Active NPI
Nurse Practitioner House Calls
- Family Nurse Practitioner
- Quitman, MS
National Provider Identifier
1982115945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 862287
- Legal business name
- NURSE PRACTITIONER HOUSE CALLS
- Practice address
- 109 E Donald St
Quitman, MS 39355-2310 - Phone
- (601) 513-8508
- Fax
- (601) 557-4181
- NPI assigned
- Oct 18, 2017
- Last updated
- Jan 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wendell T Carney
- Title
- FNP
- Phone
- (601) 513-8508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 862287 | MS | Primary |
Addresses
Primary practice location
109 E Donald St
Quitman, MS 39355-2310
Mailing address
PO Box 838
Quitman, MS 39355-0838
Phone (601) 513-8508
Other practice location 1
111 Main St
Quitman, MS 39355-2119
Phone (601) 527-3145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
109 E Donald St
Quitman, MS 39355
Phone (601) 513-8508
111 Main St
Quitman, MS 39355
Phone (601) 557-5105
111 Main St
Ste 1
Quitman, MS 39355
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Calhoun City, MS
- NPI 1649252057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1982115945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 838",
"city": "QUITMAN",
"state": "MS",
"postal_code": "393550838",
"telephone_number": "601-513-8508",
"fax_number": "601-557-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E DONALD ST",
"city": "QUITMAN",
"state": "MS",
"postal_code": "393552310",
"telephone_number": "601-513-8508",
"fax_number": "601-557-4181"
}
],
"practiceLocations": [
{
"address_1": "111 Main St",
"address_purpose": "LOCATION",
"city": "Quitman",
"state": "MS",
"postal_code": "393552119",
"country_code": "US",
"telephone_number": "601-527-3145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NURSE PRACTITIONER HOUSE CALLS",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "CARNEY",
"authorized_official_first_name": "WENDELL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "601-513-8508",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "862287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quitman, MS
- Mississippi State Department of Health
- Laronda Leshell Moore
- Ms Lakeside LLC (Lakeside Health and Rehabilitation Center)
- Randy J Neely
- NP House Calls LLC
- P&P Counseling Services Quitman Branch
- Paratech EMS, Inc.
- Natalie Pearson, ATS
- Pensacola Health Trust Inc (Lakeside Living Center)
- Laura Perry, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.