Nathaniel Levi Bump, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903864 Issued in MS

Practice address

7111 Southcrest Pkwy Ste 109
Southaven, MS 38671-4852

Phone

(662) 503-7416

Fax

(662) 349-9082

NPI assigned

Feb 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Olive Branch Family Medical Center

  • Family Medicine Physician
  • Olive Branch, MS
  • NPI 1629018478
  Medicare reassignment NPD
• Redmed, LLC

  • Urgent Care Clinic/Center
  • Pontotoc, MS
  • NPI 1437589157
  Medicare reassignment NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  TN

  Medicare reassignment NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  MS, Nurse Practitioner

  Medicare reassignment NPD
• Redmed, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1679305031
  NPD
• Winston Medical Clinic LLC

  • Rural Health Clinic/Center
  • Louisville, MS
  • NPI 1629417324
  NPD (past)
• Ageless Men'S Health, LLC

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1003098997
  NPD (past)

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1003449398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 SOUTHCREST PKWY STE 109",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714852",
            "telephone_number": "662-349-9116",
            "fax_number": "662-349-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SOUTHCREST PKWY STE 109",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714852",
            "telephone_number": "662-503-7416",
            "fax_number": "662-349-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMP",
        "first_name": "NATHANIEL",
        "middle_name": "LEVI",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27228",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Brunson
• Christopher D Budny, LMT, NCTMB, CPFT
• Jennifer Lynn Buford, LMSW
• Ashlyn Bulinski, OTR/L
• Courtney Bullard, AGNP-C
• Adam Wade Burch, PTA
• Tracy Ellis Burns, PMHNP
• Lexann Pate Bursi, RD, LDN
• Shannon Christian Burt, FNP-C
• Tara Elaine Burt, PT, DPT

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.