Donnielle Carney, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28007 Issued in TN

Practice address

1933 Daffodil Dr
Southaven, MS 38672-9139

Phone

(901) 598-3081

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

77.92

Improvement activities

40

Cost

82.05

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Nurse Practitioner, TN

  Medicare reassignment Care Compare group NPD
• Convenient Care Clinic, LLC

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851490841

  MS

  Medicare reassignment NPD
• Olive Branch Emergency Physicians LLC

  • Emergency Medicine Physician
  • Olive Branch, MS
  • NPI 1730969734

  MS

  Medicare reassignment NPD
• Carr PLLC

  • Emergency Medicine Physician
  • Brentwood, TN
  • NPI 1548677610

  TN

  Medicare reassignment NPD
• Crossroads Urgent Care PLLC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1366644361

  Nurse Practitioner, TN

  Medicare reassignment NPD
• Germantown Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Germantown, TN
  • NPI 1518747526

  TN

  Medicare reassignment NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  MS, TN

  Medicare reassignment NPD
• Methodist North Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1801677083

  TN

  Medicare reassignment NPD
• Methodist South Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1609657873

  TN

  Medicare reassignment NPD
• Methodist University Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1023899291

  TN

  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097

  Nurse Practitioner, TN

  Medicare reassignment NPD
• Convenient Care Clinic, LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1073246773
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1104497932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 DAFFODIL DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 DAFFODIL DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729139",
            "telephone_number": "901-598-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "DONNIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-04-04",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "28007",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care-a-Van Medical Transit LLC
• Carefast LLC
• Caring Hands at Home NMC
• Carnahan Clinic PLLC
• Walter Earl Carnahan, DO
• Julie J Carpenter, MD
• Gary Dwain Carr, MD
• Jaqueline Tolleson Carter, LPC/MHSP
• Marlee Carter, SLP
• Rachel Shea Carter, PTA

• All providers in Southaven, MS
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.