Amber K Atkinson, NP
Individual provider Active NPI Nurse Practitioner · Carthage, MS
NPI 1417309147 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1417309147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 901592 (MS)
- Practice address
- 407 S Valley St
Carthage, MS 39051-4051 - Phone
- (601) 298-0333
- Fax
- (601) 298-0797
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Medical Group of Mississippi LLC
Practice addresses (Care Compare)
332 Hwy 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Baptist Medical Center-Leake
- Neshoba County General Hospital
- Neshoba County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161110002461 | MS | Practitioner - Nurse Practitioner | 2860771094 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901592 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intouch Psychological Services LLC | Current |
Accepting new patients | |
| Vytalize Health | Current |
Accepting new patients | |
| Madden Medical Clinic LLC | Current |
Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Current |
Accepting new patients | |
| Premier Medical Group of Mississippi LLC | Past |
Accepting new patients |
Locations
407 S Valley St
Carthage, MS 39051
Phone (601) 298-0333
1071 E Franklin St
Carthage, MS 39051
Phone (601) 267-4562
300 S Pearl St
#B
Carthage, MS 39051
Phone (601) 298-0333
59 Montague St
Goodman, MS 39079
Phone (662) 739-6040
332 Highway 12 W
Kosciusko, MS 39090
Phone (601) 206-6100
530 Veterans Memorial Dr
Kosciusko, MS 39090
Phone (662) 289-9155
2502 9th St
Meridian, MS 39301
Phone (601) 512-0927
1120 E Main St
Ste 24
Philadelphia, MS 39350
Phone (601) 781-8677
Interoperability endpoints
- amber.atkinson.1@27768.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 901592 | MS | Yes |
Addresses
Primary practice location
407 S Valley St
Carthage, MS 39051-4051
Mailing address
PO Box 23996
Jackson, MS 39225-3996
Phone (601) 206-6100
Other practice location 1
332 Highway 12 W
Kosciusko, MS 39090-3209
Phone (662) 289-1800
Other practice location 2
530 Veterans Memorial Dr
Kosciusko, MS 39090-3858
Phone (662) 289-9155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04705564 | Medicaid | MS |
Other providers in Carthage, MS
- Kimberly Coghlan Agent
- Michelle S Atkinson
- Baptist Medical Center - Leake, Inc.
- Baptist Medical Center -Leake Inc
- Baptist Medical Center-Leake Inc
- Baptist Medical Center-Leake, Inc.
All providers in Carthage, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.