Individual provider Active NPI

Nicole Sherice Taylor, NP

  • Gerontology Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1003443458
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
903845 Issued in MS
Practice address
5357 Cliff Gookin Blvd
Tupelo, MS 38801-7085
Phone
(662) 372-4568
Fax
(877) 860-3082
NPI assigned
Mar 25, 2020
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 903845 MS Primary

Addresses

Primary practice location

5357 Cliff Gookin Blvd
Tupelo, MS 38801-7085

Mailing address

2606 Huckleberry TRL
Tupelo, MS 38801-0313
Phone (662) 523-7016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715004314 MS Practitioner - Nurse Practitioner 3779985569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1205 Hwy 182 W
N Ms Neursurg SVCS
Starkville, MS 39759-9820
Phone (662) 377-5700

5357 Cliff Gookin Blvd
Tupelo, MS 38801-7085
Phone (662) 372-4568

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center Inc. CurrentSince Nov 22, 2021 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 13, 2021 Accepting new patients
Turnaround Care Medical Clinic LLC CurrentSince Mar 1, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Nov 22, 2021 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

1205 Highway 182 W
Starkville, MS 39759
Phone (662) 320-8545

1205 Highway 182 W
#B
Starkville, MS 39759
Phone (662) 377-5199

4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054

4381 S Eason Blvd
Ste 201
Tupelo, MS 38801
Phone (662) 377-5005

5357 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (662) 269-3870

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Interoperability endpoints

  • Direct secure messaging: nicoletaylor@nmhs.medalliesdirect.net

Organizations & group practices 8

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.

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1003443458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 HUCKLEBERRY TRL",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388010313",
            "telephone_number": "662-523-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017085",
            "telephone_number": "662-372-4568",
            "fax_number": "877-860-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICOLE",
        "middle_name": "SHERICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "903845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.