Individual provider Active NPI

Stacy Parker Thomas, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Water Valley, MS
National Provider Identifier
1972865871
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
870535 Issued in MS
Practice address
604 S Main St
Water Valley, MS 38965-3468
Phone
(662) 473-1311
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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 R870535 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 870535 MS Primary

Addresses

Primary practice location

604 S Main St
Water Valley, MS 38965-3468

Mailing address

604 S Main St
Water Valley, MS 38965-3468
Phone (662) 473-1311

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
I20121105000092 MS Practitioner - Nurse Practitioner 2668623414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Ms Pain Institute Oxford PLLCGroup PAC ID 1052852365, 5 clinicians

Practice addresses (Care Compare)

2215 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone (662) 638-0462

Hospital & facility affiliations

  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
870535MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Pain Institute Oxford PLLC CurrentSince Apr 28, 2025 Accepting new patients
In Focus Psychiatry LLC Psychiatric/Mental Health CurrentSince Oct 3, 2023 Accepting new patients
In Focus Psychiatry LLC Psychiatric/Mental Health CurrentSince Jan 14, 2024 Accepting new patients
Spring Valley Hospice, LLC PastSince Oct 5, 2021 Accepting new patients
Panola Physician Group, LLC Past Accepting new patients

Locations

1300 Sunset Dr
Ste A
Grenada, MS 38901
Phone (662) 226-1646

220 Oak Tree Dr
Hernando, MS 38632
Phone (662) 510-8606

2215 Jefferson Davis Dr
Oxford, MS 38655
Phone (662) 234-3303

Organizations & group practices 5

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 3

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1972865871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389653468",
            "telephone_number": "662-473-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STACY",
        "middle_name": "PARKER",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R870535",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "870535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Water Valley, MS

Sources for this page

Verify at the official NPI Registry.