Individual provider Active NPI

Beverly M. Brown

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1881374288
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906107 Issued in MS
Practice address
719 County Road 313
Oxford, MS 38655-8295
Phone
(662) 801-2289
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 906107 MS Primary

Addresses

Primary practice location

719 County Road 313
Oxford, MS 38655-8295

Mailing address

719 County Road 313
Oxford, MS 38655-8295
Phone (662) 801-2289

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
I20240506001336 MS Practitioner - Nurse Practitioner 0446690549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care Clinic IncGroup PAC ID 5395656946, 30 clinicians

Practice addresses (Care Compare)

105 Legion Ave
Calhoun City, MS 38916-6601
Phone (662) 628-8267

1102 Telegraph St
Grenada, MS 38901-2838
Phone (601) 825-7280

123 N Front St
Winona, MS 38967-2239
Phone (601) 825-7280

125 Carter Dr
Calhoun City, MS 38916-7028
Phone (601) 825-7280

1732 Commerce St
Grenada, MS 38901-4615
Phone (662) 227-0187

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Single Specialty Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Family Health Care Clinic, Inc Past Accepting new patients

Locations

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500

102 Blackmur Dr
Water Valley, MS 38965
Phone (662) 473-2547

Interoperability endpoints

  • Direct secure messaging: beverly.brown@fhcc.eclinicaldirectplus.com

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 2

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1881374288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 COUNTY ROAD 313",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558295",
            "telephone_number": "662-801-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 COUNTY ROAD 313",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558295",
            "telephone_number": "662-801-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BEVERLY",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.