Individual provider Active NPI

Christa Staples, CPNP, FNP-C, NNP

  • Family Nurse Practitioner
  • Columbia, MS
National Provider Identifier
1740319839
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857329 Issued in MS
Practice address
431 Broad St
Columbia, MS 39429-3056
Phone
(601) 466-3424
NPI assigned
Mar 5, 2007
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R857329 MS Primary
Pediatric Nurse Practitioner 363LP0200X AP121222 TX
Pediatric Nurse Practitioner 363LP0200X R857329 MS

Addresses

Primary practice location

431 Broad St
Columbia, MS 39429-3056

Mailing address

116 Madison PL
Hattiesburg, MS 39402-8339
Phone (601) 466-3424

Other identifiers 2

IdentifierTypeStateIssuer
00424220MedicaidMS
1740319839MedicaidMS

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
I20120217000036 MS Practitioner - Nurse Practitioner 1759549025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

Practice addresses (Care Compare)

1039 Hwy 42
Suite 3
Sumrall, MS 39482-4478
Phone (769) 307-6995

104 W Main St
Seminary, MS 39479-9027
Phone (601) 722-3610

105 Eaton St
Express Care Taylorsville
Taylorsville, MS 39168-5614
Phone (601) 452-4280

3275 Hwy 49 E
Family Care Express
Collins, MS 39428-3776
Phone (601) 765-6292

701 S Holly Ave
PO Box 1149
Collins, MS 39428-3776

800 3Rd St SW
Magee, MS 39111-3951
Phone (601) 849-1918

PO Box
Suite 2499
Collins, MS 39428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP121222TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covington County Hospital CurrentSince Feb 1, 2021 Accepting new patients
Covington County Hospital CurrentSince Feb 1, 2021 Accepting new patients
Covington County Hospital Current Accepting new patients
Rhema Health and Wellness Family CurrentSince Sep 8, 2025 Accepting new patients

Locations

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

431 Broad St
Columbia, MS 39429
Phone (601) 466-3424

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGIJDD/Endpoint/GGIJDD

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1740319839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MADISON PL",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028339",
            "telephone_number": "601-466-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293056",
            "telephone_number": "601-466-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "CHRISTA",
        "name_prefix": "Ms.",
        "credential": "CPNP, FNP-C, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857329",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP121222",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R857329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00424220",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740319839",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

Verify at the official NPI Registry.