NPIMap

Individual provider Active NPI

Jose Augusto Henao Correa, M.D

  • Pulmonary Disease Physician
  • Tupelo, MS
National Provider Identifier
1487109260
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31658 Issued in MS
Practice address
860 S Madison St
Tupelo, MS 38801-4905
Phone
(662) 377-7150
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 31658 MS Primary

Addresses

Primary practice location

860 S Madison St
Tupelo, MS 38801-4905

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000527 MS Practitioner - Pulmonary Disease 0648565135 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians

Practice addresses (Care Compare)

1777 Curtis Dr
Iuka, MS 38852
Phone (662) 443-0968

860 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-7150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Health Services, Inc. CurrentSince Jul 23, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jul 26, 2023 Accepting new patients
Tishomingo Health Services, Inc. Pulmonary Disease CurrentSince Jul 9, 2025 Accepting new patients
Tishomingo Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Monroe Health Services, Inc. Current Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Jul 26, 2023 Accepting new patients
Monroe Health Services, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Jul 9, 2025 Accepting new patients
Marion Regional Medical Center, Inc. Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

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

1107 Earl Frye Blvd
Ste 3
Amory, MS 38821
Phone (662) 256-9590

26 3rd St
Belmont, MS 38827
Phone (662) 454-4520

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

860 S Madison St
Tupelo, MS 38801
Phone (662) 377-7150

4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054

Interoperability endpoints

  • Direct secure messaging: augustocorrea@nmhs.medalliesdirect.net

Organizations & group practices 12

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 5

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1487109260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VARSITY DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014613",
            "telephone_number": "662-377-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAO CORREA",
        "first_name": "JOSE",
        "middle_name": "AUGUSTO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "31658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.