NPIMap

Organization Active NPI

First Care Family Clinic

  • Preferred Provider Organization
  • Tupelo, MS
National Provider Identifier
1417027921
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
C02970 Issued in MS
Legal business name
FIRST CARE FAMILY CLINIC
Practice address
874 Barnes Crossing Rd
Suite a
Tupelo, MS 38804-0909
Phone
(662) 620-1496
Fax
(662) 620-6535
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Barbara Bryan
Title
Office Manager
Phone
(662) 620-1496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X C02970 MS Primary

Addresses

Primary practice location

874 Barnes Crossing Rd
Suite a
Tupelo, MS 38804-0909

Mailing address

874 Barnes Crossing Rd
Suite a
Tupelo, MS 38804-0909
Phone (662) 620-1496

National Provider Directory

National Provider Directory

Locations

529 S Fourth St
Baldwyn, MS 38824
Phone (662) 365-2222

874 Barnes Crossing Rd
Ste A
Tupelo, MS 38804
Phone (662) 620-1496

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1417027921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-620-1496",
            "fax_number": "662-620-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "address_2": "SUITE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-620-1496",
            "fax_number": "662-620-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-620-1496"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MS",
            "license": "C02970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.