Organization Active NPI

Midsouth Rheumatology

  • Rheumatology Physician
  • Olive Branch, MS
National Provider Identifier
1932868908
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MIDSOUTH RHEUMATOLOGY
Practice address
8274 Hacks Cross Rd Ste 102
Olive Branch, MS 38654-4009
Phone
(901) 370-7406
Fax
(833) 747-1287
NPI assigned
Dec 16, 2021
Last updated
Feb 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Tina Puthalon KunnathNPI 1992145304
Title
Owner/MD
Phone
(901) 370-7406

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)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

8274 Hacks Cross Rd Ste 102
Olive Branch, MS 38654-4009

Mailing address

8274 Hacks Cross Rd Ste 102
Olive Branch, MS 38654-4009
Phone (901) 370-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204002078 MS Part B Supplier - Clinic/Group Practice 9032505896 Receives reassigned benefits from 1 practitioner
Practice locations: Olive Branch, MS

National Provider Directory

National Provider Directory

Locations

8274 Hacks Cross Rd
Ste 102
Olive Branch, MS 38654
Phone (901) 370-7406

2028 W Poplar Ave
Ste 108
Collierville, TN 38017
Phone (901) 346-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25830/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1932868908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8274 HACKS CROSS RD STE 102",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544009",
            "telephone_number": "901-370-7406",
            "fax_number": "833-747-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8274 HACKS CROSS RD STE 102",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544009",
            "telephone_number": "901-370-7406",
            "fax_number": "833-747-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "PUTHALON KUNNATH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "901-370-7406"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.