Tami Bivins Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R605972 Issued in MS

Practice address

603B Hwy 365
Burnsville Medical Clinic
Burnsville, MS 38833

Phone

(662) 427-9999

Fax

(662) 427-9977

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1205922747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NORTH MADISON STREET",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-287-6811",
            "fax_number": "662-427-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603B HWY 365",
            "address_2": "BURNSVILLE MEDICAL CLINIC",
            "city": "BURNSVILLE",
            "state": "MS",
            "postal_code": "38833",
            "telephone_number": "662-427-9999",
            "fax_number": "662-427-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMI",
        "middle_name": "BIVINS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R605972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118256",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daniel Evan Koehlinger, RN, WCC
• Magnolia Regional Health Center
• Katelyn Shaw
• Tenn-Tom Med LLC
• Tishomingo Health Services, Inc.

• Family Nurse Practitioner in Burnsville, MS
• Providers in Burnsville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.