Amber Williamson Norris, DO
Individual provider Active NPI Family Medicine Physician · Wiggins, MS
NPI 1174029888 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1174029888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 26895 (MS)
- Practice address
- 805 Hall St
Wiggins, MS 39577-2110 - Phone
- (601) 928-4412
- Fax
- (601) 579-5240
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Medical Clinics Inc
Practice addresses (Care Compare)
125 Turner Park Rd
Saltillo, MS 38866
Phone (662) 869-2122
Hospital & facility affiliations
- North Mississippi Medical Ctr HHA
- North Mississippi Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210728004134 | MS | Practitioner - Family Practice | 4183971062 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Family Medicine | Current |
Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current |
Accepting new patients | |
| Hattiesburg Clinic, PA | Current |
Accepting new patients | |
| Hattiesburg Clinic PA | Current |
Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
125 Turner Park Dr
Saltillo, MS 38866
Phone (662) 869-2122
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
805 Hall St
Wiggins, MS 39577
Phone (601) 928-4412
Interoperability endpoints
- ambernorris@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26895 | MS | Yes |
Addresses
Primary practice location
805 Hall St
Wiggins, MS 39577-2110
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 928-4412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08024396 | Medicaid | MS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | anorris73225@directpatientrecord.com | Health Information Exchange (HIE) |
Other providers in Wiggins, MS
- Mississippi State Department of Health
- Autrionne D Monroe
- Lycel Parmosa Nall
- Brooke Naramore
- Carly Anne Nichols
- Dillon Ott
- Erica R Palmer
- Leslie Parker
- Rebekah Parker
- Robert K Partrige
All providers in Wiggins, MS · Family Medicine Physician 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 13, 2021. 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.