Individual provider Active NPI

Bridget Cahill, FNP

  • Family Nurse Practitioner
  • Ellisville, MS
National Provider Identifier
1821044454
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857079 Issued in MS
Practice address
1203 Ave B
Ste 300
Ellisville, MS 39437-2080
Phone
(601) 477-2226
Fax
(601) 477-2236
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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 R857079 MS Primary

Addresses

Primary practice location

1203 Ave B
Ste 300
Ellisville, MS 39437-2080

Mailing address

PO Box 247
Laurel, MS 39441-0247
Phone (601) 477-2226

Other identifiers 1

IdentifierTypeStateIssuer
01703544MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000317 MS Practitioner - Nurse Practitioner 9335041474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Pavilion of South Mississippi PLLCGroup PAC ID 5799769535, 8 clinicians
Southern Women'S Health, PLLCGroup PAC ID 2567497985, 40 clinicians

Practice addresses (Care Compare)

1242 Hwy 29 N
Ellisville, MS 39437-8763
Phone (601) 268-9393

5003 Hardy St
Suite 300
Hattiesburg, MS 39402-1331
Phone (601) 268-9393

5003 Hardy St
Suite 350
Hattiesburg, MS 39402-1323
Phone (601) 268-9393

6524 U S Hwy 98
Hattiesburg, MS 39402-8569
Phone (601) 268-9393

Hospital & facility affiliations

  • South Central Reg Med Ctr Hospital, Laurel, MS, CCN 250058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R857079MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Clinic for Women, PLLC Current Accepting new patients
Southern Women'S Health, PLLC CurrentSince Jan 3, 2024 Accepting new patients
Southern Women'S Health, PLLC CurrentSince Oct 1, 2017 Accepting new patients
Southern Women'S Health, PLLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

1242 Highway 29 N
Ellisville, MS 39437
Phone (601) 268-9393

6524 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 268-9393

5003 Hardy St
Ste 300
Hattiesburg, MS 39402
Phone (601) 261-5720

5003 Hardy St
Ste 350
Hattiesburg, MS 39402
Phone (601) 261-5820

2610 S Lamar Blvd
Oxford, MS 38655
Phone (601) 932-5006

Interoperability endpoints

  • Direct secure messaging: bridget.cahill.1@28954.direct.athenahealth.com
  • Direct secure messaging: bcahill@wpsm.gwaydirect.com

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1821044454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-477-2226",
            "fax_number": "601-477-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AVE B",
            "address_2": "STE 300",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394372080",
            "telephone_number": "601-477-2226",
            "fax_number": "601-477-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01703544",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MS

Sources for this page

Verify at the official NPI Registry.