Individual provider Active NPI

Natalie Renea Keyes, FNP

  • Family Medicine Physician
  • Collins, MS
National Provider Identifier
1285144584
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F09171469-AAN Issued in MS
Practice address
701 S Holly Ave
Collins, MS 39428-3894
Phone
(601) 765-6292
Fax
(601) 765-9447
NPI assigned
Oct 2, 2017
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F09171469-AAN MS Primary

Addresses

Primary practice location

701 S Holly Ave
Collins, MS 39428-3894

Mailing address

701 S Holly Ave
Collins, MS 39428-3894
Phone (601) 765-6292

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
I20180301000326 MS Practitioner - Nurse Practitioner 6608137971 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, shared by 16 NPIs, 44 clinicians

Practice addresses (Care Compare)

3275 Hwy 49 E
Family Care Express
Collins, MS 39428-3776
Phone (601) 765-6292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09171469-AANMSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Aug 1, 2019 Accepting new patients
Covington County Hospital Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 5, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 5, 2018 Accepting new patients
Covington County Hospital CurrentSince Aug 1, 2019 Accepting new patients
Thomas R. Blackledge, Jr., MD, PA Family Medicine Current Accepting new patients
Covington County Hospital Current Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Dec 7, 2017 Accepting new patients
Covington County Hospital CurrentSince Aug 1, 2019 Accepting new patients
Green Tree Family Medical Clinic Current Accepting new patients
Covington County Hospital CurrentSince Aug 1, 2019 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Dec 7, 2017 Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Past Accepting new patients

Locations

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

800 3rd St SW
Magee, MS 39111
Phone (601) 849-1918

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1285144584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HOLLY AVE",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283894",
            "telephone_number": "601-765-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HOLLY AVE",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283894",
            "telephone_number": "601-765-6292",
            "fax_number": "601-765-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "NATALIE",
        "middle_name": "RENEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "F09171469-AAN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collins, MS

Sources for this page

Verify at the official NPI Registry.