Dallas Maxwell Earnest, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R868182 Issued in MS

Practice address

1015 Lee Dr Ste 13
Clarksdale, MS 38614-3619

Phone

(662) 592-4170

Fax

(662) 269-0226

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dallas Maxwell Rodgers Former name

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family First Clinic of Clarksdale PLLCGroup PAC ID 6800054297, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
• Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042
• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141

Merit-based Incentive Payment System (MIPS)

Final score

88.56 of 100Reported as group

Quality

84.62

Improvement activities

40

Cost

80.12

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nwmdearne@yourcarecommunity.org

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.

• Family First Clinic of Clarksdale, PLLC

  • Family Medicine Physician
  • Clarksdale, MS
  • NPI 1215206016
  Medicare reassignment Care Compare group NPD Authorized official
• Francis J. Fenaughty MD, P.C.

  • Emergency Medicine Physician
  • Germantown, TN
  • NPI 1437141538
  NPD (past)

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

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Northwest Miss Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation
• Sta-Home Health Agency of Greenwood, Inc.

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation
• Ways, LLC

  • Home Health Agency
  • Cleveland, MS
  • NPI 1215244017
  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1376752832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LEE DR STE 13",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143619",
            "telephone_number": "662-592-4170",
            "fax_number": "662-269-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LEE DR STE 13",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143619",
            "telephone_number": "662-592-4170",
            "fax_number": "662-269-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "DALLAS",
        "middle_name": "MAXWELL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12310",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R868182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09128041",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALLAS",
            "last_name": "RODGERS",
            "middle_name": "MAXWELL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison Doyle, CNM
• Niya Simone Dunlap, BS
• Kimberly Michelle Dye
• Destiny Earl
• Ron M Earl, M.S., L.S.W.
• Economy Drugs of Clarksdale, Inc
• Ceclia Ellington, MSW
• Dorcas Poni Eshun, M.D
• Crystal Evans, MSW
• Lucy Evans, M.ED.

• Family Nurse Practitioner in Clarksdale, MS
• Providers in Clarksdale, 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 Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.