Peggy Shawn McCoy, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R718386 Issued in MS

Practice address

2225 Haley Barbour Pkwy
Yazoo City, MS 39194-4796

Phone

(662) 751-4800

Fax

(662) 751-4987

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yazoo Federal Correctional Center

  • Prison Health Clinic/Center
  • Yazoo City, MS
  • NPI 1255879789
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1326536475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391940541",
            "telephone_number": "662-751-4800",
            "fax_number": "662-751-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 HALEY BARBOUR PKWY",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391944796",
            "telephone_number": "662-751-4800",
            "fax_number": "662-751-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "PEGGY",
        "middle_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R718386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Coker Home, Inc. (Martha Coker Home)
• Roberto Martinez, M.D.
• Antoinette Monique Mayers, D.C.
• Nuginder McCallister
• Makenzie McConnell
• Thomas Joel McGraw, DPT
• Sheila H McKie
• Daniel Calhoun McLeod, DMD
• Mea Primary Care Plus LLC
• Medical Foundation of Central Mississippi (Baptist Medical Clinic)

• Family Nurse Practitioner in Yazoo City, MS
• Providers in Yazoo City, 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 Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.