KELLY NICOLE TULLOS M.D.
NPI 1508125576
Family Medicine in Laurel, MS

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment
1440 JEFFERSON ST, LAUREL, MS 39440(601) 428-0577(601) 426-9854 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2023, Aug 17, 2023, May 2, 2018 (3 updates tracked since 2018).

About Kelly Nicole Tullos M.d. NPPES

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

KELLY NICOLE TULLOS M.D. (NPI 1508125576) is an individual family medicine provider in Laurel, Mississippi, licensed in Mississippi (23841) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and is a graduate of University Of Mississippi School Of Medicine (2012).

NPPES Registry Identity

NPI1508125576
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY NICOLE TULLOSCredential: M.D.
Location Address1440 JEFFERSON STLaurel, MS 39440-4243
Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 477-8553 · Fax (601) 477-9158
Fax(601) 426-9854
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2012
Enumeration DateMay 11, 2012
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1508125576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 23841
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License 23841 (MS)
1440 JEFFERSON ST, Laurel, MS 39440

Other Names 1

Former Name (1)Kelly Nicole Shoemake

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Nicole Tullos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840421871
PECOS Enrollment IDI20140508002234, I20150625000644
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims38 services$4.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$19.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$108.50 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers43 claims43 services$190.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1440 JEFFERSON ST
LAUREL, MS 39440
Physician Assistant (Medical)
1440 JEFFERSON ST
LAUREL, MS 39440
General Practice
1440 JEFFERSON ST, SUITE B
LAUREL, MS 39440
Internal Medicine (Infectious Disease)
1440 JEFFERSON ST
LAUREL, MS 39440
Family Medicine
1440 JEFFERSON ST
LAUREL, MS 39440

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 Kelly Tullos's NPI number?

The NPI number for Kelly Tullos is 1508125576. It was assigned to this individual provider in the NPPES registry on May 11, 2012. The provider is also known as Kelly Nicole Shoemake.

Where is Kelly Tullos located?

Kelly Tullos practices at 1440 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 428-0577.

What is Kelly Tullos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Tullos enrolled in Medicare?

Yes. Kelly Tullos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Tullos accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kelly Tullos 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.

Is Kelly Tullos affiliated with any hospitals?

According to CMS data, Kelly Tullos is affiliated with South Central Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Kelly Tullos was last updated on August 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.