Individual provider Active NPI

Amber Williamson Norris, DO

  • Family Medicine Physician
  • Wiggins, MS
National Provider Identifier
1174029888
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26895 Issued in MS
Practice address
805 Hall St
Wiggins, MS 39577-2110
Phone
(601) 928-4412
Fax
(601) 579-5240
NPI assigned
Apr 2, 2018
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 Medicine Physician 207Q00000X 26895 MS Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anorris73225@directpatientrecord.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728004134 MS Practitioner - Family Practice 4183971062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

125 Turner Park Rd
Saltillo, MS 38866
Phone (662) 869-2122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26895MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Medicine CurrentSince Mar 18, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Mar 18, 2024 Accepting new patients
Hattiesburg Clinic PA CurrentSince Jul 14, 2021 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jul 14, 2021 Accepting new patients
North Mississippi Medical Clinics Inc Family Medicine Past Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

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

  • Direct secure messaging: ambernorris@nmhs.medalliesdirect.net
  • Direct secure messaging: anorris73225@directpatientrecord.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1174029888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-928-4412",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772110",
            "telephone_number": "601-928-4412",
            "fax_number": "601-579-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "AMBER",
        "middle_name": "WILLIAMSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anorris73225@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "805 Hall St",
            "city": "Wiggins",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395772110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

Verify at the official NPI Registry.