability endpoints

  • Direct secure messaging: familymedicineassociatesofnatchezpllc.gennaguedon@117547.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1285074369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SEARGENT DR STE 203",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204755",
            "telephone_number": "601-445-7773",
            "fax_number": "601-445-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SEARGENT DR STE 203",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204755",
            "telephone_number": "601-445-7773",
            "fax_number": "601-445-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDON",
        "first_name": "GENNA",
        "middle_name": "YELVERTON",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R884563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.