TABITHA WILSON FNP
NPI 1720767726
Nurse Practitioner - Family in Meridian, MS

Q: What is Tabitha Wilson's NPI number?

The NPI number for Tabitha Wilson is 1720767726. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Q: What is Tabitha Wilson'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 Tabitha Wilson was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2023PECOS Enrolled

4711 POPLAR SPRINGS DR, MERIDIAN, MS 39305(601) 484-3390 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tabitha Wilson Fnp NPPES

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

TABITHA WILSON FNP (NPI 1720767726) is an individual family provider in Meridian, Mississippi, licensed in Mississippi (905549) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720767726

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTABITHA WILSONCredential: FNP

Location Address4711 POPLAR SPRINGS DRMeridian, MS 39305-2622

Mailing Address4711 Poplar Springs DrMeridian, MS 39305-2622

Phone(601) 484-3390

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 17, 2023

NPPES CertifiedJuly 17, 2023

✔ NPI 1720767726 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 · 905549

4711 POPLAR SPRINGS DR, Meridian, MS 39305

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Wilson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880030246

PECOS Enrollment IDI20251216002876

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39305 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.

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Other Providers at the Same Location NPPES 5

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

MRS. JACQUELYN BRUNER RAY NP

Nurse Practitioner (Gerontology)