Individual provider Active NPI

Jamesha Tumblin, NP

  • Family Nurse Practitioner
  • Smithville, MS
National Provider Identifier
1083975742
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R879750 Issued in MS
Practice address
60021 Monroe St
Smithville, MS 38870
Phone
(662) 651-4637
NPI assigned
May 30, 2012
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R879750 MS Primary

Addresses

Primary practice location

60021 Monroe St
Smithville, MS 38870

Mailing address

PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637

Other practice location 1

404 Dr Howard Gunn St
Okolona, MS 38860-1015
Phone (662) 447-2362

Other practice location 2

411 W Main St
Okolona, MS 38860-1307
Phone (662) 447-5406

Other identifiers 1

IdentifierTypeStateIssuer
02733791MedicaidMS

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
I20130223000026 MS Practitioner - Nurse Practitioner 1254586266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Associates LTDGroup PAC ID 1254327554, 19 clinicians

Practice addresses (Care Compare)

1542 Medical Park Cir
Tupelo, MS 38801-6560
Phone (662) 844-4711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. CurrentSince Jul 16, 2018 Accepting new patients
Access Family Health Services, Inc. CurrentSince Jul 16, 2018 Accepting new patients
Access Family Health Services, Inc. Current Accepting new patients
Nephrology Associates, PC CurrentSince Sep 1, 2017 Accepting new patients
Access Family Health Services, Inc. Past Accepting new patients

Locations

129 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 329-3838

106 Walker St
Houlka, MS 38850
Phone (662) 568-3316

404 Dr Howard Gunn St
Okolona, MS 38860
Phone (662) 447-2362

411 W Main St
Okolona, MS 38860
Phone (662) 447-2918

60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637

111 Eudora Welty Dr
Starkville, MS 39759
Phone (662) 329-3838

Interoperability endpoints

  • Direct secure messaging: jtumblin38143@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1083975742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388700305",
            "telephone_number": "662-651-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60021 MONROE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "38870",
            "telephone_number": "662-651-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Dr Howard Gunn St",
            "address_purpose": "LOCATION",
            "city": "Okolona",
            "state": "MS",
            "postal_code": "388601015",
            "country_code": "US",
            "telephone_number": "662-447-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 W Main St",
            "address_purpose": "LOCATION",
            "city": "Okolona",
            "state": "MS",
            "postal_code": "388601307",
            "country_code": "US",
            "telephone_number": "662-447-5406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMBLIN",
        "first_name": "JAMESHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02733791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, MS

Sources for this page

Verify at the official NPI Registry.