Mrs Amanda Monique Carson-griffin, FNP-BC - Medicare Nurse Practitioner in Clinton, MS

Mrs Amanda Monique Carson-griffin, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Clinton, Mississippi. Her current practice location is 590 Springridge Rd, Clinton, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 488-8101.

Mrs Amanda Monique Carson-griffin is licensed to practice in Mississippi (license number R880440) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124456850.

Contact Information

Mrs Amanda Monique Carson-griffin, FNP-BC
590 Springridge Rd,
Clinton, MS 39056-5606
(601) 488-8101
Not Available

Map and Direction




Provider's Profile

Full NameMrs Amanda Monique Carson-griffin
GenderFemale
SpecialityNurse Practitioner - Family
Location590 Springridge Rd, Clinton, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124456850
  • Provider Enumeration Date: 10/15/2013
  • Last Update Date: 08/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8022247527
  • Enrollment ID: I20140203001154

Medical Identifiers

Medical identifiers for Mrs Amanda Monique Carson-griffin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124456850NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R880440 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amanda Monique Carson-griffin allows following entities to bill medicare on her behalf.
Entity NameMaxie Gordon Md & Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114105665
PECOS PAC ID: 1658442843
Enrollment ID: O20080616000407
Entity NameFitness Clinic Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912352022
PECOS PAC ID: 4486938719
Enrollment ID: O20170303001462

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Monique Carson-griffin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Amanda Monique Carson-griffin, FNP-BC
590 Springridge Rd,
Clinton, MS 39056-5606

Ph: (601) 488-8101
Mrs Amanda Monique Carson-griffin, FNP-BC
590 Springridge Rd,
Clinton, MS 39056-5606

Ph: (601) 488-8101

Reviews and Comments


Nurse Practitioner Nurses in Clinton, MS

Lauren Lanier Guthrie, NP
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Phone: 601-200-4800    Fax: 601-200-4805
Jennifer Russum,
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Practice Location: 732 Clinton Pkwy, Clinton, MS 39056
Phone: 601-924-7994    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.