Individual provider Active NPI

Ginger Lee Stewart, FNP

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1275936163
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
810641 Issued in MS
Practice address
363 Southcrest Cir Ste 103
Southaven, MS 38671-4737
Phone
(662) 772-5222
Fax
(662) 772-5957
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 19364 TN
Family Nurse Practitioner 363LF0000X 810641 MS Primary

Addresses

Primary practice location

363 Southcrest Cir Ste 103
Southaven, MS 38671-4737

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other practice location 1

8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20141202002293 MS Practitioner - Nurse Practitioner 9335461359 Reassigns benefits to 2 organizations
I20150407000384 TN Practitioner - Nurse Practitioner 9335461359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

255 Baptist Blvd
Columbus, MS 39705-2006

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

363 Southcrest Cir
Southaven, MS 38671-4737

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
810641MSMDFamily Nurse Practitioner
19364TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Jul 11, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 11, 2022 Accepting new patients
Midsouth Medicine CurrentSince Nov 1, 2014 Accepting new patients
Desoto Family Wellness Center, LLC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Stonebridge Medical Group, PLC PastSince Nov 1, 2014 Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

2149 Stateline Rd W
Southaven, MS 38671
Phone (662) 342-1112

363 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (662) 772-5222

7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: gstewart461855@direct.bmhcc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCEIBA

Organizations & group practices 5

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1275936163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SOUTHCREST CIR STE 103",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714737",
            "telephone_number": "662-772-5222",
            "fax_number": "662-772-5957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Wolf River Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "fax_number": "901-759-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GINGER",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19364",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "810641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.