NPIMap

Individual provider Active NPI

Brenda Thrash, FNP

  • Family Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1881909125
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R588458 Issued in MS
Practice address
1056 Holland Ave
Philadelphia, MS 39350-9121
Phone
(601) 656-8545
Fax
(601) 656-3985
NPI assigned
Aug 11, 2010
Last updated
Nov 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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 R588458 MS Primary

Addresses

Primary practice location

1056 Holland Ave
Philadelphia, MS 39350-9121

Mailing address

1056 Holland Ave
Philadelphia, MS 39350-9121
Phone (601) 656-8545

Other identifiers 1

IdentifierTypeStateIssuer
04634811MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110720000635 MS Practitioner - Nurse Practitioner 8022286947 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Med Care, LLCGroup PAC ID 7618866021, 77 clinicians
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R588458MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neshoba County General Hospital CurrentSince Jan 29, 2017 Accepting new patients
Neshoba County General Hospital CurrentSince Jan 29, 2017 Accepting new patients
Neshoba County General Hospital Current Accepting new patients
MDB Care Management LLC CurrentSince Nov 1, 2025 Accepting new patients
Minor Med Care, LLC CurrentSince Nov 1, 2025 Accepting new patients
Uppal Medical Center LLC CurrentSince Nov 1, 2025 Accepting new patients
Minor Med Care, LLC CurrentSince Nov 1, 2025 Accepting new patients
MDB Behavioral Health Services LLC CurrentSince Oct 17, 2025 Accepting new patients
SHC Medical Partners of Mississippi, LLC CurrentSince May 1, 2024 Accepting new patients
Integrated Care Professionals of Mississippi, LLC CurrentSince Aug 14, 2017 Accepting new patients
Icp Mississippi Aco Billing, LLC CurrentSince May 10, 2021 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373

215 Katherine Dr
#A
Jackson, MS 39232

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

1056 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-1465

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

Organizations & group practices 11

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 3

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1881909125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393509121",
            "telephone_number": "601-656-8545",
            "fax_number": "601-656-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 HOLLAND AVE",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393509121",
            "telephone_number": "601-656-8545",
            "fax_number": "601-656-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASH",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R588458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04634811",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.