U-First Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R688916 Issued in MS

Legal business name

U-FIRST MEDICAL CLINIC

Practice address

1883 Highway 43 S Ste E
Canton, MS 39046-8406

Phone

(601) 407-1137

Fax

(601) 407-1134

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juwayne L Silmon Sr.NPI 1720922545

Title

Office Manager

Phone

(601) 407-1137

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

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

• Mary Ann Johnson, CFNP

  • Family Nurse Practitioner
  • Canton, MS
  • NPI 1699851634
  Medicare reassignment NPD
• Ebone' Sade' Singleton

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1437719192
  Medicare reassignment NPD
• Juwayne Lemonte Silmon Sr., MSW

  • Social Worker
  • New Lenox, IL
  • NPI 1720922545
  NPD Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1508942244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460283",
            "telephone_number": "601-407-1137",
            "fax_number": "601-407-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 S STE E",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468406",
            "telephone_number": "601-407-1137",
            "fax_number": "601-407-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U-FIRST MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "SILMON",
        "authorized_official_first_name": "JUWAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-407-1137",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R688916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "426151235D",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03630767",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph M Thomas, PT
• Thompson Transit, LLC
• Tashauna Travis
• Feshondra Fereca Mone Tripp, MOTR/L
• William Truly, MD
• Varahi Inc
• Jessica Morgan Vaughn, DMD
• Vibha Vig MD PA
• Vibha Vig, M.D.
• Visions Physical Therapy

• Family Nurse Practitioner in Canton, MS
• Providers in Canton, 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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.