MS. CARRIE MCGREW GHOLSTON NPI 1902448301

NPI Information

NPI: 1902448301
Provider Name: MS. CARRIE MCGREW GHOLSTON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: RIGHT TRACK MEDICAL GROUP, INC

PECOS Registration: Yes

Address:
141 TOWNSHIP AVE STE 107
RIDGELAND, MS
ZIP 39157
Phone: (601) 707-5676
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MS. Carrie Mcgrew Gholston is a psychiatric/mental health nurse practitioner in Ridgeland, MS with 5 years of experience. MS. Carrie Mcgrew Gholston NPI is 1902448301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

141 TOWNSHIP AVE STE 107
RIDGELAND, MS
ZIP 39157-697
Phone: (601) 707-5676

The NPI 1902448301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 10/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	903621	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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