Active NPI
Matthew Kevin Bounds, FNP-C
- Family Nurse Practitioner
- Fayette, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901946
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Hospitalists of Ms, LLC | Current | Accepting new patients | |
| Comprehensive Hospitalists of Ms, LLC | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bounds Family Medical | 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.
-
- Rural Health Clinic/Center
- Fayette, MS
- NPI 1194365338
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
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.
-
- Hospitalist Physician
- Amory, MS
- NPI 1467856385
-
- Family Medicine Physician
- Fayette, MS
- NPI 1831656354
-
- Hospitalist Physician
- Clarksdale, MS
- NPI 1710371679
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belzoni, MS
- NPI 1649295684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.