NPIMap

Organization Active NPI

Sherry D. Callahan

Doing business as North Corinth Family Clinic

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1518136217
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A810104 Issued in MS
Legal business name
SHERRY D. CALLAHAN
Doing business as
North Corinth Family Clinic
Practice address
383B Highway 2 NE
Corinth, MS 38834-6926
Phone
(662) 396-4733
Fax
(662) 396-4735
NPI assigned
Feb 27, 2008
Last updated
Nov 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Mrs. Sherry Callahan, FNPNPI 1669552642
Title
Owner
Phone
(662) 396-4733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X A810104 MS Primary

Addresses

Primary practice location

383B Highway 2 NE
Corinth, MS 38834-6926

Mailing address

383B Highway 2 NE
Corinth, MS 38834-6926
Phone (662) 396-4733

Other identifiers 2

IdentifierTypeStateIssuer
01006348MedicaidMS
427333087OtherMSBCBS

Other names 1

  • North Corinth Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

383B Highway 2 NE
Corinth, MS 38834
Phone (662) 396-4733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1518136217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383B HIGHWAY 2 NE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346926",
            "telephone_number": "662-396-4733",
            "fax_number": "662-396-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383B HIGHWAY 2 NE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346926",
            "telephone_number": "662-396-4733",
            "fax_number": "662-396-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY D. CALLAHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-396-4733",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "A810104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01006348",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "427333087",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Corinth Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.