Individual provider Active NPI

Amber L Brasfield, NP

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1821584673
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902434 Issued in MS
Practice address
600 Leigh Dr
Columbus, MS 39705-3014
Phone
(662) 327-7525
Fax
(662) 243-2252
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 902434 MS Primary

Addresses

Primary practice location

600 Leigh Dr
Columbus, MS 39705-3014

Mailing address

600 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 327-7525

Other names 1

  • Amber B Black Former name

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
I20180724002041 MS Practitioner - Nurse Practitioner 6002163904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Columbus, PAGroup PAC ID 2860450699, 10 clinicians

Practice addresses (Care Compare)

600 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 327-7525

Hospital & facility affiliations

  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • Winston Medical Center Hospital, Louisville, MS, CCN 250027

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
82.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902434MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Columbus, LLC CurrentSince Oct 1, 2021 Accepting new patients
Otolaryngology Associates, LTD PastSince Oct 1, 2021 Accepting new patients

Locations

600 Leigh Dr
Columbus, MS 39705
Phone (662) 327-7525

2 Professional Plz
Starkville, MS 39759
Phone (662) 323-8984

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20686/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1821584673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-327-7525",
            "fax_number": "662-243-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LEIGH DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397053014",
            "telephone_number": "662-327-7525",
            "fax_number": "662-243-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASFIELD",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BLACK",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.