Individual provider Active NPI

Emalee Gullick, NP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1831705565
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903976 Issued in MS
Practice address
499 S Gloster St # G1
Tupelo, MS 38801-5539
Phone
(662) 377-2663
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903976 MS Primary

Addresses

Primary practice location

499 S Gloster St # G1
Tupelo, MS 38801-5539

Mailing address

499 S Gloster St # G1
Tupelo, MS 38801-5539
Phone (662) 377-2663

Other practice location 1

830 S. Gloster St.
APC Fellowship
Tupelo, MS 38801-4996
Phone (662) 377-3000

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
I20210831001421 MS Practitioner - Nurse Practitioner 5698171635 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
Orthopaedic Institute of North Mississippi, LLCGroup PAC ID 7113914078, 10 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4751
Phone (662) 377-2663

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family CurrentSince Jan 10, 2022 Accepting new patients
Orthopaedic Institute of North Mississippi, LLC CurrentSince Aug 17, 2022 Accepting new patients
Orthopaedic Institute of North Mississippi, LLC CurrentSince Oct 1, 2023 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jan 10, 2022 Accepting new patients

Locations

602 W Bankhead St
Ste C
New Albany, MS 38652

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

499 S Gloster St
#G1
Tupelo, MS 38801
Phone (662) 377-2663

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

499 Gloster Creek Vlg
Ste G1
Tupelo, MS 38801
Phone (662) 377-2663

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1831705565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 S GLOSTER ST # G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015539",
            "telephone_number": "662-377-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 S GLOSTER ST # G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015539",
            "telephone_number": "662-377-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S. Gloster St.",
            "address_2": "APC Fellowship",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014996",
            "country_code": "US",
            "telephone_number": "662-377-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLICK",
        "first_name": "EMALEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.