Individual provider Active NPI

Carolyn Frances Tingle, M. D.

  • Psychiatry Physician
  • Whitfield, MS
National Provider Identifier
1700975984
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12162 Issued in MS
Practice address
3550 Highway 468 West
Whitfield, MS 39193-0157
Phone
(601) 351-8000
Fax
(601) 351-8301
NPI assigned
Oct 12, 2006
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12162 MS Primary

Addresses

Primary practice location

3550 Highway 468 West
Whitfield, MS 39193-0157

Mailing address

PO Box 157a
Whitfield, MS 39193-0157
Phone (601) 351-8000

Other identifiers 1

IdentifierTypeStateIssuer
00116567MedicaidMS

Other names 1

  • Dr. Carolyn Vardaman Tingle Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140417001930 MS Practitioner - Psychiatry 4688806086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Region VI Community Mental Health CommissionGroup PAC ID 0749183663, 7 clinicians

Practice addresses (Care Compare)

PO Box
Greenwood, MS 38935-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Region VI Community Mental Health Commission CurrentSince Jan 26, 2014 Accepting new patients
Rehabilitation Centers, LLC Past Accepting new patients
Rehabilitation Centers, LLC Past Accepting new patients
Garden Park Past Accepting new patients

Locations

119 E Jackson St
Belzoni, MS 39038
Phone (662) 247-3256

2504 Browning Road 520
Greenwood, MS 38930
Phone (662) 453-6211

718 Alberta Dr
Winona, MS 38967
Phone (662) 283-2529

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1700975984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 WEST",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGLE",
        "first_name": "CAROLYN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "12162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116567",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TINGLE",
            "middle_name": "VARDAMAN",
            "prefix": "DR.",
            "credential": "M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitfield, MS

Sources for this page

Verify at the official NPI Registry.