Active NPI
Charisma T. Cummings, PCNP
- Gerontology Nurse Practitioner
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 876889
- Practice address
- 102 Riverview Drive
Suite a
Flowood, MS 39232 - Phone
- (601) 981-1610
- Fax
- (601) 366-2887
- NPI assigned
- Jul 10, 2017
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 876889 | MS | Primary |
Addresses
Primary practice location
102 Riverview Drive
Suite a
Flowood, MS 39232
Mailing address
102 Riverview Drive
Suite a
Flowood, MS 39232
Phone (601) 981-1610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- University of Alabama School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minor Med Care, LLC
Practice addresses (Care Compare)
120 W Main St
Raymond, MS 39154-1223
Phone (601) 857-2341
1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.48 of 100
- Quality
- 73.04
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876889 | MS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care of St Gabriel LLC | Current | Accepting new patients | |
| Heal All Wound Care LLC | Current | Accepting new patients |
Locations
735 Highway 30
Bldg 1
Saint Gabriel, LA 70776
Phone (225) 314-9314
209 Front St
Vidalia, LA 71373
Phone (318) 336-6500
215 Katherine Dr
#A
Jackson, MS 39232
Interoperability endpoints
- charisma.cummings.1@8881.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Saint Gabriel, LA
- NPI 1407679921
-
- Primary Care Clinic/Center
- Duson, LA
- NPI 1699930719
-
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1669835310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992227177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 RIVERVIEW DRIVE",
"address_2": "SUITE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-981-1610",
"fax_number": "601-366-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RIVERVIEW DRIVE",
"address_2": "SUITE A",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-981-1610",
"fax_number": "601-366-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "CHARISMA",
"middle_name": "T.",
"credential": "PCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "876889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- 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.
- 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.