Debbie Zachary, CNFP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R501433 Issued in MS

Practice address

1081 Second St
Osyka, MS 39657-8076

Phone

(601) 542-3300

Fax

(601) 542-5999

NPI assigned

May 10, 2006

Last updated

May 14, 2013By 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 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Bridging Community With Healthcare, LLC

  dba Brookhaven Health and Wellness Center

  • Primary Care Clinic/Center
  • Brookhaven, MS
  • NPI 1043627987
  Medicare reassignment NPD
• Jennifer D Gholson MD, LLC

  • Family Medicine Physician
  • Summit, MS
  • NPI 1487967410
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1932158482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396520351",
            "telephone_number": "601-542-3300",
            "fax_number": "601-542-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 SECOND ST",
            "city": "OSYKA",
            "state": "MS",
            "postal_code": "396578076",
            "telephone_number": "601-542-3300",
            "fax_number": "601-542-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY",
        "first_name": "DEBBIE",
        "name_prefix": "Ms.",
        "credential": "CNFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R501433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117273",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracious Blessings LLC
• Healing Innovations LLC
• Blaire McMillan, MS, CF-SLP
• South Pike (Osyka Elementary Children's Clinic)
• South Pike Hospital Association, Inc (Osyka Family Clinic)

• Family Nurse Practitioner in Osyka, MS
• Providers in Osyka, 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 May 14, 2013; 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.