Fulumirani McCoy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904010 Issued in MS

Practice address

571 Mitchell St Ste C
Guntown, MS 38849-8500

Phone

(662) 348-3342

NPI assigned

Jul 27, 2021

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Care Family Medicine, LLCGroup PAC ID 7214256601, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.92 of 100Reported as group

Quality

71.84

Promoting interoperability

95

Improvement activities

40

Cost

84.41

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fulumirani.mccoy.1@12573.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12573/brand/1/csg/1/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.

• Elite Care Family Medicine, LLC

  • Primary Care Clinic/Center
  • Guntown, MS
  • NPI 1194128306
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1598438483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 COUNTY ROAD 194",
            "city": "SHERMAN",
            "state": "MS",
            "postal_code": "388289102",
            "telephone_number": "662-255-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 MITCHELL ST STE C",
            "city": "GUNTOWN",
            "state": "MS",
            "postal_code": "388498500",
            "telephone_number": "662-348-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "FULUMIRANI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@guntownclinic.com",
            "affiliation": "N",
            "address_1": "571 Mitchell St Ste C",
            "city": "Guntown",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388498500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elite Care Family Medicine, LLC
• Brookelyn Griffin, CRNA
• William Colton Harris, FNP
• Sabrina Latesha Hill Wright
• Rebecca Hill
• Kevin Oneal Miller, NP
• Mary Katherine Oglesby, MCD, CCC-SLP
• Jennifer T Porter, LCSW
• Brenda Sensing
• Loretta Jean Smith, FNP

• Family Nurse Practitioner in Guntown, MS
• Providers in Guntown, 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 8, 2024; 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.