Active NPI
Tiffine Lynn Prisock, FNP-C
- Family Nurse Practitioner
- Starkville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904155
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 904155 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care Clinic, LLC | Family | Current | Accepting new patients |
| Golden Triangle Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| Dutch Medical Clinics, Inc | Current | Accepting new patients | |
| Ortho Express Holding Company, LLC | Family | Current | Accepting new patients |
| Golden Triangle Urgent Care LLC | Family Medicine | Current | Accepting new patients |
| Ortho Express Holding Company, LLC | Family | Current | Accepting new patients |
| Convenient Care Clinic, LLC | Family | Current | 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
- https://api.platform.athenahealth.com/17762/brand/1/csg/1/fhir/r4
- 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.
-
- Rural Health Clinic/Center
- Starkville, MS
- NPI 1346592045
Family Medicine
-
- Family Nurse Practitioner
- Horn Lake, MS
- NPI 1851490841
-
dba Allegro Family Clinics
- Multi-Specialty Clinic/Center
- Columbus, MS
- NPI 1215276175
-
- Rural Health Clinic/Center
- West Point, MS
- NPI 1104559806
Family Medicine
-
dba OrthoXpress of Memphis
- Nurse Practitioner
- Memphis, TN
- NPI 1326821687
Family
-
dba OrthoXpress of Corinth
- Nurse Practitioner
- Corinth, MS
- NPI 1649748252
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
- Christina Poole
- William Pleasant Portera, RPH
- Chasity C Powell
- Franchescia Monshea Prater
- Preferred Care Developmental Centers of Ms I Inc (Rolling Hills Developmental Center)
- Karlee Stewart Prosser, DPT
- Jessica Pruitt
- Jason E Pryor, M.D.
- R. Allen Butler, M.D., PA
- Radiation Oncology of North Ms PLLC (Cancer Care Center of Starkville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.