Individual provider Active NPI

Cinda Perryman, FNP

  • Family Nurse Practitioner
  • Fayette, MS
National Provider Identifier
1841699758
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R870575 Issued in MS
Practice address
225 Community Dr
Fayette, MS 39069-7701
Phone
(601) 786-8655
Fax
(601) 786-8656
NPI assigned
Aug 15, 2014
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 R870575 MS Primary

Addresses

Primary practice location

225 Community Dr
Fayette, MS 39069-7701

Mailing address

PO Box 36
Fayette, MS 39069-0036
Phone (601) 786-8655

Other identifiers 1

IdentifierTypeStateIssuer
01573825MedicaidMS

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
I20161130000482 MS Practitioner - Nurse Practitioner 6709166275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 Community Dr
Fayette, MS 39069-7701
Phone (601) 786-8655

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R870575MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Hospital CurrentSince Apr 21, 2020 Accepting new patients
Prime Health & Wellness CurrentSince Jul 2, 2019 Accepting new patients
Jefferson County Hospital CurrentSince Apr 21, 2020 Accepting new patients
Prime Health and Wellness Family Past Accepting new patients

Locations

225 Community Dr
Fayette, MS 39069
Phone (601) 786-2475

870 Main St
Fayette, MS 39069
Phone (601) 786-3401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13136/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1841699758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390690036",
            "telephone_number": "601-786-8655",
            "fax_number": "601-786-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMMUNITY DR",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390697701",
            "telephone_number": "601-786-8655",
            "fax_number": "601-786-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "CINDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R870575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573825",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayette, MS

Sources for this page

Verify at the official NPI Registry.