Carol Suzanne McCrimmon, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

901880 Issued in MS

Practice address

19441 Highway 82
Carrollton, MS 38917

Phone

(662) 595-4114

Fax

(662) 595-4117

NPI assigned

Mar 17, 2017

Last updated

Feb 20, 2024By 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

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
• Tyler Holmes Memorial Hospital Cah Hospital, Winona, MS, CCN 251312
• Greenwood Leflore Hospital Hospital, Greenwood, MS, CCN 250099
• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• McMedical Country Clinic LLC

  • Health Service Clinic/Center
  • Carrollton, MS
  • NPI 1760035232
  Medicare reassignment NPD

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

• Sta-Home Health Agency of Greenwood, Inc.

  dba AccentCare Home Health of Greenwood

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  dba UMMC Greenwood Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Center - Grenada Psych

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  dba University of Mississippi Center-Grenada

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation
• Tyler Holmes Memorial Hospital

  • Critical Access Hospital
  • Winona, MS
  • NPI 1205868627
  Care Compare affiliation
• Ways, LLC

  dba VitalCaring Group

  • Home Health Agency
  • Cleveland, MS
  • NPI 1215244017
  Care Compare affiliation

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1316488729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19441 HIGHWAY 82",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "38917",
            "telephone_number": "662-595-4114",
            "fax_number": "662-595-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 HIGHWAY 82",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "38917",
            "telephone_number": "662-595-4114",
            "fax_number": "662-595-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRIMMON",
        "first_name": "CAROL",
        "middle_name": "SUZANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll County General Dentistry, LLC
• Richard Daniel Hill, DMD BA
• Jearica McBride, NP
• McMedical Country Clinic LLC
• Mississippi State Department of Health
• Star Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.