Individual provider Active NPI

Melanie Rogers Tubbs, LMSW

  • Social Worker
  • Columbus, MS
National Provider Identifier
1235813833
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M8218 Issued in MS
Practice address
139 N Brookmoore Dr
Columbus, MS 39705-2024
Phone
(662) 328-4440
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X M8218 MS Primary

Addresses

Primary practice location

139 N Brookmoore Dr
Columbus, MS 39705-2024

Mailing address

3290 Military Rd
Columbus, MS 39705-9172
Phone (662) 312-6698

Other practice location 1

215 Katherine Dr Ste A
Flowood, MS 39232-9588
Phone (601) 665-4162

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116001327 MS Practitioner - Clinical Social Worker 5799132593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starkville Wellness GroupGroup PAC ID 3072982545, 8 clinicians

Practice addresses (Care Compare)

28 Glenwood Dr
Suite 1
Columbus, MS 39705-1596
Phone (662) 340-5947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M8218MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Wellness Group Single Specialty CurrentSince Oct 8, 2023 Accepting new patients
Mind Body Therapy, Inc Single Specialty CurrentSince Jun 18, 2023 Accepting new patients

Locations

28 Glenwood Dr
Ste 1
Columbus, MS 39705
Phone (601) 941-7754

100 Starr Ave
Ste K
Starkville, MS 39759
Phone (662) 340-5947

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1235813833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 MILITARY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397059172",
            "telephone_number": "662-312-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N BROOKMOORE DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052024",
            "telephone_number": "662-328-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Katherine Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329588",
            "country_code": "US",
            "telephone_number": "601-665-4162",
            "fax_number": "888-398-1151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "MELANIE",
        "middle_name": "ROGERS",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MS",
            "license": "M8218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.