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

Christopher Gully, NP

Individual provider Family Nurse Practitioner · NPI 1013778596

Christopher Gully, NP is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2023, 3 years ago. Practices with Mid-South Imaging and Therapeutics, PA, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Tennessee.

Years since qualifying
3
Licensed in
MS, TN
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

363 Southcrest Cir Ste 202
Southaven, MS 38671-4737
Phone: (901) 226-0456
Fax: (901) 226-0458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 906487 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3555 (TN)

Record details

NPI number1013778596
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mid-South Imaging And Therapeutics, P.A. — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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