Bridget M Smith, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2009003248 Issued in MS

Practice address

9221 Cook Rd
Bailey, MS 39320-9516

Phone

(601) 616-5608

NPI assigned

Sep 16, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Crimson Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1437668639
  Medicare reassignment NPD
• Crimson Urgent Care, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1831205228
  Medicare reassignment NPD
• First Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1164767083
  Medicare reassignment NPD
• East Mississippi State Hospital

  dba Magnolia Medical Clinic

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1346522653
  NPD
• East Mississippi State Hospital

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1972689313
  NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Outreach Health Services,Inc.

  dba Jasper Medical Clinic

  • Health Maintenance Organization
  • Heidelberg, MS
  • NPI 1255521480
  NPD (past)
• Outreach Health Services,Inc.

  • Community Health Clinic/Center
  • Shubuta, MS
  • NPI 1548359565
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902139322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 HIGHLAND PARK DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075429",
            "telephone_number": "601-616-5608",
            "fax_number": "601-581-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 COOK RD",
            "city": "BAILEY",
            "state": "MS",
            "postal_code": "393209516",
            "telephone_number": "601-616-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIDGET",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "MS2126767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "2009003248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08030788",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Creel, FNP-BC
• Faithful Way Transportation LLC (Faithful Way Transportation)
• Amy Bishop Green
• Cheequanda McDonald
• Macy Caroline Montgomery

• Family Nurse Practitioner in Bailey, MS
• Providers in Bailey, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.