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

Mr. Timothy M. South, FNP

Individual provider Family Nurse Practitioner · NPI 1376506741

Mr. Timothy M. South, FNP is a Nurse Practitioner in Kosciusko, Mississippi. Qualified in 1993, 33 years ago. Practices with Premier Medical Group of Mississippi LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
33
Licensed in
MS
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

332 Highway 12 W
Kosciusko, MS 39090-3209
Phone: (662) 289-1800
Fax: (662) 289-2486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R701483 (MS)

Record details

NPI number1376506741
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESOctober 1, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Premier Medical Group Of Mississippi Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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