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MIDNIGHT-MEDICAL, INC.
NPI 1770727257
Nurse Practitioner - Family in Tupelo, MS

Active since April 28, 2009CLIA 25D1069922 · Waiver
848 S MADISON ST, TUPELO, MS 38801(662) 844-4177(662) 844-3077 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Midnight-medical, Inc. NPPES

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

MIDNIGHT-MEDICAL, INC. (NPI 1770727257) is a healthcare organization registered as a family in Tupelo, Mississippi and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Alyssa R Manning, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1770727257
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMIDNIGHT-MEDICAL, INC.
Location Address848 S MADISON STTupelo, MS 38801-4905
Mailing Address848 S Madison StTupelo, MS 38801-4905 · (662) 844-4177 · Fax (662) 844-3077
Phone(662) 844-4177
Fax(662) 844-3077
Organization SubpartNo
Authorized OfficialAlyssa R ManningCredentialing · (662) 266-2393
Enumeration DateApril 28, 2009
Last NPPES UpdateNovember 13, 2019
✔ NPI 1770727257 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
848 S MADISON ST, Tupelo, MS 38801
Open in Google Maps ↗

Other Identifiers 1

Medicaid06937811MS

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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midnight-medical, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Midnight-Medical, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Amber Mackey, FNP-C
Nurse Practitioner
NPI 1396520151
848 S MADISON ST
Tupelo, MS 38801
(662) 844-4177
✔ PECOS✔ Accepts MedicareSame address
Fred Rayburn, FNP - BC
Nurse Practitioner
NPI 1700437076
848 S MADISON ST
Tupelo, MS 38801
(662) 844-4177
✔ PECOS✔ Accepts MedicareSame address
David Mackey, FNP-BC
Nurse Practitioner
NPI 1609131358
845 S MADISON ST
Tupelo, MS 38801
(662) 377-5930
✔ PECOS✔ Accepts MedicareSame address
Dana Grant, NP-C
Nurse Practitioner
NPI 1750740965
874 BARNES CROSSING RD
Tupelo, MS 38804
(662) 841-0002
✔ PECOS5.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1069922

Midnight-Medical Inc · Tupelo, MS
Active · expires Jun 14, 2027
CLIA Number25D1069922
Laboratory TypePractitioner Other
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDavid Mackey
Laboratory Phone(662) 844-4177
Laboratory LocationMidnight-Medical Inc848 S Madison Street, Tupelo, MS 38801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Midnight-Medical, Inc.'s NPI number?

The NPI number for Midnight-Medical, Inc. is 1770727257. It was assigned to this organization in the NPPES registry on April 28, 2009.

Where is Midnight-Medical, Inc. located?

Midnight-Medical, Inc. is located at 848 S Madison St, Tupelo, MS 38801. The listed phone number is (662) 844-4177.

What is Midnight-Medical, Inc.'s specialty?

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

Is Midnight-Medical, Inc. enrolled in Medicare?

Yes. Midnight-Medical, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midnight-Medical, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Midnight-Medical, Inc.. 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. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Midnight-Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1069922) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midnight-Medical, Inc. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Midnight-Medical, Inc. 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.

When was this NPI record last updated?

The NPPES record for Midnight-Medical, Inc. was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.