Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy M Dimitriades, NP-C

Individual provider Family Nurse Practitioner · NPI 1396065694

Amy M Dimitriades, NP-C is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2009, 17 years ago. Practices with Kih Advanced Kare, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Licensed in
MS
In the registry since
2010
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

4540 W Railroad St
Gulfport, MS 39501-2480
Phone: (228) 867-6062
Fax: (228) 867-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R859046 (MS)

Record details

NPI number1396065694
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESJuly 10, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Kih Advanced Kare, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gulfport