TELEHEALTHONE, LLC (NPI# 1962859702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962859702 |
| Entity Type | Organization |
| Organization Name | TELEHEALTHONE, LLC |
| Practice Address |
200 Clinton Plaza Clinton MS 39056 |
| 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 |
|---|---|---|---|---|
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1558718304 | Telehealthone, LLC | Nurse Practitioner | 225 Meadowbrook Road, Jackson, MS 39206 | 2016-05-23 |
| 1861852840 | Telehealthone, LLC | Nurse Practitioner | 101 Mansker Drive, Flora, MS 39071-9790 | 2016-03-03 |
| 1427418409 | Telehealthone, LLC | Nurse Practitioner | 1301 East Peace Street, Canton, MS 39046-7900 | 2016-03-03 |
| 1609284330 | Telehealthone, LLC | General Practice | 1037 Lake Village Cir, Suite A, Brandon, MS 39047-6725 | 2014-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELEHEALTHONE, LLC | 152 Watford Pkwy Dr, Canton, MS 39046-7900 |
| Street Address |
200 CLINTON PLAZA |
| City | CLINTON |
| State | MS |
| Zip Code | 39056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942728555 | Tara Cameron | Pharmacist | 200 Clinton Plaza, Clinton, MS 39056 | 2017-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| 1124241245 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 106 Clinton Parkway, Clinton, MS 39056 | 2007-04-10 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1689062952 | Ladan Abbasi | Nurse Practitioner | 1738 Route 31 North, Vein Institute of Hunterdon, Clinton, NJ 08809 | 2015-01-08 |
| 1871972471 | Integrative Healthcare Solutions LLC | Nurse Practitioner | 302 Jacobs Hwy, Suite A, Clinton, SC 29325-9415 | 2015-05-28 |
| 1164659710 | Martha E Ledda | Nurse Practitioner | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2009-06-22 |
| 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 |
| 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 |
| 1477073393 | Sondra Denise Odom | Nurse Practitioner | 6347 Red Oak Drive, Bailey, MS 39320 | 2017-06-21 |
| 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.