Individual provider Active NPI

Donielle Carter

  • Family Nurse Practitioner
  • Holly Springs, MS
National Provider Identifier
1942051024
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906561 Issued in MS
Practice address
603 Craft St
Holly Springs, MS 38635-3250
Phone
(662) 333-8070
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 906561 MS Primary

Addresses

Primary practice location

603 Craft St
Holly Springs, MS 38635-3250

Mailing address

PO Box 306415
Nashville, TN 37230-6415

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
I20240412001898 MS Practitioner - Nurse Practitioner 2567801376 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC Family CurrentSince Apr 1, 2024 Accepting new patients
Northeast Mississippi Health Care, Inc. Current Accepting new patients
Northeast Mississippi Health Care, Inc. CurrentSince May 12, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

12 Brunswick St
Byhalia, MS 38611
Phone (601) 838-2163

603 Craft St
Holly Springs, MS 38635
Phone (662) 333-8070

602 Craft St
Holly Springs, MS 38635
Phone (662) 333-8070

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECABD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1942051024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306415",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CRAFT ST",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353250",
            "telephone_number": "662-333-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DONIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

Verify at the official NPI Registry.