Individual provider Active NPI

Amy L Pontius, NP-C

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1083159099
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901897 Issued in MS
Practice address
15190 Community Rd Ste 300
Gulfport, MS 39503-3499
Phone
(228) 819-8586
Fax
(228) 831-3908
NPI assigned
Dec 29, 2016
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901897 MS Primary
Registered Nurse 163W00000X R820497 MS

Addresses

Primary practice location

15190 Community Rd Ste 300
Gulfport, MS 39503-3499

Mailing address

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Other practice location 1

1153 Ocean Springs Rd
Ocean Springs, MS 39564-3421
Phone (228) 819-8586

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
I20170213002387 MS Practitioner - Nurse Practitioner 9234412487 Reassigns benefits to 3 organizations
I20231220003221 TX Practitioner - Nurse Practitioner 9234412487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

15190 Community Rd
Suite 300
Gulfport, MS 39503-3499
Phone (251) 433-1895

3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone (228) 818-0310

7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R820497MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Feb 6, 2017 Accepting new patients
Urology Associates of Mobile, P.a. CurrentSince Jun 1, 2025 Accepting new patients
Arctic Slope Native Association LTD CurrentSince Jan 1, 2023 Accepting new patients
Singing River Gulfport CurrentSince Jan 15, 2022 Accepting new patients

Locations

168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617

15190 Community Rd
Ste 300
Gulfport, MS 39503
Phone (228) 819-8586

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1133 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 819-8586

1153 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 819-8586

3635 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951

2525 Telephone Rd
Pascagoula, MS 39567
Phone (228) 762-4483

Interoperability endpoints

  • Direct secure messaging: amypontius@uam.allscriptsdirect.net
  • Direct secure messaging: apontius29369@direct.mysrhs.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1083159099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895",
            "fax_number": "251-433-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033499",
            "telephone_number": "228-819-8586",
            "fax_number": "228-831-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1153 Ocean Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395643421",
            "country_code": "US",
            "telephone_number": "228-819-8586",
            "fax_number": "228-831-3908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONTIUS",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901897",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R820497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.