Marimichael Hill Byrd, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904846 Issued in MS

Practice address

1730 Dorchester Dr
Southaven, MS 38671-5723

Phone

(731) 394-1145

NPI assigned

Aug 31, 2021

Last updated

Jun 7, 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

Other names 1

• Marimichael Ashton Hill Former name

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Diversicare of Southaven Nursing home, Southaven, MS, CCN 255109

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

• Ultra Health LLC

  dba Ultra Health Provders

  • Geriatric Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1922469543

  MS

  Medicare reassignment Care Compare group NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Women's and Children's Clinic

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222
  Medicare reassignment NPD
• Easy Health Medical Solutions PC

  • Nurse Practitioner
  • Fulton, MD
  • NPI 1972179141

  MS

  Medicare reassignment NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Medical Center

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD
• Diversicare of Southaven, LLC

  dba Diversicare of Southaven

  • Skilled Nursing Facility
  • Southaven, MS
  • NPI 1801341896
  NPD (past)

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

• Diversicare of Southaven, LLC

  dba Diversicare of Southaven

  • Skilled Nursing Facility
  • Southaven, MS
  • NPI 1801341896

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1790453249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002",
            "fax_number": "662-510-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 DORCHESTER DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715723",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Barnes Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040909",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-510-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MARIMICHAEL",
        "middle_name": "HILL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIMICHAEL",
            "last_name": "HILL",
            "middle_name": "ASHTON",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth Bradley Bush II, RPH
• Jahed Bushnaq, MD
• Dekimberly Butler, MSW, PCMHT
• Mattie Butler, PLPC
• Joseph Anthony Bynum, M.D.
• C.E. Brown Dental PLLC
• Ludmila A Cahana, APRN
• Raymond Bennett Caldwell IV, PA-C
• Melanie Calhoun
• Jorge I Calzada, M.D.

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, 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 Jun 7, 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.