Individual provider Active NPI

Nicholas Heith Elliott, DNP, FNP-BC, PMHNP-B

  • Psychiatric/Mental Health Nurse Practitioner
  • Booneville, MS
National Provider Identifier
1942819974
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904025 Issued in MS
Practice address
21 County Road 3150
Booneville, MS 38829-8859
Phone
(501) 517-9233
NPI assigned
Jul 27, 2020
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904025 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904025 MS Primary

Addresses

Primary practice location

21 County Road 3150
Booneville, MS 38829-8859

Mailing address

1937 Briar Ridge Rd
Tupelo, MS 38804-5963
Phone (662) 690-4200

Other practice location 1

1937 Briar Ridge Rd
Tupelo, MS 38804-5963
Phone (662) 690-4200 ext. 54352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210318000514 MS Practitioner - Nurse Practitioner 0042627051 Reassigns benefits to 4 organizations
I20240912000303 AL Practitioner - Nurse Practitioner 0042627051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Feb 11, 2026 Accepting new patients
Medplus New Albany LLC Family CurrentSince Mar 20, 2024 Accepting new patients
Northwest Emergency Physician Group CurrentSince May 23, 2024 Accepting new patients
Boa Vida Hospital of Aberdeen, Ms LLC CurrentSince Feb 11, 2026 Accepting new patients
Medplus Urgent Clinic LLC Family CurrentSince Dec 15, 2020 Accepting new patients

Locations

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

400 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-2455

180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273

1207 Highway 182 W
Starkville, MS 39759
Phone (662) 320-7800

874 Barnes Crossing Rd
Tupelo, MS 38804
Phone (662) 841-0002

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJABD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1942819974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 BRIAR RIDGE RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045963",
            "telephone_number": "662-690-4200",
            "fax_number": "662-690-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COUNTY ROAD 3150",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298859",
            "telephone_number": "501-517-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1937 Briar Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388045963",
            "country_code": "US",
            "telephone_number": "662-690-4200 x54352",
            "fax_number": "662-690-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "NICHOLAS",
        "middle_name": "HEITH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, PMHNP-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904025",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.