Active NPI
Emilie McKenzie Stansell, PA-C
- Physician Assistant
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00829
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7200 - Phone
- (601) 288-2690
- NPI assigned
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00829 | MS | Primary |
Addresses
Primary practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Mailing address
PO Box 15722
Hattiesburg, MS 39404-5722
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2807 Arlington Loop
Hattiesburg, MS 39401-7143
Phone (601) 288-3446
300 S 29TH Ave
Hattiesburg, MS 39401-7127
Phone (601) 288-1064
415 S 28TH Ave
FL 1
Hattiesburg, MS 39401-7246
Phone (601) 579-3300
6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-4273
6051 US Hwy 49 S
Hattiesburg, MS 39401-7200
Phone (601) 288-7000
Hospital & facility affiliations
- Forrest General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00829 | MS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
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 and National Provider Directory roles.
-
- Surgery Physician
- Hattiesburg, MS
- NPI 1427090398
-
- Psychiatric Hospital Unit
- Hattiesburg, MS
- NPI 1295837631
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- Internal Medicine Physician
- Picayune, MS
- NPI 1306976238
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1093536682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15722",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394045722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 U S HIGHWAY 49",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017200",
"telephone_number": "601-288-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANSELL",
"first_name": "EMILIE",
"middle_name": "MCKENZIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-17",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.