Individual provider Active NPI

Charles H Emrick, NP

  • Nurse Practitioner
  • West Point, MS
National Provider Identifier
1033829486
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905669 Issued in MS
Practice address
150 Medical Center Dr
West Point, MS 39773-0428
Phone
(662) 495-2300
NPI assigned
Nov 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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 905669 MS Primary

Addresses

Primary practice location

150 Medical Center Dr
West Point, MS 39773-0428

Mailing address

150 Medical Center Dr
West Point, MS 39773-0428
Phone (662) 495-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230516001931 MS Practitioner - Nurse Practitioner 4183080203 Reassigns benefits to 5 organizations
I20260211000600 TX Practitioner - Nurse Practitioner 4183080203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonita Emergency Group LLCGroup PAC ID 3870933278, 26 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 483-0011

Hospital & facility affiliations

  • Choctaw Health Center Hospital, Philadelphia, MS, CCN 250127
  • Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Amory, LLC CurrentSince Jan 1, 2025 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Jan 6, 2026 Accepting new patients
Relias Clinical Decision Specialists of Hattiesburg, LLC CurrentSince Nov 17, 2024 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Jan 6, 2026 Accepting new patients
Bonita Emergency Group, LLC Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC CurrentSince Feb 1, 2023 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: charlesemrick@nmhs.medalliesdirect.net

Organizations & group practices 12

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 1

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1033829486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397730428",
            "telephone_number": "662-495-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEDICAL CENTER DR",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397730428",
            "telephone_number": "662-495-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRICK",
        "first_name": "CHARLES",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.