Organization Active NPI

New Hope Family Medical Clinic

  • Clinic/Center
  • Columbus, MS
National Provider Identifier
1699400184
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NEW HOPE FAMILY MEDICAL CLINIC
Practice address
2110 Lake Lowndes Rd
Columbus, MS 39702-9655
Phone
(662) 798-0445
Fax
(833) 962-3812
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mrs. Carrie Dozier, NP-CNPI 1164906186
Title
Nurse Practitioner/Owner
Phone
(662) 798-0445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2110 Lake Lowndes Rd
Columbus, MS 39702-9655

Mailing address

2110 Lake Lowndes Rd
Columbus, MS 39702-9655
Phone (662) 798-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216002081 MS Part B Supplier - Clinic/Group Practice 8628447463 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1699400184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LAKE LOWNDES RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397029655",
            "telephone_number": "662-798-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 LAKE LOWNDES RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397029655",
            "telephone_number": "662-798-0445",
            "fax_number": "833-962-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "662-798-0445",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.