| Macy Renee Upton, NP | |
|
550 Mockingbird Cir, Brandon, MS 39047-7363 | |
| (985) 860-2087 | |
| Not Available |
| Full Name | Macy Renee Upton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 550 Mockingbird Cir, Brandon, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992464648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 905168 (Mississippi) | Primary |
| 163W00000X | Registered Nurse | 146975 (Louisiana) | Secondary |
| Entity Name | Minor Med Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407968738 PECOS PAC ID: 7618866021 Enrollment ID: O20040313000147 |
| Entity Name | Mdb Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Uppal Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558927905 PECOS PAC ID: 4587998547 Enrollment ID: O20190625001406 |
| Mailing Address | Practice Location Address |
|---|---|
| Macy Renee Upton, NP 215 Katherine Dr Ste A, Flowood, MS 39232-9588 Ph: (601) 665-4162 | Macy Renee Upton, NP 550 Mockingbird Cir, Brandon, MS 39047-7363 Ph: (985) 860-2087 |
Brandy Nicole Newsome Byrd, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342 |
Mrs. Brittany Lauren Hall, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1645 W Government St Ste F, Brandon, MS 39042 Phone: 601-829-6600 |
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 762 Highway 468, Brandon, MS 39042 Phone: 601-824-0988 Fax: 601-824-0987 |
Ladonna Baker Delariva, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3949 Ms-43, Brandon, MS 39047 Phone: 855-712-7627 |
Kenneth John Risinger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 E Government St, Brandon, MS 39042 Phone: 903-824-8880 |
Kelli Jean Huggins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 Pinebrook Cir, Brandon, MS 39047 Phone: 662-739-3576 |
Michael George Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Pebble Hill Dr, Brandon, MS 39042 Phone: 601-941-6897 |