Individual provider Active NPI

Amy Lynn Scheller, M.D.

  • Surgery Physician
  • Gulfport, MS
National Provider Identifier
1255770558
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27583 Issued in MS
Practice address
15190 Community Rd
Gulfport, MS 39503-3485
Phone
(228) 539-0489
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 27583 MS Primary

Addresses

Primary practice location

15190 Community Rd
Gulfport, MS 39503-3485

Mailing address

146 Tegarden Rd
Gulfport, MS 39507-1308
Phone (623) 693-2365

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720001521 MS Practitioner - General Surgery 8921242140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceed Physical Therapy, LLCGroup PAC ID 8123378338, 72 clinicians
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185

2525 Telephone Rd
Pascagoula, MS 39567-3202
Phone (228) 762-4483

Hospital & facility affiliations

  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27583MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Sep 9, 2021 Accepting new patients
Singing River Gulfport CurrentSince Oct 1, 2020 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

15190 Community Rd
Ste 140
Gulfport, MS 39503
Phone (228) 539-0489

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

15190 Community Rd
Ste 250
Gulfport, MS 39503
Phone (228) 539-0489

15190 Community Rd
Ste 240
Gulfport, MS 39503
Phone (228) 539-0489

1124 Oakleigh Rd
Ocean Springs, MS 39564
Phone (228) 875-3778

2525 Telephone Rd
Pascagoula, MS 39567
Phone (228) 762-4483

Organizations & group practices 4

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 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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1255770558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 TEGARDEN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071308",
            "telephone_number": "623-693-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-539-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "27583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.