NPIMap

Individual provider Active NPI

Gina E Butler, CNFP

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1619966066
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R852435 Issued in MS
Practice address
13066 Shriners Blvd Ste a
Biloxi, MS 39532-8616
Phone
(228) 333-0133
Fax
(228) 901-5939
NPI assigned
Oct 18, 2005
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R852435 MS Primary

Addresses

Primary practice location

13066 Shriners Blvd Ste a
Biloxi, MS 39532-8616

Mailing address

4300B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-7382

Other practice location 1

4300B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-7393

Other identifiers 1

IdentifierTypeStateIssuer
05487763MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001305 MS Practitioner - Nurse Practitioner 3476544933 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
Group practices
NPS With Ivs Hydration and Wellness LLCGroup PAC ID 7113314188, 3 clinicians

Practice addresses (Care Compare)

13034 Shriners Blvd
Suite B
Biloxi, MS 39532-8250
Phone (228) 333-0133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R852435MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Mississippi Nephrology, PLLC CurrentSince Jun 1, 2018 Accepting new patients
NPS With Ivs Hydration and Wellness LLC Family CurrentSince Feb 23, 2022 Accepting new patients
Singing River Health System PastSince May 1, 2022 Accepting new patients

Locations

13034 Shriners Blvd
#B
Biloxi, MS 39532
Phone (228) 333-0133

13066 Shriners Blvd
Ste A
Biloxi, MS 39532
Phone (228) 396-5022

784 Vieux Marche Mall
Biloxi, MS 39530
Phone (228) 374-2575

4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705

Interoperability endpoints

  • Direct secure messaging: gpayne@direct.mhg.com

Organizations & group practices 3

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.

Hospital & facility affiliations 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1619966066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-863-7382",
            "fax_number": "228-864-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13066 SHRINERS BLVD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328616",
            "telephone_number": "228-333-0133",
            "fax_number": "228-901-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300B W Railroad St",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012568",
            "country_code": "US",
            "telephone_number": "228-863-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "GINA",
        "middle_name": "E",
        "credential": "CNFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R852435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05487763",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.