Individual provider Active NPI

Tiffany Alyssa Roulier, FNP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1417517830
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903395 Issued in MS
Practice address
2701 Davis St
Meridian, MS 39301
Phone
(601) 693-0118
Fax
(844) 778-8922
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 903395 MS Primary

Addresses

Primary practice location

2701 Davis St
Meridian, MS 39301

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003

Other practice location 1

6140 B W Johnson Rd
Meridian, MS 39301-7318
Phone (601) 480-3986

Other practice location 2

5000 Highway 39 N
Meridian, MS 39301
Phone (601) 483-6211

Other practice location 3

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 4

1102 Constitution AVE
Meridian, MS 39301-4001
Phone (601) 703-5000

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
I20191211000575 MS Practitioner - Nurse Practitioner 1951734631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians
Greater Meridian Health Clinic, Inc.Group PAC ID 9032027834, shared by 10 NPIs, 13 clinicians
Alliance Health Center IncGroup PAC ID 1355366113, 9 clinicians

Practice addresses (Care Compare)

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

2701 Davis St
Meridian, MS 39301-5708
Phone (601) 693-0118

5000 Hwy 39 N
Meridian, MS 39301-1021
Phone (601) 581-9906

Hospital & facility affiliations

  • Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
  • Anderson Regional Medical Center South Campus Hospital, Meridian, MS, CCN 250081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903395MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Meridian Health Clinic, Inc. Current Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Greater Meridian Health Clinic, Inc. CurrentSince Nov 4, 2019 Accepting new patients
Alliance Health Center Inc. Family CurrentSince Jul 15, 2021 Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Greater Meridian Health Clinic, Inc CurrentSince Nov 4, 2019 Accepting new patients
Greater Meridian Health Clinic, Inc. Past Accepting new patients

Locations

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

2701 Davis St
Meridian, MS 39301
Phone (601) 693-0118

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

2320 32nd St
Meridian, MS 39305
Phone (601) 512-0468

5000 Highway 39 N
Meridian, MS 39301
Phone (601) 483-6211

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA

Organizations & group practices 7

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1417517830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DAVIS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-693-0118",
            "fax_number": "844-778-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6140 B W Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393017318",
            "country_code": "US",
            "telephone_number": "601-480-3986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Highway 39 N",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "39301",
            "country_code": "US",
            "telephone_number": "601-483-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14TH ST",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-553-6413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Constitution AVE",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROULIER",
        "first_name": "TIFFANY",
        "middle_name": "ALYSSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.