Individual provider Active NPI

Yvette Rochelle McLaurin, FNP-C

  • Family Nurse Practitioner
  • Canton, MS
National Provider Identifier
1659891257
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902119 Issued in MS
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
Fax
(601) 859-9477
NPI assigned
Jun 23, 2017
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902119 MS Primary

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

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
I20171004001948 MS Practitioner - Nurse Practitioner 5991070799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902119MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G a Carmichael Family Health Center Inc CurrentSince Jul 16, 2017 Accepting new patients
G a Carmichael Family Health Center, Inc CurrentSince Jul 16, 2017 Accepting new patients
G a Carmichael Family Health Center Inc Past Accepting new patients
G a Carmichael Family Health Center. Inc. Past Accepting new patients

Locations

1301 E First St
Belzoni, MS 39038
Phone (662) 247-3121

10340 Highway 433 W
Bentonia, MS 39040
Phone (662) 755-2518

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

364 Martin Luther King Dr
Canton, MS 39046
Phone (601) 859-3578

529 Mace St
Canton, MS 39046
Phone (601) 859-1028

740 E Academy St
Canton, MS 39046
Phone (601) 859-9475

3439 Vaughan Rd
Vaughan, MS 39179
Phone (662) 673-0373

110 N Jerry Clower Blvd
Ste L
Yazoo City, MS 39194
Phone (662) 746-0907

1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531

1825 Martin Luther King Dr
Yazoo City, MS 39194
Phone (662) 746-1514

1835 School Dr
Yazoo City, MS 39194
Phone (662) 716-0691

6789 Highway 49 Frontage Rd
Yazoo City, MS 39194
Phone (662) 746-6200

Interoperability endpoints

  • Direct secure messaging: yvette.mclaurin.p1@direct.gacfhc.nextgenshare.com

Organizations & group practices 4

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1659891257",
    "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": "601-859-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "YVETTE",
        "middle_name": "ROCHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.