MISSISSIPPI MEDICAL CLINIC MENDENHALL
NPI 1093499907
Nurse Practitioner in Mendenhall, MS

Q: What is Mississippi Medical Clinic Of Mendehall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 12, 2023

2170 SIMPSON HIGHWAY 49, MENDENHALL, MS 39114(601) 675-1200(601) 375-1209 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mississippi Medical Clinic Mendenhall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSISSIPPI MEDICAL CLINIC MENDENHALL (NPI 1093499907) is a healthcare organization registered as a nurse practitioner in Mendenhall, Mississippi and active in the NPI registry since June 2023. The organization lists Chante N Ferguson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093499907

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMISSISSIPPI MEDICAL CLINIC OF MENDEHALL

Location Address2170 SIMPSON HIGHWAY 49Mendenhall, MS 39114-5418

Mailing AddressPo Box 335Magee, MS 39111-0335 · (601) 675-1200 · Fax (601) 675-1209

Phone(601) 675-1200

Fax(601) 375-1209

Organization SubpartNo

Authorized OfficialChante N FergusonOwner · (601) 675-1200

Enumeration DateJune 12, 2023

Last NPPES UpdateFebruary 16, 2024

NPPES CertifiedFebruary 16, 2024

✔ NPI 1093499907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2170 SIMPSON HIGHWAY 49, Mendenhall, MS 39114

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Other Names 1

Doing Business AsMississippi Medical Clinic Mendenhall

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mississippi Medical Clinic Of Mendehall's NPI number?

The NPI number for Mississippi Medical Clinic Of Mendehall is 1093499907. It was assigned to this organization in the NPPES registry on June 12, 2023. The provider is doing business as Mississippi Medical Clinic Mendenhall.

Where is Mississippi Medical Clinic Of Mendehall located?

Mississippi Medical Clinic Of Mendehall is located at 2170 Simpson Highway 49, Mendenhall, MS 39114. The listed phone number is (601) 675-1200.

What is Mississippi Medical Clinic Of Mendehall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Mississippi Medical Clinic Of Mendehall accept?

Health plans from Molina Healthcare list Mississippi Medical Clinic Of Mendehall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Medical Clinic Of Mendehall was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.