Active NPI
Averi Brookelyn Smith Botts, FNP-C
- Family Nurse Practitioner
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3-000030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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 100
- Quality
- 82.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35813 | TN | MD | Cardiovascular Disease Physician |
| C-APN.0106500-C-NP | CO | MD | Family Nurse Practitioner |
| LG-0013906 | DE | MD | Family Nurse Practitioner |
| A190777 | IA | MD | Family Nurse Practitioner |
| 4056113 | KY | MD | Family Nurse Practitioner |
| 116847 | NE | MD | Family Nurse Practitioner |
| 89068 | NM | MD | Family Nurse Practitioner |
| 0041958 | OH | MD | Family Nurse Practitioner |
| 10060746 | OR | MD | Family Nurse Practitioner |
| 0024197212 | VA | MD | Family Nurse Practitioner |
| ARNP.AP.70119731-NP | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| The Diabetes Center, PLLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Villagehealth DM LLC | Current | 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
- 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.
-
- Adult Health Nurse Practitioner
- Ocean Springs, MS
- NPI 1043391436
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
MS
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.