| Family First Healthcare Clinic | |
|
2322 Highway 43 S Ste C Picayune MS 39466-7325 | |
| (769) 242-2525 | |
| (769) 242-2526 |
| Full Name | Family First Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2322 Highway 43 S Ste C, Picayune, Mississippi |
| Authorized Official Name and Position | Christie L Kellar (PROVIDER/OWNER) |
| Authorized Official Contact | 6013477361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Healthcare Clinic 2322 Highway 43 S Ste C Picayune MS 39466-7325 Ph: (769) 242-2525 | Family First Healthcare Clinic 2322 Highway 43 S Ste C Picayune MS 39466-7325 Ph: (769) 242-2525 |
| NPI Number | 1962923573 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3971878190 |
|---|---|
| Medicare Enrollment ID | O20171013000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962923573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 901910 (Mississippi) | Primary |
| Provider Name | Adrienne Nicole Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902076011 PECOS PAC ID: 6901977446 Enrollment ID: I20080611000433 |
| Provider Name | Christie L Kellar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184161457 PECOS PAC ID: 6901183094 Enrollment ID: I20170427000044 |
| Provider Name | Matthew Blake Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134904675 PECOS PAC ID: 1355787011 Enrollment ID: I20240418001862 |
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