Evergreen Clini
Evergreen Clini is a healthcare organization registered as Family Nurse Practitioner in Nettleton, MS, holding Type 2 (organization) NPI 1396763298 since 2006. The authorized official on file is Jerry Stevens, Administration.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396763298 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Clini |
| Practice address | 4929 HIGHWAY 371 S, Nettleton, MS, 38858 |
| Phone | 6629639154 |
| Fax | 6629639157 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jerry Stevens |
|---|---|
| Title | Administration |
| Phone | 6629639154 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013494 | Medicaid | MS | — |
Copy-ready billing details
Provider: Evergreen Clini NPI: 1396763298 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 4929 HIGHWAY 371 S, Nettleton, MS, 38858
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689860629 | Evergreen Family Medical Clinic Inc | Organization | Rural Health Clinic/Center | Nettleton, MS |
| 1841692852 | Family Care of Evergreen, LLC | Organization | Nurse Practitioner | Nettleton, MS |
Verify this record
Cross-check NPI 1396763298 against the authoritative CMS record: view Evergreen Clini on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Evergreen Clini?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.