Individual provider Active NPI

Joseph Byron Tullos, FNP

  • Family Nurse Practitioner
  • Carthage, MS
National Provider Identifier
1609105196
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R866137 Issued in MS
Practice address
1100 Highway 16 E
Carthage, MS 39051-4222
Phone
(601) 267-1470
Fax
(601) 267-1469
NPI assigned
Dec 14, 2009
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R866137 MS Primary

Addresses

Primary practice location

1100 Highway 16 E
Carthage, MS 39051-4222

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100928000189 TX Practitioner - Nurse Practitioner 0941326938 Reassigns benefits to 1 organization
I20201019000237 MS Practitioner - Nurse Practitioner 0941326938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1470

242 Thaggard Rd
Madden, MS 39109
Phone (601) 267-1320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R866137MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Band of Choctaw Indians CurrentSince Aug 19, 2010 Accepting new patients
BMC - Attala, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medical Foundation of Central Ms CurrentSince Dec 1, 2020 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Baptist Medical Center-Leake, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Baptist Medical Center-Leake, Inc CurrentSince Oct 19, 2020 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Aug 19, 2010 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients

Locations

1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936

1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

1200 N State St
Ste 500
Jackson, MS 39202
Phone (601) 352-2273

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015

6250 Old Canton Rd
Ste 130
Jackson, MS 39211
Phone (601) 956-7280

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

220 Highway 12 W
Ste 204
Kosciusko, MS 39090

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204

3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000

124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: jtullos441724@direct.bmhcc.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1609105196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514222",
            "telephone_number": "601-267-1470",
            "fax_number": "601-267-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOS",
        "first_name": "JOSEPH",
        "middle_name": "BYRON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R866137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.