Active NPI
Gerry Ann Houston, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ridgeland, MS
National Provider Identifier
1861496465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 08360
- Practice address
- 450 Towne Center Blvd
Ridgeland, MS 39157-4804 - Phone
- (601) 898-1053
- NPI assigned
- Jun 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 08360 | MS | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 08360 | MS | Primary |
Addresses
Primary practice location
450 Towne Center Blvd
Ridgeland, MS 39157-4804
Mailing address
450 Towne Center Blvd
Ridgeland, MS 39157-4804
Phone (601) 898-1053
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4223312 | Other | AETNA HEALTHCARE | |
| 00115432 | Medicaid | MS | |
| 1967343 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08360 | MS | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1861496465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 TOWNE CENTER BLVD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574804",
"telephone_number": "601-898-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 TOWNE CENTER BLVD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574804",
"telephone_number": "601-898-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "GERRY",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-10",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MS",
"license": "08360",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "MS",
"license": "08360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "4223312",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115432",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1967343",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.