F.C. of Mississippi, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7294 Issued in MS

Legal business name

F.C. OF MISSISSIPPI, INC.

Doing business as

Intrepid USA Healthcare Services

Practice address

885 Ferncliff Drive
Suties 1 & 3
Southaven, MS 38671-2433

Phone

(662) 393-0109

Fax

(662) 393-4306

NPI assigned

Nov 20, 2015

Last updated

Oct 1, 2019By 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

John M Nix

Title

Cfo

Phone

(214) 445-3750

Specialties & licenses 1

Addresses

Other names 1

• Intrepid USA Healthcare Services Doing business as

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1891169306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 KELLER SPRINGS RD STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065911",
            "telephone_number": "214-442-0967",
            "fax_number": "214-445-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 FERNCLIFF DRIVE",
            "address_2": "SUTIES 1 & 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712433",
            "telephone_number": "662-393-0109",
            "fax_number": "662-393-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.C. OF MISSISSIPPI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-445-3750"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "7294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Caroline Evangelisti
• Paul Evans, P.T.
• Evelyn HIV World Consult (Evelyn Dobson)
• Eye Care Surgery Center of Southaven,LLC
• Priti Prakash Ezhuvathra, MD
• Le'Brianna Fairley
• Golnaz Fakour Bayat Shirazi, MD
• Family Cancer Center, PLLC
• Family Ear Nose & Throat Care
• Family Medical Clinic of North Ms Inc

• Home Health Agency in Southaven, MS
• Providers in Southaven, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.