Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Angelia Michele Eason, NURSEPRACTITIONER

Individual provider Family Medicine Physician · NPI 1114690039

Mrs. Angelia Michele Eason, NURSEPRACTITIONER is a Nurse Practitioner in Rolling Fork, Mississippi. Qualified in 2021, 5 years ago. Practices with G a Carmichael Family Health Center, Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
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Practice location Address checks out

283 W Race St
Rolling Fork, MS 39159-2621
Phone: (662) 873-0477
Fax: (662) 655-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 904643 (MS)

Record details

NPI number1114690039
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice G A Carmichael Family Health Center, Inc. — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rolling Fork