TUPELO PRIMARY CARE
NPI 1649976770
Nurse Practitioner - Primary Care in Wewahitchka, FL

Active since January 31, 2023
412 N HIGHWAY 71, WEWAHITCHKA, FL 32465(850) 227-8561 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 25, 2023, Jan 31, 2023 (2 updates tracked since 2023).

About Tupelo Primary Care NPPES

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

TUPELO PRIMARY CARE (NPI 1649976770) is a healthcare organization registered as a primary care in Wewahitchka, Florida and active in the NPI registry since January 2023. The organization lists Amy Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1649976770
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTUPELO PRIMARY CARE
Location Address412 N HIGHWAY 71Wewahitchka, FL 32465-4061
Mailing Address412 N Highway 71Wewahitchka, FL 32465-4061 · (850) 227-8561
Organization SubpartNo
Authorized OfficialAmy MillerOwner · (850) 227-8561
Enumeration DateJanuary 31, 2023
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1649976770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
412 N HIGHWAY 71, Wewahitchka, FL 32465

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tupelo Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tupelo Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1124615307
265 GARY ROWELL RD
Wewahitchka, FL 32465
(850) 227-8561
✔ PECOS1.6 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 Tupelo Primary Care's NPI number?

The NPI number for Tupelo Primary Care is 1649976770. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Tupelo Primary Care located?

Tupelo Primary Care is located at 412 N Highway 71, Wewahitchka, FL 32465. The listed phone number is (850) 227-8561.

What is Tupelo Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tupelo Primary Care enrolled in Medicare?

Yes. Tupelo Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tupelo Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tupelo Primary Care. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tupelo Primary Care was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.