Individual provider Active NPI

Melody Horton-Drummond, NP-C

  • Gerontology Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1174908420
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R862443 Issued in MS
Practice address
1800 Beach Dr
Gulfport, MS 39507-1553
Phone
(601) 896-2041
NPI assigned
Jul 28, 2015
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R862443 MS
Gerontology Nurse Practitioner 363LG0600X R862443 MS Primary
Ambulatory Care Registered Nurse 163WP2201X R862443 MS

Addresses

Primary practice location

1800 Beach Dr
Gulfport, MS 39507-1553

Mailing address

1800 Beach Dr
Gulfport, MS 39507-1553
Phone (601) 987-3079

Other identifiers 1

IdentifierTypeStateIssuer
1174908420MedicaidMS

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
I20160926000604 MS Practitioner - Nurse Practitioner 9234423450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306
Phone (228) 864-0003

23453 Central Dr
Saucier, MS 39574-7521
Phone (228) 832-7223

23457 Central Dr
A
Saucier, MS 39574-7521
Phone (228) 832-7223

2819 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 762-3466

715 A Division St
Biloxi, MS 39530-2209
Phone (229) 374-4991

735 Division St
Biloxi, MS 39530-2209
Phone (228) 386-1190

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R862443MSMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Apr 17, 2023 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Coastal Family Health Center, Inc CurrentSince Apr 17, 2023 Accepting new patients
Singing River Gulfport CurrentSince Dec 15, 2022 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

12121 Highway 49
Gulfport, MS 39503
Phone (228) 831-1572

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

4770 Amoco Dr
Moss Point, MS 39563
Phone (228) 474-9511

Interoperability endpoints

  • Direct secure messaging: melody.drummond.p1@direct.cfhc.nextgenshare.com

Organizations & group practices 7

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 3

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1174908420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BEACH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071553",
            "telephone_number": "601-987-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BEACH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071553",
            "telephone_number": "601-896-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON-DRUMMOND",
        "first_name": "MELODY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R862443",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "R862443",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MS",
            "license": "R862443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174908420",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.