Individual provider Active NPI

Brandy Blanton, CFNP

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1730538539
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363LF0000X Issued in MS
Practice address
101 Wilburn Way
Starkville, MS 39759-3693
Phone
(662) 323-9908
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 363LF0000X MS Primary

Addresses

Primary practice location

101 Wilburn Way
Starkville, MS 39759-3693

Mailing address

101 Wilburn Way
Starkville, MS 39759-3693
Phone (662) 323-9908

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161228000706 MS Practitioner - Nurse Practitioner 1951682236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
82.18
Promoting interoperability
92
Improvement activities
40
Cost
74.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
363LF0000XMSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince May 1, 2025 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince May 1, 2025 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Past Accepting new patients
John G Gassaway MD PastSince Oct 17, 2016 Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540

225 Tomlinson Dr
Starkville, MS 39759
Phone (662) 328-1012

4 Professional Plz
Starkville, MS 39759
Phone (662) 323-3684

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1730538539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593693",
            "telephone_number": "662-323-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593693",
            "telephone_number": "662-323-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "BRANDY",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "363LF0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.