Active NPI
Tiffany Yvette Boone, NP
- Nurse Practitioner
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 905376
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7201 - Phone
- (601) 264-6000
- NPI assigned
- Jul 26, 2022
- Last updated
- May 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 905376 | MS | Primary |
Addresses
Primary practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7201
Mailing address
5402 Highway 43
Newhebron, MS 39140-5472
Phone (601) 455-4259
Other practice location 1
950 Matthew Dr
Waynesboro, MS 39367-2590
Phone (601) 735-5151
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905376 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne General Hospital | Current | Accepting new patients | |
| Wayne General Hospital | Current | Accepting new patients | |
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| Wayne General Hospital | Current | Accepting new patients | |
| Wayne General Hospital | Past | Accepting new patients | |
| Wayne General Hospsital | Past | Accepting new patients |
Locations
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7285
950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wayne General Crna
- Certified Registered Nurse Anesthetist
- Waynesboro, MS
- NPI 1093930638
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
dba Flowood Primary Care
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
dba Wayne General Hospitalist
- Hospitalist Physician
- Waynesboro, MS
- NPI 1699589143
-
dba Wayne General ER Physicians
- Emergency Medicine Physician
- Waynesboro, MS
- NPI 1972728590
-
dba Waynesboro Family Medicine & Obstetrics
- Rural Health Clinic/Center
- Waynesboro, MS
- NPI 1285882662
-
dba Wayne General Ekg
- Interventional Cardiology Physician
- Waynesboro, MS
- NPI 1902021546
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waynesboro, MS
- NPI 1679559983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1033845771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 HIGHWAY 43",
"city": "NEWHEBRON",
"state": "MS",
"postal_code": "391405472",
"telephone_number": "601-455-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6051 U S HIGHWAY 49",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394017201",
"telephone_number": "601-264-6000"
}
],
"practiceLocations": [
{
"address_1": "950 Matthew Dr",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "MS",
"postal_code": "393672590",
"country_code": "US",
"telephone_number": "601-735-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOONE",
"first_name": "TIFFANY",
"middle_name": "YVETTE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "905376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.