Individual provider Active NPI

Misty Burton, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1023514643
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902859 Issued in MS
Practice address
391 Southcrest Cir
Southaven, MS 38671-6730
Phone
(662) 349-2659
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24805 TN
Family Nurse Practitioner 363LF0000X 902859 MS Primary

Addresses

Primary practice location

391 Southcrest Cir
Southaven, MS 38671-6730

Mailing address

391 Southcrest Cir Ste 108
Southaven, MS 38671-4775
Phone (662) 349-2659

Other practice location 1

5715 E Shelby Dr
Memphis, TN 38141-6804
Phone (901) 362-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20191115002762 TN Practitioner - Nurse Practitioner 8729410519 Reassigns benefits to 3 organizations
I20200616000359 MS Practitioner - Nurse Practitioner 8729410519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902859MSMDFamily Nurse Practitioner
24805TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blush Medical Aesthetics & Wellness Current Accepting new patients
Spectrum Pain Clinics Inc. CurrentSince Apr 1, 2025 Accepting new patients
Wound Care Associates LLC CurrentSince Apr 1, 2024 Accepting new patients
Spectrum Pain Clinics, Inc CurrentSince Apr 1, 2025 Accepting new patients
Collierville Orthopedics and PastSince Apr 14, 2024 Accepting new patients
Midsouth Pain Treatment Center Past Accepting new patients

Locations

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

401 Southcrest Cir
Ste 212
Southaven, MS 38671
Phone (662) 245-5270

1458 W Poplar Ave
Ste 200
Collierville, TN 38017
Phone (901) 472-2935

2028 W Poplar Ave
Ste 115
Collierville, TN 38017
Phone (901) 221-8983

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHDDD
  • FHIR API: https://api.platform.athenahealth.com/2699/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1023514643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR STE 108",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714775",
            "telephone_number": "662-349-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-349-2659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5715 E Shelby Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381416804",
            "country_code": "US",
            "telephone_number": "901-362-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "MISTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24805",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.