M'Tajia Altman, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Flowood, MS
NPI 1831909159 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1831909159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 906810 (MS)
- Practice address
- 4814 Lakeland Dr
Flowood, MS 39232-8694 - Phone
- (601) 414-0730
- NPI assigned
- Jan 9, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250603004465 | MS | Practitioner - Nurse Practitioner | 3173032844 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906810 | MS | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony House Calls LLC | Current |
Accepting new patients |
Locations
4814 Lakeland Dr
Flowood, MS 39232
Phone (601) 414-0730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 906810 | MS | Yes |
Addresses
Primary practice location
4814 Lakeland Dr
Flowood, MS 39232-8694
Mailing address
53 Northtown Dr Apt 32X
Jackson, MS 39211-3802
Other providers in Flowood, MS
- Sarah Virginia Allen
- Amanda Brooke Allison
- Lisandra Almodovar Santiago
- Angela Bearden Alsbrook
- Altegra Health Connections, LLC
- Kristie Alvarez
- Always Hope Behavioral Health Services PLLC
- Always Hope Healthcare Services LLC
- Katlyn Amason
- Ambient Homecare LLC
All providers in Flowood, MS · Primary Care Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.