NPIMap

Individual provider Active NPI

Raymond Patrick Blythe, CFNP

  • Family Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1700210432
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R871321 Issued in MS
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5510
Fax
(228) 809-5519
NPI assigned
Aug 29, 2013
Last updated
May 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R871321 MS
Family Nurse Practitioner 363LF0000X R871321 MS Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rblythe@direct.mysrhs.com Health Information Exchange (HIE)
Direct Messaging Address rblythe@direct.mysrhs.com Health Information Exchange (HIE)

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
I20140515001570 MS Practitioner - Nurse Practitioner 3577786706 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River GulfportGroup PAC ID 5294154829, 75 clinicians

Practice addresses (Care Compare)

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7112

350 Cowan Rd
Gulfport, MS 39507-2008
Phone (228) 206-7054

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Mar 1, 2019 Accepting new patients
Memorial Hospital at Gulfport Nurse Practitioner CurrentSince Jul 26, 2025 Accepting new patients
Singing River Health System CurrentSince Mar 1, 2019 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Dec 1, 2014 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Care Doc LLC CurrentSince Dec 1, 2021 Accepting new patients
Caredoc LLC CurrentSince Dec 1, 2021 Accepting new patients
Singing River Gulfport CurrentSince Sep 1, 2021 Accepting new patients
Coast Heart Institute, PLLC CurrentSince Jun 30, 2014 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1203 Broad Ave
Gulfport, MS 39501
Phone (228) 547-8814

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

4215 15th St
Gulfport, MS 39501
Phone (228) 863-5211

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

4500 13th St
Ste 900
Gulfport, MS 39501
Phone (228) 236-3872

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Interoperability endpoints

  • Direct secure messaging: rblythe@direct.mysrhs.com

Organizations & group practices 10

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 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1700210432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5510",
            "fax_number": "228-809-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "RAYMOND",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R871321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rblythe@direct.mysrhs.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2080 S Frontage Rd",
            "address_2": "Suite 100",
            "city": "Vicksburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391805328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rblythe@direct.mysrhs.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2080 S Frontage Rd",
            "address_2": "Suite 100",
            "city": "Vicksburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391805328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.