Synethia Brown, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Quitman, MS
NPI 1376264697 · NPPES record last updated Sep 6, 2022
Key facts
- NPI
- 1376264697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 905556 (MS)
- Practice address
- 191 Highway 511
Quitman, MS 39355-8320 - Phone
- (731) 394-1145
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ultra Health LLC
Practice addresses (Care Compare)
156 E Walnut Ave
Eupora, MS 39744-2027
Phone (731) 394-1145
Hospital & facility affiliations
- Ochsner Watkins Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220916002982 | MS | Practitioner - Nurse Practitioner | 1557746112 | Reassigns benefits to 2 organizations |
| I20260626003352 | AL | Practitioner - Nurse Practitioner | 1557746112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultra Health LLC | Current |
Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current |
Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current |
Accepting new patients |
Locations
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163
156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293
1220 E Northside Dr
Ste 170
Jackson, MS 39211
Phone (601) 613-6268
191 Highway 511
Quitman, MS 39355
Phone (601) 766-2141
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 905556 | MS | Yes |
Addresses
Primary practice location
191 Highway 511
Quitman, MS 39355-8320
Mailing address
36 Pemberton CV
Jackson, TN 38305-5514
Other providers in Quitman, MS
- Archusa Family Dentistry
- Sara A. Askew
- Robin Melissa Aucoin
- Patrick Barber
- Jennifer D. Branstetter
- Oliver Wayne Byrd
- Wendell Tyrone Carney
- Melanie Chambers
- Chickasawhay Emergency Physicians LLC
- Glenn M Cochran
All providers in Quitman, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.