Family Care Of Main Street - Medicare Primary Care in Collins, MS

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Family Care Of Main Street is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Collins, Mississippi. The current practice location for Family Care Of Main Street is 701 S Holly Ave, Collins, Mississippi. For appointments, you can reach them via phone at (601) 765-2746. The mailing address for Family Care Of Main Street is 210 Main St, Collins, Mississippi and phone number is (601) 765-2746.

Family Care Of Main Street is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1518260330. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 765-2746.

Contact Information

Family Care Of Main Street
701 S Holly Ave
Collins
MS 39428-3894
(601) 765-2746
(601) 765-6660

Map and Direction


Primary Care Clinic Profile

Full NameFamily Care Of Main Street
SpecialityClinic/Center
Location701 S Holly Ave, Collins, Mississippi
Authorized Official Name and PositionKirstie Evans (CFO)
Authorized Official Contact6017656711
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Care Of Main Street
210 Main St
Collins
MS 39428-6188

Ph: (601) 765-2746		Family Care Of Main Street
701 S Holly Ave
Collins
MS 39428-3894

Ph: (601) 765-2746

NPI Details:

NPI Number1518260330
Provider Enumeration Date12/16/2010
Last Update Date12/16/2010

Medicare PECOS Information:

Medicare PECOS PAC ID4183517253
Medicare Enrollment IDO20040203000816

Medical Identifiers

Medical identifiers for Family Care Of Main Street such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518260330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Family Care Of Main Street acts as a billing entity for following providers:
Provider NameTerry Douglas Ford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912922949
PECOS PAC ID: 2961398102
Enrollment ID: I20040225000436
Provider NameBecky J Mercier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083726491
PECOS PAC ID: 0244216166
Enrollment ID: I20040629001303
Provider NameCharles L Mccullouch
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710964754
PECOS PAC ID: 8729066923
Enrollment ID: I20040713001089
Provider NameLeigh P Drace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013064245
PECOS PAC ID: 3375512916
Enrollment ID: I20040929001220
Provider NameEvan J Pickus
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073545554
PECOS PAC ID: 3375501471
Enrollment ID: I20041221000439
Provider NameRoger L Nunez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932132669
PECOS PAC ID: 4284692617
Enrollment ID: I20041230000547
Provider NameJeffrey J Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942234232
PECOS PAC ID: 1557311032
Enrollment ID: I20050124000631
Provider NameSherri A Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790894335
PECOS PAC ID: 8921042318
Enrollment ID: I20050616000410
Provider NameToikus Westbrook
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285738468
PECOS PAC ID: 1153348362
Enrollment ID: I20061009000262
Provider NameRobin D Greene - Brownlee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215035985
PECOS PAC ID: 8628078425
Enrollment ID: I20061229000186
Provider NameHerbert Floyd
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457345365
PECOS PAC ID: 8426154923
Enrollment ID: I20070430000363
Provider NameMary S Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245323914
PECOS PAC ID: 3072610229
Enrollment ID: I20070522000691
Provider NameGeorge E Gillespie
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1124117171
PECOS PAC ID: 4082713151
Enrollment ID: I20070702000147
Provider NameChad D Caraway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205052164
PECOS PAC ID: 9436232170
Enrollment ID: I20080219000084
Provider NameMarshall J Stout
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073555454
PECOS PAC ID: 3072682707
Enrollment ID: I20080520000765
Provider NameKiley Mclendon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780849109
PECOS PAC ID: 7113095407
Enrollment ID: I20081014000670
Provider NameWilliam B Gibboney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225202864
PECOS PAC ID: 1153481916
Enrollment ID: I20081124000457
Provider NameAndrea M Bruce
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295739894
PECOS PAC ID: 8426113135
Enrollment ID: I20090212000523
Provider NameJennifer B Boutwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184958969
PECOS PAC ID: 5698815439
Enrollment ID: I20091229000564
Provider NameJonathan C Sledge
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982868782
PECOS PAC ID: 9638214042
Enrollment ID: I20100309000597
Provider NameHarpreet Sood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336398510
PECOS PAC ID: 6002932191
Enrollment ID: I20100927000395
Provider NameJennifer R Leggett-hudson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801100037
PECOS PAC ID: 3476748427
Enrollment ID: I20101116000588
Provider NameHaresh M Patel
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659339125
PECOS PAC ID: 1658275219
Enrollment ID: I20110321000581
Provider NameJessica A Garner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982913729
PECOS PAC ID: 2466635438
Enrollment ID: I20110329000471
Provider NamePatricia A Bullock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679862817
PECOS PAC ID: 1557530128
Enrollment ID: I20110816000741
Provider NameJeremy Paul Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538494489
PECOS PAC ID: 6406029487
Enrollment ID: I20111108000436
Provider NameKaren R Pitts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467729293
PECOS PAC ID: 7113193251
Enrollment ID: I20111220000631
Provider NameChrista Kay Staples
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740319839
PECOS PAC ID: 1759549025
Enrollment ID: I20120217000036
Provider NameBrian K Padgett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750677704
PECOS PAC ID: 3173787702
Enrollment ID: I20120612000442
Provider NameTerri Bickham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457668162
PECOS PAC ID: 7911131768
Enrollment ID: I20131009001742
Provider NameTyler W Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639501380
PECOS PAC ID: 5496980880
Enrollment ID: I20131018001537
Provider NameErin K Hines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952742736
PECOS PAC ID: 3779712799
Enrollment ID: I20140214000449
Provider NameWendell T Carney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043638869
PECOS PAC ID: 2961628805
Enrollment ID: I20140729002044
Provider NameNicole Lott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861809402
PECOS PAC ID: 8628297959
Enrollment ID: I20140917002925
Provider NameLacey Blakeney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326457151
PECOS PAC ID: 7214254010
Enrollment ID: I20150316000467
Provider NameNorman E Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992196331
PECOS PAC ID: 9830416908
Enrollment ID: I20150330001257
Provider NameMichael R Ambrose
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427023696
PECOS PAC ID: 3971406729
Enrollment ID: I20150427001574
Provider NameDavid J Mulvaney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1578509659
PECOS PAC ID: 0446294565
Enrollment ID: I20150501001415
Provider NameMelissa Coulson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235581513
PECOS PAC ID: 8729371737
Enrollment ID: I20160728002112
Provider NameBenjamin Michael Illich
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508277609
PECOS PAC ID: 4981929015
Enrollment ID: I20170208000775
Provider NameChristie L Kellar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184161457
PECOS PAC ID: 6901183094
Enrollment ID: I20170427000044
Provider NameBryan G Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255731287
PECOS PAC ID: 3870815731
Enrollment ID: I20171213002890
Provider NameNatalie R Keyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285144584
PECOS PAC ID: 6608137971
Enrollment ID: I20180301000326
Provider NameCrystal P Mcnabb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326565763
PECOS PAC ID: 5193086403
Enrollment ID: I20180301001879
Provider NameTerri Byrd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285135228
PECOS PAC ID: 4284983875
Enrollment ID: I20180815000482
Provider NameTwylia M. Aultman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912483405
PECOS PAC ID: 3072863000
Enrollment ID: I20180912001218
Provider NameLaura J Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548756810
PECOS PAC ID: 1850644618
Enrollment ID: I20181024000654
Provider NameSarah D Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922582220
PECOS PAC ID: 3779836325
Enrollment ID: I20181029000792
Provider NameFelicia S Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477011161
PECOS PAC ID: 9830431444
Enrollment ID: I20190501001619
Provider NameBria Goff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457904989
PECOS PAC ID: 4688906183
Enrollment ID: I20191104000414
Provider NameAnna Fails
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154945848
PECOS PAC ID: 5193147007
Enrollment ID: I20200623002065
Provider NameAriale Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790319945
PECOS PAC ID: 8527481845
Enrollment ID: I20200706000808
Provider NameDestiny D Epting
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710598230
PECOS PAC ID: 5193141539
Enrollment ID: I20200817002458
Provider NameSamantha C Givens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497356562
PECOS PAC ID: 8820401888
Enrollment ID: I20210112000722
Provider NameBrandon Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639746001
PECOS PAC ID: 0547662025
Enrollment ID: I20210706003239
Provider NameJeremy Todd Unger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881198075
PECOS PAC ID: 2163772484
Enrollment ID: I20210920000924
Provider NameWeaton M Middleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467022939
PECOS PAC ID: 3678970571
Enrollment ID: I20210920002548

Reviews and Comments


Clinic/Center in Collins, MS

Family Care Express
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3275 Hwy 49, Suite E, Collins, MS 39428
Phone: 601-765-6711    Fax: 601-765-2808
Carver Middle School
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 Carver Drive, Collins, MS 39428
Phone: 601-545-8700    Fax: 601-450-2493
Covington County Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 701 S Holly Ave, Collins, MS 39428
Phone: 601-765-6711    Fax: 601-698-0112
Covington County Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1207 S Fir Ave, Collins, MS 39428
Phone: 601-419-7468    
Collins Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 704 Fifth Street, Collins, MS 39428
Phone: 601-765-4414    Fax: 601-765-9141
Covington County Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 301 Highway 35, Collins, MS 39428
Phone: 601-837-7380    
Hopewell Elementary School
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 824 Hopewell Rd, Collins, MS 39428
Phone: 601-545-8700    Fax: 601-450-2493

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.