Peaches Palmer, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F06180040 Issued in MS

Practice address

3661 Sangani Blvd Ste E
Diberville, MS 39540-8707

Phone

(228) 354-0022

NPI assigned

Sep 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  Medicare reassignment NPD
• Family Medicine Associates P a

  • Clinic/Center
  • Mission, TX
  • NPI 1295808293
  Medicare reassignment
• Singing River Health System

  dba Inpatient Physician Services

  • Internal Medicine Physician
  • Pascagoula, MS
  • NPI 1134283419
  NPD
• South Mississippi Urgent Care

  • Urgent Care Clinic/Center
  • D'Lberville, MS
  • NPI 1750308250
  NPD (past)
• Professional Rehabilitation Hospital LLC

  dba RiverBridge Specialty Hospital

  • Long Term Care Hospital
  • Vidalia, LA
  • NPI 1518929926
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1235612706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 DARIUS DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322700",
            "telephone_number": "228-380-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 SANGANI BLVD STE E",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408707",
            "telephone_number": "228-354-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "PEACHES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "F06180040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trung Nguyen
• Quochuy L Nhan, PHARMD.
• Oakview Counseling LLC
• One Solution Cerebral Wellness
• Andrea Ewing Overstreet, RPH
• Pals Pediatric Therapy, PLLC
• Elissa Parker, RBT
• Jeremy Wayne Parker, D.M.D.
• Taylor Morgan Parrish
• Samuel Patterson, LPTA

• Nurse Practitioner in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.