Carrollton Family Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R852957 Issued in MS

Legal business name

CARROLLTON FAMILY CLINIC

Practice address

502 George St
North Carrollton, MS 38947

Phone

(662) 237-4525

Fax

(662) 237-9781

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Kara McKay, CFNP

Title

Owner

Phone

(662) 458-0225

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Jenay Neely, DO

  • Family Medicine Physician
  • Greenwood, MS
  • NPI 1699765818
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1992087019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "NORTH CARROLLTON",
            "state": "MS",
            "postal_code": "389470192",
            "telephone_number": "662-237-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GEORGE ST",
            "city": "NORTH CARROLLTON",
            "state": "MS",
            "postal_code": "38947",
            "telephone_number": "662-237-4525",
            "fax_number": "662-237-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-458-0225",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R852957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Susan Jenay Neely PLLC
• John William Sanders Jr., DDS
• Maggie Taylor, CFNP
• Tyler Holmes Memorial Hospital
• Kara M. White, FNP

• Family Nurse Practitioner in North Carrollton, MS
• Providers in North Carrollton, 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 Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.