Individual provider Active NPI

Martha Ann Dempsey, M.D.

  • Family Medicine Physician
  • Gulfport, MS
National Provider Identifier
1265694129
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20839 Issued in MS
Practice address
1800 Beach Dr
Gulfport, MS 39507-1553
Phone
(228) 897-4450
Fax
(228) 897-4450
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20839 MS
Family Medicine Physician 207Q00000X 20839 MS Primary

Addresses

Primary practice location

1800 Beach Dr
Gulfport, MS 39507-1553

Mailing address

1800 Beach Dr
Gulfport, MS 39507-1553
Phone (228) 897-4450

Other practice location 1

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8669

Other identifiers 2

IdentifierTypeStateIssuer
03357291MedicaidMS
12222969OtherMSCAQH

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
I20100630000177 MS Practitioner - Family Practice 1557492808 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20839MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Emergency Group LLC Emergency Medicine CurrentSince Sep 13, 2017 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: martha.dempsey.1@15070.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1265694129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BEACH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071553",
            "telephone_number": "228-897-4450",
            "fax_number": "228-897-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BEACH DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071553",
            "telephone_number": "228-897-4450",
            "fax_number": "228-897-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Drinkwater Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Saint Louis",
            "state": "MS",
            "postal_code": "395201658",
            "country_code": "US",
            "telephone_number": "228-467-8669",
            "fax_number": "228-467-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "20839",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03357291",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12222969",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.