Tangular Barnes
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Gulfport, MS
NPI 1902294093 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1902294093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R866289 (MS)
- Practice address
- 2715 Bullis Ave
Gulfport, MS 39501-5233 - Phone
- (228) 220-4226
- Fax
- (228) 220-4303
- NPI assigned
- Dec 25, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Professional Counseling Services, LLC
Practice addresses (Care Compare)
2715 Bullis Ave
Gulfport, MS 39501-5233
Phone (228) 220-4226
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151106001037 | MS | Practitioner - Nurse Practitioner | 9335459122 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R866289 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Services | Current |
Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Premier Professional Counseling Services, LLC | Current |
Accepting new patients | |
| Family Health Care Clinic, Inc. | Current |
Accepting new patients | |
| Kimila Deflanders LCSW LLC | Past |
Accepting new patients | |
| Greenbriar Nursing Center, Inc. | Past | Accepting new patients | |
| Mesk Medical Group | Family | Past | Accepting new patients |
| 1977 Enterprise LLC | Family | Past | Accepting new patients |
Locations
3407 Shamrock Ct
Gautier, MS 39553
2715 Bullis Ave
Gulfport, MS 39501
Phone (228) 220-4226
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R866289 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R866289 | MS | Yes |
Addresses
Primary practice location
2715 Bullis Ave
Gulfport, MS 39501-5233
Mailing address
2715 Bullis Ave
Gulfport, MS 39501-5233
Phone (228) 220-4226
Other practice location 1
1500 Marquette Rd
Brandon, MS 39042-3009
Phone (601) 824-3320
Other practice location 2
Gulf Coast Mental Health Center
200 Coastal Paper Dr
Wiggins, MS 39577
Phone (601) 928-2357
Other practice location 3
Gulf Coast Mental Health Center
1600 Broad Ave
Gulfport, MS 39501
Phone (228) 863-1132
Other providers in Gulfport, MS
- Kristi Barlow
- Amesha Barnes
- Caitlyn Barnes
- Christina Barnes
- Santangelo Barnes
- Kasey Barnett
- Lashonda Barnett
- Sabrina V Barnett
- Navin V Barot
- Bassam Baroudi
All providers in Gulfport, MS · Psychiatric/Mental Health Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.