| Debra Mims Develin, CRNP | |
|
234 Magnolia Dr, Raleigh, MS 39153-6016 | |
| (601) 374-8145 | |
| (601) 374-8153 |
| Full Name | Debra Mims Develin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 234 Magnolia Dr, Raleigh, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710906268 | NPI | - | NPPES |
| 03235798 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R633283 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home -flowood | Flowood, MS | Home health agency |
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Magee General Hospital | Magee, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geriatric Connections, Llc | 8729309257 | 2 |
| Entity Name | Magee Benevolent Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
| Entity Name | Miller Family Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831619253 PECOS PAC ID: 1355613332 Enrollment ID: O20170825002195 |
| Entity Name | Geriatric Connections, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992183800 PECOS PAC ID: 8729309257 Enrollment ID: O20240815004217 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Mims Develin, CRNP 234 Magnolia Dr, Raleigh, MS 39153-6016 Ph: (601) 374-8145 | Debra Mims Develin, CRNP 234 Magnolia Dr, Raleigh, MS 39153-6016 Ph: (601) 374-8145 |
Mrs. Pamela Denise Hardin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-5665 | |
Donna L Baucum, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-9797 Fax: 601-782-9790 | |
Kimberly Sharelle Watkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-4244 | |
Mrs. Carol Darlene Richmond-stephens, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-782-9919 Fax: 601-825-8130 | |
Alexandra Winn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 White Oak Ave, Raleigh, MS 39153 Phone: 601-782-9919 | |
Teresa Raybourn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-825-7280 Fax: 601-825-8130 |