Tracey Michelle Foreman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904964 Issued in MS

Practice address

5482 Highway 15 N
Ecru, MS 38841-8471

Phone

(662) 488-8799

NPI assigned

Oct 1, 2021

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friendship Medical Clinic LLCGroup PAC ID 0648275024, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Friendship Medical Clinic, LLC

  • Nurse Practitioner
  • Ecru, MS
  • NPI 1275586273
  Medicare reassignment Care Compare group NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Women's and Children's Clinic

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222
  Medicare reassignment NPD
• Strategic Solutions-Panola Medical Center LLC

  dba Panola Medical Center

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD

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

• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1083386643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5482 HIGHWAY 15 N",
            "city": "ECRU",
            "state": "MS",
            "postal_code": "388418471",
            "telephone_number": "662-488-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5482 HIGHWAY 15 N",
            "city": "ECRU",
            "state": "MS",
            "postal_code": "388418471",
            "telephone_number": "662-488-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "TRACEY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879104",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Miller Bailey, CFNP
• Jennifer Chism Bolen, FNP-C
• Church Street Manor Assisted Living, Inc.
• Felicia Daniel, FNP-BC
• Sabrina Davidson, FNP
• Friendship Medical Clinic, LLC
• Friendship, LLC
• Megan Springer Howell, FNP
• David Michael McMillen, NP-C
• Michael L Atkeison (Ecru Discount Pharmacy)

• Family Nurse Practitioner in Ecru, MS
• Providers in Ecru, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.

Verify at the official NPI Registry.