Individual provider Active NPI

Carmen Byrd

  • Family Nurse Practitioner
  • Louisville, MS
National Provider Identifier
1144735382
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09170015 Issued in MS
Practice address
455 N Court Ave
Louisville, MS 39339-2327
Phone
(601) 815-2060
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F09170015 MS
Family Nurse Practitioner 363LF0000X F09170015 MS Primary

Addresses

Primary practice location

455 N Court Ave
Louisville, MS 39339-2327

Mailing address

1524 Mill Creek Rd
Louisville, MS 39339-8742
Phone (662) 803-2226

Other names 1

  • Carmen Matzek Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222000933 MS Practitioner - Nurse Practitioner 6709147309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Mississippi LLCGroup PAC ID 5496052904, 10 clinicians

Practice addresses (Care Compare)

400 Hospital Rd
FL 3
Starkville, MS 39759-2163
Phone (662) 615-2791

Hospital & facility affiliations

  • Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
  • Centerwell Home Health Home health agency, Columbus, MS, CCN 257110
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Merit-based Incentive Payment System (MIPS)

Final score
76.33 of 100Reported as individual
Quality
66.61
Improvement activities
40
Cost
32.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09170015MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Mississippi, LLC CurrentSince Oct 29, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 7, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 7, 2018 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

400 Hospital Rd
Fl 3
Starkville, MS 39759
Phone (662) 615-2791

Organizations & group practices 3

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1144735382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 MILL CREEK RD",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393398742",
            "telephone_number": "662-803-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N COURT AVE",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392327",
            "telephone_number": "601-815-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "F09170015",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F09170015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MATZEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.