NPI

Tashana Stovall

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2018-11-08
Last updated
2018-11-08

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
200 W Mlk Dr
City
Macon MS
Postal code
39341-2732
Phone
(662) 726-5042

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Macon, MS. 93 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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