Individual provider Active NPI

Lori Elizabeth Gladney, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1861083487
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145357 Issued in TX
Practice address
1211 W Main St
Tupelo, MS 38801-3411
Phone
(662) 401-6371
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903713 MS
Family Nurse Practitioner 363LF0000X RN217401 GA
Family Nurse Practitioner 363LF0000X 26066 TN
Family Nurse Practitioner 363LF0000X AP145357 TX Primary

Addresses

Primary practice location

1211 W Main St
Tupelo, MS 38801-3411

Mailing address

1211 W Main St
Tupelo, MS 38801-3411
Phone (662) 401-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250618000968 GA Practitioner - Nurse Practitioner 9335650191 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerment Resource Center, IncGroup PAC ID 6305266594, 3 clinicians

Practice addresses (Care Compare)

230 Peachtree St NW
Suite 1800
Atlanta, GA 30303-1514
Phone (404) 526-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN217401GAMDFamily Nurse Practitioner
903713MSMDFamily Nurse Practitioner
26066TNMDFamily Nurse Practitioner
AP145357TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Resource Center, Inc. CurrentSince Mar 2, 2026 Accepting new patients

Locations

230 Peachtree St NW
Ste 1800
Atlanta, GA 30303
Phone (404) 526-1145

Interoperability endpoints

  • Direct secure messaging: lgladney@erc-inc.directbygreenway.com

Organizations & group practices 1

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1861083487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013411",
            "telephone_number": "662-401-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013411",
            "telephone_number": "662-401-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903713",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN217401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.