Tina Gail Bryan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902634 Issued in MS

Practice address

1200 Office Park Dr Ste 100
Oxford, MS 38655-3597

Phone

(662) 362-8250

Fax

(662) 259-8445

NPI assigned

Jul 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spartan Orthopaedics, LLCGroup PAC ID 4880778786, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.85 of 100Reported as group

Quality

82.18

Promoting interoperability

92

Improvement activities

40

Cost

74.55

Merit-based Incentive Payment System (MIPS)

Final score

84.71 of 100Reported as group

Quality

74.3

Promoting interoperability

94

Improvement activities

40

Cost

72

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tina.bryan.2@11099.direct.athenahealth.com

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.

• Spartan Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • New Albany, MS
  • NPI 1972791978
  Medicare reassignment Care Compare group NPD
• Convenient Care Clinic, LLC

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851490841
  Medicare reassignment NPD
• Orthoxpress Holdings, LLC

  • Medical Specialty Clinic/Center
  • Tupelo, MS
  • NPI 1780218289

  Family

  Medicare reassignment NPD
• Convenient Care Clinic, LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1073246773

  Family

  NPD
• Ortho Express Holding Company, LLC

  • Physician Assistant
  • Holly Springs, MS
  • NPI 1629596804
  NPD
• Ortho Express Holding Company, LLC

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1326821687

  Family

  NPD
• Ortho Express Holding Company LLC

  • Nurse Practitioner
  • Corinth, MS
  • NPI 1649748252
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1760969208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OFFICE PARK DR STE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553597",
            "telephone_number": "662-362-8250",
            "fax_number": "662-259-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OFFICE PARK DR STE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553597",
            "telephone_number": "662-362-8250",
            "fax_number": "662-259-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "TINA",
        "middle_name": "GAIL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Marie Browning
• Amy Marie Brownlee, MED, NCC
• Tashekia Linnae Brownlee, MSW
• Katherine Anne Bruchman
• Jana Brumfield, SLP
• Mariah L Buford
• Andrew Ashby Buglewicz, PT
• Building Blocks Therapy of Oxford, PLLC
• Jennifer May Bullard, MSW,PCMHT
• Andrew Paul Bundt, CRNA

• Family Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.