Individual provider Active NPI

Ventasha S Parker

  • Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1467050419
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904217 Issued in MS
Practice address
4635 Highway 80 E
Pearl, MS 39208-4226
Phone
(601) 936-3833
Fax
(601) 936-3837
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904217 MS Primary

Addresses

Primary practice location

4635 Highway 80 E
Pearl, MS 39208-4226

Mailing address

4635 Highway 80 E
Pearl, MS 39208-4226
Phone (601) 936-3833

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000227 MS Practitioner - Nurse Practitioner 6204241797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic IncGroup PAC ID 5395656946, 30 clinicians

Practice addresses (Care Compare)

202 Jefferson St
Newhebron, MS 39140-3809
Phone (601) 825-7280

4635 Hwy 80 E
Pearl, MS 39208-4226
Phone (601) 825-7280

Hospital & facility affiliations

  • Merit Health Women'S Hospital Hospital, Flowood, MS, CCN 250136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904217MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 12, 2025 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Crescentworld Enterprises, PLLC PastSince Oct 1, 2020 Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1551 W Government St
Brandon, MS 39042
Phone (601) 825-3163

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

1307 Airport Rd N
Ste 2
Flowood, MS 39232
Phone (601) 936-3485

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

100 N Brooks Ave
Pelahatchie, MS 39145
Phone (601) 854-6805

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: ventasha.parker@fhcc.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1467050419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084226",
            "telephone_number": "601-936-3833",
            "fax_number": "601-936-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084226",
            "telephone_number": "601-936-3833",
            "fax_number": "601-936-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "VENTASHA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.