Active NPI
Tressa Ann Matthews
- Family Nurse Practitioner
- Canton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 903119
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, IncG a Carmichael Family Health Center, Inc.Quality Healthcare Resources LLC
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
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Spring Valley Hospice, LLC | Family Medicine | Current | Accepting new patients |
| Quality Healthcare Resources LLC | Family | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1730120502
Family Medicine, MS
-
- Federally Qualified Health Center (FQHC)
- Canton, MS
- NPI 1801952809
MS
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1205081437
Family, MS
-
- Federally Qualified Health Center (FQHC)
- Yazoo City, MS
- NPI 1548327463
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1356483283
-
- Federally Qualified Health Center (FQHC)
- Canton, MS
- NPI 1023175957
-
- Federally Qualified Health Center (FQHC)
- Vaughan, MS
- NPI 1033276027
-
- Federally Qualified Health Center (FQHC)
- Belzoni, MS
- NPI 1235295304
-
- Family Medicine Physician
- Belzoni, MS
- NPI 1396363503
-
- Federally Qualified Health Center (FQHC)
- Yazoo City, MS
- NPI 1508922675
-
- Federally Qualified Health Center (FQHC)
- Yazoo City, MS
- NPI 1598822421
-
- Federally Qualified Health Center (FQHC)
- Yazoo City, MS
- NPI 1932266855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.