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

Mrs. Martina Dianna Gilliam, FNP-C

Individual provider Family Nurse Practitioner · NPI 1497560718

Mrs. Martina Dianna Gilliam, FNP-C is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2024, 2 years ago. Practices with North Mississippi Medical Center, Inc, a 362-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4381 S Eason Blvd
Tupelo, MS 38801-6583
Phone: (662) 377-5199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F02250347 (MS)

Record details

NPI number1497560718
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Mississippi Medical Center, Inc. — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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