McFatter Family Medical, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MCFATTER FAMILY MEDICAL, LLC

Practice address

710 Highland Colony Pkwy Ste a
Ridgeland, MS 39157-8701

Phone

(601) 398-9886

Fax

(601) 398-9885

NPI assigned

Jul 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Hurley McFatter

Title

Owner

Phone

(601) 398-9886

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Brad Castle, MD

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1538138391
  Medicare reassignment Care Compare group NPD
• Geraldine Chaney, MD

  • Pediatrics Physician
  • Jackson, MS
  • NPI 1699716241
  Medicare reassignment Care Compare group NPD
• Jonathan Adam Giangrosso, FNP-BC

  • Family Nurse Practitioner
  • Magee, MS
  • NPI 1972113439
  Medicare reassignment Care Compare group NPD
• Kayla Bailey Harris, NP

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1114545464
  Medicare reassignment Care Compare group NPD
• Antonella Marchionna, NP-C

  • Family Nurse Practitioner
  • Brandon, MS
  • NPI 1790180107
  Medicare reassignment Care Compare group NPD
• Lauren Mize

  • Nurse Practitioner
  • Madison, MS
  • NPI 1598414765
  Medicare reassignment Care Compare group NPD
• Hunter Vaughn, NP

  • Family Nurse Practitioner
  • Madison, MS
  • NPI 1740842426
  Medicare reassignment Care Compare group NPD
• Gabriel Martin Ibarra, PA

  • Medical Physician Assistant
  • Canton, MS
  • NPI 1518521145
  Medicare reassignment Care Compare group
• Meghan Blankenship, NP

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1205307543
  Medicare reassignment NPD
• Lyndsey Fry Carlton, NP-C

  • Family Nurse Practitioner
  • Byram, MS
  • NPI 1518369180
  Medicare reassignment NPD
• Virginia Caitlin Gill

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1558097444
  Medicare reassignment NPD
• Barbara Kendrick

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1134152424
  Medicare reassignment NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1811660293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COVINGTON CV",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391104581",
            "telephone_number": "601-398-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HIGHLAND COLONY PKWY STE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578701",
            "telephone_number": "601-398-9886",
            "fax_number": "601-398-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFATTER FAMILY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MCFATTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HURLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-398-9886"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnece McCrary
• Kyle McCullouch, DPT
• Emily McDaniel, PTA
• Sam-Ath Sao McDaniel, PTA
• Melissa Pitcock McElroy, PT
• Laquita McGee
• Dorothy J McGill, PHD, LCMHT
• Jennifer Kate McGowen, PTA
• Laney McGuffee
• Christy McHenry

• Urgent Care Clinic/Center in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Urgent Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.