Courtney Leigh Ponder, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902637 Issued in MS

Practice address

11516 Lamey Bridge Rd Ste I
Diberville, MS 39540

Phone

(228) 207-4190

NPI assigned

Jul 18, 2018

Last updated

Nov 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Leigh Coate Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• Singing River Health System Hospital, Pascagoula, MS, CCN 250040
• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  Medicare reassignment Care Compare group
• Saad Enterprises, Inc.

  dba Saad Medical Clinic

  • Multi-Specialty Clinic/Center
  • D'Iberville, MS
  • NPI 1982148862
  Medicare reassignment NPD
• Singing River Gulfport

  dba Singing River Gulfport Ambulatory

  • Multi-Specialty Clinic/Center
  • Gulfport, MS
  • NPI 1861010159
  Medicare reassignment NPD
• Singing River Gulfport

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1487327193
  NPD
• D'Iberville Medical Clinic LLC

  • Family Medicine Physician
  • D'Iberville, MS
  • NPI 1629536925
  NPD (past)

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

• Singing River Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1639797913
  Care Compare affiliation
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937

  Hospital

  Care Compare affiliation
• Singing River Health System

  • General Acute Care Hospital
  • Pascagoula, MS
  • NPI 1124136593
  Care Compare affiliation
• South Mississippi Home Health, Inc. - Region I

  dba Deaconess HomeCare

  • Home Health Agency
  • Laurel, MS
  • NPI 1326039470
  Care Compare affiliation

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1568948016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 LAMEY BRIDGE RD STE I",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402725",
            "telephone_number": "228-207-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 LAMEY BRIDGE RD STE I",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "39540",
            "telephone_number": "228-207-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2819 Denny Ave",
            "address_purpose": "LOCATION",
            "city": "Pascagoula",
            "state": "MS",
            "postal_code": "395815301",
            "country_code": "US",
            "telephone_number": "228-809-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONDER",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COATE",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gretchen Petrie Graff, M.A., LPC
• Diem Hong Phan, PHARM D
• Bridget D Piernas, BEHAVIOR TECHNITIAN
• Pinnacle Hospice, LLC
• Latoya Carson Plummer, PT, DPT
• Praetorian Health Services, LLC
• Stacy Ragno, COTA/L
• Rampdr
• Timothy C Reid, LCSW
• Resolute Healthcare

• Family Nurse Practitioner in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.

Verify at the official NPI Registry.