Tawana Gipson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

903876 Issued in MS

Practice address

102 Brickerton St
Columbus, MS 39701-3608

Phone

(662) 570-1109

Fax

(662) 328-3135

NPI assigned

Jul 22, 2020

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Yeates Consulting ,LLC

  • Community/Behavioral Health Agency
  • Columbus, MS
  • NPI 1104235951
  Medicare reassignment NPD
• Mind Over Matter Psychiatry and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, MS
  • NPI 1558296673
  NPD Authorized official
• Intouch Psychological Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
  • NPI 1649629304
  NPD
• Father's Child Ministry

  • Community/Behavioral Health Agency
  • Columbus, MS
  • NPI 1083076418
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1881202182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BRICKERTON ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397013608",
            "telephone_number": "662-570-1109",
            "fax_number": "662-328-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BRICKERTON ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397013608",
            "telephone_number": "662-570-1109",
            "fax_number": "662-328-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "TAWANA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilden Magnolia Life Care LLC
• Melissa Gillespie Anderson, RPH
• William Meek Gillespie III, M.D.
• Amanda Gilliland
• Mary Alyssa Gillis
• Global Pharmaceutical Corporation
• Glory Home Care Services
• Lillian Ainsworth Glusenkamp, R.D.
• GN Hearing Care Corp (Beltone)
• William Bryant Godfrey

• Psychiatric/Mental Health Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.