Individual provider Active NPI

Denesia Giffin, NP

  • Nurse Practitioner
  • Vicksburg, MS
National Provider Identifier
1568490241
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R748148 Issued in MS
Practice address
1901 Mission 66
Vicksburg, MS 39180-3711
Phone
(601) 636-1050
NPI assigned
Jun 29, 2006
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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 R748148 MS Primary

Addresses

Primary practice location

1901 Mission 66
Vicksburg, MS 39180-3711

Mailing address

1901 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 636-0097

Other identifiers 2

IdentifierTypeStateIssuer
1036374MedicaidLA
07671867MedicaidMS

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
I20040902001248 MS Practitioner - Nurse Practitioner 6507832318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Mission
Suite 66
Vicksburg, MS 39180-3711
Phone 6016360097281

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Cannon MD LLC Current Accepting new patients
Flowers Medical Group LLC Current Accepting new patients
J Russell Barnes MD PC Current Accepting new patients
BC Medical LLC Current Accepting new patients
Cal-Med LLC Current Accepting new patients
Robert C Masterson DO PA Inc Current Accepting new patients
Mission Primary Care Clinic PLLC CurrentSince Oct 31, 2016 Accepting new patients
Rlgmdpa Inc Current Accepting new patients
Christina Hossley Inc Current Accepting new patients
K McDaniel Inc Current Accepting new patients
Denesia Y Giffin PLLC CurrentSince Feb 1, 2016 Accepting new patients
Joseph L Wilson MD Inc Current Accepting new patients
Susan a Chiarito MD PA Inc Current Accepting new patients
Elite Performance and Rehab, LLC Past Accepting new patients
Internal Medicine & Pediatric Associates PastSince Aug 15, 2005 Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: denesia.giffin@mpcc.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1568490241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFIN",
        "first_name": "DENESIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R748148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1036374",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07671867",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.