Individual provider Active NPI

Dana Faith Gilbert, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1992423602
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904260 Issued in MS
Practice address
3495 Cobblestone Blvd S
Southaven, MS 38672-7075
Phone
(662) 892-2885
Fax
(662) 890-1551
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904260 MS Primary

Addresses

Primary practice location

3495 Cobblestone Blvd S
Southaven, MS 38672-7075

Mailing address

3495 Cobblestone Blvd S
Southaven, MS 38672-7075
Phone (662) 892-2885

Other identifiers 1

IdentifierTypeStateIssuer
904260OtherMSMS BOARD OF NURSING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220907002454 MS Practitioner - Nurse Practitioner 5799169959 Reassigns benefits to 1 organization
I20240424003843 TN Practitioner - Nurse Practitioner 5799169959 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist University Emergency Physicians PLLCGroup PAC ID 4981052719, 40 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7000

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Mar 12, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Mar 12, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Mar 12, 2024 Accepting new patients
Desoto Family Wellness Center, LLC Family CurrentSince Aug 29, 2022 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Mar 12, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Interoperability endpoints

  • Direct secure messaging: dgilbert67895@mlh.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1992423602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 COBBLESTONE BLVD S",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727075",
            "telephone_number": "662-892-2885",
            "fax_number": "662-890-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 COBBLESTONE BLVD S",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727075",
            "telephone_number": "662-892-2885",
            "fax_number": "662-890-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "DANA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF NURSING LICENSE",
            "identifier": "904260",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.