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

Poyu Bamby Petty, FNP

Individual provider Family Nurse Practitioner · NPI 1689450520

Poyu Bamby Petty, FNP is a Nurse Practitioner in New Albany, Mississippi. Qualified in 2023, 3 years ago. Practices with Creekmore Clinic, PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

216 Oxford Rd
New Albany, MS 38652-3115
Phone: (625) 534-9042
Fax: (662) 534-9707
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906331 (MS)
Hospice Registered Nurse Taxonomy 163WH1000X · Licence R879298 (MS)

Record details

NPI number1689450520
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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 Creekmore Clinic, P.L.L.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Albany