Individual provider Active NPI

Kelly Day, N.P.

  • Nurse Practitioner
  • Carriere, MS
National Provider Identifier
1386196277
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
901599 Issued in MS
Practice address
200 Golf Course Dr Ste M
Carriere, MS 39426-9037
Phone
(769) 242-3185
Fax
(769) 242-0099
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 901599 MS Primary

Addresses

Primary practice location

200 Golf Course Dr Ste M
Carriere, MS 39426-9037

Mailing address

200 Golf Course Dr Ste M
Carriere, MS 39426-9037
Phone (769) 242-3185

Other practice location 1

6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240

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
I20170221002735 MS Practitioner - Nurse Practitioner 7315221272 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petal Urgent Care LLCGroup PAC ID 9133303811, 9 clinicians
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

1272 Evelyn Gandy Pkwy
Suite 60
Petal, MS 39465-3953
Phone (601) 336-5393

200 Golf Course Dr
Suite M
Carriere, MS 39426-9037
Phone (985) 892-7070

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901599MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Petal Urgent Care LLC CurrentSince Dec 18, 2018 Accepting new patients
Orange Grove Urgent Care CurrentSince May 11, 2021 Accepting new patients
Hattiesburg Urgent Care, LLC CurrentSince Dec 18, 2018 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Sep 13, 2022 Accepting new patients
Sunrise Healthcare LLC Current Accepting new patients
Maxem Health Urgent Care Magee CurrentSince Jan 1, 2020 Accepting new patients
Ocean Springs Urgent Care CurrentSince Dec 14, 2021 Accepting new patients
Gulfport 49 Imaging, LLC CurrentSince May 11, 2021 Accepting new patients
Wound Care Associates LLC CurrentSince May 15, 2023 Accepting new patients
Maxem Health Urgent Care Flowood CurrentSince May 11, 2021 Accepting new patients
Maxem Health Urgent Care McComb CurrentSince Dec 14, 2021 Accepting new patients
Pioneer Health Care , LLC CurrentSince Apr 1, 2017 Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

200 Golf Course Dr
Ste M
Carriere, MS 39426
Phone (769) 242-3185

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

6101 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 909-6240

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

1529 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-7288

101 Edgewood Dr
McComb, MS 39648
Phone (601) 324-3244

1514 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 382-9222

1272 Evelyn Gandy Pkwy
Ste 60
Petal, MS 39465
Phone (601) 336-5393

801 Highway 11 S
Picayune, MS 39466
Phone (601) 798-4771

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1386196277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GOLF COURSE DR STE M",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269037",
            "telephone_number": "769-242-3185",
            "fax_number": "769-242-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GOLF COURSE DR STE M",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269037",
            "telephone_number": "769-242-3185",
            "fax_number": "769-242-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 U S Highway 49",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "39401",
            "country_code": "US",
            "telephone_number": "601-909-6240",
            "fax_number": "601-909-6289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAY",
        "first_name": "KELLY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carriere, MS

Sources for this page

Verify at the official NPI Registry.