Individual provider Active NPI

Summer Meyers

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1972037851
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902240 Issued in MS
Practice address
4500 13TH St
Gulfport, MS 39501-2515
Phone
(228) 867-4000
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 902240 MS
Family Nurse Practitioner 363LF0000X 902240 MS Primary

Addresses

Primary practice location

4500 13TH St
Gulfport, MS 39501-2515

Mailing address

PO Box 10747
Gulfport, MS 39505-0747
Phone (228) 235-6628

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171122000729 MS Practitioner - Nurse Practitioner 2769749019 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902240MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services of the Gulf Coast LLC CurrentSince Nov 1, 2024 Accepting new patients
Cooper Family Medical Center Inc. CurrentSince Nov 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Oct 1, 2017 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients

Locations

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945

8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1972037851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10747",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395050747",
            "telephone_number": "228-235-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-867-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902240",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.