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MEDSERVE, PA
NPI 1871883223
Family Medicine in Jackson, MS

Active since April 19, 2011
MANHATTAN NURSING AND REHABILITATION CENTER, 4540 MANHATTAN RD, JACKSON, MS 39206(601) 206-0901(888) 240-6288 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2022, May 25, 2021, May 7, 2021 and 2 more (5 updates tracked since 2018).

About Medserve, Pa NPPES

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

MEDSERVE, PA (NPI 1871883223) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since April 2011. The organization maintains 5 additional practice locations and lists Todd L Fulcher, Physician, Owner, as its authorized official.

NPPES Registry Identity

NPI1871883223
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDSERVE, PA
Location AddressMANHATTAN NURSING AND REHABILITATION CENTER, 4540 MANHATTAN RDJackson, MS 39206
Mailing Address200 Amity LnBrandon, MS 39047 · (601) 206-0901 · Fax (888) 240-6288
Phone(601) 206-0901
Fax(888) 240-6288
Organization SubpartNo
Authorized OfficialTodd L FulcherPhysician, Owner · (601) 206-0901
Enumeration DateApril 19, 2011
Last NPPES UpdateJanuary 13, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1871883223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 12503
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
MANHATTAN NURSING AND REHABILITATION CENTER, Jackson, MS 39206
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Secondary Practice Locations 5

Location 1Clinton Healthcare, 1251 Pinehaven RdClinton, MS 39056 · Phone (601) 206-0901 · Fax (888) 240-6288
Location 2Aurora Health and Rehabilitation, 310 Emerald DrColumbus, MS 39702 · Phone (601) 206-0901 · Fax (888) 240-6288
Location 3Compere's Nursing Home, 865 North StJackson, MS 39202 · Phone (601) 206-0901 · Fax (888) 240-6288
Location 4Magnolia Senior Care, 3701 Peter Quinn DrJackson, MS 39213 · Phone (601) 206-0901 · Fax (888) 240-6288
Location 5Lexington Manor Nursing Home, 56 Rockport RdLexington, MS 39095 · Phone (601) 206-0901 · Fax (888) 240-6288

Other Identifiers 1

Medicaid05675311MS

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 Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medserve, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Medserve, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Todd Fulcher, MD
Family Practice
NPI 1124097191
MANHATTAN NURSING AND REHABILITATION CENTER 4540 MANHATTAN RD
Jackson, MS 39206
(601) 206-0901
✔ PECOS✔ Accepts MedicareSame address
Jordan Jenkins, FNP-C
Nurse Practitioner
NPI 1922577378
111 KELLY BLVD
Madison, MS 39110
(601) 898-6080
✔ PECOS✔ Accepts Medicare2.7 mi
Sara Knight, FNP
Nurse Practitioner
NPI 1083852131
COMPERE'S NURSING HOME 865 NORTH ST
Jackson, MS 39202
(601) 206-0901
✔ PECOS✔ Accepts Medicare3.7 mi
Daphenia Knight-Starling, ANP
Nurse Practitioner
NPI 1922394469
CLINTON HEALTHCARE 1251 PINEHAVEN RD
Clinton, MS 39056
(601) 206-0901
✔ PECOS✔ Accepts Medicare9.0 mi
Amy Johnson, FNP-BC
Nurse Practitioner
NPI 1770864381
239 BOWLING GREEN RD
Lexington, MS 39095
(662) 834-5339
✔ PECOS✔ Accepts Medicare53 mi
Bethany Free, FNP- BC
Nurse Practitioner
NPI 1235736778
1002 E MADISON ST
Houston, MS 38851
(662) 567-2865
✔ PECOS✔ Accepts Medicare126 mi
Sueanne Davidson, NP
Nurse Practitioner
NPI 1508806308
108 5TH ST NE
Aliceville, AL 35442
(205) 373-3945
✔ PECOS✔ Accepts Medicare129 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medserve, PA's NPI number?

The NPI number for Medserve, PA is 1871883223. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Medserve, PA located?

Medserve, PA is located at Manhattan Nursing And Rehabilitation Center 4540 Manhattan Rd, Jackson, MS 39206. The listed phone number is (601) 206-0901.

What is Medserve, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Medserve, PA enrolled in Medicare?

Yes. Medserve, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medserve, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Medserve, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Family Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medserve, PA accept?

Health plans from Cigna Healthcare list Medserve, PA 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 Medserve, PA was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.