Individual provider Active NPI

Brittany Clayton Taylor, FNP-C

  • Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1356869598
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902279 Issued in MS
Practice address
703 Alcorn Dr Ste 109
Corinth, MS 38834
Phone
(662) 286-1499
Fax
(662) 293-9401
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902279 MS Primary

Addresses

Primary practice location

703 Alcorn Dr Ste 109
Corinth, MS 38834

Mailing address

401 Alcorn Dr Ste 2C
Corinth, MS 38834-9073
Phone (662) 293-7266

Other practice location 1

82 Main Street
Rienzi, MS 38865
Phone (662) 462-8600

Other practice location 2

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1175

Other identifiers 2

IdentifierTypeStateIssuer
618557ZZP6OtherMSMS MEDICARE PTAN
00854387MedicaidMS

Other names 1

  • Brittany Renee Clayton Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171205000510 MS Practitioner - Nurse Practitioner 7315204047 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902279MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Sep 30, 2017 Accepting new patients
Magnolia Urgent Care Past Accepting new patients
Magnolia Surgical Group Past Accepting new patients

Locations

703 Alcorn Dr
Ste 109
Corinth, MS 38834
Phone (662) 286-1499

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

Interoperability endpoints

  • Direct secure messaging: brittanytaylor@magnolia.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1356869598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR STE 2C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349073",
            "telephone_number": "662-293-7266",
            "fax_number": "662-293-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ALCORN DR STE 109",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-286-1499",
            "fax_number": "662-293-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Main Street",
            "address_purpose": "LOCATION",
            "city": "Rienzi",
            "state": "MS",
            "postal_code": "38865",
            "country_code": "US",
            "telephone_number": "662-462-8600",
            "fax_number": "662-462-5557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Alcorn Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349321",
            "country_code": "US",
            "telephone_number": "662-293-1175",
            "fax_number": "662-293-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRITTANY",
        "middle_name": "CLAYTON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS MEDICARE PTAN",
            "identifier": "618557ZZP6",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00854387",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "CLAYTON",
            "middle_name": "RENEE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.