TYLER HOLMES MEMORIAL HOSPITAL
NPI 1346084985
Nurse Practitioner - Family in Kilmichael, MS

Active since June 19, 2024
400 LAMAR AVE, KILMICHAEL, MS 39747(662) 283-4114 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2025, Feb 19, 2025, Jul 1, 2024 and 1 more (4 updates tracked since 2024).

About Tyler Holmes Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER HOLMES MEMORIAL HOSPITAL (NPI 1346084985), doing business as Tyler Holmes Kilmichael Clinic, is a healthcare organization registered as a family in Kilmichael, Mississippi and active in the NPI registry since June 2024. The organization lists Cori H Bailey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1346084985
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTYLER HOLMES MEMORIAL HOSPITAL
Location Address400 LAMAR AVEKilmichael, MS 39747-9780
Mailing Address409 Tyler Holmes DrWinona, MS 38967-1521 · (662) 283-4114 · Fax (662) 283-6125
Organization SubpartYes
Authorized OfficialCori H BaileyAdministrator · (662) 283-4114
Enumeration DateJune 19, 2024
Last NPPES UpdateApril 2, 20254 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1346084985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
400 LAMAR AVE, Kilmichael, MS 39747

Other Names 1

Doing Business AsTyler Holmes Kilmichael Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Holmes Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Tyler Holmes Memorial Hospital, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Family Practice4

Clinicians, nearest first (14)

Family Practice
NPI 1659550127
408 TYLER HOLMES DR
Winona, MS 38967
(662) 283-8205
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1861990111
700 WOODLAND DR
Winona, MS 38967
(662) 283-3060
✔ PECOS10 mi
Nurse Practitioner
NPI 1316557416
700 WOODLAND DR # 1530
Winona, MS 38967
(662) 283-3060
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1144840489
409 TYLER HOLMES DR
Winona, MS 38967
(662) 283-4114
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1881600492
700 WOODLAND DR
Winona, MS 38967
(662) 283-3060
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1730550419
502 GEORGE STREET
North Carrollton, MS 38947
(662) 237-4525
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1902369457
1117 SUNSET DR STE 104
Grenada, MS 38901
(662) 226-0110
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1700426707
50 VETERANS MEMORIAL DR
Kosciusko, MS 39090
(662) 663-4216
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1760217566
960 AVENT DR
Grenada, MS 38901
(662) 227-7122
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1568502714
2901 HIGHWAY 82 E
Greenwood, MS 38930
(662) 374-2185
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1043662430
1401 RIVER RD
Greenwood, MS 38930
(662) 459-7000
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1497164446
3600 BLUECUTT RD STE 201
Columbus, MS 39705
(662) 329-3973
✔ PECOS✔ Accepts Medicare66 mi
Nurse Practitioner
NPI 1689896763
7048 OLD CANTON RD STE 2E
Ridgeland, MS 39157
(601) 992-9790
✔ PECOS✔ Accepts Medicare77 mi
Family Practice
NPI 1811918246
360 SIMPSON HIGHWAY 149 SUITE 360
Magee, MS 39111
(601) 849-1245
✔ PECOS109 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Holmes Memorial Hospital's NPI number?

The NPI number for Tyler Holmes Memorial Hospital is 1346084985. It was assigned to this organization in the NPPES registry on June 19, 2024. The provider is doing business as Tyler Holmes Kilmichael Clinic.

Where is Tyler Holmes Memorial Hospital located?

Tyler Holmes Memorial Hospital is located at 400 Lamar Ave, Kilmichael, MS 39747. The listed phone number is (662) 283-4114.

What is Tyler Holmes Memorial Hospital's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tyler Holmes Memorial Hospital enrolled in Medicare?

Yes. Tyler Holmes Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tyler Holmes Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Tyler Holmes Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10) and Family Practice (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tyler Holmes Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tyler Holmes Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Holmes Memorial Hospital was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.