Individual provider Active NPI

Ginger McMillan-Buchanan, ACNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1073068003
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901648 Issued in MS
Practice address
830 S Gloster St
3Rd Floor East Tower
Tupelo, MS 38801-4934
Phone
(662) 377-7170
Fax
(662) 377-2423
NPI assigned
Aug 19, 2016
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 901648 MS
Family Nurse Practitioner 363LF0000X 901648 MS Primary

Addresses

Primary practice location

830 S Gloster St
3Rd Floor East Tower
Tupelo, MS 38801-4934

Mailing address

450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685

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
I20160922000381 MS Practitioner - Nurse Practitioner 6305133109 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901648MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 25, 2018 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 25, 2018 Accepting new patients
Express Care of Cleveland, LLC CurrentSince Jan 3, 2024 Accepting new patients
Family First Medical Clinic, LLC Family CurrentSince Mar 25, 2024 Accepting new patients

Locations

109 North Rd
Booneville, MS 38829
Phone (662) 416-2282

1115 N 2nd St
Ste 1
Booneville, MS 38829
Phone (662) 480-4141

1301 N 2nd St
Booneville, MS 38829
Phone (662) 728-2071

609 N Davis Ave
Ste 105
Cleveland, MS 38732
Phone (662) 579-3958

3558A W Main St
Tupelo, MS 38801
Phone (662) 346-8091

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

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

830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1073068003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "address_2": "3RD FLOOR EAST TOWER",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-7170",
            "fax_number": "662-377-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN-BUCHANAN",
        "first_name": "GINGER",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "901648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.