NPIMap

Individual provider Active NPI

Melinda Lee Clark, AOCNP, ACNP/FNP-BC

  • Acute Care Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1285910653
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R811185 Issued in MS
Practice address
1205 Highway 182 W
Starkville, MS 39759-9820
Phone
(662) 320-8545
Fax
(662) 320-8981
NPI assigned
Oct 28, 2011
Last updated
Nov 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R811185 MS Primary

Addresses

Primary practice location

1205 Highway 182 W
Starkville, MS 39759-9820

Mailing address

1205 Highway 182 W
Starkville, MS 39759-9820
Phone (662) 320-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120521000270 MS Practitioner - Nurse Practitioner 0941463442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

Practice addresses (Care Compare)

1205 Hwy 182 W
Clay County Medical Corporation
Starkville, MS 39759-9820
Phone (662) 320-8545

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. CurrentSince Aug 26, 2015 Accepting new patients
Clay County Medical Corporation CurrentSince Jun 5, 2018 Accepting new patients
Clay County Medical Corporation CurrentSince Jun 5, 2018 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Aug 26, 2015 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Clay County Medical Corporation Past Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

1205 Highway 182 W
Starkville, MS 39759
Phone (662) 320-8545

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

961 S Gloster St
Tupelo, MS 38801
Phone (601) 844-9166

961 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-2964

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: melindaclark@nmhs.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1285910653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 HIGHWAY 182 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599820",
            "telephone_number": "662-320-8545",
            "fax_number": "662-320-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HIGHWAY 182 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599820",
            "telephone_number": "662-320-8545",
            "fax_number": "662-320-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MELINDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "AOCNP, ACNP/FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R811185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.