Individual provider Active NPI

Cynthia Ruth Smith, ACNP

  • Acute Care Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1679820799
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R872258 Issued in MS
Practice address
828 Turner Dr
Tupelo, MS 38801-8902
Phone
(662) 279-5352
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R872258 MS Primary

Addresses

Primary practice location

828 Turner Dr
Tupelo, MS 38801-8902

Mailing address

828 Turner Dr
Tupelo, MS 38801-8902
Phone (662) 279-5352

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
I20130212000117 MS Practitioner - Nurse Practitioner 9931353372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3136

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC CurrentSince Jul 24, 2024 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Nov 13, 2015 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Nov 13, 2015 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 17, 2012 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 17, 2012 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

1410 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 815-4775

7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565

65 Germantown Ct
Ste 300
Cordova, TN 38018

Interoperability endpoints

  • Direct secure messaging: cynthiasmith@nmhs.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1679820799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 TURNER DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018902",
            "telephone_number": "662-279-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 TURNER DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018902",
            "telephone_number": "662-279-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYNTHIA",
        "middle_name": "RUTH",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R872258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.