TELEHEALTHONE LLC (NPI# 1548617293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548617293 |
| Entity Type | Organization |
| Organization Name | TELEHEALTHONE LLC |
| Practice Address |
5186 Hwy 80 Morton MS 39117 |
| 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 | 2016-05-24 |
| Authorized Official Name | CHRISTOPHER B POWE (CHIEF OPERATIONAL 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 |
MS | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
MS | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00525567 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003263856 | Telehealthone LLC | Nurse Practitioner | 404 Second Street, Pelahatchie, MS 39145 | 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 |
5186 HWY 80 |
| City | MORTON |
| State | MS |
| Zip Code | 39117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220343 | Rebecca S Hamilton | Technician | 1306 Lindsey Rd, 6824 Hwy 13 South, Morton, MS 39117 | 2019-11-19 |
| 1003166117 | Scott Regional Medical Center, Inc. | Midwife | 321 Hwy 13 South, Morton, MS 39117 | 2012-09-17 |
| 1508045873 | New Outlooks Adult Day Services Inc | Homemaker | 4197 Hwy 80, Morton, MS 39117 | 2007-11-02 |
| 1578789616 | Jamie Eichelberger Ross | Dentist | 233 Woodland St, Morton, MS 39117-0019 | 2007-04-17 |
| 1851613509 | New Outlooks Adult Day Services, Inc. | Clinic/Center | 4197 Highway 80, Morton, MS 39117-3306 | 2010-02-23 |
| 1437569761 | Mississippi State Department of Health | Public Health or Welfare | 235 Highway 13 S, Morton, MS 39117-3313 | 2014-05-08 |
| 1871710715 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 162 Highway 13 S, Morton, MS 39117-3352 | 2007-04-20 |
| 1720322027 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 321 Highway 13 South, Morton, MS 39117-3353 | 2012-11-27 |
| 1992868509 | Hospitalmd, Inc. | Internal Medicine | 317 Highway 13 S, Morton, MS 39117-3353 | 2006-12-18 |
| 1194830398 | Ruby L Lucroy | Nurse Practitioner | 321 Highway 13 S, Morton, MS 39117-3353 | 2006-08-20 |
| Find all providers in zip 39117 | ||||
| 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 | ||||
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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.