Individual provider Active NPI

Monica M, Jones, FNP-BC

  • General Practice Registered Nurse
  • Greenville, MS
National Provider Identifier
1528004249
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R836674 Issued in MS
Practice address
930 Main St
Greenville, MS 38701-4111
Phone
(662) 332-1398
Fax
(662) 332-7107
NPI assigned
Jun 21, 2006
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R836674 MS Primary

Addresses

Primary practice location

930 Main St
Greenville, MS 38701-4111

Mailing address

257 Dallis Dr
Greenville, MS 38701-7555
Phone (662) 537-7637

Other identifiers 1

IdentifierTypeStateIssuer
0385905-22OtherMSANCC

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
I20040621001622 MS Practitioner - Nurse Practitioner 8921083205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc CurrentSince Jan 1, 2021 Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

807 Highway 12 W
#Five
Starkville, MS 39759
Phone (662) 268-6278

900 Stark Rd
Starkville, MS 39759
Phone (662) 268-6278

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1528004249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 DALLIS DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017555",
            "telephone_number": "662-537-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014111",
            "telephone_number": "662-332-1398",
            "fax_number": "662-332-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MONICA",
        "middle_name": "M,",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "R836674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "0385905-22",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.