Active NPI
Red Hills Ortho, LLC
- Family Nurse Practitioner
- Louisville, MS
National Provider Identifier
1902568595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RED HILLS ORTHO, LLC
- Practice address
- 17045 E Main St
Louisville, MS 39339-2754 - Phone
- (662) 773-3700
- Fax
- (662) 773-3727
- NPI assigned
- Oct 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Misty Dempsey
- Title
- Office Manager
- Phone
- (662) 773-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
17045 E Main St
Louisville, MS 39339-2754
Mailing address
17045 E Main St
Louisville, MS 39339-2754
Phone (662) 773-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2329084 | Red Hills Ortho, LLC | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Louisville, MS
- NPI 1912368747
-
- Physical Therapist
- Louisville, MS
- NPI 1043829096
-
- Physical Therapist
- Louisville, MS
- NPI 1790821098
-
- Physical Therapist
- Louisville, MS
- NPI 1841122868
-
- Physical Therapy Assistant
- Starkville, MS
- NPI 1952922130
-
- Physical Therapist
- Amory, MS
- NPI 1386310142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1902568595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17045 E MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392754",
"telephone_number": "662-773-3700",
"fax_number": "662-773-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17045 E MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392754",
"telephone_number": "662-773-3700",
"fax_number": "662-773-3727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED HILLS ORTHO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-11",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "DEMPSEY",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-773-3700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, MS
- Michelle J Plante, LPC, CCAP, NCC
- Leda S Porter, MS
- Beverly Jan Randle, F.N.P.
- Valerie L Ray, MS
- RCG Mississippi, Inc. (RCG Louisville)
- Region Seven Mental Health Idd Commission (Community Counseling Services)
- Thomas Edwin Rester, RPH
- Shamalisha Riddle, MS
- Aleesha O Robinson, MS
- Kali Dempsey Rogers, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- 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.