NPIMap

Individual provider Active NPI

Teresa Ann Smith

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1043720071
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901640 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 377-3270
Fax
(662) 377-3100
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 17

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Meridian Health Clinic, Inc. 13 clinicians

Practice addresses (Care Compare)

2701 Davis St
Meridian, MS 39301-5708
Phone (601) 693-0118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180201000427 MS Practitioner - Nurse Practitioner 4284994799 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare System Inc CurrentSince Mar 16, 2021 Accepting new patients
Greater Meridian Health Clinic, Inc CurrentSince Oct 3, 2022 Accepting new patients
Greater Meridian Health Clinic, Inc. CurrentSince Oct 3, 2022 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Alliance Healthcare System, Inc CurrentSince Mar 16, 2021 Accepting new patients
North Mississippi Medical Center, Inc. Family CurrentSince Jan 2, 2018 Accepting new patients
Greater Meridian Health Clinic, Inc. Current Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Apr 1, 2022 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jan 2, 2018 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Apr 1, 2022 Accepting new patients
Greater Meridian Health Clinic, Inc. Past Accepting new patients

Locations

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

2701 Davis St
Meridian, MS 39301
Phone (601) 693-0118

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

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

5713 Highway 45 Alt S
West Point, MS 39773
Phone (662) 854-9012

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901640 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2017.

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1043720071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3270",
            "fax_number": "662-377-3100"
        },
        {
            "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": "388014934",
            "telephone_number": "662-377-3270",
            "fax_number": "662-377-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.