Megan Green Carpenter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903083 Issued in MS

Practice address

551 Medical Dr
Clarksdale, MS 38614-6733

Phone

(662) 624-2531

NPI assigned

Jan 2, 2019

Last updated

Jul 2, 2020By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Medical FoundationGroup PAC ID 2163777046, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Delta Medical Foundation

  dba Warrington Clinic

  • Rural Health Clinic/Center
  • Clarksdale, MS
  • NPI 1508363060
  Medicare reassignment Care Compare group NPD
• Delta Medical Foundation

  dba Family Medical Center

  • Rural Health Clinic/Center
  • Marks, MS
  • NPI 1720585490
  NPD

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

• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation
• Ways, LLC

  dba VitalCaring Group

  • Home Health Agency
  • Cleveland, MS
  • NPI 1215244017
  Care Compare affiliation

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1780157727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 PORTER DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149389",
            "telephone_number": "662-418-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 MEDICAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146733",
            "telephone_number": "662-624-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MEGAN",
        "middle_name": "GREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Jean Calhoun, LD
• Marica A Campbell, M.S.
• Mashella Dwyntwan Campbell
• Tammy Sherrell Campbell, FNP
• Care Givers, LLC (Clarksdale Nursing Center)
• Michele N Carroll
• April Danielle Carter, M.D.
• Kathryn Carter, ATC, LAT
• Reba T Carter, MS
• Celestial Comfort Care Hospice

• Family Nurse Practitioner in Clarksdale, MS
• Providers in Clarksdale, 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 Jul 2, 2020; 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.