Individual provider Active NPI

Antonella Marchionna, NP-C

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1790180107
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R876088 Issued in MS
Practice address
1887 Spillway Rd
Brandon, MS 39047-6066
Phone
(601) 992-5532
Fax
(601) 992-5547
NPI assigned
Oct 28, 2014
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 R876088 MS Primary

Addresses

Primary practice location

1887 Spillway Rd
Brandon, MS 39047-6066

Mailing address

P O Box 2153 Dept 1947
Birmingham, AL 35287-0001
Phone (601) 292-4562

Other practice location 1

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1000

Other practice location 2

1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1000

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
I20150818003574 MS Practitioner - Nurse Practitioner 9436464633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFatter Family Medical, LLCGroup PAC ID 0648678185, 8 clinicians

Practice addresses (Care Compare)

710 Highland Colony Pkwy
Suite a
Ridgeland, MS 39157-8701
Phone (601) 398-9886

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Clinic - Convenient Care CurrentSince Oct 1, 2015 Accepting new patients
Medical Foundation of Central Ms CurrentSince Oct 1, 2015 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
McFatter Family Medical, LLC CurrentSince Oct 23, 2021 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Jan 1, 2016 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Current Accepting new patients
Trustcare Primary Care, LLC PastSince Jul 8, 2017 Accepting new patients

Locations

1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936

1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

Interoperability endpoints

  • Direct secure messaging: amarchionna178330@direct.bmhcc.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1790180107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2153 DEPT 1947",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352870001",
            "telephone_number": "601-292-4562",
            "fax_number": "601-974-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SPILLWAY RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476066",
            "telephone_number": "601-992-5532",
            "fax_number": "601-992-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHIONNA",
        "first_name": "ANTONELLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R876088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.