Individual provider Active NPI

Iris H. Salley

  • Family Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1861381808
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
907488 Issued in MS
Practice address
1902B Jackson Ave W
Oxford, MS 38655-4206
Phone
(662) 234-6464
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 907488 MS Primary

Addresses

Primary practice location

1902B Jackson Ave W
Oxford, MS 38655-4206

Mailing address

404 Oak Ridge CV
Oxford, MS 38655-7094
Phone (228) 218-1939

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
I20250812000970 MS Practitioner - Nurse Practitioner 4587162227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmed LLCGroup PAC ID 2961633656, 54 clinicians

Practice addresses (Care Compare)

1902 Jackson Ave W
Suite B
Oxford, MS 38655-4206
Phone (662) 234-6464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
907488MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jul 1, 2025 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jul 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Jul 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

1902B Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464

1902 Jackson Ave W
#B
Oxford, MS 38655
Phone (662) 234-6464

705 Sisk Ave
Ste 105
Oxford, MS 38655
Phone (662) 371-1326

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

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.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1861381808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 OAK RIDGE CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557094",
            "telephone_number": "228-218-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902B JACKSON AVE W",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554206",
            "telephone_number": "662-234-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "IRIS",
        "middle_name": "H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.