NPIMap

Individual provider Active NPI

Nichole Love-Grove, D.O.

  • Internal Medicine Physician
  • Slidell, LA
National Provider Identifier
1114466232
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
323810 Issued in LA
Practice address
330 Oak Harbor Blvd Ste B
Slidell, LA 70458-5703
Phone
(504) 931-5188
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at Gulfport 473 clinicians

Practice addresses (Care Compare)

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-5201

Hospital & facility affiliations

  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, TN, AL, MI, OH, GA, WV, KY, DC, VA11 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 11

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20201102000046 LA Practitioner - Internal Medicine 2567734254 Reassigns benefits to 1 organization
I20240410002781 MS Practitioner - HospitalistPractitioner - Internal Medicine 2567734254 Reassigns benefits to 2 organizations
I20240729000143 TN Practitioner - Internal Medicine 2567734254 Reassigns benefits to 1 organization
I20240729002631 AL Practitioner - Family Practice 2567734254 Reassigns benefits to 1 organization
I20241001002651 MI Practitioner - Family Practice 2567734254 Reassigns benefits to 1 organization
I20241016002240 OH Practitioner - Internal Medicine 2567734254 Reassigns benefits to 1 organization
I20241214000529 GA Practitioner - Internal Medicine 2567734254 Reassigns benefits to 1 organization
I20260218002411 WV Practitioner - Internal Medicine 2567734254 Reassigns benefits to 1 organization
I20260512003105 KY Practitioner - Family Practice 2567734254 Reassigns benefits to 1 organization
I20260527003948 DC Practitioner - Family Practice 2567734254 Reassigns benefits to 1 organization
I20260601003888 VA Practitioner - Family Practice 2567734254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
323810LAMDInternal Medicine Physician
3778ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Memorial Hospital at Gulfport Family Medicine CurrentSince Mar 18, 2024 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Mar 29, 2024 Accepting new patients
Rejuven8 Health & Wellness, LLC CurrentSince Oct 1, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Mar 18, 2024 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Jul 11, 2024 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Oct 22, 2024 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

753 Robert Blvd
#1008
Slidell, LA 70458
Phone (985) 214-2017

330 Oak Harbor Blvd
Ste B
Slidell, LA 70458
Phone (504) 350-2800

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: nichole.love-grove.1@22854.direct.athenahealth.com
  • Direct secure messaging: nlove@direct.mhg.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 323810 LA Primary
Internal Medicine Physician 207R00000X 27936 MS

Addresses

NPPES NPI Registry

Primary practice location

330 Oak Harbor Blvd Ste B
Slidell, LA 70458-5703

Mailing address

307 Lakeshore VLG E
Slidell, LA 70461-5608
Phone (504) 931-5188

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2024.

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1114466232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LAKESHORE VLG E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615608",
            "telephone_number": "504-931-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OAK HARBOR BLVD STE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585703",
            "telephone_number": "504-931-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE-GROVE",
        "first_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "323810",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "27936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.