Active NPI
Amery Jean Creighton, M.D.
- Nephrology Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 19452
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02423720 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Powers MD Apmc | Current | 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
- 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.
-
dba Kidney and Hypertension Associates
- Specialist
- Covington, LA
- NPI 1316977028
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.