Susan E Gentry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R852221 Issued in MS

Practice address

44 Brooklyn Janice Rd
Brooklyn, MS 39425-9731

Phone

(601) 582-1188

Fax

(601) 582-8844

NPI assigned

Apr 18, 2008

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Mississippi Rural Health Initiative, Inc.Group PAC ID 2466342605, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 45)

Interoperability endpoints

• Direct secure messaging: sgentry101542@directpatientrecord.com

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.

• Sumrall Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Sumrall, MS
  • NPI 1184694036
  Medicare reassignment Care Compare group NPD
• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD
• Minor Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1508874769
  NPD
• Beaumont Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Beaumont, MS
  • NPI 1831166826
  NPD (past)
• Brooklyn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1659348076
  NPD (past)
• Hattiesburg High School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1760451777
  NPD (past)
• Hattiesburg Public School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1023087400
  NPD (past)
• Lamar County School Clinic

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1679147847
  NPD (past)
• Lumberton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1164499174
  NPD (past)
• N R Burger School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1518907054
  NPD (past)
• New Augusta Family Health Center

  • Federally Qualified Health Center (FQHC)
  • New Augusta, MS
  • NPI 1881661874
  NPD (past)
• Petal School Clinic

  • Federally Qualified Health Center (FQHC)
  • Petal, MS
  • NPI 1952724650
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1952575193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-450-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BROOKLYN JANICE RD",
            "city": "BROOKLYN",
            "state": "MS",
            "postal_code": "394259731",
            "telephone_number": "601-582-1188",
            "fax_number": "601-582-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R852221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Family Health Center
• Charles F Diamond, FNP-BC
• Forrest County Agricultural High School (Forrest Agricultural High School)
• South Forrest Attendance Center
• Jennifer Miranda Summers, NP-C

• Family Nurse Practitioner in Brooklyn, MS
• Providers in Brooklyn, 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 Mar 19, 2024; 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.

Verify at the official NPI Registry.