Active NPI
Susan Duffie, CFNP
- Family Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R777236
- Practice address
- 499 Gloster Creek VLG
Suite a-3
Tupelo, MS 38801-4600 - Phone
- (662) 844-1717
- Fax
- (662) 680-6416
- NPI assigned
- Oct 18, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R777236 | MS | Primary |
Addresses
Primary practice location
499 Gloster Creek VLG
Suite a-3
Tupelo, MS 38801-4600
Mailing address
2434 S Eason Blvd
Tupelo, MS 38804-6942
Phone (662) 844-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123240 | Medicaid | MS |
Other names 1
- Susan Duffie-Morgan
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heale Counseling, LLC | Current | Accepting new patients | |
| Northeast Mental Health-Mental Retardation Commission | Current | Accepting new patients | |
| Northeast Mental Health-Mental Retardation Commission | Current | Accepting new patients | |
| Northeast Mental Health/Mental Retardation Commission | Current | Accepting new patients | |
| Mantachie Rural Health Care, Inc | Past | Accepting new patients | |
| First Care Family Clinic | Past | Accepting new patients |
Locations
2434 S Eason Blvd
Tupelo, MS 38804
Phone (662) 640-4595
302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020
499 Gloster Creek Vlg
Ste A3
Tupelo, MS 38801
Phone (662) 640-4595
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIBHBA
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.
-
- Mental Health Counselor
- Tupelo, MS
- NPI 1093410243
-
dba Lifecore Health Group
- Rural Health Clinic/Center
- Tupelo, MS
- NPI 1548413628
-
dba Lifecore Health Group
- Rural Health Clinic/Center
- Tupelo, MS
- NPI 1679903546
-
dba Northeast Mental Health-Menta
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tupelo, MS
- NPI 1801828496
-
- Preferred Provider Organization
- Tupelo, MS
- NPI 1417027921
-
dba Mantachie Clinic
- Family Medicine Physician
- Mantachie, MS
- NPI 1033169545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1871674713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 S EASON BLVD",
"city": "TUPELO",
"state": "MS",
"postal_code": "388046942",
"telephone_number": "662-844-1717",
"fax_number": "662-680-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG",
"address_2": "SUITE A-3",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014600",
"telephone_number": "662-844-1717",
"fax_number": "662-680-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFIE",
"first_name": "SUSAN",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R777236",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123240",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DUFFIE-MORGAN",
"credential": "CFNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tupelo, MS
- Drayer Physical Therapy Institute LLC (Tupelo Physical Therapy)
- Drayer Physical Therapy Mississippi LLC (Tupelo Physical Therapy)
- Dreams Over Distractions Consulting & Counseling Services LLC
- Janice R Driskell, NP
- Terri Adderholt Driskill, RPH
- Justin C Duke, D.O.
- Sherri Dunaway
- Elbert Alan Duncan, M.D.
- Richard Eugene Dunnam, NCAC II, CADC
- Daniel Duran, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.