Active NPI
Tamela F Mathis, FNP-C
- Family Nurse Practitioner
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902751
- Practice address
- 1051 Highland Colony Pkwy Ste E
Ridgeland, MS 39157-7701 - Phone
- (601) 707-3737
- Fax
- (601) 853-2299
- NPI assigned
- Aug 20, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902751 | MS | Primary |
Addresses
Primary practice location
1051 Highland Colony Pkwy Ste E
Ridgeland, MS 39157-7701
Mailing address
1051 Highland Colony Pkwy Ste E
Ridgeland, MS 39157-7701
Phone (601) 707-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902751 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. David'S Carenow Urgent Care PLLC | Current | Accepting new patients | |
| Methodist Carenow Urgent Care PLLC | Current | Accepting new patients | |
| Trustcare Primary Care, LLC | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980
20780 US Highway 281 N
San Antonio, TX 78258
Phone (210) 963-8445
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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1083154207
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
-
- Family Medicine Physician
- Madison, MS
- NPI 1174078554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1578043337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 HIGHLAND COLONY PKWY STE E",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391577701",
"telephone_number": "601-707-3737",
"fax_number": "601-853-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 HIGHLAND COLONY PKWY STE E",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391577701",
"telephone_number": "601-707-3737",
"fax_number": "601-853-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "TAMELA",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.