Individual provider Active NPI

Carrie Michelle Porterfield, FNPC

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1467078790
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903778 Issued in MS
Practice address
3050 Corder Dr
Corinth, MS 38834-6210
Phone
(662) 284-9902
Fax
(662) 284-9904
NPI assigned
Jun 23, 2020
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903778 MS Primary

Addresses

Primary practice location

3050 Corder Dr
Corinth, MS 38834-6210

Mailing address

3050 Corder Dr
Corinth, MS 38834-6210
Phone (662) 284-9902

Other practice location 1

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1000

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
I20200706002113 MS Practitioner - Nurse Practitioner 2567885817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Gastroenterology Clinic LLCGroup PAC ID 6800844507, 5 clinicians

Practice addresses (Care Compare)

3050 Corder Dr
Corinth, MS 38834-6210
Phone (662) 284-9902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Gastroenterology Clinic, LLC Single Specialty CurrentSince Jun 23, 2020 Accepting new patients
Magnolia Endoscopy Center, LLC CurrentSince Jun 23, 2020 Accepting new patients

Locations

3050 Corder Dr
Corinth, MS 38834
Phone (662) 284-9902

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1467078790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346210",
            "telephone_number": "662-284-9902",
            "fax_number": "662-284-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346210",
            "telephone_number": "662-284-9902",
            "fax_number": "662-284-9904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Alcorn Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349321",
            "country_code": "US",
            "telephone_number": "662-293-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTERFIELD",
        "first_name": "CARRIE",
        "middle_name": "MICHELLE",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.