| Susan M Hines, FNP | |
|
1913 Highway 45 N, Columbus, MS 39705-1950 | |
| (662) 328-1918 | |
| (662) 328-7898 |
| Full Name | Susan M Hines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 1913 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 |
|---|---|---|---|
| 1942255260 | NPI | - | NPPES |
| 04387573 | Medicaid | MS | |
| 307676800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9328353 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R519308 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Webster General Hospital/ Swing Bed | Eupora, MS | Hospital |
| North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
| Clay County Medical Corporation | West point, MS | Hospital |
| Baptist Memorial Hospital - Calhoun, Inc. | Calhoun city, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Mississippi Gilmore Clinics Llc | 2961745195 | 8 |
| North Mississippi Medical Clinics Inc | 6103736665 | 116 |
| Webster Health Services Inc | 6901892421 | 18 |
| Entity Name | North Mississippi Medical Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
| Entity Name | Webster Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982719621 PECOS PAC ID: 6901892421 Enrollment ID: O20040421001047 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Entity Name | Clay County Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578670972 PECOS PAC ID: 4789649609 Enrollment ID: O20041119000718 |
| Entity Name | North Mississippi Gilmore Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225502370 PECOS PAC ID: 2961745195 Enrollment ID: O20190510000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Hines, FNP Po Box 179, Smithville, MS 38870-0179 Ph: (662) 651-4686 | Susan M Hines, FNP 1913 Highway 45 N, Columbus, MS 39705-1950 Ph: (662) 328-1918 |
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 |