NPIMap

Individual provider Active NPI

Julie Ann McIntosh, NP

  • Acute Care Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1740020767
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
905046 Issued in MS
Practice address
144 S Thomas St Ste 202
Tupelo, MS 38801-5337
Phone
(662) 269-4453
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 905046 MS Primary

Addresses

Primary practice location

144 S Thomas St Ste 202
Tupelo, MS 38801-5337

Mailing address

1432 River View Dr
Iuka, MS 38852-8389
Phone (662) 594-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001872 MS Practitioner - Nurse Practitioner 4183169683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15921 Boundary Dr
Ashland, MS 38603-7740
Phone (662) 224-8951

15931 Boundary Dr
Ashland Multispecialty Telehealth
Ashland, MS 38603-7740
Phone (662) 502-3149

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Jun 11, 2024 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jun 11, 2024 Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Aug 31, 2025 Accepting new patients
North Mississippi Primary Health Care, Inc. Current Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Aug 31, 2025 Accepting new patients
North Mississippi Primary Health Care, Inc. Past Accepting new patients

Locations

144 S Thomas St
Ste 202
Tupelo, MS 38801
Phone (662) 269-4453

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Organizations & group practices 6

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 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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1740020767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 RIVER VIEW DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388528389",
            "telephone_number": "662-594-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST STE 202",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015337",
            "telephone_number": "662-269-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "905046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.