Individual provider Active NPI

Tiffany Gillespie

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1972084895
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902769 Issued in MS
Practice address
961 S Gloster St
Tupelo, MS 38801
Phone
(662) 377-4550
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902769 MS Primary

Addresses

Primary practice location

961 S Gloster St
Tupelo, MS 38801

Mailing address

961 S Gloster St
Tupelo, MS 38801-6343
Phone (662) 377-4550

Other practice location 1

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-2565

Other practice location 2

961 S Gloster St
Tupelo, MS 38801-6343
Phone (662) 377-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181130000765 MS Practitioner - Nurse Practitioner 6901140029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

961 S Gloster St
North Mississippi Medical Center Hematology
Tupelo, MS 38801-6343
Phone (662) 377-4550

Hospital & facility affiliations

  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
  • Pontotoc Health Service Inc Cah Hospital, Pontotoc, MS, CCN 251308
  • Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Clay County Medical Corporation CurrentSince Aug 2, 2025 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Clay County Medical Corporation CurrentSince Aug 2, 2025 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. Family CurrentSince Nov 1, 2018 Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients
Clay County Medical Corporation Past Accepting new patients

Locations

1205 Highway 182 W
Starkville, MS 39759
Phone (662) 320-8545

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

961 S Gloster St
Tupelo, MS 38801
Phone (601) 844-9166

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: tiffanygillespie@nmhs.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1972084895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016343",
            "telephone_number": "662-377-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-377-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hwy 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-2565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "961 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016343",
            "country_code": "US",
            "telephone_number": "662-377-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.