Pamela Ann Hervey
Individual provider Active NPI Case Manager/Care Coordinator · Florence, MS
NPI 1326318205 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1326318205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 04129817 (MS)
- Practice address
- 475 McLin Cir
Florence, MS 39073-7939 - Phone
- (601) 845-6651
- Fax
- (601) 845-0230
- NPI assigned
- Jan 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04129817 | MS | MD | Case Manager/Care Coordinator |
| 08700721 | MS | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Homemaker and Respite Care Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 04129817 | MS | Yes |
| Case Manager/Care Coordinator | 171M00000X | 08700721 | MS |
Addresses
Primary practice location
475 McLin Cir
Florence, MS 39073-7939
Mailing address
475 McLin Cir
Florence, MS 39073-7939
Phone (601) 845-6651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08700721 | Medicaid | MS | |
| 04129817 | Medicaid | MS |
Other providers in Florence, MS
- Hands to Healing,LLC
- Amy M Hazlewood
- Helping Hands Homemaker Agency,Inc.
- Helping Handz Transit
- Brian Matthew Hendley
- Wendy Louise Heuer
- Angela M Hoover
- Inco-Med LLC
- Karen Michelle Johnson
- Olivia Kathryn Knight
All providers in Florence, MS · Case Manager/Care Coordinator in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.