Active NPI
Mid South First Care
- Psychiatric/Mental Health Nurse Practitioner
- Olive Branch, MS
National Provider Identifier
1881538833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MID SOUTH FIRST CARE
- Practice address
- 4985 Forest Hill Rd S
Olive Branch, MS 38654-6008 - Phone
- (662) 879-2987
- NPI assigned
- Apr 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Mattox-Rubin
- Title
- Owner
- Phone
- (662) 879-2987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4985 Forest Hill Rd S
Olive Branch, MS 38654-6008
Mailing address
4985 Forest Hill Rd S
Olive Branch, MS 38654-6008
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Olive Branch, MS
- NPI 1700373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1881538833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4985 FOREST HILL RD S",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4985 FOREST HILL RD S",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546008",
"telephone_number": "662-879-2987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID SOUTH FIRST CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "MATTOX-RUBIN",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-879-2987"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
- Memphis Urgent Care #2, LLC.
- Methodist Healthcare - Olive Branch Hospital
- Methodist Healthcare Community Care Associates
- Mid South Chiropractic PLLC
- Mid South Express Shuttle
- Mid-South Chiropractic, LLC
- Mid-South Retina Associates, LLC
- Midsouth Behavioral Health, PLLC
- Midsouth Medical Concierge
- Midsouth Rheumatology
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.