Active NPI
Bobbie G Vanslyke, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R861268
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6007203 | Medicaid | MS |
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMK Enterprises | Psychiatric/Mental Health | Current | Accepting new patients |
| Physicians Urgent Care of Corinth, LLC | Current | Accepting new patients | |
| Oceans Mississippi Medical Group LLC | Current | Accepting new patients | |
| Physicians Urgent Care of Corinth, LLC | Current | 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 | Past | 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
- 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.
-
- Geriatric Psychiatry Physician
- Biloxi, MS
- NPI 1932679958
-
dba Urgent Care of Corinth
- General Practice Physician
- Corinth, MS
- NPI 1316059405
-
dba Southern Grace Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Southaven, MS
- NPI 1184251795
-
- Durable Medical Equipment & Medical Supplies
- Booneville, MS
- NPI 1942032297
-
- Medical Specialty Clinic/Center
- Oxford, MS
- NPI 1730280066
-
dba Moga
- Obstetrics & Gynecology Physician
- Bartlett, TN
- NPI 1306884911
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.