Emily Jenkins Stidham, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902892 Issued in MS

Practice address

425 Hospital Dr Ste 5
Columbus, MS 39705-1938

Phone

(662) 240-0095

Fax

(662) 240-0096

NPI assigned

Sep 11, 2018

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

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, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Starkville Clinic for Women, PAGroup PAC ID 2264506286, 9 clinicians

Columbus OBGYN Specialty Center PLLCGroup PAC ID 3375511892, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Columbus OBGYN Specialty Center PLLC

  • Obstetrics & Gynecology Physician
  • Columbus, MS
  • NPI 1366532038
  Medicare reassignment Care Compare group NPD
• Starkville Clinic for Women, PA

  • Obstetrics & Gynecology Physician
  • Starkville, MS
  • NPI 1265513071
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1447733910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ROBERTS CV",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596649",
            "telephone_number": "601-951-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR STE 5",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051938",
            "telephone_number": "662-240-0095",
            "fax_number": "662-240-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "EMILY",
        "middle_name": "JENKINS",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria M Stephens, CFNP
• Steven M. Porter, DDS
• Kimberly Stewart
• Marion Stewart, FNP-C
• Priscilla Stewart, MSW
• Bradley Stokes, DMD
• Rona Stokes
• Brandi Strader, MS
• Genevieve B. Stratton, RN
• Tiffany Sturdivant

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, 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 Dec 9, 2021; 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.