Active NPI
Gabrielle Deschamp
- Family Nurse Practitioner
- Kiln, MS
National Provider Identifier
1225521982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902652
- Practice address
- 1687 Firetower Rd
Kiln, MS 39556-6385 - Phone
- (228) 229-7698
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902652 | MS | Primary |
Addresses
Primary practice location
1687 Firetower Rd
Kiln, MS 39556-6385
Mailing address
1687 Firetower Rd
Kiln, MS 39556-6385
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181002003443 | MS | Practitioner - Nurse Practitioner | 2769734797 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902652 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Firetower Health and Wellness | Family | Past | Accepting new patients |
Locations
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
715A Division St
Biloxi, MS 39530
Phone (228) 374-4991
1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494
4550 Shepherd Sq
Diamondhead, MS 39525
Phone (228) 255-8216
15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003
Interoperability endpoints
- gabrielle.deschamp.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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Biloxi, MS
- NPI 1629066782
MS
-
- Federally Qualified Health Center (FQHC)
- Lucedale, MS
- NPI 1427842913
-
- Federally Qualified Health Center (FQHC)
- Leakesville, MS
- NPI 1700979960
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1003313180
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1225521982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 FIRETOWER RD",
"city": "KILN",
"state": "MS",
"postal_code": "395566385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 FIRETOWER RD",
"city": "KILN",
"state": "MS",
"postal_code": "395566385",
"telephone_number": "228-229-7698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHAMP",
"first_name": "GABRIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kiln, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.