| 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 | 30 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 |
|---|---|---|
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Deaconess Homecare- Region 1 | Laurel, 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 | 416 |
| 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 |