Active NPI
Monyetta S Everett, FNP
- Family Medicine Physician
- Ridgeland, MS
National Provider Identifier
1861969552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 903007
- Practice address
- 270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810 - Phone
- (662) 429-9111
- Fax
- (219) 300-5911
- NPI assigned
- Oct 31, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 903007 | MS | Primary |
Addresses
Primary practice location
270 Trace Colony Park Dr Ste B
Ridgeland, MS 39157-8810
Mailing address
1910 Madison Ave # 2638
Memphis, TN 38104-2620
Phone (901) 671-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6584 Poplar Ave
Suite 406
Memphis, TN 38138-3687
Phone (877) 448-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
3046 Columbia Ave
Ste 208
Franklin, TN 37064
5041 Park Ave
Memphis, TN 38117
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
TN
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1861969552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MADISON AVE # 2638",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042620",
"telephone_number": "901-671-0022",
"fax_number": "219-300-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 TRACE COLONY PARK DR STE B",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391578810",
"telephone_number": "662-429-9111",
"fax_number": "219-300-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "MONYETTA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-31",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "903007",
"primary": true
}
],
"identifiers": [],
"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 Oct 15, 2025; 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.