Airston Small Moses, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

905497 Issued in MS

Practice address

840 N Oak Ave
Ruleville, MS 38771-3227

Phone

(662) 756-4024

NPI assigned

Aug 15, 2022

Last updated

Sep 4, 2024By the provider in NPPES

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

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Medicare reassignment NPD
• North Sunflower Medical Center

  dba Cleveland Medical Clinic

  • Family Medicine Physician
  • Cleveland, MS
  • NPI 1891705133
  Medicare reassignment NPD
• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731

  MS

  Medicare reassignment NPD
• North Sunflower Medical Center

  dba NSMC Pro Fees

  • Hospitalist Physician
  • Ruleville, MS
  • NPI 1013128644
  NPD
• North Sunflower Medical Center

  dba Sunflower Greenwood Clinic

  • Rural Health Clinic/Center
  • Greenwood, MS
  • NPI 1063292464
  NPD
• North Sunflower Medical Center

  dba Sunflower Greenwood Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, MS
  • NPI 1730903287
  NPD
• Pain Treatment Centers of America, PLLC

  dba Family Care Centers of America

  • Family Medicine Physician
  • Rolling Fork, MS
  • NPI 1740946573
  NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD

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

• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1780302935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E PRESIDENT AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389303516",
            "telephone_number": "662-897-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N OAK AVE",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387713227",
            "telephone_number": "662-756-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "AIRSTON",
        "middle_name": "SMALL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loving Care Daycare
• Charles Lucas, PARAMEDIC
• Mississippi Commcare Corporation a Non Profit Corporation (Ruleville Community Care Center)
• Mississippi State Department of Health
• Cary H Moore
• Brantley Paul Nichols, DMD
• North Sunflower Medical Center (NSMC Pro Fees)
• North Sunflower Medical Center (North Sunflower Medical Center - CRNA)
• North Sunflower Medical Center (Sunflower Rural Health Clinic)
• North Sunflower Medical Center

• Family Nurse Practitioner in Ruleville, MS
• Providers in Ruleville, 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 Sep 4, 2024; 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.