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

Q: 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.

Q: What is Tanya Tullos's specialty?

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

Q: 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 4 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.

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: August 09, 2026.

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

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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

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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 from Magnolia Health and more.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

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.

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)