Individual provider Active NPI

Brittany Thomas, FNP

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1285465583
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36194 Issued in TN
Practice address
363 Southcrest Cir Ste 101
Southaven, MS 38671-4737
Phone
(662) 349-0755
Fax
(662) 349-0356
NPI assigned
Aug 9, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220508 TN
Family Nurse Practitioner 363LF0000X 36194 TN Primary

Addresses

Primary practice location

363 Southcrest Cir Ste 101
Southaven, MS 38671-4737

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241009000811 MS Practitioner - Nurse Practitioner 9032640453 Reassigns benefits to 1 organization
I20241022000640 TN Practitioner - Nurse Practitioner 9032640453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

363 Southcrest Cir
Suite 101
Southaven, MS 38671-4737
Phone (662) 349-0755

80 Humphreys Ctr Dr
Suite 201
Memphis, TN 38120-2361
Phone (901) 226-2960

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital-Tipton CurrentSince Nov 25, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 25, 2024 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Nov 25, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 25, 2024 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients
Baptist Memorial Hospital Union County, Inc. Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

363 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0755

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

80 Humphreys Center Dr
Ste 201
Memphis, TN 38120
Phone (901) 226-2960

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1285465583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "877-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 SOUTHCREST CIR STE 101",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714737",
            "telephone_number": "662-349-0755",
            "fax_number": "662-349-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRITTANY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "220508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.