Individual provider Active NPI

Tacy Grant, FNP-C

  • Family Nurse Practitioner
  • Columbus, MS
National Provider Identifier
1396306957
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903441 Issued in MS
Practice address
3600 Bluecutt Rd Ste 301
Columbus, MS 39705-1397
Phone
(662) 329-2215
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903441 MS Primary

Addresses

Primary practice location

3600 Bluecutt Rd Ste 301
Columbus, MS 39705-1397

Mailing address

3600 Bluecutt Rd
Columbus, MS 39705-1303
Phone (662) 329-2215

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
I20191024000608 MS Practitioner - Nurse Practitioner 0446582456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Practice addresses (Care Compare)

2225 5TH St N
Columbus, MS 39705-2211
Phone (662) 329-2215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
79.21
Promoting interoperability
100
Improvement activities
40
Cost
77.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903441MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dutch Medical Clinics, Inc CurrentSince Jun 5, 2024 Accepting new patients
P & S Clinic OB-GYN PLLC CurrentSince Sep 25, 2019 Accepting new patients
DMC II Inc Family Past Accepting new patients

Locations

900 Earl Frye Blvd
Ste A
Amory, MS 38821
Phone (662) 256-9331

3600 Bluecutt Rd
Columbus, MS 39705
Phone (662) 570-4770

3600 Bluecutt Rd
Ste 301
Columbus, MS 39705
Phone (662) 240-0460

2225 5th St N
Columbus, MS 39705
Phone (662) 256-9331

3654B New Hope Rd
Columbus, MS 39702
Phone (662) 329-1488

3600 Bluecutt Rd
Ste 103
Columbus, MS 39705

Interoperability endpoints

  • Direct secure messaging: tacy.grant.1@17762.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1396306957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051303",
            "telephone_number": "662-329-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BLUECUTT RD STE 301",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051397",
            "telephone_number": "662-329-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.