Individual provider Active NPI

Karen Edwards Seago, NP

  • Adult Health Nurse Practitioner
  • Pearl, MS
National Provider Identifier
1164664348
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R701653 Issued in MS
Practice address
187 Doctors Dr
Pearl, MS 39208-4042
Phone
(601) 932-8722
Fax
(601) 939-2623
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R701653 MS
Adult Health Nurse Practitioner 363LA2200X R701653 MS Primary

Addresses

Primary practice location

187 Doctors Dr
Pearl, MS 39208-4042

Mailing address

2550 Flowood Dr
Suite 402
Flowood, MS 39232-9303
Phone (601) 936-3121

Other identifiers 2

IdentifierTypeStateIssuer
R701653OtherMSLICENSE
00118110MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karen.seago.3@4695.direct.athenahealth.com

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
I20090827000665 MS Practitioner - Nurse Practitioner 6901951979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Highland Colony Pkwy
Suite 5203
Ridgeland, MS 39157-2079

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

16 Atlantic Ave
Lynbrook, NY 11563-3046

187 Doctors Dr
Pearl, MS 39205-4042

601 Manson Ave
Metairie, LA 70001-0000

P O Box
Franklin, TN 37068-9022

PO Box
Franklin, TN 37068-9022

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R701653MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossgates Hma Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Crossgates Hma Medical Group LLC Current Accepting new patients
Crossgates Hma Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Horizon Medical Providers LLC CurrentSince Oct 1, 2024 Accepting new patients
River Oaks Management Company LLC Past Accepting new patients
Madison Hma Physician Management LLC Past Accepting new patients

Locations

395 Crossgates Blvd
Ste 102
Brandon, MS 39042
Phone (601) 825-0003

201 N College St
Ste 102
Brandon, MS 39042
Phone (601) 825-3074

187 Doctors Dr
Pearl, MS 39208
Phone (601) 932-3191

187 Doctors Dr
#P
Pearl, MS 39208
Phone (601) 932-8722

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

141 Township Ave
Ste 107
Ridgeland, MS 39157
Phone (601) 201-3121

Interoperability endpoints

  • Direct secure messaging: karen.seago.3@4695.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1164664348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 402",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-936-3121",
            "fax_number": "601-936-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 DOCTORS DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084042",
            "telephone_number": "601-932-8722",
            "fax_number": "601-939-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGO",
        "first_name": "KAREN",
        "middle_name": "EDWARDS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R701653",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R701653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R701653",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118110",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.seago.3@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "187 Doctors Dr",
            "city": "Pearl",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392084042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

Verify at the official NPI Registry.