Elizabeth Polk Thomas, F.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R811462 Issued in MS

Practice address

107 Eureka St
Batesville, MS 38606-2533

Phone

(662) 563-7681

Fax

(662) 563-7690

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Batesville Clinic, P.a.

  • Health Service Clinic/Center
  • Batesville, MS
  • NPI 1164604682
  Medicare reassignment

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396824124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HILLCREST DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386069302",
            "telephone_number": "662-563-7681",
            "fax_number": "662-563-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-563-7681",
            "fax_number": "662-563-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK THOMAS",
        "first_name": "ELIZABETH",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R811462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118901",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physicians and Surgeons Hospital Group (Tri Lakes Primary Care Clinic)
• Autum N Pierce, LCSW
• Cynthia Nicole Pitts
• Delilah Pollan, FNP
• Katie Pounds
• Preferred Billing Services
• Preferred Imaging, LLC
• Megan Price, FNP-C

• Nurse Practitioner in Batesville, MS
• Providers in Batesville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.