NPIMap

Individual provider Active NPI

Tony Mooney

  • Acute Care Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1376065540
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
902126 Issued in MS
Practice address
4381 S Eason Blvd Ste 302
Tupelo, MS 38801-6584
Phone
(662) 377-5700
NPI assigned
Jul 10, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 902126 MS Primary

Addresses

Primary practice location

4381 S Eason Blvd Ste 302
Tupelo, MS 38801-6584

Mailing address

4381 S Eason Blvd Ste 302
Tupelo, MS 38801-6584
Phone (662) 377-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027001166 MS Practitioner - Nurse Practitioner 2466728928 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Hospitalist Medicine Specialists of Amory LLCGroup PAC ID 0143656165, 15 clinicians
Relias Hospitalist Medicine Specialists of Pontotoc LLCGroup PAC ID 0143629592, 9 clinicians
Pontotoc Health Services, Inc.Group PAC ID 6002895356, 18 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

176 S Main St
Pontotoc, MS 38863-3311
Phone (662) 489-5510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902126MSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Och Regional LLC CurrentSince Nov 1, 2024 Accepting new patients
RH Hospitalist Medicine of Och Regional LLC CurrentSince Nov 1, 2024 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Feb 1, 2020 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC CurrentSince Jan 1, 2021 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Jan 8, 2018 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Jan 8, 2018 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Mar 29, 2021 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Jan 1, 2021 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Mar 29, 2021 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince May 30, 2021 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: tony_mooney_fnp_hospitalist@yourcarecommunity.org
  • Direct secure messaging: tonymooney@nmhs.medalliesdirect.net

Organizations & group practices 11

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376065540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD STE 302",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016584",
            "telephone_number": "662-377-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD STE 302",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016584",
            "telephone_number": "662-377-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "TONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "902126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.