| Kimberly Sprouse, FNP-C | |
|
3189 Highway 45 N, Suite H, Columbus, MS 39705-1251 | |
| (662) 570-4507 | |
| Not Available |
| Full Name | Kimberly Sprouse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 3189 Highway 45 N, Columbus, 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 |
|---|---|---|---|
| 1922549773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 901790 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Med 360 Urgent Care Northport Llc | 5193180297 | 2 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Entity Name | Med 360 Urgent Care Northport Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073238747 PECOS PAC ID: 5193180297 Enrollment ID: O20230425000451 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Sprouse, FNP-C 344 Town Branch Rd, Vernon, AL 35592-5624 Ph: (662) 574-1099 | Kimberly Sprouse, FNP-C 3189 Highway 45 N, Suite H, Columbus, MS 39705-1251 Ph: (662) 570-4507 |
Mrs. Celia Lasky Kidder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2110 5th St N, Columbus, MS 39705 Phone: 662-243-2435 Fax: 662-328-7037 | |
Dr. Janice Davidson, PHD FNP-BC FAANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 514 7th St S, Columbus, MS 39701 Phone: 662-328-6293 | |
Misti Garnett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
Tiffany Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Bluecutt Rd Ste 101, Columbus, MS 39705 Phone: 662-570-4770 | |
John S Dornan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705 Phone: 662-240-0650 Fax: 662-240-0483 | |
Christopher Pennington, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 N Lehmberg Rd, Columbus, MS 39702 Phone: 662-329-2955 | |
Mrs. Janet Myers, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-3287 |