Individual provider Active NPI

Kelly Michelle Nations, M.D.

  • Emergency Medicine Physician
  • Gulfport, MS
National Provider Identifier
1487601050
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
024354 Issued in LA
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

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1570427MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 GulfportGroup PAC ID 2466524012, 473 clinicians
Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians

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 Hospital, Gulfport, MS, CCN 250019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024354LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 1, 2011 Accepting new patients
Hancock Emergency Group LLC Emergency Medicine CurrentSince Oct 20, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 60

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

View all 60

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

Verify at the official NPI Registry.