Teresa Raybourn, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R746931 Issued in MS

Practice address

3248 Highway 49
Collins, MS 39428-3877

Phone

(601) 765-6834

Fax

(601) 765-6837

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Teresa Holifield Other name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pine Ridge Family Clinic LLCGroup PAC ID 3274964283, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21239/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pine Ridge Family Clinic, LLC

  • Nurse Practitioner
  • Collins, MS
  • NPI 1366075236
  Medicare reassignment Care Compare group NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pearl, MS
  • NPI 1043236326
  Medicare reassignment NPD
• Family Health Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Woodville, MS
  • NPI 1720211386
  NPD
• Mallory Community Health

  dba Dr. Arenia C. Mallory Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1740308873
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1992782304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24116",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392254116",
            "telephone_number": "601-825-7280",
            "fax_number": "601-825-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 HIGHWAY 49",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283877",
            "telephone_number": "601-765-6834",
            "fax_number": "601-765-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBOURN",
        "first_name": "TERESA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R746931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00872423",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119934",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HOLIFIELD",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jan S Prewitt
• Tabitha Pugh, ST
• Ramsey E Wilson, DMD PLLC
• Ramsey E. Wilson DMD
• John Rayborn, PT
• Reliance Home & Community Care, LLC
• Restore Physical Therapy Inc.
• Raeanna Reynolds
• Olivia Robinson
• Joey E Rogers, DMD,PA

• Family Nurse Practitioner in Collins, MS
• Providers in Collins, 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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.