Active NPI
Yalinda Smith Roach, FNP
- Family Nurse Practitioner
- Itta Bena, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 907070
- Practice address
- 103 Basket St
Itta Bena, MS 38941-2801 - Phone
- (662) 254-7801
- Fax
- (662) 254-9173
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907070 | MS | Primary |
Addresses
Primary practice location
103 Basket St
Itta Bena, MS 38941-2801
Mailing address
521 Red Bird Dr
Greenwood, MS 38930-7319
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213
200 Grand Blvd
Greenwood, MS 38930-3504
Phone (601) 859-5213
Hospital & facility affiliations
- Greenwood Leflore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907070 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G a Carmichael Family Health Center, Inc | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| G a Carmichael Family Health Center Inc | Current | Accepting new patients | |
| G a Carmichael Family Health Center. Inc. | Past | Accepting new patients | |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Locations
16463 US Highway 49
Belzoni, MS 39038
Phone (662) 247-1252
10340 Highway 433 W
Bentonia, MS 39040
Phone (662) 755-2518
1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050
364 Martin Luther King Dr
Canton, MS 39046
Phone (601) 859-3578
529 Mace St
Canton, MS 39046
Phone (601) 859-1028
303 W Franklin St
Carthage, MS 39051
Phone (601) 267-9658
1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603
103 Basket St
Itta Bena, MS 38941
Phone (662) 254-7801
3439 Vaughan Rd
Vaughan, MS 39179
Phone (662) 673-0373
6789 Highway 49 Frontage Rd
Yazoo City, MS 39194
Phone (662) 746-6200
1547 Jerry Clower Blvd
Yazoo City, MS 39194
Phone (662) 746-6531
1835 School Dr
Yazoo City, MS 39194
Phone (662) 716-0691
110 N Jerry Clower Blvd
Ste L
Yazoo City, MS 39194
Phone (662) 746-0907
Interoperability endpoints
- yroach200833@ummc.direct-ci.com
- https://e3f4c88c-f94a-4be5-b4f8-7a469cbd1c2a.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Canton, MS
- NPI 1801952809
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
-
- Federally Qualified Health Center (FQHC)
- Greenwood, MS
- NPI 1932095718
-
- Federally Qualified Health Center (FQHC)
- Yazoo City, MS
- NPI 1548327463
-
- Rural Health Clinic/Center
- Itta Bena, MS
- NPI 1003875394
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenwood, MS
- NPI 1699714717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1891519286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 RED BIRD DR",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389307319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 BASKET ST",
"city": "ITTA BENA",
"state": "MS",
"postal_code": "389412801",
"telephone_number": "662-254-7801",
"fax_number": "662-254-9173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "YALINDA",
"middle_name": "SMITH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Itta Bena, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.