Individual provider Active NPI

Billy K Malone Jr., FNP-C

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1023847506
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
906839 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4996
Phone
(662) 871-8741
NPI assigned
Jul 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 906839 MS Primary

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4996

Mailing address

1021 County Road 383
New Albany, MS 38652
Phone (662) 871-8741

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
I20240906001876 MS Practitioner - Nurse Practitioner 7911447867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmed LLCGroup PAC ID 2961633656, 54 clinicians
Relias Emergency Medicine Specialists of Tupelo LLCGroup PAC ID 6608179734, 39 clinicians

Practice addresses (Care Compare)

188 Starlyn Ave
New Albany, MS 38652-2436
Phone (601) 282-9712

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 1, 2025 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Sep 11, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC CurrentSince Aug 1, 2024 Accepting new patients
Redmed, LLC CurrentSince Sep 11, 2024 Accepting new patients

Locations

171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238

188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700

6674 Goodman Rd
Olive Branch, MS 38654
Phone (662) 985-7806

705 Sisk Ave
Oxford, MS 38655
Phone (662) 371-1326

1902B Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

105A Quality Ln
Ste A
Senatobia, MS 38668

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

Interoperability endpoints

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

Organizations & group practices 6

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1023847506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 COUNTY ROAD 383",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "38652",
            "telephone_number": "662-871-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014996",
            "telephone_number": "662-871-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "BILLY",
        "middle_name": "K",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "906839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.