Individual provider Active NPI

Tomia F Carter, PCNP

  • Family Nurse Practitioner
  • Laurel, MS
National Provider Identifier
1275587206
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
732001 Issued in MS
Practice address
516 N Magnolia St
Laurel, MS 39440-3559
Phone
(601) 342-5901
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R732001 MS
Family Nurse Practitioner 363LF0000X 732001 MS Primary

Addresses

Primary practice location

516 N Magnolia St
Laurel, MS 39440-3559

Mailing address

516 N Magnolia St
Laurel, MS 39440-3559
Phone (601) 342-5901

Other identifiers 1

IdentifierTypeStateIssuer
00115862MedicaidMS

Other names 1

  • Mrs. Tomia F Boot Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170309002144 MS Practitioner - Nurse Practitioner 9638495252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 N Magnolia St
Laurel, MS 39440-3559
Phone (601) 342-5901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
732001MSMDFamily Nurse Practitioner
R732001MSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grayson Creek Medical Clinic, LLC Family CurrentSince Jul 12, 2016 Accepting new patients
Smith Audiology, LLC CurrentSince Nov 24, 2024 Accepting new patients
Ms Magnolia Medical,LLC CurrentSince Apr 15, 2022 Accepting new patients

Locations

516 N Magnolia St
Laurel, MS 39440
Phone (601) 342-5901

3 John Everett Rd
Moselle, MS 39459
Phone (601) 475-9304

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1275587206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N MAGNOLIA ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403559",
            "telephone_number": "601-342-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N MAGNOLIA ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403559",
            "telephone_number": "601-342-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TOMIA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R732001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "732001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115862",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMIA",
            "last_name": "BOOT",
            "middle_name": "F",
            "prefix": "MRS.",
            "credential": "PCNO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.