Eurekia C Samuel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R860068 Issued in MS

Practice address

4635 Highway 80 E
Pearl, MS 39208-4226

Phone

(601) 936-3833

Fax

(601) 936-3837

NPI assigned

Oct 19, 2007

Last updated

Aug 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eurekia.samuel.p1@direct.gacfhc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1730120502
  Medicare reassignment NPD
• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1003470758
  NPD
• G a Carmichael Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Belzoni, MS
  • NPI 1235295304
  NPD
• G a Carmichael Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Canton, MS
  • NPI 1801952809
  NPD
• G a Carmichael Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Carthage, MS
  • NPI 1043974033
  NPD
• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902
  NPD
• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tougaloo, MS
  • NPI 1982746087
  NPD (past)
• G a Carmichael Family Health Center Inc

  • Family Medicine Physician
  • Belzoni, MS
  • NPI 1396363503
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1548459019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-936-3833",
            "fax_number": "601-936-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084226",
            "telephone_number": "601-936-3833",
            "fax_number": "601-936-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "EUREKIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06781511",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Fay Ross, MD
• Christopher Richard Roy, PTA
• Jonathan David Sadler, DO
• Sams East Inc (Sams Pharmacy 10-4790)
• Lucius F Sams III, MD
• Melissa E Sanders, DO
• Russell William Schulte, LPC
• Scooter Store-Jackson LLC (The SCOOTER Store/Alliance Seating & Mobility)
• Karen Edwards Seago, NP
• Serenity Counseling & Wellness, Inc

• Family Nurse Practitioner in Pearl, MS
• Providers in Pearl, 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 Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.