Chante Nicole Ferguson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

894623 Issued in MS

Practice address

403 Pine St
Taylorsville, MS 39168-5659

Phone

(601) 452-7080

Fax

(601) 452-7083

NPI assigned

Aug 17, 2020

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petal Urgent Care LLCGroup PAC ID 9133303811, 9 clinicians

Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians

Mississippi Medical Clinic of MendehallGroup PAC ID 0345782637, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Simpson General Hospital Cah Hospital, Mendenhall, MS, CCN 251317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mississippi Medical Clinic of Mendehall

  dba Mississippi Medical Clinic Mendenhall

  • Nurse Practitioner
  • Mendenhall, MS
  • NPI 1093499907
  Medicare reassignment Care Compare group NPD Authorized official
• Ocean Springs Urgent Care

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1871808022
  Medicare reassignment Care Compare group NPD
• Petal Urgent Care LLC

  • Urgent Care Clinic/Center
  • Petal, MS
  • NPI 1982908877
  Medicare reassignment Care Compare group NPD
• Mississippi Medical Clinic

  • Family Nurse Practitioner
  • Taylorsville, MS
  • NPI 1114694536
  Medicare reassignment NPD
• Hattiesburg Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1164805156
  Medicare reassignment
• Maxem Health Urgent Care Diberville

  • Urgent Care Clinic/Center
  • D'Iberville, MS
  • NPI 1265991608
  Medicare reassignment
• Maxem Health Urgent Care Flowood

  dba Flowood Urgent Care

  • Urgent Care Clinic/Center
  • Flowood, MS
  • NPI 1174070650
  Medicare reassignment
• Maxem Health Urgent Care Magee

  dba Magee Urgent Care

  • Urgent Care Clinic/Center
  • Magee, MS
  • NPI 1235669136
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Simpson Community Healthcare, Inc.

  dba Simpson General Hospital

  • Critical Access Hospital
  • Mendenhall, MS
  • NPI 1144339839
  Care Compare affiliation

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1568074151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PINE ST",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391685659",
            "telephone_number": "601-452-7080",
            "fax_number": "601-452-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PINE ST",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391685659",
            "telephone_number": "601-452-7080",
            "fax_number": "601-452-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CHANTE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "894623",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Behavioral Solutions
• Lawanda Nicole Ellis, FNP
• Family Health Care Clinic, Inc
• Family Health Care Clinic, Inc
• Family Health Center, Inc (Family Health Center/Taylorsville)
• Freds Xpress (Freds Stores of Tennessee Inc)
• John R. Harper, MD
• Hattiesburg Clinic PA (Taylorsville Medical Clinic)
• Lynwood Hightower
• Amanda Jacobs, D.M.D.

• Family Nurse Practitioner in Taylorsville, MS
• Providers in Taylorsville, 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 Nov 30, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.