SOUTH SUNFLOWER COUNTY HOSPITAL
NPI 1336706803
Nurse Practitioner - Family in Indianola, MS

Active since May 21, 2019
121 E BAKER ST, INDIANOLA, MS 38751(662) 635-7210(662) 887-4111 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family

About SOUTH SUNFLOWER COUNTY HOSPITAL

This page provides the complete NPI Profile along with additional information for South Sunflower County Hospital, a provider established in Indianola, Mississippi operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1336706803 assigned on May 2019. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. South Sunflower County Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Courtney Phillips (Ceo)

NPI
1336706803 Verify this NPI
Provider Name
SOUTH SUNFLOWER COUNTY HOSPITAL
Entity Type
Organization
Location Address
121 E BAKER ST INDIANOLA, MS 38751
Location Phone
(662) 635-7210
Location Fax
(662) 887-4111
Mailing Address
121 E BAKER ST INDIANOLA, MS 38751
Mailing Phone
(662) 635-7210
Mailing Fax
(662) 887-4111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2019
Last Update Date
05-21-2019
Code Navigator

A nurse practitioner (NP) like South Sunflower County Hospital is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WW0000XNursing Service Providers

Registered Nurse
Wound Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COURTNEY PHILLIPS

Authorized Official Title
CEO
Authorized Official Phone
(662) 635-7200

Reviews for SOUTH SUNFLOWER COUNTY HOSPITAL

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
121 E BAKER ST
INDIANOLA, MS 38751
Psychiatry & Neurology (Neurology)
121 E BAKER ST
INDIANOLA, MS 38751
Radiology (Body Imaging)
121 E BAKER ST
INDIANOLA, MS 38751
Radiology (Body Imaging)
121 E BAKER ST
INDIANOLA, MS 38751
Emergency Medicine (Emergency Medical Services)
121 E BAKER ST
INDIANOLA, MS 38751
Anesthesiology
121 E BAKER ST
INDIANOLA, MS 38751
Nurse Anesthetist, Certified Registered
121 E BAKER ST
INDIANOLA, MS 38751
Radiology (Diagnostic Radiology)
121 E BAKER ST
INDIANOLA, MS 38751
Nurse Anesthetist, Certified Registered
121 E BAKER ST
INDIANOLA, MS 38751
Physical Therapist
121 E BAKER ST
INDIANOLA, MS 38751
Family Medicine
121 E BAKER ST
INDIANOLA, MS 38751
Physical Therapy Assistant
121 E BAKER ST
INDIANOLA, MS 38751
Physical Therapy Assistant
121 E BAKER ST
INDIANOLA, MS 38751
Nurse Practitioner (Family)
121 E BAKER ST
INDIANOLA, MS 38751
Occupational Therapist
121 E BAKER ST
INDIANOLA, MS 38751
Nurse Practitioner (Family)
121 E BAKER ST
INDIANOLA, MS 38751
Speech-Language Pathologist
121 E BAKER ST
INDIANOLA, MS 38751
General Acute Care Hospital
121 E BAKER ST
INDIANOLA, MS 38751
Physical Therapist
121 E BAKER ST
INDIANOLA, MS 38751
Speech-Language Pathologist
121 E BAKER ST
INDIANOLA, MS 38751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336706803, enumerated as an "organization" on May 21, 2019.

The provider is located at 121 E BAKER ST INDIANOLA, MS 38751 and the phone number is (662) 635-7210.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.