Family Clinic of Cotton Plant, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY CLINIC OF COTTON PLANT, LLC

Practice address

100 County Road 714
Blue Mountain, MS 38610-9743

Phone

(662) 538-4111

Fax

(662) 538-4128

NPI assigned

Aug 10, 2011

Last updated

Aug 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi Jo Lambert, FNP

Title

Nurse Practitioner/Co-Owner

Phone

(662) 538-4111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1891074779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD 714",
            "city": "BLUE MOUNTAIN",
            "state": "MS",
            "postal_code": "386109743",
            "telephone_number": "662-538-4111",
            "fax_number": "662-538-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD 714",
            "city": "BLUE MOUNTAIN",
            "state": "MS",
            "postal_code": "386109743",
            "telephone_number": "662-538-4111",
            "fax_number": "662-538-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC OF COTTON PLANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/CO-OWNER",
        "authorized_official_telephone_number": "662-538-4111",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Mountain Family Medicine Clinic
• Donna Cannon, FNP-C
• Meagan Childs
• Cotton Plant Clinic
• Paula Decanter, FNP
• Briana Frazier, CNA
• Kaitlin Danielle Horne
• Phyllis Gail Koonce, CFNP
• Madison Laney
• Leigh Lovell, CERTIFIED PHARMACY T

• Rural Health Clinic/Center in Blue Mountain, MS
• Providers in Blue Mountain, MS by specialty
• Rural Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.