Individual provider Active NPI

Diamond Pittman, NP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1083488043
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906461 Issued in MS
Practice address
2273 S Eason Blvd
Tupelo, MS 38804-5900
Phone
(731) 394-1145
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35871 TN
Family Nurse Practitioner 363LF0000X 906461 MS Primary

Addresses

Primary practice location

2273 S Eason Blvd
Tupelo, MS 38804-5900

Mailing address

96 County Road 711
Corinth, MS 38834-7347
Phone (662) 415-5764

Other practice location 1

1805 Wayne Rd
Savannah, TN 38372-5168
Phone (731) 926-4222

Other practice location 2

611 Alcorn Dr
Corinth, MS 38834-9321
Phone (662) 293-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240411000259 TN Practitioner - Nurse Practitioner 1658719521 Reassigns benefits to 1 organization
I20250222000242 MS Practitioner - Nurse Practitioner 1658719521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Health Corp of Houston, Inc.Group PAC ID 0042102352, 10 clinicians
Progressive Health of Houston LLCGroup PAC ID 0143662429, shared by 4 NPIs, 17 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1002 E Madison St
Houston, MS 38851-2428

1215 Earl Frye Blvd
Amory, MS 38821-5509
Phone (731) 394-1145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC CurrentSince Feb 20, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 4, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 4, 2024 Accepting new patients

Locations

1215 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-4640

156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293

1220 E Northside Dr
Ste 170
Jackson, MS 39211
Phone (601) 613-6268

2273 S Eason Blvd
Tupelo, MS 38804
Phone (662) 499-2802

1805 Wayne Rd
Savannah, TN 38372
Phone (731) 926-4222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1083488043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 COUNTY ROAD 711",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347347",
            "telephone_number": "662-415-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045900",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383725168",
            "country_code": "US",
            "telephone_number": "731-926-4222",
            "fax_number": "731-926-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Alcorn Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349321",
            "country_code": "US",
            "telephone_number": "662-293-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "DIAMOND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.