Active NPI
Pami Jo Taylor, M.D.
- Internal Medicine Physician
- Tupelo, MS
National Provider Identifier
1477592632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13942
- Practice address
- 1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749 - Phone
- (662) 840-2131
- Fax
- (662) 840-2522
- NPI assigned
- Jun 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13942 | MS | Primary |
Addresses
Primary practice location
1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749
Mailing address
1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749
Phone (662) 840-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116430 | Medicaid | MS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Cliff Gookin Blvd
Tupelo, MS 38801-6749
Phone (662) 840-2131
Hospital & facility affiliations
- North Mississippi Medical Ctr HHA
- Centerwell Home Health
- North Mississippi Medical Center
- North Mississippi Medical Center-Gilmore Amory
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13942 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Tupelo Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1265 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (601) 840-2131
Interoperability endpoints
- pamitaylor@nmhs.medalliesdirect.net
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.
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1396783916
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
- General Acute Care Hospital
- Amory, MS
- NPI 1164993457
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1477592632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 CLIFF GOOKIN BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016749",
"telephone_number": "662-840-2131",
"fax_number": "662-840-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 CLIFF GOOKIN BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016749",
"telephone_number": "662-840-2131",
"fax_number": "662-840-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "PAMI",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "13942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116430",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.