Misty Shea Mosley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20141 Issued in MS

Practice address

844 S Madison St
Tupelo, MS 38801-4904

Phone

(662) 377-5400

Fax

(662) 377-5415

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tishomingo Health Services, Inc.

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)
• Tishomingo Health Services, Inc.

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1962682765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014904",
            "telephone_number": "662-377-5400",
            "fax_number": "662-377-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014904",
            "telephone_number": "662-377-5400",
            "fax_number": "662-377-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "MISTY",
        "middle_name": "SHEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "T-1852",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "20141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kathryn Morris
• Savannah Sanders Morris, AU.D.
• Marilyn Kay Morrison, M.A., M.ED., L.P.C.
• Emily Moser
• Jerry Mosley Jr.
• Sherhanda Mosley
• Ashley Nicole Moss, LPC
• Walter Moss
• Jessica Motes
• Mothershed Optometry Associates PLLC

• Family Medicine Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.