Harmony House Calls LLC
Organization Active NPI Family Nurse Practitioner · Jackson, MS
NPI 1669987723 · NPPES record last updated Jun 27, 2018
Key facts
- NPI
- 1669987723
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- HARMONY HOUSE CALLS LLC
- Practice address
- 5140 Galaxie Dr Ste 105
Jackson, MS 39206 - Phone
- (601) 300-3935
- Fax
- (769) 241-0003
- NPI assigned
- Dec 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Stacia M Dunson, FNP
- Title
- President
- Phone
- (601) 715-0395
Practitioners 5
-
Callie Brown Hall, FNP-C
-
M'Tajia Altman, FNP-C
-
Lavechelle Pillers, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180314002084 | MS | Part B Supplier - Clinic/Group Practice | 9931461753 |
Receives reassigned benefits from 3 practitioners Practice locations: Flowood, MS |
National Provider Directory
Locations
5140 Galaxie Dr
Ste 105
Jackson, MS 39206
Phone (601) 300-3935
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
5140 Galaxie Dr Ste 105
Jackson, MS 39206
Mailing address
PO Box 320234
Flowood, MS 39232-0234
Phone (601) 715-0395
Other practice location 1
1084 Flynt Dr Ste 421
Flowood, MS 39232-9736
Phone (769) 251-5007
Other providers in Jackson, MS
- Mallory Brooke Harmon
- Steven Maxwell Harmon
- Taylor Nicole Harmon
- Harmonizing Community Care Agency
- Harmony Court Assisted Living Home Inc
- Harmonycares Complete Health Services, PLLC
- Harmonycares Complete Health Services, PLLC
- Roy Chester Harness
- Harper Health Services Inc
- Ayonia Lavone Harper
All providers in Jackson, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.