Family First Healthcare Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

901910 Issued in MS

Legal business name

FAMILY FIRST HEALTHCARE CLINIC

Practice address

2322 Highway 43 S Ste C
Picayune, MS 39466-7325

Phone

(769) 242-2525

Fax

(769) 242-2526

NPI assigned

Jul 5, 2017

Organization subpart

No

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

Authorized official

Name

Christie L Kellar, ARNPNPI 1184161457

Title

Provider/Owner

Phone

(601) 347-7361

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Tax ID family

Family First Healthcare Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fleming Family Wellness, LLC

  • Clinic/Center
  • Picayune, MS
  • NPI 1801652904
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16354/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Kellar, FNP-C

  • Family Nurse Practitioner
  • Picayune, MS
  • NPI 1184161457
  Medicare reassignment Care Compare group NPD Authorized official
• Glenn A Butt, M.D.

  • Internal Medicine Physician
  • Picayune, MS
  • NPI 1902992894
  Medicare reassignment Care Compare group NPD
• Matthew Blake Fleming, FNP

  • Family Nurse Practitioner
  • Picayune, MS
  • NPI 1134904675
  Medicare reassignment Care Compare group NPD
• Adrienne Nicole Whitfield, APRN, CFNP

  • Family Nurse Practitioner
  • Picayune, MS
  • NPI 1902076011
  Medicare reassignment NPD

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962923573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 HIGHWAY 43 S STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667325",
            "telephone_number": "769-242-2525",
            "fax_number": "769-242-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 HIGHWAY 43 S STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394667325",
            "telephone_number": "769-242-2525",
            "fax_number": "769-242-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "601-347-7361",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "901910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embody Institute of Functional Health
• Enhanced Care Labs & Screening
• Eric N. Tabor, M.D. a.P.M.C (Pearl River Dermatology)
• Every Day Joy Counseling Services LLC.
• Andrew L. Failla, R.PH
• Erika Famularo
• Stephanie Deanne Farrell, SPEECH PATHOLOGIST
• Brittany Bates Faught, PT, DPT
• Deven Fejka Cameron, FNP-C, PMHNP-C
• Fleming Family Wellness, LLC

• Clinic/Center in Picayune, MS
• Providers in Picayune, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.