Individual provider Active NPI

Molly Luhrs Dunson, RN, FNP-C

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1679141204
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904223 Issued in MS
Practice address
7651 Tchulahoma Rd Ste 2
Southaven, MS 38671-9227
Phone
(662) 349-0980
Fax
(662) 349-0990
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 904223 MS Primary

Addresses

Primary practice location

7651 Tchulahoma Rd Ste 2
Southaven, MS 38671-9227

Mailing address

7651 Tchulahoma Rd
Southaven, MS 38671-9227
Phone (662) 349-0980

Other practice location 1

1973 Oak Tree Cv
Hernando, MS 38632-1536
Phone (662) 349-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20210712003246 TN Practitioner - Nurse Practitioner 6901208073
I20211014000848 MS Practitioner - Nurse Practitioner 6901208073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midsouth Integrative Medical IncGroup PAC ID 6800206806, 2 clinicians

Practice addresses (Care Compare)

7651 Tchulahoma Rd
Suite 2
Southaven, MS 38671-9227
Phone (662) 349-0980

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Integrative Medical, Inc CurrentSince Aug 1, 2021 Accepting new patients
Mississippi Upper Cervical Clinic, Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

1973 Oak Tree Cv
Hernando, MS 38632
Phone (662) 349-0980

7651 Tchulahoma Rd
Southaven, MS 38671
Phone (662) 349-0980

7651 Tchulahoma Rd
Ste 2
Southaven, MS 38671
Phone (662) 349-0980

Organizations & group practices 2

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1679141204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 TCHULAHOMA RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719227",
            "telephone_number": "662-349-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 TCHULAHOMA RD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719227",
            "telephone_number": "662-349-0980",
            "fax_number": "662-349-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1973 Oak Tree Cv",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "MS",
            "postal_code": "386321536",
            "country_code": "US",
            "telephone_number": "662-349-0980",
            "fax_number": "662-349-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNSON",
        "first_name": "MOLLY",
        "middle_name": "LUHRS",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.