NORTH MISSISSIPPI MEDCIAL CENTER, INC. (NPI# 1235635566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235635566 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDCIAL CENTER, INC. |
| Other Organization Name | NMMC NEURODEVELOPMENTAL CLINIC |
| Practice Address |
1150 S Green St Ste D Tupelo MS 38804-4901 |
| Mailing Address |
450 E President Ave Tupelo MS 38801-5599 |
| Practice Telephone | 6018153575 |
| Practice Fax Number | 6628449954 |
| Mailing Telephone | 6623774685 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | BRUCE TOPPIN (SECRETARY) |
| Authorized Official Telephone | 6623774229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NMMC Neurodevelopmental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1669656765 | North Mississippi Medcial Center, Inc. | Clinic/Center | 920 N Fourth St, Suite A, Baldwyn, MS 38824-1121 | 2007-12-26 |
| Street Address |
1150 S GREEN ST STE D |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073009015 | Lydia Marie Thomas | Occupational Therapist | 1150 S Green St Ste D, Tupelo, MS 38804-4901 | 2018-07-02 |
| 1760975361 | Carrie Leanna Hoing | Occupational Therapist | 1150 S Green St Ste D, Tupelo, MS 38804-4901 | 2018-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093912479 | Jessica Lilley | Pediatrics | 330 W Jefferson St, Tupelo, MS 38804-3936 | 2007-06-29 |
| 1598847428 | John H Nading | Pediatrics | 4566 South Eason Blvd, Tupelo, MS 38801 | 2006-10-19 |
| 1639187024 | North Mississippi Pediatrics Pa | Pediatrics | 1573 Medical Park Cr, Tupelo, MS 38801 | 2006-08-03 |
| 1821018144 | Thomas A Ireland | Pediatrics | 1573 Medical Park Cir, Tupelo, MS 38801-6580 | 2006-07-20 |
| 1275597544 | Children's Clinic of Tupelo, Pa | Pediatrics | 458 E President Ave, Tupelo, MS 38801-5515 | 2006-04-13 |
| 1902381908 | North Mississippi Medical Center | Pediatrics | 830 S Gloster St, Tupelo, MS 38801-4934 | 2018-09-26 |
| 1689074395 | North Mississippi Medical Center Inc. | Pediatrics | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-08-29 |
| 1558776401 | Jhoclay Chu See | Pediatrics | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-06-29 |
| 1578766374 | Alexa Nicole Ivancic | Pediatrics | 499 Gloster Creek Vlg, Suite H-3, Tupelo, MS 38801-4600 | 2007-06-08 |
| 1891906657 | Eric Street | Pediatrics | 1573 Medical Park Cir, Tupelo, MS 38801-6580 | 2007-05-24 |
| Find all providers in TUPELO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.