Donnielle Carney, NP
NPI 1104497932ActiveIndividual· Nurse Practitioner· Southaven, MS
Nurse Practitioner (NP) with Southeastern Emergency Physicians LLC, practicing in Southaven, Mississippi. 24 Medicare patients in 2024, $2,187 paid; nearly all of their 75 Part D prescriptions were generic (99%).
Overview
| NPI | 1104497932 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 2, 2021 |
| Last updated in NPPES | Apr 4, 2024 |
| Certified by provider | Feb 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 28007 | TN |
| Nurse Practitioner | 363L00000X | 904452 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS); Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 33 across 8 procedure codes |
| Paid by Medicare | $2,187 |
Part D prescriptions in 2024
| Prescriptions (claims) | 75 · 83 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $1,522 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southeastern Emergency Physicians LLCNewport, TN · 784 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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