Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Heath Petty

Individual provider Nurse Practitioner · NPI 1073157715

Brandon Heath Petty is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with North Mississippi Clinics LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801-4749
Phone: (662) 620-6800
Fax: (662) 620-6950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R903557 (MS)

Record details

NPI number1073157715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Mississippi Clinics Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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