Martha M Clinton, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R672491 Issued in MS

Practice address

565 N. Robinson Street
Senatobia, MS 38668

Phone

(662) 560-4313

Fax

(662) 560-4383

NPI assigned

May 11, 2006

Last updated

May 30, 2018By 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002

  MS

  Medicare reassignment NPD
• Primary Health Care, PLLC

  • Health Service Clinic/Center
  • Senatobia, MS
  • NPI 1104074319
  Authorized official Same address or phone
• Batesville Hma Medical Group, LLC

  dba Batesville Medical Group

  • Psychiatry Physician
  • Batesville, MS
  • NPI 1376835603
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1306896386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 ROSS AVE STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752022703",
            "telephone_number": "469-893-6580",
            "fax_number": "469-893-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 N. ROBINSON STREET",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "38668",
            "telephone_number": "662-560-4313",
            "fax_number": "662-560-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "MARTHA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R672491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11618104",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eli Matthan Canton, DDS
• Alonzo Carter
• Lorie V Chandler, RPH
• James Clark, PHARMD
• Clinic 221, Family Health Care, LLC
• Cockrell Family Medical Center PC
• Jessie Michael Cockrell, MD
• Community Discount Pharmacy Inc (Community Discount Pharmacy)
• Community Discount Pharmacy Inc (Community Discount Pharmacy)
• Community Living in Mississippi - Baddour (Climb)

• Family Nurse Practitioner in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.