Mable C Purnell, CCMA, MEDICAL DATA

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

Z3X2A4K5 Issued in MS

Practice address

2460 Terry Rd Ste 350
Jackson, MS 39204-5792

Phone

(601) 946-3926

NPI assigned

Jan 7, 2021

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1720676422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 HARVEY CIR",
            "city": "BOLTON",
            "state": "MS",
            "postal_code": "390419471",
            "telephone_number": "601-946-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TERRY RD STE 350",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392045792",
            "telephone_number": "601-946-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "MABLE",
        "middle_name": "C",
        "credential": "CCMA, MEDICAL DATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "Z3X2A4K5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "84-5046661",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84-5046661",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscilla Elizabeth Pulliam, N.P.
• Louis V Puneky, MD
• Kevin Francis Purcell, MD
• Katherine Elise Purdom
• Pure Luxe Beauty and Bundles LLC
• Amanda Kimbrell Purser, CFNP
• Christina Purviance, WHNP
• Hollis Langston Purviance III, CFNP
• Purvis Counseling & Consulting LLC
• James K. Purvis, M.D.

• Home Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.