Individual provider Active NPI

Averi Brookelyn Smith Botts, FNP-C

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1992323059
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-000030 Issued in AL
Practice address
232 Market St
Flowood, MS 39232-3339
Phone
(866) 849-0692
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35813 TN
Family Nurse Practitioner 363LF0000X ARNP.AP.70119731-NP WA
Family Nurse Practitioner 363LF0000X 0024197212 VA
Family Nurse Practitioner 363LF0000X A190777 IA
Family Nurse Practitioner 363LF0000X C-APN.0106500-C-NP CO
Family Nurse Practitioner 363LF0000X GAA-NP005443 GA
Family Nurse Practitioner 363LF0000X 10060746 OR
Family Nurse Practitioner 363LF0000X 0041958 OH
Family Nurse Practitioner 363LF0000X 4056113 KY
Family Nurse Practitioner 363LF0000X 3-000030 AL Primary
Family Nurse Practitioner 363LF0000X 89068 NM
Family Nurse Practitioner 363LF0000X LG-0013906 DE
Family Nurse Practitioner 363LF0000X 116847 NE
Family Nurse Practitioner 363LF0000X 903103 MS

Addresses

Primary practice location

232 Market St
Flowood, MS 39232-3339

Mailing address

1105 Oak St
Ocean Springs, MS 39564-8921

Other practice location 1

571 E Beasley Rd
Jackson, MS 39206-3042
Phone (662) 802-9847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, AR, TN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20201202000285 MS Practitioner - Nurse Practitioner 6608287388 Reassigns benefits to 3 organizations
I20231104000666 AL Practitioner - Nurse Practitioner 6608287388 Reassigns benefits to 1 organization
I20240403002490 AR Practitioner - Nurse Practitioner 6608287388 Reassigns benefits to 1 organization
I20250225003058 TN Practitioner - Nurse Practitioner 6608287388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

3500 Blue Lake Dr
Suite 230
Vestavia, AL 35243-1985
Phone (205) 298-6592

5200 Virginia Way
Brentwood, TN 37027-7569
Phone (720) 703-5293

Merit-based Incentive Payment System (MIPS)

Final score
92.75 of 100Reported as group
Quality
82.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35813TNMDCardiovascular Disease Physician
C-APN.0106500-C-NPCOMDFamily Nurse Practitioner
LG-0013906DEMDFamily Nurse Practitioner
A190777IAMDFamily Nurse Practitioner
4056113KYMDFamily Nurse Practitioner
116847NEMDFamily Nurse Practitioner
89068NMMDFamily Nurse Practitioner
0041958OHMDFamily Nurse Practitioner
10060746ORMDFamily Nurse Practitioner
0024197212VAMDFamily Nurse Practitioner
ARNP.AP.70119731-NPWAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2020 Accepting new patients
The Diabetes Center, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2020 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2024 Accepting new patients
Villagehealth DM LLC CurrentSince Oct 2, 2023 Accepting new patients

Locations

3500 Blue Lake Dr
Ste 230
Vestavia, AL 35243
Phone (205) 298-6592

620 W Grove St
El Dorado, AR 71730
Phone (870) 862-0801

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

3265 Highway 90
Gautier, MS 39553
Phone (228) 366-9136

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

1278 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-3606

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

5200 Virginia Way
Brentwood, TN 37027
Phone (615) 238-3085

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1992323059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 OAK ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 E Beasley Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392063042",
            "country_code": "US",
            "telephone_number": "662-802-9847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "AVERI",
        "middle_name": "BROOKELYN SMITH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70119731-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024197212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A190777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0106500-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP005443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10060746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0041958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4056113",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-000030",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "89068",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013906",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "116847",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.