CARE180
NPI 1073314001
Nurse Practitioner in Hattiesburg, MS
About Care180 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARE180 (NPI 1073314001) is a healthcare organization registered as a nurse practitioner in Hattiesburg, Mississippi and active in the NPI registry since March 2025. The organization lists Ekeista Keaton, N.p. /owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Care180 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Care180, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Care180's NPI number?
The NPI number for Care180 is 1073314001. It was assigned to this organization in the NPPES registry on March 24, 2025.
Where is Care180 located?
Care180 is located at 103 Fox Chase Dr, Hattiesburg, MS 39402. The listed phone number is (662) 588-5164.
What is Care180's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Care180 enrolled in Medicare?
Yes. Care180 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Care180?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Care180. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Care180 was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Care180 · NPI 1073314001
Nurse Practitioner organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1073314001 (Entity type: Organization)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Ekeista Keaton, N.P. /OWNER
## Practice location
- **Address:** 103 FOX CHASE DR, Hattiesburg, MS 39402-2575
- **Phone:** (662) 588-5164 · **Fax:** (855) 452-4557
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073314001) · Data from the CMS NPPES public registry.