Active NPI
Thomas Keener Billups Sr., M.D.
- Surgery Physician
- Tupelo, MS
National Provider Identifier
1235568916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 07561
- Practice address
- 1929 Allyson Dr
Tupelo, MS 38804-1045 - Phone
- (662) 231-2510
- Fax
- (662) 844-3333
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 07561 | MS | Primary |
Addresses
Primary practice location
1929 Allyson Dr
Tupelo, MS 38804-1045
Mailing address
1929 Allyson Dr
Tupelo, MS 38804-1045
Phone (662) 231-2510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07561 | MS | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1235568916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 ALLYSON DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388041045",
"telephone_number": "662-231-2510",
"fax_number": "662-844-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 ALLYSON DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388041045",
"telephone_number": "662-231-2510",
"fax_number": "662-844-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLUPS",
"first_name": "THOMAS",
"middle_name": "KEENER",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "07561",
"primary": true
}
],
"identifiers": [],
"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 Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.