NPIMap

Individual provider Active NPI

Rhonda Foles, NP

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1750848768
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903241 Issued in MS
Practice address
1120 Broad Ave
Gulfport, MS 39501-2414
Phone
(228) 596-5749
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 903241 MS Primary

Addresses

Primary practice location

1120 Broad Ave
Gulfport, MS 39501-2414

Mailing address

1120 Broad Ave
Gulfport, MS 39501-2414
Phone (228) 596-5749

Other practice location 1

20000 Stiles Rd
Saucier, MS 39574
Phone (228) 596-5749

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL OfficeAlly Health Information Exchange (HIE) Advanced Healthcare Specialist

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, WV, DC, VA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190528001338 MS Practitioner - Nurse Practitioner 1557604998 Reassigns benefits to 2 organizations
I20241114000011 WV Practitioner - Nurse Practitioner 1557604998
I20250214000924 DC Practitioner - Nurse Practitioner 1557604998 Reassigns benefits to 1 organization
I20250225001030 VA Practitioner - Nurse Practitioner 1557604998

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Practice addresses (Care Compare)

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000

Hospital & facility affiliations

  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Apr 15, 2019 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Apr 15, 2019 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Advanced Health Medical Supplies, LLC. CurrentSince Feb 23, 2026 Accepting new patients

Locations

1120 Broad Ave
Gulfport, MS 39501
Phone (228) 596-5749

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

12407 Highway 49
Ste 2
Gulfport, MS 39503
Phone (228) 596-5749

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

Organizations & group practices 7

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.

Hospital & facility affiliations 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1750848768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012414",
            "telephone_number": "228-596-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012414",
            "telephone_number": "228-596-5749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20000 STILES RD",
            "address_purpose": "LOCATION",
            "city": "SAUCIER",
            "state": "MS",
            "postal_code": "39574",
            "country_code": "US",
            "telephone_number": "228-596-5749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLES",
        "first_name": "RHONDA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "OfficeAlly",
            "affiliation": "Y",
            "endpointDescription": "upload documents for EDI",
            "affiliationName": "Advanced Healthcare Specialist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1120 Broad Ave",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395012414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.