Individual provider Active NPI

Christy Tucker Oswalt, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tupelo, MS
National Provider Identifier
1053474577
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19414 Issued in MS
Practice address
65 S Thomas St
Tupelo, MS 38801-4352
Phone
(662) 842-7870
Fax
(662) 842-7873
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19214 MS
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 19414 MS Primary

Addresses

Primary practice location

65 S Thomas St
Tupelo, MS 38801-4352

Mailing address

1159 Dogwood Dr
Tupelo, MS 38801-9631
Phone (662) 680-6944

Other identifiers 1

IdentifierTypeStateIssuer
04971328MedicaidMS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000163 MS Practitioner - EndocrinologyPractitioner - Internal Medicine 0547334955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Clark Blvd
Tupelo, MS 38804-2801
Phone (662) 842-7870

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
  • Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020

Merit-based Incentive Payment System (MIPS)

Final score
94.69 of 100Reported as group
Quality
99.62
Promoting interoperability
98
Improvement activities
40
Cost
84.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19214MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Endocrine Center Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2009 Accepting new patients
North Mississippi Medical Center Current Accepting new patients

Locations

88 Clark Blvd
Tupelo, MS 38804
Phone (662) 690-5675

65 S Thomas St
Tupelo, MS 38801
Phone (662) 205-4475

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1053474577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 DOGWOOD DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019631",
            "telephone_number": "662-680-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S THOMAS ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014352",
            "telephone_number": "662-842-7870",
            "fax_number": "662-842-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "CHRISTY",
        "middle_name": "TUCKER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "19214",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "19414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04971328",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.