Individual provider · Type 1 NPI

Tia Beasley, PA-C

Physician Assistant · Tupelo, MS

NPI number 1336504778 Active

Practice location

109 Mulberry Dr
Tupelo, MS 38801-6993

Other practice locations

  • 8626 Airways Blvd, Southaven, MS 38671-2603 · (662) 772-5937

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA00260 (MS)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336504778

Tia Beasley, PA-C's National Provider Identifier is 1336504778, issued on Dec 30, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tupelo, MS. The record was last updated on Nov 3, 2025.