Individual provider Active NPI

Amanda Danielle Simpson

  • Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1003334301
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09471 Issued in LA
Practice address
1800 12TH St
Meridian, MS 39301-4158
Phone
(601) 484-6700
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP09471 LA Primary

Addresses

Primary practice location

1800 12TH St
Meridian, MS 39301-4158

Mailing address

1800 12TH St
Meridian, MS 39301-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127002720 MS Practitioner - Nurse Practitioner 5799042859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pain Associates, PLLCGroup PAC ID 1456328210, 10 clinicians

Practice addresses (Care Compare)

1001 14TH St
Meridian, MS 39301-4458
Phone (601) 482-9224

Hospital & facility affiliations

  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
  • Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077
  • Ochsner Watkins Hospital Hospital, Quitman, MS, CCN 251316
  • Ochsner Choctaw General Hospital, Butler, AL, CCN 011304

Merit-based Incentive Payment System (MIPS)

Final score
77.61 of 100Reported as group
Quality
74.48
Promoting interoperability
95
Improvement activities
40
Cost
55.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09471LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain Associates, PLLC CurrentSince May 2, 2022 Accepting new patients
Laurel Pain Clinic PA CurrentSince Nov 16, 2020 Accepting new patients
Lakeland Radiologists P a Past Accepting new patients

Locations

1706 W 12th St
Laurel, MS 39440
Phone (601) 369-2021

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

1003 Holland Ave
Ste 103
Philadelphia, MS 39350
Phone (601) 482-9224

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/30747ffd-8a27-4deb-952a-ce2992dc36bd/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJAJBD/Endpoint/BJAJBD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1003334301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158",
            "telephone_number": "601-484-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.