Individual provider Active NPI

Philip Myron Howell, FNP

  • Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1811999667
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R822512 Issued in MS
Practice address
3558A W Main St
Tupelo, MS 38801-9445
Phone
(662) 346-8091
Fax
(662) 499-6151
NPI assigned
Aug 11, 2005
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R822512 MS Primary

Addresses

Primary practice location

3558A W Main St
Tupelo, MS 38801-9445

Mailing address

3558A W Main St
Tupelo, MS 38801-9445
Phone (662) 346-8091

Other identifiers 1

IdentifierTypeStateIssuer
00119591MedicaidMS

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
I20050331000768 MS Practitioner - Nurse Practitioner 9234186313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care of Cleveland, LLCGroup PAC ID 0547502387, 14 clinicians

Practice addresses (Care Compare)

3558 -A W Main St
Tupelo, MS 38801-9446
Phone (662) 816-8999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R822512MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Express Care of Cleveland, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ear, Nose & Throat Physicians of North Miss., P.a. CurrentSince Jun 18, 2008 Accepting new patients
Premier Radiology, Inc Past Accepting new patients
Pain Management Center of North Past Accepting new patients
Community Family Healthcare, Inc PastSince Sep 1, 2005 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

609 N Davis Ave
Ste 105
Cleveland, MS 38732
Phone (662) 579-3958

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

606 Highway 12 E
Starkville, MS 39759
Phone (662) 384-8080

3558A W Main St
Tupelo, MS 38801
Phone (662) 346-8091

618 Pegram Dr
Tupelo, MS 38801
Phone (601) 841-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1811999667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558A W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019445",
            "telephone_number": "662-346-8091",
            "fax_number": "662-499-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558A W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019445",
            "telephone_number": "662-346-8091",
            "fax_number": "662-499-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "PHILIP",
        "middle_name": "MYRON",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R822512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119591",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.