Individual provider Active NPI

Evelyn Michelle Rainey, DNP, FNP-BC

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1184230898
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904160 Issued in MS
Practice address
1887 Spillway Rd
Brandon, MS 39047-6066
Phone
(601) 992-5532
Fax
(601) 992-5547
NPI assigned
Sep 17, 2020
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904160 MS Primary

Addresses

Primary practice location

1887 Spillway Rd
Brandon, MS 39047-6066

Mailing address

402 Asbury Lane Dr
Brandon, MS 39042-2129
Phone (662) 809-3009

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
I20221130001413 MS Practitioner - Nurse Practitioner 3375911027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904160MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Oct 3, 2022 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Oct 3, 2022 Accepting new patients
BMC - Attala, LLC PastSince Oct 16, 2022 Accepting new patients

Locations

1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936

1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1184230898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 ASBURY LANE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422129",
            "telephone_number": "662-809-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SPILLWAY RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476066",
            "telephone_number": "601-992-5532",
            "fax_number": "601-992-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "EVELYN",
        "middle_name": "MICHELLE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.