Active NPI
Katrina Renae Cotton, FNP
- Family Nurse Practitioner
- Greenwood, MS
National Provider Identifier
1780935841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R872095
- Practice address
- 1405 River Road
Greenwood, MS 38935-1410 - Phone
- (662) 459-7285
- Fax
- (662) 459-1147
- NPI assigned
- Sep 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R872095 | MS | Primary |
Addresses
Primary practice location
1405 River Road
Greenwood, MS 38935-1410
Mailing address
1401 River Rd
Greenwood, MS 38930-4030
Phone (662) 459-7285
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130716000131 | MS | Practitioner - Nurse Practitioner | 1850531815 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minor Med Care, LLCUppal Medical Center LLCMDB Behavioral Health Services LLC
Practice addresses (Care Compare)
120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341
1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830
1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598
Hospital & facility affiliations
- Greenwood Leflore Hospital
- Delta Health System - the Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R872095 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDB Care Management LLC | Current | Accepting new patients | |
| MDB Behavioral Health Services LLC | Current | Accepting new patients | |
| Uppal Medical Center LLC | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | Accepting new patients | |
| Greenwood Leflore Hospital | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | Accepting new patients | |
| Mallory Community Health | Past | Accepting new patients | |
| Mallory Community Health | Past | Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Locations
1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149
215 Katherine Dr
#A
Jackson, MS 39232
2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117
Interoperability endpoints
- katrina.cotton.1@19209.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Raymond, MS
- NPI 1669575627
-
- Gastroenterology Physician
- Greenwood, MS
- NPI 1689633950
-
- Federally Qualified Health Center (FQHC)
- Lexington, MS
- NPI 1740624881
-
- Federally Qualified Health Center (FQHC)
- Durant, MS
- NPI 1902923527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1780935841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 RIVER RD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389304030",
"telephone_number": "662-459-7285",
"fax_number": "662-459-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 RIVER ROAD",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389351410",
"telephone_number": "662-459-7285",
"fax_number": "662-459-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTON",
"first_name": "KATRINA",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R872095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.