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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tabitha Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Health Network LLC
281 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Kentucky and Mississippi enrollments
  • 118 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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

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.

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)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 485-7777
POPLAR SPRINGS PHYSICAL THERAPY, LLC
Clinic/Center (Physical Therapy)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 990-7185
RUSH ENT & ALLERGY, PLLC
Otolaryngology
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 485-7550
MRS. JENNA HARPER AGPCNP-BC
Nurse Practitioner (Gerontology)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 485-7777
DAWN HOLLEY KIKER FNP
Nurse Practitioner (Family)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Lauderdale County (601) 425-7777

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 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.

Where is Tabitha Wilson located?

Tabitha Wilson practices at 4711 Poplar Springs Dr, Meridian, MS 39305. The listed phone number is (601) 484-3390.

What is Tabitha Wilson's specialty?

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

Is Tabitha Wilson enrolled in Medicare?

Yes. Tabitha Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tabitha Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Wilson reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The 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 Tabitha Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tabitha Wilson was last updated on July 17, 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.