Individual provider Active NPI

Grace Fairley Hampton, MSN,APRN,FNP-C,CPN

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1639634751
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902393 Issued in MS
Practice address
1031 N Flowood Dr
Flowood, MS 39232-9533
Phone
(601) 487-7445
Fax
(601) 487-7446
NPI assigned
Feb 2, 2019
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 902393 MS Primary

Addresses

Primary practice location

1031 N Flowood Dr
Flowood, MS 39232-9533

Mailing address

1031 N Flowood Dr
Flowood, MS 39232-9533
Phone (601) 487-7445

Other practice location 1

2200 Ms-61
Ste. 3200
Vicksburg, MS 39183
Phone (601) 487-7445

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
I20220824003508 MS Practitioner - Nurse Practitioner 1456735463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 River Oaks Dr
Jackson, MS 39232-9553
Phone (601) 392-1030

1031 N Flowood Dr
Flowood, MS 39232-9533
Phone (601) 376-1394

1033 N Flowood Dr
Flowood, MS 39232-9533
Phone (601) 933-5417

2200 Hwy 61 N
Suite 3200
Vicksburg, MS 39183-8246
Phone (601) 883-3579

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.34 of 100Reported as group
Quality
96.39
Improvement activities
40
Cost
69.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Management Company, LLC CurrentSince Jan 1, 2024 Accepting new patients
Advanced Vascular and Vein Associates, LLC CurrentSince Jul 3, 2023 Accepting new patients
Reservoir Family Medical Clinic, PA Current Accepting new patients
Cardiovascular Institute of Mississippi, LLC CurrentSince Oct 1, 2022 Accepting new patients
River Oaks Management Company LLC Current Accepting new patients

Locations

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

4436 Mangum Dr
Flowood, MS 39232
Phone (601) 586-7070

778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1031 N Flowood Dr
Jackson, MS 39232
Phone (601) 487-7445

1040 River Oaks Dr
Ste 100
Jackson, MS 39232
Phone (601) 933-5417

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

1860 Chadwick Dr
Ste 256
Jackson, MS 39204
Phone (601) 375-1394

2200 Highway 61 N
Ste 3200
Vicksburg, MS 39183
Phone (601) 487-7445

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26331/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

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": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1639634751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-487-7445",
            "fax_number": "601-487-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329533",
            "telephone_number": "601-487-7445",
            "fax_number": "601-487-7446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 MS-61",
            "address_2": "Ste. 3200",
            "address_purpose": "LOCATION",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "39183",
            "country_code": "US",
            "telephone_number": "601-487-7445",
            "fax_number": "601-487-7446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "GRACE",
        "middle_name": "FAIRLEY",
        "credential": "MSN,APRN,FNP-C,CPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-02",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.