Active NPI
Ally Elizabeth Duet, PA-C
- Physician Assistant
- Bay St Louis, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00865
- Practice address
- 1009 Benigno LN
Bay St Louis, MS 39520-1602 - Phone
- (228) 467-2555
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00865 | MS | Primary |
Addresses
Primary practice location
1009 Benigno LN
Bay St Louis, MS 39520-1602
Mailing address
1009 Benigno LN
Bay St Louis, MS 39520-1602
Phone (785) 492-0915
Other practice location 1
4500 13th St
Gulfport, MS 39501-2515
Phone (228) 867-4000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251027000598 | MS | Practitioner - Physician Assistant | 0547759078 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
1001 Benigno LN
Bay St Louis, MS 39520-1602
Phone (228) 467-1414
1009 Benigno LN
Bay Saint Louis, MS 39520-1602
Phone (228) 467-2555
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2465
Hospital & facility affiliations
- Memorial Hospital at Gulfport
- Ochsner Medical Center-Hancock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00865 | MS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Physician Assistant | Current | Accepting new patients |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Locations
1009 Benigno Ln
Bay St Louis, MS 39520
Phone (228) 467-2555
4577 13th St
Gulfport, MS 39501
Phone (228) 864-2752
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
Hospital & facility affiliations 61
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1649000332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 BENIGNO LN",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395201602",
"telephone_number": "785-492-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 BENIGNO LN",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395201602",
"telephone_number": "228-467-2555"
}
],
"practiceLocations": [
{
"address_1": "4500 13th St",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012515",
"country_code": "US",
"telephone_number": "228-867-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUET",
"first_name": "ALLY",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.