Individual provider Active NPI

Aaron Ashley Amos, M.D.

  • Family Medicine Physician
  • Tupelo, MS
National Provider Identifier
1003059874
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23667 Issued in MS
Practice address
1020 N Gloster St # 123
Tupelo, MS 38804-1202
Phone
(407) 508-8618
NPI assigned
Apr 9, 2009
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301093757 MI
Family Medicine Physician 207Q00000X 106324 FL
Family Medicine Physician 207Q00000X 23667 MS Primary

Addresses

Primary practice location

1020 N Gloster St # 123
Tupelo, MS 38804-1202

Mailing address

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215-6403
Phone (615) 864-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150825004101 MS Practitioner - Family Practice 7214085729 Reassigns benefits to 10 organizations
I20250115001243 CA Practitioner - Emergency Medicine 7214085729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RH Emergency Medicine of Cleveland LLCGroup PAC ID 4183105232, 14 clinicians

Practice addresses (Care Compare)

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 432-4106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106324FLMDFamily Medicine Physician
4301093757MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Park Emergency Physicians, Inc CurrentSince May 1, 2025 Accepting new patients
Convenient Care Clinic, LLC CurrentSince Feb 25, 2016 Accepting new patients
Copiah County Medical Center CurrentSince Jun 2, 2020 Accepting new patients
Golden Triangle Urgent Care LLC Family Medicine CurrentSince Feb 25, 2016 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince May 1, 2020 Accepting new patients
Dobbs Emergency Group, LLC CurrentSince Oct 1, 2019 Accepting new patients
First Counseling Inc CurrentSince Jan 25, 2019 Accepting new patients
Golden Triangle Urgent Care LLC Family Medicine CurrentSince Feb 25, 2016 Accepting new patients
Santa Ynez River Physicians, PC CurrentSince Oct 1, 2025 Accepting new patients
Acs Emergency Services of Mississippi Professional Association CurrentSince Sep 1, 2022 Accepting new patients
Carr PLLC CurrentSince Oct 1, 2016 Accepting new patients
Copiah County Medical Center Current Accepting new patients
Boa Vida Hospital of Aberdeen, Ms, LLC CurrentSince May 1, 2020 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Aug 26, 2025 Accepting new patients
Convenient Care Clinic, LLC CurrentSince Feb 25, 2016 Accepting new patients
Solano Gateway Medical Group Inc CurrentSince Feb 19, 2025 Accepting new patients
Copiah County Medical Center Family Medicine CurrentSince Jun 2, 2020 Accepting new patients
Thaxton Family Medical Clinic LLC PastSince Dec 4, 2016 Accepting new patients

Locations

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 251-3451

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

5142 Goodman Rd
Ste 107
Olive Branch, MS 38654
Phone (662) 874-5755

1154 Cross Creek Dr
Saltillo, MS 38866
Phone (662) 840-8010

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

5185 Getwell Rd
Southaven, MS 38671
Phone (662) 349-6385

500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244

7474 Highway 45 Alternate
West Point, MS 39773
Phone (662) 494-5863

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • Direct secure messaging: aaron.amos.1@13556.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/9eeb3b45-26b0-484d-bf94-d1f3da8b2d94
  • Direct secure messaging: nip3640@yourcarecommunity.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1003059874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-864-8703",
            "fax_number": "615-864-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N GLOSTER ST # 123",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388041202",
            "telephone_number": "407-508-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "AARON",
        "middle_name": "ASHLEY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301093757",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "106324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "23667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.