NPIMap

Individual provider Active NPI

Amber Lea Cassandra Tarver, NP

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1760093777
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
904007 Issued in MS
Practice address
15190 Community Rd Ste 220
Gulfport, MS 39503-3483
Phone
(228) 539-3356
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 904007 MS Primary

Addresses

Primary practice location

15190 Community Rd Ste 220
Gulfport, MS 39503-3483

Mailing address

5300 Oak Park Dr Unit 5316
Diamondhead, MS 39525-3218
Phone (228) 342-2975

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
I20200918001289 MS Practitioner - Nurse Practitioner 1355769654 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600

15286 Community Rd
Suite B
Gulfport, MS 39503-3509
Phone (228) 539-3356

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Harrison Emergency Group LLC Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Hancock Emergency Group LLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 14, 2020 Accepting new patients
Physician Services of the Gulf Coast LLC CurrentSince Oct 1, 2024 Accepting new patients
Cooper Family Medical Center Inc. CurrentSince Oct 1, 2024 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

15190 Community Rd
Ste 110
Gulfport, MS 39503
Phone (228) 539-3356

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

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

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

15286 Community Rd
#B
Gulfport, MS 39503
Phone (228) 831-3106

1340 Broad Ave
Ste 410
Gulfport, MS 39501
Phone (228) 575-1775

1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945

1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945

8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900

Interoperability endpoints

  • Direct secure messaging: atarver@direct.mhg.com

Organizations & group practices 8

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 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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1760093777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 OAK PARK DR UNIT 5316",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253218",
            "telephone_number": "228-342-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD STE 220",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033483",
            "telephone_number": "228-539-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "AMBER",
        "middle_name": "LEA CASSANDRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.