Connie J Gainey, FNP BC
Individual provider Active NPI Nurse Practitioner · Meridian, MS
NPI 1114401908 · NPPES record last updated Sep 18, 2018
Key facts
- NPI
- 1114401908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 902912 (MS)
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 484-2762
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scott Regional Medical Center, Inc.
Practice addresses (Care Compare)
317 Hwy 13 S
Morton, MS 39117-3353
Phone (601) 732-6301
Hospital & facility affiliations
- Ochsner Scott Regional
- Ochsner Laird Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.13 of 100
- Quality
- 82.94
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181101002991 | MS | Practitioner - Nurse Practitioner | 2668725979 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Rush Medical Foundation | Current | Accepting new patients | |
| Scott Regional Medical Center, Inc | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Scott Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Scott Regional Medical Center, Inc. | Current |
Accepting new patients | |
| App of Mississippi Ed, LLC | Current |
Accepting new patients | |
| Scott Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Independent Healthcare Management, Inc. | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Current |
Accepting new patients | |
| Kemper Cah, Inc | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
330 N Broad St
Forest, MS 39074
Phone (601) 469-4151
330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902912 | MS | Yes |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-2762
Other providers in Meridian, MS
- G Elliott Houldings LLC
- Toni T. Gable
- Gaddis Family Dentistry
- Andrea Renae Gaddis
- Carlee Gainey
- Lisa Michelle Gant
- Michael A Garbee
- Cassie Gardner
- Whitney Gardner
- Kenya Nicole Garmany
All providers in Meridian, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.