Tiara Carroll-Brown, FNP
Individual provider Active NPI Family Nurse Practitioner · Edwards, MS
NPI 1487586517 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1487586517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 908197 (MS)
- Practice address
- 1068 O Neill Dr
Edwards, MS 39066-8928 - Phone
- (601) 506-3276
- NPI assigned
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1068 Oneil Dr
Edwards, MS 39066
PO Box
Suite 664
Raymond, MS 39154
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908197 | MS | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 908197 | MS | Yes |
Addresses
Primary practice location
1068 O Neill Dr
Edwards, MS 39066-8928
Mailing address
PO Box 43
Edwards, MS 39066-0043
Phone (601) 506-3276
Other providers in Edwards, MS
- Tina Ashley Banks
- Central Mississippi Civic Improvement Association, Inc.
- Lane Gibson Clower
- Divine Healthcare LLC
- Edwards Dental Clinic Inc
- Foster Legacy Care Services Ms, LLC
All providers in Edwards, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.