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TANYA WILSON TULLOS NP-C
NPI 1710538061
Nurse Practitioner - Family in Philadelphia, MS

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
1001 HOLLAND AVE, PHILADELPHIA, MS 39350(601) 781-2234(601) 781-2231 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2021, Sep 26, 2019 (2 updates tracked since 2019).

About Tanya Wilson Tullos Np-c NPPES

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

TANYA WILSON TULLOS NP-C (NPI 1710538061) is an individual family provider in Philadelphia, Mississippi, licensed in Mississippi (904858) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Neshoba County General Hospital, and is a graduate of University Of Alabama School Of Medicine (2021).

NPPES Registry Identity

NPI1710538061
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANYA WILSON TULLOSCredential: NP-C
Location Address1001 HOLLAND AVEPhiladelphia, MS 39350-2161
Mailing Address1001 Holland AvePhiladelphia, MS 39350-2161 · (601) 781-2234 · Fax (601) 781-2231
Phone(601) 781-2234
Fax(601) 781-2231
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2021
Enumeration DateSeptember 26, 2019
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1710538061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 904858
1001 HOLLAND AVE, Philadelphia, MS 39350
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanya Wilson Tullos Np-c 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 ID3870986516
PECOS Enrollment IDI20220202000724
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tanya Tullos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neshoba County General Hospital
Same address
Emergency Medical Services
1001 HOLLAND AVE
Philadelphia, MS 39350
  • Reassigned Medicare billing, Mississippi enrollment
  • 55 clinicians in this Medicare group
NPI 1003946138 (601) 663-1200
The Columbus Orthopaedic Clinic, P.A.
66 mi
Orthopaedic Surgery
670 LEIGH DR
Columbus, MS 39705
  • Reassigned Medicare billing, Mississippi enrollment
  • 54 clinicians in this Medicare group
NPI 1740287374 (662) 328-1012

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Neshoba County General Hospital

Acute Care Hospitals · Philadelphia, MS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250043
Location1001 Holland AvenuePhiladelphia, MS 39350 · Neshoba County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39350 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.

Other Providers at the Same Location NPPES 20

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

NESHOBA COUNTY GENERAL HOSPITAL-NURSING HOME
Ambulance (Land Transport)
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-1200
NESHOBA COUNTY GENERAL HOSPITAL
Emergency Medicine (Emergency Medical Services)
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-1200
NESHOBA COUNTY GENERAL HOSPITAL
Radiology (Diagnostic Radiology)
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-1200
GIATHINH CAT NGO D.O.
Pediatrics
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-3121
MRS. SANDY ELIZABETH WHITE LPTA
Physical Therapy Assistant
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-1296
JULIE THOMAS
Physical Therapist
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-1484
LAURA SISTRUNK
Speech-Language Pathologist
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 663-1296
MRS. JULIE HOLLEY COLEMAN RN
Nurse Practitioner (Family)
1001 HOLLAND AVE
PHILADELPHIA, MS 39350
Neshoba County (601) 781-2234

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 Tanya Tullos's NPI number?

The NPI number for Tanya Tullos is 1710538061. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Tanya Tullos located?

Tanya Tullos practices at 1001 Holland Ave, Philadelphia, MS 39350. The listed phone number is (601) 781-2234.

What is Tanya Tullos's specialty?

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

Is Tanya Tullos enrolled in Medicare?

Yes. Tanya 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.

Which organizations bill Medicare for Tanya Tullos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Tullos reassigns Medicare benefits to 2 organizations: Neshoba County General Hospital (Philadelphia, MS) and The Columbus Orthopaedic Clinic, P.A. (Columbus, MS). Each 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 Tanya Tullos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Tullos accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Tanya 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 Tanya Tullos affiliated with any hospitals?

According to CMS data, Tanya Tullos is affiliated with Neshoba County General Hospital.

When was this NPI record last updated?

The NPPES record for Tanya Tullos was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.