Icp Mississippi Aco Billing, LLC
Organization Active NPI Clinical Nurse Specialist · Flowood, MS
NPI 1992389167 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1992389167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Nurse Specialist 364S00000X
- Legal business name
- ICP MISSISSIPPI ACO BILLING, LLC
- Practice address
- 232 Market St
Flowood, MS 39232-3339 - Phone
- (800) 807-6555
- Fax
- (855) 316-2999
- NPI assigned
- May 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Allison Brown
- Title
- Secretary
- Phone
- (502) 394-2100
Member of 1
Practitioners 5
-
Stephanie L Green, CFNP
-
Teresa Sellers, FNP
-
Brenda Thrash, FNP
-
Crystal Parker McNabb, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210526000555 | MS | Part B Supplier - Clinic/Group Practice | 9638578529 |
Receives reassigned benefits from 5 practitioners Practice locations: Flowood, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist |
364S00000X | Yes |
Addresses
Primary practice location
232 Market St
Flowood, MS 39232-3339
Mailing address
805 N Whittington Pkwy Ste 400
Louisville, KY 40222-7102
Phone (502) 394-2100
Other providers in Flowood, MS
- Kendall Huff
- Emily Corley Hughes
- Elizabeth Hunt
- Ayme Hutchinson
- Amanda Hyatt
- Orhan Ilercil
- Independence Care of Mississippi at Jackson, LLC
- Infinite Hope Counseling, LLC
- Integrity Dental Clinic, PLLC
- Internal Medicine Primary Care PA
All providers in Flowood, MS · Clinical Nurse Specialist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.