Family First Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R872071 Issued in MS

Legal business name

FAMILY FIRST MEDICAL CLINIC, LLC

Practice address

109 North Rd
Booneville, MS 38829-7615

Phone

(662) 416-2282

NPI assigned

Mar 20, 2013

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lydia Lovell, CFNPNPI 1164619144

Title

Owner CFNP

Phone

(662) 416-2282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 5

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.

• Lydia Jackson Lovell, CRNP

  • Family Nurse Practitioner
  • Booneville, MS
  • NPI 1164619144
  Medicare reassignment NPD Authorized official
• Hanna Byrd, CFNP

  • Family Nurse Practitioner
  • Booneville, MS
  • NPI 1154039840
  Medicare reassignment NPD
• Tammy Z Jackson, CFNP

  • Family Nurse Practitioner
  • Ripley, MS
  • NPI 1558345371
  Medicare reassignment NPD
• Ginger McMillan-Buchanan, ACNP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1073068003
  Medicare reassignment NPD
• Donnie Lovell, FNP

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1710602776
  NPD

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1992047781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NORTH RD",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NORTH RD",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297615",
            "telephone_number": "662-416-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER CFNP",
        "authorized_official_telephone_number": "662-416-2282",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R872071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Heith Elliott, DNP, FNP-BC, PMHNP-B
• Callie A Emmons, BSW
• Encore Rehabilitation, Inc. (Encore Rehab of Booneville)
• Faith Family Clinic of Booneville
• Faith Family Clinic, LLC
• Family Med 101, Inc
• Margaret Fava, FNP
• Joseph H. Feller, MD
• Aaron Ford
• Melissa Ford, OT

• Family Nurse Practitioner in Booneville, MS
• Providers in Booneville, 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 Mar 20, 2013; 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.