Seren Emerson Ainsworth II, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

903359 Issued in MS

Practice address

15012 Lemoyne Blvd
Biloxi, MS 39532

Phone

(228) 392-5050

Fax

(228) 392-5318

NPI assigned

Jun 11, 2019

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Bay Family Medical Clinic, PAGroup PAC ID 4284628868, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
• Singing River Health System Hospital, Pascagoula, MS, CCN 250040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• North Bay Family Medical Clinic, PA

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1417912486
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Singing River Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1639797913
  Care Compare affiliation
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation
• South Mississippi Home Health, Inc. - Region I

  dba Deaconess HomeCare

  • Home Health Agency
  • Laurel, MS
  • NPI 1326039470
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1356900534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325205",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 LEMOYNE BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39532",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-5318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15012 Lemoyne Blvd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "39532",
            "country_code": "US",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-5318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15012 Lemoyne Blvd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "39532",
            "country_code": "US",
            "telephone_number": "228-392-5050",
            "fax_number": "228-392-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "SEREN",
        "middle_name": "EMERSON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "903359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbfmcpa@bellsouth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Biloxi",
            "address_1": "15012 Lemoyne Blvd",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dorothy Denise Adams, NP
• Stephanie Lynn Addison, NP
• Moses Oyegoke Adedeji, MD
• Aesthetic Surgery Center LTD
• Ahmad Agha, M.B.B.S.
• Adam Derrick Akers, PSY.D.
• Kole Prasad Akula, MD
• Belinda Alexander, M.D.
• Brenda Lynn Alexander, RN
• Kari Alexander

• Family Medicine Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.