Active NPI
Rolanda T Pace, DNP, APRN,BC
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R865060
- Practice address
- 1818 College Drive
Meridian, MS 39307-5429 - Phone
- (601) 581-7600
- Fax
- (601) 483-5543
- NPI assigned
- Dec 7, 2006
- Last updated
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R865060 | MS | Primary |
Addresses
Primary practice location
1818 College Drive
Meridian, MS 39307-5429
Mailing address
PO Box 4128
Meridian, MS 39304-4128
Phone (601) 581-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06701213 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2208 Hwy 39 N
Meridian, MS 39301-2605
Phone (601) 482-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxie Gordon MD & Associates, PLLC | Current | Accepting new patients | |
| East Mississippi State Hospital | Current | Accepting new patients | |
| Behavioral Medicine Clinic,PA | Current | Accepting new patients | |
| NP Care Anywhere LLC | Current | Accepting new patients | |
| East Mississippi State Hospital | Current | Accepting new patients |
Locations
590 Springridge Rd
Clinton, MS 39056
Phone (601) 488-8101
1455 N Lakeland Dr
#T
Meridian, MS 39307
Phone (601) 581-7969
1818 College Dr
Meridian, MS 39307
Phone (601) 581-7600
4555 Highland Park Dr
Meridian, MS 39307
Phone (601) 482-6186
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prescribing (Medical) Psychologist
- Meridian, MS
- NPI 1588846281
-
dba Gordon Medical Arts Clinic
- Psychiatry Physician
- Clinton, MS
- NPI 1114105665
-
dba Magnolia Medical Clinic
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1346522653
-
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1972689313
-
- Adult Medicine Physician
- Clinton, MS
- NPI 1609718915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1386703171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4128",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393044128",
"telephone_number": "601-581-7600",
"fax_number": "601-483-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 COLLEGE DRIVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075429",
"telephone_number": "601-581-7600",
"fax_number": "601-483-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACE",
"first_name": "ROLANDA",
"middle_name": "T",
"credential": "DNP, APRN,BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R865060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06701213",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.