Warrington Clinic
Nurse Practitioner, Family in Marks, MS. Organization (NPI-2).
NPI number1124470166
StatusActive
Last updated in NPPESJul 1, 2016
Details
- NPI
- 1124470166
- Entity type
- Organization (NPI-2)
- Legal business name
- Warrington Clinic
- Organization subpart
- No
- Enumeration date
- Jul 1, 2016
- Last updated
- Jul 1, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 893145 | MS | Yes |
Practice location
1024 Martin Luther King DrMarks, MS 38646-1832
Phone 662-326-3502 · Fax 662-326-2555
Mailing address
1024 Martin Luther King DrMarks, MS 38646-1832
Phone 662-326-3502 · Fax 662-326-2555
Authorized official
Sonya Walters
Administrator
6623263500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Marks, MS
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All 5 Family Nurse Practitioner providers in Marks · All 66 providers in Marks
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