Individual provider Active NPI

Tiffine Lynn Prisock, FNP-C

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1457967226
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904155 Issued in MS
Practice address
823 Highway 12 W Ste C
Starkville, MS 39759-3593
Phone
(662) 338-0123
NPI assigned
Sep 17, 2020
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904155 MS Primary
Family Medicine Physician 207Q00000X 904155 MS

Addresses

Primary practice location

823 Highway 12 W Ste C
Starkville, MS 39759-3593

Mailing address

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Other practice location 1

24978 Ms-15
Mathiston, MS 39752
Phone (662) 634-3089

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
I20201030001465 MS Practitioner - Nurse Practitioner 5799195897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Triangle Urgent Care LLCGroup PAC ID 7315197498, 14 clinicians

Practice addresses (Care Compare)

500 Russell St
Suite 3
Starkville, MS 39759-5411
Phone (662) 324-2244

823 Hwy 12 W
Suite C
Starkville, MS 39759-3593
Phone (662) 338-0123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904155MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care Clinic, LLC Family CurrentSince Sep 23, 2021 Accepting new patients
Golden Triangle Urgent Care LLC Family Medicine CurrentSince Jul 23, 2021 Accepting new patients
Dutch Medical Clinics, Inc CurrentSince Oct 1, 2020 Accepting new patients
Ortho Express Holding Company, LLC Family CurrentSince Jun 10, 2025 Accepting new patients
Golden Triangle Urgent Care LLC Family Medicine CurrentSince Jul 23, 2021 Accepting new patients
Ortho Express Holding Company, LLC Family CurrentSince Jun 10, 2025 Accepting new patients
Convenient Care Clinic, LLC Family CurrentSince Sep 23, 2021 Accepting new patients
Ortho Express Holding Company LLC Past Accepting new patients

Locations

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

1503 Highway 45 N
Columbus, MS 39705
Phone (601) 328-9623

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

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

56 Dutch Ln
Columbus, MS 39702
Phone (662) 329-3808

3040 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 230-3420

206 Oxford Rd
New Albany, MS 38652
Phone 6625342298223

500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244

823 Highway 12 W
Ste C
Starkville, MS 39759
Phone (662) 268-8221

3952C N Gloster St
Tupelo, MS 38804
Phone (662) 350-0737

7474 Highway 45 Alternate
West Point, MS 39773
Phone (662) 494-5863

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17762/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tiffine.prisock.1@11099.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1457967226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 HIGHWAY 12 W STE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593593",
            "telephone_number": "662-338-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24978 MS-15",
            "address_purpose": "LOCATION",
            "city": "Mathiston",
            "state": "MS",
            "postal_code": "39752",
            "country_code": "US",
            "telephone_number": "662-634-3089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRISOCK",
        "first_name": "TIFFINE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904155",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "904155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.