Gynecologic and Obstetric Services, PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GYNECOLOGIC AND OBSTETRIC SERVICES, PA

Practice address

602 Brunson Dr
Tupelo, MS 38801-4947

Phone

(662) 680-3855

Fax

(662) 680-3372

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Wayne Slocum, M.D.

Title

President

Phone

(662) 680-3855

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HEALTHY START Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny Miles, M.D.

  • Obstetrics & Gynecology Physician
  • Tupelo, MS
  • NPI 1487677514
  NPD (past)
• Rebecca Holly T Robertson, FNP

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1033221106

  Family

  NPD (past)
• Tamara Jenean Smith, FNP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1407968530

  Family

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1912019092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BRUNSON DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014947",
            "telephone_number": "662-680-3855",
            "fax_number": "662-680-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BRUNSON DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014947",
            "telephone_number": "662-680-3855",
            "fax_number": "662-680-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC AND OBSTETRIC SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-680-3855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09323770",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHY START",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Gunter, RN
• Vicky Gunter
• Siddartha Guru, M.D.
• Bimala Gurung
• Barney Guyton, MD
• Carole Anne Dye Haire, D.O.
• Frances Jariel Hairston, M.D.
• James Hale
• Tameka Tanisha Hale
• Chekita Laniece Haley, FNP-BC

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.