NPIMap

Individual provider Active NPI

Hallie Brianna Carter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1770103053
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904975 Issued in MS
Practice address
499 Gloster Creek VLG Ste D1
Tupelo, MS 38801-4753
Phone
(662) 690-8007
Fax
(662) 842-4653
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 900274 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904975 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste D1
Tupelo, MS 38801-4753

Mailing address

PO Box 305
Smithville, MS 38870-0305
Phone (662) 651-4637

Other practice location 1

60021 Monroe St
Smithville, MS 38870-7779
Phone (662) 651-4637

Other names 1

  • Hallie Brianna Reeves Former name

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
I20211117001268 MS Practitioner - Nurse Practitioner 0244629046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Family Health Services, Inc. 22 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
D1
Tupelo, MS 38801-4753
Phone (662) 690-8007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
900274MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Access Family Health Services, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Access Family Health Services, Inc. Current Accepting new patients
Access Family Health Services, Inc. CurrentSince Nov 29, 2021 Accepting new patients

Locations

106 Walker St
Houlka, MS 38850
Phone (662) 568-3316

60021 Monroe St
Smithville, MS 38870
Phone (662) 651-4637

499 Gloster Creek Vlg
Ste D1
Tupelo, MS 38801
Phone (662) 690-8007

Interoperability endpoints

  • Direct secure messaging: hallie.carter.1@14756.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1770103053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388700305",
            "telephone_number": "662-651-4637",
            "fax_number": "662-651-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE D1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014753",
            "telephone_number": "662-690-8007",
            "fax_number": "662-842-4653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60021 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "MS",
            "postal_code": "388707779",
            "country_code": "US",
            "telephone_number": "662-651-4637",
            "fax_number": "662-651-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "HALLIE",
        "middle_name": "BRIANNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "900274",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALLIE",
            "last_name": "REEVES",
            "middle_name": "BRIANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.