Tina Salter Boyles, N.P.
Individual provider Active NPI Nurse Practitioner · Philadelphia, MS
NPI 1972605657 · NPPES record last updated Nov 29, 2018
Key facts
- NPI
- 1972605657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R861295 (MS)
- Practice address
- 1001 Holland Avenue
Philadelphia, MS 39350 - Phone
- (601) 656-1465
- Fax
- (601) 656-2752
- NPI assigned
- Sep 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neshoba County General Hospital
Fast Pace Mississippi PLLC
Practice addresses (Care Compare)
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1200
1017 W Beacon St
Philadelphia, MS 39350-3218
Phone (769) 200-0730
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070110000234 | MS | Practitioner - Nurse Practitioner | 1153321492 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Neshoba County General Hospital | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Nurse Practitioner | Current |
Accepting new patients |
| Fast Pace Mississippi, PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients |
Locations
115 Highway 16 W
Carthage, MS 39051
Phone (601) 298-3101
7 Professional Pkwy
Ste 101
Hattiesburg, MS 39402
Phone (601) 781-1661
1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
1002 Saint Francis Dr
Philadelphia, MS 39350
Phone (601) 663-1200
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
Interoperability endpoints
- tinaboyles@neshobahealth.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R861295 | MS | Yes |
Addresses
Primary practice location
1001 Holland Avenue
Philadelphia, MS 39350
Mailing address
1001 Holland Ave
Philadelphia, MS 39350-2161
Phone (601) 663-1269
Other names
- Mrs. Tina M. Salter
Other providers in Philadelphia, MS
- Kayla Blocker
- Boa Vida Hospital of Aberdeen, Ms LLC
- Joe L Boswell
- Charla Ann Bowden
- Jon M Boyles
- Eugene Franklin Brown Jr.
- Eugene Franklin Brown Sr.
- Brown'S Discount Drugs
- Brown'S Discount Drugs
- Marley Burns
All providers in Philadelphia, MS · Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.