NPIMap

Individual provider Active NPI

Memorie Liane Gaughf, FNP

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1114597044
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904469 Issued in MS
Practice address
970 Tommy Munro Dr Ste B
Biloxi, MS 39532-2176
Phone
(228) 388-4585
NPI assigned
Jul 1, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904469 MS Primary

Addresses

Primary practice location

970 Tommy Munro Dr Ste B
Biloxi, MS 39532-2176

Mailing address

970 Tommy Munro Dr Ste B
Biloxi, MS 39532-2176
Phone (228) 388-4585

Other practice location 1

15190 Community Rd Ste 100
Gulfport, MS 39503-3484
Phone (228) 539-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210907000001 MS Practitioner - Nurse Practitioner 9638575368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15190 Community Rd
Suite 100
Gulfport, MS 39503-3484
Phone (228) 539-3824

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC CurrentSince Aug 2, 2021 Accepting new patients

Locations

970 Tommy Munro Dr
Ste B
Biloxi, MS 39532
Phone (228) 388-4585

15190 Community Rd
Ste 100
Gulfport, MS 39503
Phone (228) 388-4585

3704 Bienville Blvd
#A1
Ocean Springs, MS 39564
Phone (228) 447-4056

Organizations & group practices 1

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 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1114597044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 TOMMY MUNRO DR STE B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322176",
            "telephone_number": "228-388-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 TOMMY MUNRO DR STE B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322176",
            "telephone_number": "228-388-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15190 Community Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395033484",
            "country_code": "US",
            "telephone_number": "228-539-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUGHF",
        "first_name": "MEMORIE",
        "middle_name": "LIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.