Individual provider Active NPI

Magan Gilbert, FNP

  • Family Nurse Practitioner
  • D'Iberville, MS
National Provider Identifier
1720739808
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905097 Issued in MS
Practice address
3661 Sangani Blvd
Diberville, MS 39540-8706
Phone
(228) 263-1358
NPI assigned
Jan 11, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 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 905097 MS Primary

Addresses

Primary practice location

3661 Sangani Blvd
Diberville, MS 39540-8706

Mailing address

7272 Gardenia PL
Pass Christian, MS 39571-5407
Phone (228) 263-1358

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
I20240314000401 MS Practitioner - Nurse Practitioner 8729424619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

3265 Hwy 90
Gautier, MS 39553-5121
Phone (931) 253-1110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905097MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Feb 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

2798 Pass Rd
Biloxi, MS 39531
Phone (228) 200-0340

760 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 748-7270

1050 Highway 98 Byp
Columbia, MS 39429
Phone (601) 522-2095

3265 Highway 90
Gautier, MS 39553
Phone (228) 366-9136

7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661

533 Lake St
Hazlehurst, MS 39083
Phone (601) 533-5253

1038 Northwest Ave
McComb, MS 39648
Phone (601) 730-7012

508 Highway 61 N
Natchez, MS 39120
Phone (601) 861-1631

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

2059 Highway 61 N
Vicksburg, MS 39183
Phone (601) 429-1144

451 Highway 90
Waveland, MS 39576
Phone (228) 400-0055

1130 Frontage Dr W
Wiggins, MS 39577
Phone (601) 716-8012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1720739808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 GARDENIA PL",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395715407",
            "telephone_number": "228-263-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 SANGANI BLVD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408706",
            "telephone_number": "228-263-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MAGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in D'Iberville, MS

Sources for this page

Verify at the official NPI Registry.