Active NPI
Thomas Matthew Taylor, FNP- BC
- Family Nurse Practitioner
- Fulton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R869922
- Practice address
- 1 Medical Park Dr
Fulton, MS 38843-9001 - Phone
- (662) 862-5200
- Fax
- (662) 862-5297
- NPI assigned
- Oct 8, 2009
- Last updated
- Feb 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R869922 | MS | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Fulton, MS 38843-9001
Mailing address
1 Medical Park Dr
Fulton, MS 38843-9001
Phone (662) 862-5200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Dr
Fulton, MS 38843-9001
Phone (662) 862-5200
845 S Madison
Tupelo, MS 38801-4905
Phone (601) 790-5025
860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Clinics Inc | Family | Current | Accepting new patients |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Past | Accepting new patients |
Locations
1 Medical Park Dr
Fulton, MS 38843
Phone (662) 862-5200
450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204
844 S Madison St
Ste A
Tupelo, MS 38801
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
903 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-4652
Interoperability endpoints
- thomastaylor@nmhs.medalliesdirect.net
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.
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba Pulmonary Consultants
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1104937143
-
dba The Women's Group West Point
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
dba Iuka Medical Clinic
- General Practice Physician
- Iuka, MS
- NPI 1568567956
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North MS Medical Center Home Health Agency
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1093040057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "FULTON",
"state": "MS",
"postal_code": "388439001",
"telephone_number": "662-862-5200",
"fax_number": "662-862-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "FULTON",
"state": "MS",
"postal_code": "388439001",
"telephone_number": "662-862-5200",
"fax_number": "662-862-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "THOMAS",
"middle_name": "MATTHEW",
"credential": "FNP- BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-08",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R869922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, MS
- Jackie L Smith, P.T., D.P.T.
- Hope Anne Stamper Spencer, LPC
- Anthony Summerford
- Tamar Jones Lucas, Pmhnp- BC, LLC (Fulton Mental Health Clinic)
- Tamar Jones Lucas, Pmhnp, LLC (Fulton Mental Health Clinic)
- Thrivebetter Therapy
- Tonsorial Artistry University of Barbering
- Total Eye Care of Fulton P.a.
- Total Eye Care PC
- Grayden Tubb, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.