Grace Fairley Hampton, MSN,APRN,FNP-C,CPN
Individual provider Active NPI Family Nurse Practitioner · Flowood, MS
NPI 1639634751 · NPPES record last updated Dec 9, 2022
Key facts
- NPI
- 1639634751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 902393 (MS)
- Practice address
- 1031 N Flowood Dr
Flowood, MS 39232-9533 - Phone
- (601) 487-7445
- Fax
- (601) 487-7446
- NPI assigned
- Feb 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- River Oaks Management Company LLC
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 Health River Oaks
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.34 of 100
- Quality
- 96.39
- Improvement activities
- 40
- Cost
- 69.99
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220824003508 | MS | Practitioner - Nurse Practitioner | 1456735463 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Institute of Mississippi, LLC | Current |
Accepting new patients | |
| River Oaks Management Company, LLC | Current |
Accepting new patients | |
| River Oaks Management Company LLC | Current | Accepting new patients | |
| Reservoir Family Medical Clinic, PA | Current | Accepting new patients | |
| Advanced Vascular and Vein Associates, LLC | Current |
Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
4436 Mangum Dr
Flowood, MS 39232
Phone (601) 586-7070
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
1031 N Flowood Dr
Jackson, MS 39232
Phone (601) 487-7445
1040 River Oaks Dr
Ste 100
Jackson, MS 39232
Phone (601) 933-5417
1860 Chadwick Dr
Ste 256
Jackson, MS 39204
Phone (601) 376-1934
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
2200 Highway 61 N
Ste 3200
Vicksburg, MS 39183
Phone (601) 487-7445
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/26331/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902393 | MS | Yes |
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
Other providers in Flowood, MS
- Karla Haik
- Callie Brown Hall
- Charles E Hall
- Wendy Hamilton
- Stephen C Hammack
- Sheryl Hampton
- Alisia Chevese Hankins
- Christina Hansen
- Christopher Stephen Hanson
- Happy Tummies PA
All providers in Flowood, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.