MRS. TRACY ANNETTE MADISON (NPI# 1013287929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013287929 |
| Entity Type | Individual |
| Full Name | MRS. TRACY ANNETTE MADISON |
| Practice Address |
485 Mclin Cir Florence MS 39073-7939 |
| Practice Telephone | 6018455827 |
| Mailing Telephone | 6018455827 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | 00770594 | MS | Other Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | 00770423 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770594 | 05 | |
| MS | 00770423 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871616409 | Tracy Dawn Madison | Speech-Language Pathologist | 313 S 5th St, Odessa, DE 19730-2078 | 2007-04-09 |
| Street Address |
485 MCLIN CIR |
| City | FLORENCE |
| State | MS |
| Zip Code | 39073-7939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043580863 | Helping Hands Homemaker Agency,inc. | In Home Supportive Care | 485 Mclin Cir, Florence, MS 39073-7939 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
| 1154691004 | Freds Stores of Tennessee Inc | Pharmacy | 2932 Hwy 49 S., Florence, MS 39073 | 2012-01-10 |
| 1538330444 | Florence Dental Clinic | Dentist | 129 Earl Clark Drive, Florence, MS 39073 | 2008-03-19 |
| 1548323579 | Thomas Raymond Byrd | Dentist | 129 Earl Clark Dr., Florence, MS 39073 | 2006-12-19 |
| 1841384443 | Kelley N Martin | Nurse Practitioner | 218 East Main Street, Florence, MS 39073 | 2006-10-03 |
| 1851484422 | Derek Wade Puckett | Physical Therapist | 3000 Hwy 49 South, Florence, MS 39073 | 2006-10-02 |
| 1508961947 | Polks Discount Drugs #2 | Pharmacy | 101 49 Place, Florence, MS 39073 | 2006-09-13 |
| 1669652558 | Martin Health Care, LLC | Family Medicine | 218 East Main St, Florence, MS 39073-0530 | 2007-11-07 |
| 1245415645 | Emmanuel Ridge Community Service Organization | Clinic/Center | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1235314634 | Emmanuel Ridge Home Care Agency Inc | Non-emergency Medical Transport (VAN) | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| Find all providers in zip 39073 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033674189 | Nikki Perry | Case Manager/Care Coordinator | 2901 Battery Park Dr, Florence, SC 29506-8549 | 2019-02-04 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1497105878 | Latarsha Parham | Case Manager/Care Coordinator | 2384 Freedom Blvd, B3, Florence, SC 29505-6177 | 2016-06-16 |
| 1184082547 | Shelia Green Burgess | Case Manager/Care Coordinator | 181 E Evans St Ste D16, Florence, SC 29506-5524 | 2016-02-01 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1326318205 | Pamela Ann Hervey | Case Manager/Care Coordinator | 475 Mclin Cir, Florence, MS 39073-7939 | 2012-01-09 |
| 1649560210 | Jessica Marie Hamilton | Case Manager/Care Coordinator | 5743 Hazel Dr, Florence, KY 41042-1219 | 2011-04-15 |
| 1083929178 | Stacey M Podgorski | Case Manager/Care Coordinator | 8256 Heatherwood Dr, Florence, KY 41042-9100 | 2010-08-12 |
| 1235459322 | Cassie Hitch | Case Manager/Care Coordinator | 7075 Industrial Rd, Florence, KY 41042-3053 | 2010-06-11 |
| 1407091465 | Debbie E Brewer | Case Manager/Care Coordinator | 29500 County Road 8, Florence, AL 35634-4857 | 2008-12-04 |
| Find all providers in FLORENCE | ||||
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| 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.