TIA BEASLEY (NPI# 1336504778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336504778 |
| Entity Type | Individual |
| Full Name | TIA BEASLEY |
| Credential | PA-C |
| Practice Address |
109 Mulberry Dr Tupelo MS 38801-6993 |
| Practice Telephone | 6622553008 |
| Mailing Telephone | 6622553008 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00260 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
109 MULBERRY DR |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568972610 | Steven Wesley Savoy | Physician Assistant | 830 S Gloster St Fl 4, Tupelo, MS 38801-4934 | 2017-10-03 |
| 1174154652 | Ashley Nicole Dodson | Physician Assistant | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2020-02-03 |
| 1447767744 | Aynsley Elizabeth Bailey | Physician Assistant | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2018-01-08 |
| 1548628522 | Wesley Estock | Physician Assistant | 830 S Gloster St, Tupelo, MS 38801-4934 | 2016-02-04 |
| 1902264179 | Danielle Joy Young | Physician Assistant | 806 Garfield St, Tupelo, MS 38801-5749 | 2016-02-03 |
| 1598123739 | Kimberly Peach Norwood | Physician Assistant | 830 S Gloster St, Tupelo, MS 38801-4934 | 2016-02-02 |
| 1831562818 | Kenneth Henkes | Physician Assistant | 830 S Gloster St, Tupelo, MS 38801-4934 | 2015-11-12 |
| 1033534391 | Bethany Garner | Physician Assistant | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-02-24 |
| 1922422583 | Jenna Lee Dixon | Physician Assistant | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-02-18 |
| 1225451842 | Matthew Logan Garner | Physician Assistant | 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2014-02-03 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.