Phyllis Fiveash, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R871915 Issued in MS

Practice address

2001 State Dr
Corinth, MS 38834-9324

Phone

(662) 286-3694

Fax

(901) 685-9718

NPI assigned

Feb 23, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
• Direct secure messaging: phyllisfiveash@magnolia.medalliesdirect.net

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.

• The West Clinic P.C.

  • Specialist
  • Germantown, TN
  • NPI 1447276605

  MS

  Medicare reassignment Care Compare group
• Magnolia Hospitalist Group

  • Hospitalist Physician
  • Corinth, MS
  • NPI 1457547838
  Medicare reassignment NPD
• Magnolia Physician Services, Inc

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1073827549
  Medicare reassignment NPD
• Magnolia Regional Health Center

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1649721457
  Medicare reassignment NPD
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Medicare reassignment NPD
• Magnolia Ear Nose & Throat

  • Otolaryngology Physician
  • Corinth, MS
  • NPI 1881132124
  NPD
• Magnolia Regional Health Center

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1093546566
  NPD
• Magnolia Regional Health Center

  • Certified Registered Nurse Anesthetist
  • Corinth, MS
  • NPI 1245410398
  NPD
• Magnolia Regional Health Center

  • Pulmonary Disease Physician
  • Corinth, MS
  • NPI 1689906117
  NPD
• Magnolia Regional Health Center

  • Emergency Medicine Physician
  • Corinth, MS
  • NPI 1922266857
  NPD
• Heartsouth PLLC

  • Cardiovascular Disease Physician
  • Hattiesburg, MS
  • NPI 1316967219

  Family

  NPD (past)
• The West Clinic P.C.

  • Specialist
  • Corinth, MS
  • NPI 1235201617
  NPD (past)

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

• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1689996282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ALCORN DR",
            "address_2": "STE 2C",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349073",
            "telephone_number": "901-683-0055",
            "fax_number": "901-685-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349324",
            "telephone_number": "662-286-3694",
            "fax_number": "901-685-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIVEASH",
        "first_name": "PHYLLIS",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05170544",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Acute Care Clinic, Inc
• Fast Pace Mississippi, PLLC
• Lauren Coleman Ferrell, OD
• First Step Rehabilitation Inc.
• Eric Fisher
• Alphonsus Ligouri Flannery, MD
• Patricia Kimberly Floyd, NURSE PRACTITIONER
• Kelsie Follin, FNP-C
• Formulaone Pharmaceuticals, LLC
• John Eric Foropoulos, M.D.

• Family Nurse Practitioner in Corinth, MS
• Providers in Corinth, 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 May 15, 2018; 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.