Tiffany Yvette Boone, NP
Individual provider Active NPI Nurse Practitioner · Hattiesburg, MS
NPI 1033845771 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1033845771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 905376 (MS)
- Practice address
- 6051 U S Highway 49
Hattiesburg, MS 39401-7201 - Phone
- (601) 264-6000
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wayne General Hospital
Practice addresses (Care Compare)
950 Matthew Dr
Waynesboro, MS 39367-2567
Phone (601) 735-5151
Hospital & facility affiliations
- Wayne General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220912001173 | MS | Practitioner - Nurse Practitioner | 3375928351 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne General Hospital | Current |
Accepting 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 | Past | Accepting new patients | |
| Wayne General Hospsital | Past | Accepting new patients |
Locations
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151
940 Matthew Dr
Ste 5
Waynesboro, MS 39367
Phone (601) 735-7102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 905376 | MS | Yes |
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
Other providers in Hattiesburg, MS
- Molly Bonds
- Camille Elizabeth Bondurant
- Sheri M Boney
- Garey Allen Bonner II
- Lauren K Bookout
- William W. Boone
- Martha Claudine Boos
- Santo M Borganelli
- Alan Achille Bougere
- Amber Bourgeois
All providers in Hattiesburg, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.