Brookhaven Diabetes and Primary Care Clinic
NPI 1275321754ActiveOrganization· Nurse Practitioner, Family· Brookhaven, MS
Nurse Practitioner, Family in Brookhaven, Mississippi, registered in NPPES in April 2025. The authorized official on file is Amy Katheryn Case, CFNP, ADM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275321754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2025 |
| Last updated in NPPES | Sep 24, 2026 |
| Certified by provider | Sep 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Registered Nurse, Diabetes Educator | 163WD0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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