Individual provider Active NPI

Courtney Anita Hampton Bennett, APMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1336486422
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R878447 Issued in MS
Practice address
1201 22ND Ave Ste a
Meridian, MS 39301-4013
Phone
(601) 686-6500
NPI assigned
Jan 9, 2013
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R878447 MS Primary

Addresses

Primary practice location

1201 22ND Ave Ste a
Meridian, MS 39301-4013

Mailing address

1201 22ND Ave Ste a
Meridian, MS 39301-4013
Phone (601) 686-6500

Other practice location 1

1818 College Drive
Meridian, MS 39304
Phone (601) 581-7603 ext. 60158

Other practice location 2

1455 N Lakeland Dr
Meridian, MS 39307-9020
Phone (601) 581-7559

Other identifiers 1

IdentifierTypeStateIssuer
02700224MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LTC Direct

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
I20130805000842 MS Practitioner - Nurse Practitioner 5496997371 Reassigns benefits to 3 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

Practice addresses (Care Compare)

4711 Poplar SPG Dr
Meridian, MS 39305-2622
Phone (601) 485-7777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R878447MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mississippi Medical Clinic CurrentSince May 1, 2024 Accepting new patients
Physician Group CurrentSince Apr 1, 2013 Accepting new patients
Nurse Practitioner Associates of Meridian CurrentSince Dec 1, 2022 Accepting new patients
East Mississippi Medical Clinic, PLLC Current Accepting new patients
East Mississippi State Hospital Current Accepting new patients

Locations

1818 College Dr
Meridian, MS 39307
Phone (601) 581-7600

3701 8th St
#B
Meridian, MS 39307
Phone (601) 282-1933

4555 Highland Park Dr
Meridian, MS 39307
Phone (601) 482-6186

4711 Poplar Springs Dr
Meridian, MS 39305
Phone (601) 484-3390

Interoperability endpoints

  • Direct secure messaging: courtney.bennett.1@22967.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22967/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1336486422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 22ND AVE STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014013",
            "telephone_number": "601-686-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 22ND AVE STE A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014013",
            "telephone_number": "601-686-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 College Drive",
            "address_purpose": "LOCATION",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39304",
            "country_code": "US",
            "telephone_number": "601-581-7603 x60158",
            "fax_number": "601-581-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 N Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393079020",
            "country_code": "US",
            "telephone_number": "601-581-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "COURTNEY",
        "middle_name": "ANITA HAMPTON",
        "name_prefix": "Mrs.",
        "credential": "APMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R878447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02700224",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LTC",
            "affiliation": "N",
            "endpointDescription": "Resident Information System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1818 College Drive",
            "city": "MERIDIAN",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.