TELEHEALTHONE LLC (NPI# 1003263856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003263856 |
| Entity Type | Organization |
| Organization Name | TELEHEALTHONE LLC |
| Practice Address |
404 Second Street Pelahatchie MS 39145 |
| Mailing Address |
152 Watford Parkway Suite 202 Canton MS 39046-7900 |
| Practice Telephone | 6018594342 |
| Practice Fax Number | 8449659592 |
| Mailing Telephone | 6018594342 |
| Mailing Fax Number | 8449659592 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | CHRISTOPHER B POWE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6018594342 |
| Authorized Official Credential | ACNP-BC, PH.D.. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00525567 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548617293 | Telehealthone LLC | Nurse Practitioner | 5186 Hwy 80, Morton, MS 39117 | 2016-05-23 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1861849614 | Telehealthone LLC | Nurse Practitioner | 801 East Jackson Street, Union, MS 39365 | 2016-05-23 |
| Street Address |
404 SECOND STREET |
| City | PELAHATCHIE |
| State | MS |
| Zip Code | 39145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699292227 | Amanda L Jackson | Pharmacist | 404 Second Street, Pelahatchie, MS 39145 | 2017-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821328360 | Brewer Healthcare Clinic, LLC | Nurse Practitioner | 610 Hwy 80, Pelahatchie, MS 39145 | 2010-01-06 |
| 1891953642 | Shellie V Breland | Dentist | 501 Second St, Pelahatchie, MS 39145 | 2008-05-29 |
| 1245420835 | Care Plus Pelahatchie Clinic | Family Medicine | 501 Highway 80 East, Pelahatchie, MS 39145 | 2007-07-30 |
| 1467478743 | Family Health Care Clinic, Inc. | Clinic/Center | 100 Brooks Avenue, Pelahatchie, MS 39145 | 2006-07-13 |
| 1275669517 | Rhodes & Robby Drugs Inc | Pharmacist | 114 Brooks Street, Pelahatchie, MS 39145-0249 | 2007-02-23 |
| 1982942223 | Pelahatchie Family Medicine | Family Medicine | 507 Second St, Pelahatchie, MS 39145-2786 | 2013-01-22 |
| 1518194265 | Mary Ann Griffin | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2009-06-19 |
| 1699211516 | S&p Ventures LLC | Dentist | 501 Second St, Pelahatchie, MS 39145-2786 | 2017-01-17 |
| 1437514262 | Griffin Family Medical Clinic Pa | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2015-12-21 |
| 1184974446 | Alicia Marie Slater | Marriage & Family Therapist | 505 Second St, Pelahatchie, MS 39145-3044 | 2012-09-13 |
| Find all providers in zip 39145 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
| City | PELAHATCHIE |
| Zip Code | 39145 |
Please comment or provide details below to improve the information on TELEHEALTHONE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.