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Active NPI 1659123784 Individual Practitioner Female Practitioner

Makenna Bourland , PA-C

Physician Assistant • Tupelo, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Makenna Bourland, PA-C is a certified Physician Assistant practicing in Tupelo, MS. With approximately 1 years of clinical experience since completing medical education in 2025, Makenna Bourland delivers high-quality medical care to the local community at 830 S GLOSTER ST.

Makenna Bourland is affiliated with Relias Emergency Medicine Specialists Of Tupelo Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

830 S Gloster St

Tupelo, MS 388014996

Telephone 6623773000
Associated Practice Facility / Clinic
🏢 North Mississippi Baromedical Facility NPI 1992759435

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tupelo, MS

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -4.4 yrs vs City Avg
City Avg: 5.4 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Tupelo, MS (343 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bourland (1 Years) 1 Yrs
Tupelo Specialty Average (5.4 Years) 5.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MS PA00927

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Hospital & Practice Group Affiliations

Relias Emergency Medicine Specialists Of Tupelo Llc

830 S Gloster St, Tupelo, MS 388014934

Phone: 6623773000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wesley Bruce

Nurse Practitioner - Family

NPI 1003773862
Kalisa Mickell , FNP

Nurse Practitioner - Family

NPI 1013504067

Family Nurse Practitioner

Dr. Richard Griswold , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023050960

Doctor of Medicine (M.D.)

Bethany Garner , PA-C

Physician Assistant

NPI 1033534391

Physician Assistant (Certified)

Hannah Smith , PA-C

Physician Assistant - Medical

NPI 1033603022

Physician Assistant (Certified)

Ahmed Elhag

Student in an Organized Health Care Education/Training Program

NPI 1043006471

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 11, 2026

Registered at 830 S GLOSTER ST, TUPELO, MS 388014996 (Tel: 6623773000)

📍
Updated Business Mailing Address March 11, 2026

Registered at 201 W MAIN ST, TUPELO, MS 388043917

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2026

Physician Assistant (License #PA00927 in MS)

👤
Provider Name / Credentials Updated July 29, 2025

Recorded as MAKENNA BOURLAND, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2025

Physician Assistant

NPI Profile Active April 02, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2024

Registered at 650 E PARKWAY S, MEMPHIS, TN 381045519 (Tel: 9013213000)

📍
Updated Business Mailing Address April 02, 2024

Registered at 650 E PARKWAY S, MEMPHIS, TN 381045568

👤
Provider Name / Credentials Updated April 02, 2024

Recorded as MAKENNA NOWLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 02, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659123784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2024
Last Update: March 11, 2026
Sole Proprietor: No

Mailing Address

201 W Main St

Tupelo, MS 388043917

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.