Cherryl D Purvis, NP | |
15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 | |
(228) 832-9038 | |
(228) 832-9990 |
Full Name | Cherryl D Purvis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 15444 Dedeaux Rd Ste B, Gulfport, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386772283 | NPI | - | NPPES |
00201815 | Medicaid | MS | |
R655481 | Other | MS | MS - STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | R655481 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | R655481 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health Of Gulf Coast | Gulfport, MS | Home health agency |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Garden Park Medical Center | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital At Gulfport | 2466524012 | 385 |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Entity Name | Heart Hypertension Cholesterol & Diabetes Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902233778 PECOS PAC ID: 7012146509 Enrollment ID: O20140203000825 |
Entity Name | Singing River Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
Mailing Address | Practice Location Address |
---|---|
Cherryl D Purvis, NP 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 Ph: (228) 832-9038 | Cherryl D Purvis, NP 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 Ph: (228) 832-9038 |