NPIMap

Individual provider Active NPI

Christie Hutchinson Theriot, M.D.

  • Family Medicine Physician
  • Diamondhead, MS
National Provider Identifier
1255643268
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22792 Issued in MS
Practice address
4540 Shepherd SQ
Diamondhead, MS 39525-3325
Phone
(228) 255-8216
Fax
(228) 255-8219
NPI assigned
Jul 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 322652 LA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 22792 MS Primary

Addresses

Primary practice location

4540 Shepherd SQ
Diamondhead, MS 39525-3325

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140411001551 MS Practitioner - Family Practice 5698907327 Reassigns benefits to 1 organization
I20201012002151 LA Practitioner - Family Practice 5698907327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431

2750 Gause Blvd E
Ochsner Clinic Slidell
Slidell, LA 70458-4149
Phone (985) 639-3777

Hospital & facility affiliations

  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 8, 2020 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 21, 2020 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Apr 21, 2020 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 8, 2020 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

2750 Gause Blvd E
Slidell, LA 70461

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4540 Shepherd Sq
Diamondhead, MS 39525
Phone (228) 255-8216

Interoperability endpoints

  • Direct secure messaging: ctheriot908705@direct.ochsner.org

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 and National Provider Directory roles.

Hospital & facility affiliations 65

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1255643268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SHEPHERD SQ",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253325",
            "telephone_number": "228-255-8216",
            "fax_number": "228-255-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 S Green St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388046556",
            "country_code": "US",
            "telephone_number": "662-377-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "CHRISTIE",
        "middle_name": "HUTCHINSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "322652",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "22792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

Verify at the official NPI Registry.