Individual provider Active NPI

Felicia Gathings

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1396383501
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903698 Issued in MS
Practice address
4579 S Eason Blvd Ste a
Tupelo, MS 38801-6539
Phone
(662) 377-7590
NPI assigned
Dec 18, 2019
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903698 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903698 MS Primary

Addresses

Primary practice location

4579 S Eason Blvd Ste a
Tupelo, MS 38801-6539

Mailing address

4579 S Eason Blvd Ste a
Tupelo, MS 38801-6539
Phone (662) 377-7590

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
I20200117001127 MS Practitioner - Nurse Practitioner 4284069352 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 7TH St N
Suite 103
Columbus, MS 39701-4549
Phone (662) 570-9820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903698MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yeates Consulting ,LLC CurrentSince Aug 26, 2020 Accepting new patients
Deep Connections Mental Health Services Psychiatric/Mental Health CurrentSince May 1, 2022 Accepting new patients
Right Track Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients

Locations

104 Brickerton St
Columbus, MS 39701
Phone (662) 251-4632

221 7th St N
Ste 103
Columbus, MS 39701
Phone (662) 244-9633

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

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.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1396383501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 S EASON BLVD STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016539",
            "telephone_number": "662-377-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 S EASON BLVD STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016539",
            "telephone_number": "662-377-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHINGS",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903698",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.