Individual provider Active NPI

Allison Lee

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1417320102
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R886602 Issued in MS
Practice address
830 S Gloster St
4TH Floor East Tower
Tupelo, MS 38801-4934
Phone
(662) 377-7621
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 R886602 MS Primary

Addresses

Primary practice location

830 S Gloster St
4TH Floor East Tower
Tupelo, MS 38801-4934

Mailing address

830 S Gloster St
4TH Floor East Tower
Tupelo, MS 38801-4934
Phone (662) 377-7100

Other practice location 1

200 State Highway 30 W
New Albany, MS 38652-3197
Phone (662) 432-0700

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
I20151210001080 MS Practitioner - Nurse Practitioner 6608177910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Professional AssociationGroup PAC ID 9335166834, 15 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite A1
Tupelo, MS 38801-4749
Phone (662) 432-0700

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Merit-based Incentive Payment System (MIPS)

Final score
95.8 of 100Reported as group
Quality
91.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R886602MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Professional Association CurrentSince Nov 4, 2015 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

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

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

499 Gloster Creek Vlg
Ste A1
Tupelo, MS 38801
Phone (662) 377-7100

830 S Gloster St
Fl 4
Tupelo, MS 38801
Phone (662) 377-7100

499 S Gloster St
Ste A1
Tupelo, MS 38801
Phone (615) 695-4977

Organizations & group practices 2

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 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": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1417320102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "address_2": "4TH FLOOR EAST TOWER",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "address_2": "4TH FLOOR EAST TOWER",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523197",
            "country_code": "US",
            "telephone_number": "662-432-0700",
            "fax_number": "662-842-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R886602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.