Angela Ealy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906482 Issued in MS

Practice address

11273 Highway 61 N
Robinsonville, MS 38664-9705

Phone

(662) 363-3224

Fax

(662) 363-3234

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tunica County Healthcare AuthorityGroup PAC ID 6608898499, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tunica County Healthcare Authority

  dba Tunica Medical Clinic

  • Rural Health Clinic/Center
  • Tunica, MS
  • NPI 1245360148
  Medicare reassignment Care Compare group NPD
• Tunica County Healthcare Authority

  dba Tunica Resorts Medical Clinic

  • Rural Health Clinic/Center
  • Tunica Resorts, MS
  • NPI 1629164512
  NPD
• Tunica County Healthcare Authority

  dba Tunica Medical Clinic Infusion Center

  • Clinic/Center
  • Tunica, MS
  • NPI 1811618887
  NPD

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1326556184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 BROWNING AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381144903",
            "telephone_number": "256-648-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11273 HIGHWAY 61 N",
            "city": "ROBINSONVILLE",
            "state": "MS",
            "postal_code": "386649705",
            "telephone_number": "662-363-3224",
            "fax_number": "662-363-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 Highway 61 N",
            "address_purpose": "LOCATION",
            "city": "Tunica",
            "state": "MS",
            "postal_code": "386769683",
            "country_code": "US",
            "telephone_number": "662-357-0012",
            "fax_number": "662-357-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2737 Browning Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381144903",
            "country_code": "US",
            "telephone_number": "256-648-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EALY",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Partners for Seniors LLC
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• Leslie Yvette Horton
• Bobby Young Joe, M.D.
• Lapearls Residential and Private Care Facility

• Family Nurse Practitioner in Robinsonville, MS
• Providers in Robinsonville, 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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.