Individual provider Active NPI

Tamar Jones Lucas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1508613274
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906644 Issued in MS
Practice address
609 Brunson Dr Ste B
Tupelo, MS 38801-4948
Phone
(662) 322-1818
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906644 MS Primary

Addresses

Primary practice location

609 Brunson Dr Ste B
Tupelo, MS 38801-4948

Mailing address

273 Benson Jones Rd
Fulton, MS 38843
Phone (662) 322-1818

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
I20250327002631 MS Practitioner - Nurse Practitioner 2961925201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chadwick Clinic LLCGroup PAC ID 5092198028, 3 clinicians

Practice addresses (Care Compare)

609 Brunson Dr
Tupelo, MS 38801-4948
Phone (662) 871-0911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906644MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Chadwick Clinic LLC Psychiatric/Mental Health CurrentSince Jan 5, 2025 Accepting new patients
Tamar Jones Lucas, Pmhnp- BC, LLC CurrentSince Jun 8, 2026 Accepting new patients
Tamar Jones Lucas, Pmhnp, LLC CurrentSince Jun 8, 2026 Accepting new patients

Locations

201 Mueller Brass Rd
#A
Fulton, MS 38843
Phone (662) 409-2094

609 Brunson Dr
Ste B
Tupelo, MS 38801
Phone (662) 432-1097

609 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1508613274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 BENSON JONES RD",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "38843",
            "telephone_number": "662-322-1818",
            "fax_number": "833-707-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BRUNSON DR STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014948",
            "telephone_number": "662-322-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TAMAR",
        "middle_name": "JONES",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.