Individual provider Active NPI

Matthew Kevin Bounds, FNP-C

  • Family Nurse Practitioner
  • Fayette, MS
National Provider Identifier
1295273670
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901946 Issued in MS
Practice address
821 Main St
Fayette, MS 39069-5695
Phone
(601) 809-0882
Fax
(601) 809-0883
NPI assigned
Feb 6, 2017
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901946 MS Primary

Addresses

Primary practice location

821 Main St
Fayette, MS 39069-5695

Mailing address

PO Box 91
Fayette, MS 39069-0091
Phone (601) 953-3143

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL boundsmedical@gmail.com

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
I20180731000508 MS Practitioner - Nurse Practitioner 5395093975 Reassigns benefits to 2 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)

821 Main St
Fayette, MS 39069-5695
Phone (601) 953-3143

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalists of Ms, LLC Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince May 19, 2018 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bounds Family MedicalFayette, MS, CCN A53845 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Oct 22, 2024
Oct 22, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Hospital & facility affiliations 2

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1295273670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390690091",
            "telephone_number": "601-953-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 MAIN ST",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390695695",
            "telephone_number": "601-809-0882",
            "fax_number": "601-809-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "MATTHEW",
        "middle_name": "KEVIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "boundsmedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "821 Main Street",
            "city": "Fayette",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayette, MS

Sources for this page

Verify at the official NPI Registry.