Individual provider Active NPI

Charlotte Maci Card, NP

  • Women's Health Nurse Practitioner
  • West Point, MS
National Provider Identifier
1487247235
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
905866 Issued in MS
Practice address
150 Medical Center Dr
West Point, MS 39773-0428
Phone
(662) 495-2355
NPI assigned
Feb 12, 2021
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 900829 MS
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 905866 MS Primary

Addresses

Primary practice location

150 Medical Center Dr
West Point, MS 39773-0428

Mailing address

599 Prescott Card Rd
Eupora, MS 39744-3609
Phone (662) 295-6234

Other identifiers 2

IdentifierTypeStateIssuer
905866OtherMSNURSE PRACTITIONER
104599566OtherMSWOMEN'S HEALTH NURSE PRACTITIONER

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
I20240108006084 MS Practitioner - Nurse Practitioner 1951752559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

373 Medical Ctr Cir
The Women's Group West Point
West Point, MS 39773-0432
Phone (662) 494-9466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
900829MSMDRegistered Nurse
905866MSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Single Specialty CurrentSince Aug 12, 2024 Accepting new patients
Starkville Clinic for Women, PA Single Specialty CurrentSince Jan 15, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc Single Specialty CurrentSince Aug 12, 2024 Accepting new patients

Locations

100 Medical Park Dr
Starkville, MS 39759
Phone (662) 323-4427

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

373 Medical Center Cir
West Point, MS 39773
Phone (662) 494-9466

Interoperability endpoints

  • Direct secure messaging: charlottecard@nmhs.medalliesdirect.net

Organizations & group practices 4

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1487247235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 PRESCOTT CARD RD",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397443609",
            "telephone_number": "662-295-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397730428",
            "telephone_number": "662-495-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARD",
        "first_name": "CHARLOTTE",
        "middle_name": "MACI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "900829",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "905866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "905866",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOMEN'S HEALTH NURSE PRACTITIONER",
            "identifier": "104599566",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.