Kelvinna McLemore Alexander, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R875811 Issued in MS

Practice address

1911 Read Rd
Picayune, MS 39466-2730

Phone

(601) 251-3500

Fax

(601) 251-3504

NPI assigned

Mar 24, 2013

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Kelvinna R McClemore Other name

Medicare fee-for-service enrollment

Enrolled in MS, WV, VA, AR, PA, MN, DE7 enrollments

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 7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Fayetteville, N College Avenue

  • Urgent Care Clinic/Center
  • Fayetteville, AR
  • NPI 1578984357
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Bluefield

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878
  Medicare reassignment NPD
• Medexpress, Inc - Delaware

  dba MedExpress - Wilmington Concord Pike

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182
  Medicare reassignment NPD
• Urgent Care, PC - Pennsylvania

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1982839031
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Dwic of Tampa Bay, Inc.

  dba MedExpress Urgent Care - Northside

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1023067220
  NPD
• Dwic of Tampa Bay, Inc.

  dba MedExpress Urgent Care - Carrollwood

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1215986344
  NPD
• Dwic of Tampa Bay, Inc.

  dba MedExpress Urgent Care - Clearwater

  • Urgent Care Clinic/Center
  • Clearwater, FL
  • NPI 1780633834
  NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Pine Bluff, S Olive St

  • Urgent Care Clinic/Center
  • Pine Bluff, AR
  • NPI 1154784882
  NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  dba MedExpress Urgent Care - Boca Raton

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1245506807
  NPD
• Medexpress Urgent Care of Boynton Beach, LLC

  dba MedExpress Urgent Care - Boynton Beach

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1366544728
  NPD

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

{
    "created_epoch": "1364083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1912249343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-3700",
            "fax_number": "601-450-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662730",
            "telephone_number": "601-251-3500",
            "fax_number": "601-251-3504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Fortress Blvd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081351",
            "country_code": "US",
            "telephone_number": "304-225-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KELVINNA",
        "middle_name": "MCLEMORE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-24",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R875811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PIN",
            "identifier": "3661624",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "12587886",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00377010",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELVINNA",
            "last_name": "MCCLEMORE",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roddreka Tarnesha Adams
• Advanced Eyecare, LLC
• Advanced Laparoscopic Associates of Ms PC
• Betty Jo Alexander, NP
• Kaylen Alexander, OT
• James Brian Allen, DPT
• Miranda Lynn Alphonso, PHARMD
• Calie Marie Alsobrooks
• Amedisys Mississippi, LLC (Amedisys Home Health of Picayune)
• Joseph Anderson, PMHNP-BC

• Family Nurse Practitioner in Picayune, MS
• Providers in Picayune, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.