Mississippi Primary Care Ms

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

MISSISSIPPI PRIMARY CARE MS

Practice address

7112 S Siwell Rd Ste C
Byram, MS 39272-8744

Phone

(601) 622-5620

Fax

(601) 510-3883

NPI assigned

Oct 6, 2025

Organization subpart

No

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

Authorized official

Name

Chatina Spears Martin, NPNPI 1104387695

Title

Provider/Administrator

Phone

(601) 398-2847

Specialties & licenses 1

Addresses

Other identifiers 1

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 1

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

• Chatina Spears Martin, NP

  • Adult Health Nurse Practitioner
  • Byram, MS
  • NPI 1104387695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1821962440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 S SIWELL RD STE C",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728744",
            "telephone_number": "601-398-2847",
            "fax_number": "601-510-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 S SIWELL RD STE C",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728744",
            "telephone_number": "601-622-5620",
            "fax_number": "601-510-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI PRIMARY CARE MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHATINA",
        "authorized_official_middle_name": "SPEARS",
        "authorized_official_title_or_position": "PROVIDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "601-398-2847",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000135719",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie McKee, MPT
• Mea Primary Care Plus, LLC
• Medical Foundation of Central Mississippi, Inc.
• Medicomp, Inc
• Mississippi Eyecare Associates of Byram, PLLC.
• Cheryl Moreland, PH.D.
• Hoby Mullins
• New Life Counseling and Consulting Services
• Tiffany V Ngo, PHARMD
• Shameka Nichols-Collins

• Primary Care Nurse Practitioner in Byram, MS
• Providers in Byram, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.