| New Hope Family Medical Clinic | |
|
2110 Lake Lowndes Rd Columbus MS 39702-9655 | |
| (662) 798-0445 | |
| (833) 962-3812 |
| Full Name | New Hope Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2110 Lake Lowndes Rd, Columbus, Mississippi |
| Authorized Official Name and Position | Carrie Dozier (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6627980445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Family Medical Clinic 2110 Lake Lowndes Rd Columbus MS 39702-9655 Ph: (662) 798-0445 | New Hope Family Medical Clinic 2110 Lake Lowndes Rd Columbus MS 39702-9655 Ph: (662) 798-0445 |
| NPI Number | 1699400184 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 8628447463 |
|---|---|
| Medicare Enrollment ID | O20221216002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699400184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Klancie Allison Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740744572 PECOS PAC ID: 7416382064 Enrollment ID: I20200109000378 |
| Provider Name | Carrie M Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164906186 PECOS PAC ID: 3072940055 Enrollment ID: I20200304001391 |
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