Individual provider Active NPI

Kimberly Underwood Morgan, PMHNP, MN

  • Psychiatric/Mental Health Registered Nurse
  • Biloxi, MS
National Provider Identifier
1295056349
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
R809823 Issued in MS
Practice address
180 Debuys Rd
Biloxi, MS 39531-4402
Phone
(228) 388-0600
Fax
(228) 388-5966
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R809823 MS
Psychiatry Physician 2084P0800X R809823 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 809823 MS
Psychiatric/Mental Health Registered Nurse 163WP0808X R809823 MS Primary

Addresses

Primary practice location

180 Debuys Rd
Biloxi, MS 39531-4402

Mailing address

180 Debuys Rd
Biloxi, MS 39531-4402
Phone (228) 388-0600

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
I20150423001800 MS Practitioner - Nurse Practitioner 4981922952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oceans Mississippi Medical Group LLCGroup PAC ID 9830422716, 9 clinicians

Practice addresses (Care Compare)

152 Gateway Dr
Biloxi, MS 39531-4409
Phone (228) 388-0691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
809823MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II LLC CurrentSince Dec 1, 2017 Accepting new patients
Oceans Mississippi Medical Group LLC CurrentSince Jan 30, 2019 Accepting new patients
TBD Acquisition II, LLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

152 Gateway Dr
Biloxi, MS 39531
Phone (228) 388-0600

180 Debuys Rd
Biloxi, MS 39531
Phone (228) 338-0220

180 Debuys Rd
#C
Biloxi, MS 39531
Phone (228) 388-0600

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

Organizations & group practices 3

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1295056349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314402",
            "telephone_number": "228-388-0600",
            "fax_number": "228-388-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314402",
            "telephone_number": "228-388-0600",
            "fax_number": "228-388-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KIMBERLY",
        "middle_name": "UNDERWOOD",
        "name_prefix": "Mrs.",
        "credential": "PMHNP, MN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R809823",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "R809823",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "809823",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R809823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.