Active NPI
Carrie Renee Nash, D.O.
- Family Medicine Physician
- Brandon, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19824
- Practice address
- 1490 W. Government St
#10
Brandon, MS 39042 - Phone
- (601) 825-1936
- Fax
- (601) 825-1937
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19824 | MS | Primary |
Addresses
Primary practice location
1490 W. Government St
#10
Brandon, MS 39042
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07387543 | Medicaid | MS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Physicians and Surgeons, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261
1490 W Government St
Suite 10
Brandon, MS 39042-3024
Phone (601) 825-1936
401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504
Hospital & facility affiliations
- Mississippi Homecare of Jackson
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Adoration Home Health
- Enhabit Home Health
- Mississippi Baptist Medical Center
- Mississippi Methodist Rehab Ctr
- St Dominic-Jackson Memorial Hospital
- Merit Health Women'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.38 of 100
- Quality
- 54.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19824 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magee Benevolent Association | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Family Medicine | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Current | Accepting new patients |
| Magee Benevolent Association | Current | Accepting new patients | |
| Magee Benevoent Association | Current | Accepting new patients | |
| River Oaks Management Company LLC | Family Medicine | Past | Accepting new patients |
Locations
1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936
1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532
106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005
151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288
1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280
6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015
7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2173 Main St
Madison, MS 39110
Phone (601) 605-3858
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070
3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000
1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
Interoperability endpoints
- cnash149110@direct.bmhcc.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine
-
- Family Nurse Practitioner
- Raleigh, MS
- NPI 1225157258
-
- General Acute Care Hospital
- Magee, MS
- NPI 1295856755
-
- General Acute Care Hospital
- Magee, MS
- NPI 1679553994
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- Family Medicine Physician
- Jackson, MS
- NPI 1922029040
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vicksburg, MS
- NPI 1649285016
-
- Home Health Agency
- Vicksburg, MS
- NPI 1245288943
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
-
- Women's Hospital
- Jackson, MS
- NPI 1285681841
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
-
- Home Health Agency
- Clinton, MS
- NPI 1356482749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1851590871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"telephone_number": "901-227-3255",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 W. GOVERNMENT ST",
"address_2": "#10",
"city": "BRANDON",
"state": "MS",
"postal_code": "39042",
"telephone_number": "601-825-1936",
"fax_number": "601-825-1937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "CARRIE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "19824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07387543",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.