Golden Age Clinic - Medicare Primary Care in Greenwood, MS

Golden Age Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Greenwood, Mississippi. The current practice location for Golden Age Clinic is 2901 Highway 82 E, Greenwood, Mississippi. For appointments, you can reach them via phone at (662) 374-2185. The mailing address for Golden Age Clinic is 2901 Highway 82 East, Greenwood, Mississippi and phone number is (662) 374-2185.

Golden Age Clinic is licensed to practice in Mississippi (license number ). The clinic also participates in the medicare program and its NPI number is 1558693671. 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 (662) 374-2185.

Contact Information

Golden Age Clinic
2901 Highway 82 E
Greenwood
MS 38930-2960
(662) 374-2185
(662) 374-2195

Map and Direction


Primary Care Clinic Profile

Full NameGolden Age Clinic
SpecialityClinic/Center
Location2901 Highway 82 E, Greenwood, Mississippi
Authorized Official Name and PositionTabatha Danielle Watkins (ADMINISTRATOR)
Authorized Official Contact6624536323
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Golden Age Clinic
2901 Highway 82 East
Greenwood
MS 38930-2960

Ph: (662) 374-2185
Golden Age Clinic
2901 Highway 82 E
Greenwood
MS 38930-2960

Ph: (662) 374-2185

NPI Details:

NPI Number1558693671
Provider Enumeration Date02/01/2010
Last Update Date01/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0941294292
Medicare Enrollment IDO20100415000625

Medical Identifiers

Medical identifiers for Golden Age Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558693671NPI-NPPES
09705072MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Golden Age Clinic acts as a billing entity for following providers:
Provider NameJames E Warrington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912919234
PECOS PAC ID: 2769387901
Enrollment ID: I20031205000246
Provider NameJacqueline Suszan Ware
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558670869
PECOS PAC ID: 3072791839
Enrollment ID: I20110624000564
Provider NameStacey D Sprayberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124894142
PECOS PAC ID: 2860831047
Enrollment ID: I20240420000138

Reviews and Comments


Clinic/Center in Greenwood, MS

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Phone: 662-453-5460    Fax: 662-453-5551

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.