Amy Gray Hancock, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R856115 Issued in MS

Practice address

7048 Old Canton Rd Ste 2E
Ridgeland, MS 39157-1021

Phone

(601) 992-9790

Fax

(601) 992-9796

NPI assigned

May 2, 2007

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

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Medical Consultants LLCGroup PAC ID 9830496314, 19 clinicians

WCS Professional Services of Mississippi, LLCGroup PAC ID 3476790502, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health and Hospice Care Mississippi Home health agency, Indianola, MS, CCN 257101
• Tyler Holmes Memorial Hospital Cah Hospital, Winona, MS, CCN 251312
• North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318

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 and National Provider Directory roles.

• Southern Medical Consultants LLC

  • Primary Care Nurse Practitioner
  • Ridgeland, MS
  • NPI 1215396577
  Medicare reassignment Care Compare group NPD
• WCS Professional Services of Mississippi, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1265785455

  MS

  Medicare reassignment Care Compare group NPD
• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Medicare reassignment NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Laurel, MS
  • NPI 1952099913
  Medicare reassignment NPD
• Tyler Holmes Memorial Hospital

  • Rural Health Clinic/Center
  • Winona, MS
  • NPI 1285649855
  Medicare reassignment NPD
• WCS Professional Services of Louisiana, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1851644876
  Medicare reassignment NPD
• Vicksburg Healthcare LLC

  • Anesthesiology Physician
  • Vicksburg, MS
  • NPI 1629084058
  Medicare reassignment
• North Sunflower Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, MS
  • NPI 1730903287
  NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Vicksburg, MS
  • NPI 1205524261
  NPD
• Quad Intermed Company LLC

  • Clinic/Center
  • Pearl, MS
  • NPI 1205619483
  NPD
• Tyler Holmes Memorial Hospital

  • Family Nurse Practitioner
  • Kilmichael, MS
  • NPI 1346084985
  NPD
• Tyler Holmes Walk-in Clinic

  • Clinic/Center
  • Winona, MS
  • NPI 1336420587
  NPD

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

• Home Health Care Services, Inc.

  • Home Health Agency
  • Indianola, MS
  • NPI 1154304491
  Care Compare affiliation
• North Sunflower Medical Center

  • Critical Access Hospital
  • Ruleville, MS
  • NPI 1508913609
  Care Compare affiliation
• Tyler Holmes Memorial Hospital

  • Critical Access Hospital
  • Winona, MS
  • NPI 1205868627
  Care Compare affiliation

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1689896763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 2E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 2E",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571021",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Four Lane Highway 49",
            "address_purpose": "LOCATION",
            "city": "Bentonia",
            "state": "MS",
            "postal_code": "390409433",
            "country_code": "US",
            "telephone_number": "601-992-9790",
            "fax_number": "601-992-9796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "AMY",
        "middle_name": "GRAY",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R856115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott L. Hambleton, M.D.
• Jennifer Hamilton
• Michelle M Hamilton, LPC, NCC, BC-TMH
• Hamiltondavis Home Care Agency, Inc.
• Audrey Sue Hampton
• Jennifer Denton Hankins, L.C.S.W
• Shantelle Mykia Hannah, LCSW
• Jennifer L Hansen, RPH
• Valerie Harden
• Tyler Hardy, OT

• Family Nurse Practitioner in Ridgeland, MS
• Providers in Ridgeland, 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 Jun 16, 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.

Verify at the official NPI Registry.