Organization Active NPI

Hometown Care of North Mississippi, Inc

  • Family Nurse Practitioner
  • Okolona, MS
National Provider Identifier
1881358349
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOMETOWN CARE OF NORTH MISSISSIPPI, INC
Practice address
220 W Main St
Okolona, MS 38860-1425
Phone
(662) 282-7555
NPI assigned
Oct 29, 2021
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Andrea Carpenter, FNP-CNPI 1780169557
Title
Co-Owner
Phone
(662) 282-7555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

220 W Main St
Okolona, MS 38860-1425

Mailing address

PO Box 477
Mantachie, MS 38855-0477
Phone (662) 276-5065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220906002321 MS Part B Supplier - Clinic/Group Practice 8628452919 Receives reassigned benefits from 4 practitioners
Practice locations: Okolona, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2259455Hometown Care of North Mississippi220 W Main St, Okolona, MS 38860ComplianceMar 20, 2027

National Provider Directory

National Provider Directory

Locations

220 W Main St
Okolona, MS 38860
Phone (662) 276-5065

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1881358349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388550477",
            "telephone_number": "662-276-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388601425",
            "telephone_number": "662-282-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN CARE OF NORTH MISSISSIPPI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "662-282-7555",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okolona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.