Individual provider Active NPI

Catherine Eldridge, FNP

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1376180992
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903538 Issued in MS
Practice address
100 Wilburn Way
Starkville, MS 39759-3692
Phone
(662) 498-1400
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903538 MS Primary

Addresses

Primary practice location

100 Wilburn Way
Starkville, MS 39759-3692

Mailing address

701 Wayne Eldridge Rd
De Kalb, MS 39328-8011
Phone (601) 917-6979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rthomas@thomasurologyclinic.com

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
I20200205002937 MS Practitioner - Nurse Practitioner 2163858309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

Practice addresses (Care Compare)

100 Wilburn Way
Starkville, MS 39759-3692

111 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 494-1509

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (601) 494-2321

187 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 492-3175

835 Medical Ctr Dr
West Point, MS 39773

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903538MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Clay County Medical Corporation CurrentSince May 12, 2020 Accepting new patients
Clay County Medical Corporation CurrentSince May 12, 2020 Accepting new patients
Clay County Medical Corporation Past Accepting new patients

Locations

100 Wilburn Way
Ste A
Starkville, MS 39759
Phone (662) 498-1400

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: catherineeldridge@nmhs.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1376180992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WAYNE ELDRIDGE RD",
            "city": "DE KALB",
            "state": "MS",
            "postal_code": "393288011",
            "telephone_number": "601-917-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593692",
            "telephone_number": "662-498-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthomas@thomasurologyclinic.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "100 Wilburn Way",
            "city": "Starkville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397593692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.