CANTON FAMILY MEDICAL CLINIC
NPI 1629373840
Nurse Practitioner in Canton, MS

Q: What is Madison Hma Physician Management, LLC's specialty?

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

Active since January 19, 2011

120 E ACADEMY ST, CANTON, MS 39046(601) 859-2611(601) 859-8386 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Canton Family Medical Clinic NPPES

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

CANTON FAMILY MEDICAL CLINIC (NPI 1629373840) is a healthcare organization registered as a nurse practitioner in Canton, Mississippi and active in the NPI registry since January 2011. The organization lists Michael L Gingras, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629373840

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMADISON HMA PHYSICIAN MANAGEMENT, LLC

Location Address120 E ACADEMY STCanton, MS 39046-4502

Mailing Address5811 Pelican Bay Blvd, Suite 500Naples, FL 34108-2733 · (239) 598-3131 · Fax (239) 592-0438

Phone(601) 859-2611

Fax(601) 859-8386

Organization SubpartYesParent: Health Management Associates, Inc

Authorized OfficialMichael L GingrasVice President · (239) 598-3131

Enumeration DateJanuary 19, 2011

Last NPPES UpdateNovember 27, 2012

✔ NPI 1629373840 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.

120 E ACADEMY ST, Canton, MS 39046

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Other Names 1

Doing Business AsCanton Family Medical Clinic

Other Identifiers 1

Medicare PINC03614MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON HMA PHYSICIAN MANAGEMENT, LLC

Family Medicine

120 E ACADEMY ST
CANTON, MS 39046

Madison County (601) 859-8386

CANTON FAMILY CLINIC INC.

Clinic/Center (Primary Care)

120 E ACADEMY ST
CANTON, MS 39046

Madison County (601) 859-2611

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 Madison Hma Physician Management, LLC's NPI number?

The NPI number for Madison Hma Physician Management, LLC is 1629373840. It was assigned to this organization in the NPPES registry on January 19, 2011. The provider is doing business as Canton Family Medical Clinic.

Where is Madison Hma Physician Management, LLC located?

Madison Hma Physician Management, LLC is located at 120 E Academy St, Canton, MS 39046. The listed phone number is (601) 859-2611.

What is Madison Hma Physician Management, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Hma Physician Management, LLC was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.