Individual provider Active NPI

Amery Jean Creighton, M.D.

  • Nephrology Physician
  • Gulfport, MS
National Provider Identifier
1801893243
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19452 Issued in MS
Practice address
4300B W Railroad St
Gulfport, MS 39501
Phone
(228) 863-7393
Fax
(228) 868-6643
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 19452 MS Primary

Addresses

Primary practice location

4300B W Railroad St
Gulfport, MS 39501

Mailing address

4300B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 863-7393

Other identifiers 1

IdentifierTypeStateIssuer
02423720MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229000260 LA Practitioner - NephrologyPractitioner - Internal Medicine 0042108706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

217 Cherokee Rose LN
Covington, LA 70433-7201

301 W Beach Pkwy
Mandeville, LA 70448-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David R Powers MD Apmc CurrentSince Jan 5, 2026 Accepting new patients

Locations

217 Cherokee Rose Ln
Covington, LA 70433
Phone (985) 878-1900

170 Greenbrier Blvd
Covington, LA 70433
Phone (985) 893-0911

2219 Main St
Franklinton, LA 70438
Phone (985) 634-3050

16081 Doctors Blvd
Hammond, LA 70403
Phone (985) 345-5621

118 Village St
Ste A
Slidell, LA 70458
Phone (985) 373-3878

877 Brownswitch Rd
Slidell, LA 70458
Phone (985) 643-6283

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1801893243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012568",
            "telephone_number": "228-863-7393",
            "fax_number": "228-868-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300B W RAILROAD ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-863-7393",
            "fax_number": "228-868-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREIGHTON",
        "first_name": "AMERY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "19452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423720",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.