Active NPI
Libby Dove Carruth, APRN
- Family Nurse Practitioner
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904762
- Practice address
- 1201 Office Park Dr Ste 102
Oxford, MS 38655-3598 - Phone
- (662) 234-6553
- Fax
- (662) 234-6555
- NPI assigned
- Mar 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 904762 | MS | Primary |
Addresses
Primary practice location
1201 Office Park Dr Ste 102
Oxford, MS 38655-3598
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
2173 S LaMar Blvd
Oxford, MS 38655-5223
Phone (662) 234-6553
Other practice location 2
353 Highway 15 N
Pontotoc, MS 38863-1103
Phone (662) 490-1985
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Office Park Dr
Suite 102
Oxford, MS 38655-3598
Phone (662) 234-6553
353 Hwy 15 N
Pontotoc, MS 38863-1103
Phone (662) 490-1985
Hospital & facility affiliations
- Baptist Memorial Hospital North Ms
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 | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
117 S 2nd St
Augusta, AR 72006
2173 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-3610
1201 Office Park Dr
Ste 102
Oxford, MS 38655
Phone (662) 234-6553
353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
Interoperability endpoints
- libby.carruth@arcare.directbygreenway.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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1104937143
-
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Federally Qualified Health Center (FQHC)
- Brinkley, AR
- NPI 1669433363
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1144978982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 OFFICE PARK DR STE 102",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553598",
"telephone_number": "662-234-6553",
"fax_number": "662-234-6555"
}
],
"practiceLocations": [
{
"address_1": "2173 S LaMar Blvd",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386555223",
"country_code": "US",
"telephone_number": "662-234-6553",
"fax_number": "662-234-6555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "353 Highway 15 N",
"address_purpose": "LOCATION",
"city": "Pontotoc",
"state": "MS",
"postal_code": "388631103",
"country_code": "US",
"telephone_number": "662-490-1985",
"fax_number": "662-490-1989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRUTH",
"first_name": "LIBBY",
"middle_name": "DOVE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.