Individual provider Active NPI

Jessie Lindsey, NP-C

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1265884175
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903320 Issued in MS
Practice address
1018 Cowan Rd
Gulfport, MS 39507-3404
Phone
(228) 265-7945
NPI assigned
Jul 5, 2016
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN215593 GA
Family Nurse Practitioner 363LF0000X 903320 MS Primary

Addresses

Primary practice location

1018 Cowan Rd
Gulfport, MS 39507-3404

Mailing address

8912 Seaman Rd
Vancleave, MS 39565-9286
Phone (770) 356-0116

Other practice location 1

10404 Tucker Rd
Vancleave, MS 39565-7922
Phone (228) 354-9505

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226000307 MS Practitioner - Nurse Practitioner 1052696986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10404 Tucker Rd
Vancleave, MS 39565-7922
Phone (228) 354-9505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Cooper Family Medical Center Inc. CurrentSince Oct 28, 2019 Accepting new patients
Physician Services of the Gulf Coast LLC CurrentSince Oct 28, 2019 Accepting new patients
Whole Family Care PLLC CurrentSince Jun 1, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 5, 2019 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 5, 2019 Accepting new patients

Locations

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1391 Broad Ave
Ste A
Gulfport, MS 39501
Phone (228) 669-6328

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945

10404 Tucker Rd
Vancleave, MS 39565
Phone (228) 354-9505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCCDD/Endpoint/GBCCDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1265884175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 SEAMAN RD",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395659286",
            "telephone_number": "770-356-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073404",
            "telephone_number": "228-265-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10404 Tucker Rd",
            "address_purpose": "LOCATION",
            "city": "Vancleave",
            "state": "MS",
            "postal_code": "395657922",
            "country_code": "US",
            "telephone_number": "228-354-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JESSIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215593",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.