AMY M DIMITRIADES NP-C
NPI 1396065694
Nurse Practitioner - Family in Gulfport, MS
About Amy M Dimitriades Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY M DIMITRIADES NP-C (NPI 1396065694) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (R859046) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy M Dimitriades Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Amy Dimitriades reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 5 clinicians in this Medicare group
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 34 clinicians in this Medicare group
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 298 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
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 Amy Dimitriades's NPI number?
The NPI number for Amy Dimitriades is 1396065694. It was assigned to this individual provider in the NPPES registry on June 9, 2010.
Where is Amy Dimitriades located?
Amy Dimitriades practices at 4540 W Railroad St, Gulfport, MS 39501. The listed phone number is (228) 867-6062.
What is Amy Dimitriades's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Dimitriades enrolled in Medicare?
Yes. Amy Dimitriades is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Amy Dimitriades's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Dimitriades reassigns Medicare benefits to 5 organizations: Kih Advanced Kare, LLC (Gulfport, MS), Memorial Hospital At Gulfport (Gulfport, MS), Care Doc LLC (Gulfport, MS), Singing River Gulfport (Gulfport, MS) and Singing River Health System (Ocean Springs, MS). Each 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 Amy Dimitriades's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Dimitriades accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Amy Dimitriades as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amy Dimitriades was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Amy M Dimitriades, NP-C · NPI 1396065694
Family physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since June 9, 2010.
## Identity
- **NPI:** 1396065694 (Entity type: Individual)
- **Enumerated:** June 9, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R859046 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4540 W RAILROAD ST, Gulfport, MS 39501-2480
- **Phone:** (228) 867-6062 · **Fax:** (228) 867-2598
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Kih Advanced Kare, LLC (NPI 1861082901, Gulfport, MS); Memorial Hospital At Gulfport (NPI 1093142598, Gulfport, MS); Care Doc LLC (NPI 1225505993, Gulfport, MS); Singing River Gulfport (NPI 1063133833, Gulfport, MS); Singing River Health System (NPI 1053528109, Ocean Springs, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 10, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1396065694) · Data from the CMS NPPES public registry.