| Mrs Kimberly Anne Mccloud, MSN, FNP | |
|
1014 Rose St Ste D, Prentiss, MS 39474-5271 | |
| (601) 792-2071 | |
| (601) 792-8134 |
| Full Name | Mrs Kimberly Anne Mccloud |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1014 Rose St Ste D, Prentiss, 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 |
|---|---|---|---|
| 1487034849 | NPI | - | NPPES |
| 09501028 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 874765 (Mississippi) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R874765 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke Home Health Services | Mccomb, MS | Home health agency |
| Lawrence County Hospital Cah | Monticello, MS | Hospital |
| Jefferson Davis General Hospital | Prentiss, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Mississippi Regional Medical Center | 5193633907 | 85 |
| Hattiesburg Clinic Pa | 5193706794 | 531 |
| Entity Name | Southwest Mississippi Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245289172 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Anne Mccloud, MSN, FNP Po Box 490, Mccomb, MS 39649-0490 Ph: (601) 250-4366 | Mrs Kimberly Anne Mccloud, MSN, FNP 1014 Rose St Ste D, Prentiss, MS 39474-5271 Ph: (601) 792-2071 |
Rhonda Cox, MSN, FNP-C/AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Shadonna Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 | |
Mrs. Michele Bryant Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-2200 Fax: 601-792-2345 | |
Mary Sue Watkins, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Diane Morris, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 Fax: 601-792-8211 | |
Angela Marice Perkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 |