Greenfield Family Healthcare Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R624055 Issued in MS

Legal business name

GREENFIELD FAMILY HEALTHCARE INC

Practice address

762 Highway 468
Brandon, MS 39042-9058

Phone

(601) 824-0988

Fax

(601) 824-0987

NPI assigned

Feb 8, 2012

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ladonna Aycock DunnNPI 1447358494

Title

Practitioner/Owner/President

Phone

(601) 824-0988

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ladonna Aycock Dunn, CFNP

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1447358494
  Authorized official Same address or phone
• Donald J Garrett, FNP

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1023357274
  NPD
• James D Polk, M.D.

  • Family Medicine Physician
  • Richland, MS
  • NPI 1083601348
  NPD (past)
• Mandy Patterson Wedgeworth, FNP-BC

  • Family Medicine Physician
  • Brandon, MS
  • NPI 1467367029
  NPD (past)

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1386916146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 HIGHWAY 468",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390429058",
            "telephone_number": "601-824-0988",
            "fax_number": "601-824-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 HIGHWAY 468",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390429058",
            "telephone_number": "601-824-0988",
            "fax_number": "601-824-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD FAMILY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "AYCOCK",
        "authorized_official_title_or_position": "PRACTITIONER/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "601-824-0988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R624055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120346",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grants Ferry Family Dentistry
• Zoe Amoret Grasee-Slenning, PT, DPT
• Gray Matters Integrative Psychology, PLLC
• Katina Gray
• Erin Russell Green, DDS
• Kahaura Griffith
• Kimberly Johnson Gross, FNP, PMHNP
• Hollie Christine Morgan Grover, RDN, MS
• Amanda L Gugliano, PSY.D.
• Tracy Guilbeau, SLP

• Family Nurse Practitioner in Brandon, MS
• Providers in Brandon, 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 Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.