Individual provider Active NPI

Tressa Ann Matthews

  • Family Nurse Practitioner
  • Canton, MS
National Provider Identifier
1992269088
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903119 Issued in MS
Practice address
1668 W Peace St
Canton, MS 39046-5332
Phone
(601) 859-5213
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 903119 MS
Family Nurse Practitioner 363LF0000X 903119 MS Primary

Addresses

Primary practice location

1668 W Peace St
Canton, MS 39046-5332

Mailing address

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

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
I20190403000977 MS Practitioner - Nurse Practitioner 8022359975 Reassigns benefits to 3 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
Central Mississippi Health Services, IncGroup PAC ID 2961398029, 11 clinicians
G a Carmichael Family Health Center, Inc.Group PAC ID 2567371032, 23 clinicians
Quality Healthcare Resources LLCGroup PAC ID 0345305876, 29 clinicians

Practice addresses (Care Compare)

1134 Winter St
Jackson, MS 39204-2841
Phone 60194855721607

1668 W Peace St
Canton, MS 39046-5332
Phone (601) 859-5213

200 Grand Blvd
Greenwood, MS 38930-3504
Phone (601) 859-5213

5429 Robinson Rd Ext
Jackson, MS 39204-4138
Phone (601) 914-0163

7139 Commerce Dr
Suite B3
Olive Branch, MS 38654-2101
Phone (501) 558-4111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G a Carmichael Family Health Center Inc Current Accepting new patients
Central Mississippi Health Services, Inc Family Medicine Current Accepting new patients
Central Mississippi Health Services, Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Spring Valley Hospice, LLC Family Medicine CurrentSince Sep 3, 2024 Accepting new patients
Quality Healthcare Resources LLC Family CurrentSince Sep 3, 2024 Accepting new patients
G a Carmichael Family Health Center. Inc. Family Medicine Past Accepting new patients
Central Mississippi Health Services, Inc Family Medicine Past Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

1668 W Peace St
Canton, MS 39046
Phone (601) 859-0050

5429 Robinson Road Ext
Jackson, MS 39204
Phone (601) 914-0163

1134 Winter St
Jackson, MS 39204
Phone (601) 948-5572

7139 Commerce Dr
Ste B3
Olive Branch, MS 38654
Phone (501) 558-4111

500 W County Line Rd
Tougaloo, MS 39174
Phone (601) 956-0131

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1992269088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213",
            "fax_number": "601-859-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465332",
            "telephone_number": "601-859-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "TRESSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "903119",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

Verify at the official NPI Registry.