Individual provider Active NPI

Yalinda Smith Roach, FNP

  • Family Nurse Practitioner
  • Itta Bena, MS
National Provider Identifier
1891519286
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907070 Issued in MS
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

Updated by the provider on Dec 22, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121000467 MS Practitioner - Nurse Practitioner 1456880442 Reassigns benefits to 2 organizations

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
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians

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 Hospital, Greenwood, MS, CCN 250099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907070MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G a Carmichael Family Health Center, Inc CurrentSince Nov 18, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 1, 2025 Accepting new patients
G a Carmichael Family Health Center Inc CurrentSince Nov 18, 2024 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

  • Direct secure messaging: yroach200833@ummc.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.