Amanda Cranford, FNP
Individual provider Active NPI Family Nurse Practitioner · Meridian, MS
NPI 1962801779 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1962801779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R882638 (MS)
- Practice address
- 1800 12TH St Ste 1D
Meridian, MS 39301-4158 - Phone
- (601) 703-9165
- NPI assigned
- Aug 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rush Medical Foundation
Practice addresses (Care Compare)
603 S Archusa Ave
Ochsner Health Center Quitman
Quitman, MS 39355-2331
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355-2331
Phone (601) 776-6925
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017000540 | MS | Practitioner - Nurse Practitioner | 2466673355 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R882638 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients | |
| Kemper Cah, Inc | Family | Current |
Accepting new patients |
| Kemper Cah, Inc | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients |
Locations
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
5334 Dale Dr
Marion, MS 39342
Phone (601) 703-0130
1800 12th St
#1D
Meridian, MS 39301
Phone (601) 703-9541
1800 12th St
Ste 1D
Meridian, MS 39301
Phone (601) 703-9165
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R882638 | MS | Yes |
Addresses
Primary practice location
1800 12TH St Ste 1D
Meridian, MS 39301-4158
Mailing address
1800 12TH St Ste 1D
Meridian, MS 39301-4158
Phone (601) 703-9165
Other providers in Meridian, MS
- Johnny Lee Cosby
- Cassandra Courtney
- Amy Covington
- Mary Ann Cowart
- Chauncey Craig
- James P Cranford
- Creative Health Care Management LLC
- Creative Solutions Counseling Services PLLC
- Tonya G Creech
- Shelley Creighton
All providers in Meridian, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.