Sanedra Pegues

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

4754 Dubarry LN
Jackson, MS 39209-4929

Phone

(601) 212-9457

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magnolia Sitters, LLC

  • In Home Supportive Care Agency
  • Jackson, MS
  • NPI 1861979866
  NPD (past) Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1689151789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 DUBARRY LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094929",
            "telephone_number": "601-212-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4754 DUBARRY LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392094929",
            "telephone_number": "601-212-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUES",
        "first_name": "SANEDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chere Hunter Peel, M.D.
• Holly Peeples, M.D.
• Samuel H Peeples, M.D.
• Rachel Wilson Peery, M.D.
• J'Undra Nicole Pegues, MD
• Dora M Pelletier, MD
• Melissa B Pender, NP
• Brianna Michelle Pendergrass, FNP-BC
• Desiree Buehler Pendergrass, M.D.
• Jake Martin Penick, CRNA

• In Home Supportive Care Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.