Active NPI
Kelly Michelle Nations, M.D.
- Emergency Medicine Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 024354
- Practice address
- 1510 Thornton Ave
Gulfport, MS 39501-2157 - Phone
- (622) 886-5356
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17136 | MS | |
| Emergency Medicine Physician | 207P00000X | 024354 | LA | Primary |
Addresses
Primary practice location
1510 Thornton Ave
Gulfport, MS 39501-2157
Mailing address
1510 Thornton Ave
Gulfport, MS 39501-2157
Phone (622) 886-5356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1570427 | Medicaid | LA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070106000047 | MS | Practitioner - Emergency Medicine | 6406892199 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at GulfportHancock Emergency Group LLC
Practice addresses (Care Compare)
1104 Broad Ave
Gulfport, MS 39501-2414
Phone (228) 822-6811
1110 Broad Ave
Suite 500
Gulfport, MS 39501-8902
Phone (228) 575-2588
1110 Broad Ave
Suite 700
Gulfport, MS 39501-8908
Phone (228) 864-0314
1202 Broad Ave
Gulfport, MS 39501-2426
Phone (228) 822-9360
1203 Broad Ave
Gulfport, MS 39501-2489
Phone (228) 868-5555
1206 31St Ave
Gulfport, MS 39501-1804
Phone (228) 864-0008
1312 44TH Ave
Gulfport, MS 39501-2552
Phone (228) 867-5012
1340 Broad Ave
Gulfport, MS 39501-2404
1340 Broad Ave
Gulfport, MS 39501-2445
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2464
1340 Broad Ave
Gulfport, MS 39501-2465
1340 Broad Ave
Suite 410
Gulfport, MS 39501-2459
Phone (228) 867-5202
1391 Broad Ave
Suite a
Gulfport, MS 39501-2419
Phone (228) 863-8868
1397 Broad Ave
Gulfport, MS 39501-2419
Phone (228) 575-1945
1404 44TH Ave
Gulfport, MS 39501-2554
Phone (228) 575-2870
1408 44TH Ave
Gulfport, MS 39501-2554
Phone (228) 575-1777
149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600
1801 23Rd Ave
Gulfport, MS 39501-2964
2309 15TH St
Gulfport, MS 39501-2027
4215 15TH St
Gulfport, MS 39501-2523
Phone (228) 863-5211
4300 B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 822-6811
4333 15TH St
Suite a
Gulfport, MS 39501-2525
Phone (228) 863-4000
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152
4500 13TH St
Gulfport, MS 39501-2569
Hospital & facility affiliations
- Memorial Hospital at Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024354 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Hancock Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Nes of Florida Inc | Emergency Medicine | Past | Accepting new patients |
| Louisiana Emergency & Trauma Specialists | Emergency Medicine | Past | Accepting new patients |
| Professional Emergency Physician Associates, LLC | Emergency Medicine | Past | Accepting new patients |
| Medicus Radiology PLLC | Past | Accepting new patients | |
| Our Lady of the Lake Hospital Inc | Emergency Medicine | Past | Accepting new patients |
| Nes of Florida Inc | Emergency Medicine | Past | Accepting new patients |
Locations
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
Interoperability endpoints
- knations@direct.mhg.com
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Bay St Louis, MS
- NPI 1295142396
Emergency Medicine, MS
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Hospitalist Physician
- Gulfport, MS
- NPI 1700213279
-
- Diagnostic Radiology Physician
- Biloxi, MS
- NPI 1447438387
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1912937145
Emergency Medicine
-
- Emergency Medicine Physician
- Napoleonville, LA
- NPI 1487796710
Emergency Medicine
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1992758247
Emergency Medicine
Hospital & facility affiliations 60
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1487601050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 THORNTON AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012157",
"telephone_number": "622-886-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 THORNTON AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012157",
"telephone_number": "622-886-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATIONS",
"first_name": "KELLY",
"middle_name": "MICHELLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "17136",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "024354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1570427",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.