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

Nicholas Embey Fore

Individual provider Emergency Registered Nurse · NPI 1669297594

Nicholas Embey Fore is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2024, 2 years ago. Practices with Complete Health Urgicare, Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
Specialties on file
2

Practice location Address checks out

15200 Community Rd
Gulfport, MS 39503-3085
Phone: (228) 575-7120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907181 (MS)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 909769 (MS)

Record details

NPI number1669297594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2024
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address15200 Community Rd, Gulfport, MS 39503-3085

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Complete Health Urgicare, Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gulfport