Active NPI
Carey Leigh Norris, FNP
- Nurse Practitioner
- Hattiesburg, MS
National Provider Identifier
1740413764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R870159
- Practice address
- 7100 U S Highway 98 Ste 220
Hattiesburg, MS 39402-8557 - Phone
- (601) 582-7655
- Fax
- (601) 450-2441
- NPI assigned
- Aug 25, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R870159 | MS | Primary |
Addresses
Primary practice location
7100 U S Highway 98 Ste 220
Hattiesburg, MS 39402-8557
Mailing address
7100 U S Highway 98 Ste 220
Hattiesburg, MS 39402-8557
Phone (601) 582-7655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9055452 | Other | MS | AETNA |
| 08327830 | Medicaid | MS |
Other names 1
- Carey Leigh Revels
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R870159 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis Associates, PLLC | Current | Accepting new patients |
Locations
7100 U S Highway 98
Ste 220
Hattiesburg, MS 39402
Phone (601) 582-7655
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Hattiesburg, MS
- NPI 1588619167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1740413764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 U S HIGHWAY 98 STE 220",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028557",
"telephone_number": "601-582-7655",
"fax_number": "601-450-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 U S HIGHWAY 98 STE 220",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028557",
"telephone_number": "601-582-7655",
"fax_number": "601-450-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "CAREY",
"middle_name": "LEIGH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R870159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9055452",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08327830",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAREY",
"last_name": "REVELS",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.