Individual provider Active NPI

Erin Newman Livingston, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Amory, MS
National Provider Identifier
1568874303
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
25065 Issued in MS
Practice address
900 Earl Frye Blvd Ste a
Amory, MS 38821-5507
Phone
(662) 328-9331
Fax
(662) 270-6003
NPI assigned
May 28, 2014
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 25065 MS Primary
Pediatrics Physician 208000000X T-2825 MS

Addresses

Primary practice location

900 Earl Frye Blvd Ste a
Amory, MS 38821-5507

Mailing address

900 Earl Frye Blvd Ste a
Amory, MS 38821-5507
Phone (662) 328-9331

Other identifiers 1

IdentifierTypeStateIssuer
06521577MedicaidMS

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
I20170825001221 MS Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0547532509 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-2825MSMDPediatrics Physician
25065MSMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 14, 2017 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 14, 2017 Accepting new patients
Oktibbeha County Hospital Past Accepting new patients
Baptist Memorial Hosp Oktibbeha County Inc. Past Accepting new patients
P & S Clinic OB-GYN PLLC Pediatrics Past Accepting new patients

Locations

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: erin.livingston.1@20688.direct.athenahealth.com

Organizations & group practices 5

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1568874303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD STE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-328-9331",
            "fax_number": "662-270-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD STE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-328-9331",
            "fax_number": "662-270-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "ERIN",
        "middle_name": "NEWMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MS",
            "license": "25065",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "T-2825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06521577",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.