Individual provider Active NPI

Bobbie G Vanslyke, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1134257629
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R861268 Issued in MS
Practice address
4749 S Eason Blvd
Tupelo, MS 38801-6547
Phone
(662) 350-0821
Fax
(662) 350-0765
NPI assigned
Feb 28, 2007
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 861268 MS
Family Nurse Practitioner 363LF0000X R861268 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R861268 MS Primary

Addresses

Primary practice location

4749 S Eason Blvd
Tupelo, MS 38801-6547

Mailing address

209 Hazel Rd
Ripley, MS 38663-1640
Phone (662) 587-5042

Other practice location 1

1002 N 2nd St
Booneville, MS 38829-1314
Phone (662) 340-4375

Other practice location 2

2601 Getwell Rd Ste 1
Corinth, MS 38834-6762
Phone (662) 837-1534

Other practice location 3

1305 City Ave N
Ripley, MS 38663-1157
Phone (662) 649-6502

Other identifiers 1

IdentifierTypeStateIssuer
6007203MedicaidMS

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
I20080709000171 MS Practitioner - Nurse Practitioner 8224100243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceans Mississippi Medical Group LLCGroup PAC ID 9830422716, 9 clinicians

Practice addresses (Care Compare)

152 Gateway Dr
Biloxi, MS 39531-4409
Phone (228) 388-0691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMK Enterprises Psychiatric/Mental Health CurrentSince Aug 30, 2023 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 18, 2015 Accepting new patients
Oceans Mississippi Medical Group LLC CurrentSince Mar 18, 2024 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 18, 2015 Accepting new patients
Memphis Obstetrics and Gynecological Association PC Past Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients
Oxford Obstetrics & Gynecology Associates PastSince Mar 1, 2017 Accepting new patients

Locations

152 Gateway Dr
Biloxi, MS 39531
Phone (228) 388-0600

180 Debuys Rd
#C
Biloxi, MS 39531
Phone (228) 388-0600

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

1305 City Ave N
Ripley, MS 38663
Phone (662) 372-3495

5699 Getwell Rd
Bldg F4
Southaven, MS 38672
Phone (662) 372-3495

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1134257629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HAZEL RD",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631640",
            "telephone_number": "662-587-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016547",
            "telephone_number": "662-350-0821",
            "fax_number": "662-350-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388291314",
            "country_code": "US",
            "telephone_number": "662-340-4375",
            "fax_number": "662-340-4378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Getwell Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388346762",
            "country_code": "US",
            "telephone_number": "662-837-1534",
            "fax_number": "662-837-3274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 City Ave N",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "MS",
            "postal_code": "386631157",
            "country_code": "US",
            "telephone_number": "662-649-6502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSLYKE",
        "first_name": "BOBBIE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "861268",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R861268",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R861268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007203",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.