Patricia Bullock, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R852050 Issued in MS

Practice address

403 Pine St
Taylorsville, MS 39168-5659

Phone

(601) 452-7080

Fax

(601) 452-7083

NPI assigned

Mar 28, 2011

Last updated

Dec 2, 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

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange Grove Urgent CareGroup PAC ID 6103978721, 11 clinicians

Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians

Maxem Health Urgent Care MageeGroup PAC ID 9537419643, 16 clinicians

Hattiesburg Urgent Care LLCGroup PAC ID 4981913308, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
• Magee General Hospital Hospital, Magee, MS, CCN 250124
• South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058
• Smith County Emergency Hospital Hospital, Raleigh, MS, CCN 250786

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

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.

• Hattiesburg Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1164805156
  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Magee

  dba Magee Urgent Care

  • Urgent Care Clinic/Center
  • Magee, MS
  • NPI 1235669136
  Medicare reassignment Care Compare group NPD
• Orange Grove Urgent Care

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1831330661
  Medicare reassignment Care Compare group NPD
• Ocean Springs Urgent Care

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1871808022
  Medicare reassignment Care Compare group
• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment NPD
• Maxem Health Urgent Care McComb

  dba McComb Urgent Care

  • Urgent Care Clinic/Center
  • McComb, MS
  • NPI 1235619479
  Medicare reassignment NPD
• Mississippi Medical Clinic

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

  • Urgent Care Clinic/Center
  • Pascagoula, MS
  • NPI 1235442872
  Medicare reassignment NPD
• Picayune Urgent Care Clinic, LLC

  • Urgent Care Clinic/Center
  • Picayune, MS
  • NPI 1780723502
  Medicare reassignment NPD
• Pioneer Health Care , LLC

  • General Practice Physician
  • Bassfield, MS
  • NPI 1336384742
  Medicare reassignment NPD
• Petal Urgent Care LLC

  • Urgent Care Clinic/Center
  • Petal, MS
  • NPI 1982908877
  Medicare reassignment
• Covington County Hospital

  dba Smith County EH Pro Fees

  • Emergency Medical Services (Emergency Medicine) Physician
  • Raleigh, MS
  • NPI 1003654567
  NPD

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

• Covington County Hospital

  dba Smith County Emergency Hospital

  • Rural Acute Care Hospital
  • Raleigh, MS
  • NPI 1043051543
  Care Compare affiliation
• Home Health Care Affiliates of Central Mississippi, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Flowood, MS
  • NPI 1417935578
  Care Compare affiliation
• South Central Regional Medical Center

  • General Acute Care Hospital
  • Laurel, MS
  • NPI 1619973542
  Care Compare affiliation
• South Central Regional Medical Center

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1679862817",
    "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": "BULLOCK",
        "first_name": "PATRICIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R852050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenesha Coats
• Covington County Hospital (CCH Clinic Taylorsville)
• Nicholas James Cvach
• Dental Professionals of Mississippi, P.C. (Taylorsville Dental Care)
• Divine Behavioral Solutions

• 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 Dec 2, 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.