NORTH MISSISSIPPI MEDICAL CENTER, INC (NPI# 1497091730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497091730 |
Entity Type | Organization |
Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC |
Other Organization Name | NORTH MISSISSIPPI REGIONAL PAIN CONSULTANTS |
Practice Address |
4381 S Eason Blvd Suite 201 Tupelo MS 38801-6583 |
Practice Telephone | 6623775199 |
Practice Fax Number | 6623775301 |
Mailing Telephone | 6623775199 |
Mailing Fax Number | 6623775301 |
Enumeration Date | 2012-12-13 |
Last Update Date | 2012-12-13 |
Authorized Official Name | JOSEPH REPPERT (VP/CFO) |
Authorized Official Telephone | 6623773978 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
North Mississippi Regional Pain Consultants | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396226791 | North Mississippi Medical Center, Inc | Surgery | 616 Alcorn Dr, Corinth, MS 38834-9393 | 2018-08-23 |
1942686324 | North Mississippi Medical Center, Inc | Nurse Practitioner | 961 S Gloster St, Tupelo, MS 38801-6343 | 2015-08-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTH MISSISSIPPI MEDICAL CENTER, INC. | 830 S Gloster St, Tupelo, MS 38801-4934 |
Street Address |
4381 S EASON BLVD SUITE 201 |
City | TUPELO |
State | MS |
Zip Code | 38801-6583 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548259013 | Donna Elaine Wesley | Specialist/Technologist | 4381 S Eason Blvd, Tupelo, MS 38801-6583 | 2005-10-18 |
1013462258 | Millicent Mcalilly | Social Worker | 4381 S Eason Blvd, Suite 301, Tupelo, MS 38801-6583 | 2016-08-17 |
1679943401 | Jeffrey Dews | Specialist/Technologist | 4381 S Eason Blvd, Tupelo, MS 38801-6583 | 2015-10-06 |
1013385715 | North Mississippi Medical Center, Inc. | Internal Medicine | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6583 | 2015-09-11 |
1588046155 | Devin Fancher | Nurse Practitioner | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6583 | 2015-06-19 |
1205249471 | Lori Hall Forrester | Nurse Practitioner | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6583 | 2014-06-05 |
1003233727 | Michelle Pruitt | Specialist/Technologist | 4381 S Eason Blvd, Tupelo, MS 38801-6583 | 2014-03-19 |
1518393354 | North Mississippi Medical Center, Inc. | Neurological Surgery | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6583 | 2013-09-25 |
1790034254 | Lee Ann Stewart | Physical Therapist | 4381 S Eason Blvd, Tupelo, MS 38801 | 2012-08-30 |
1548582455 | Laura Ashley Saia | Physician Assistant | 4381 S Eason Blvd, Tupelo, MS 38801-6583 | 2010-02-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740821941 | Katelyn C Boren | Nurse Practitioner | 499 Gloster Creek Vlg Ste A1, Tupelo, MS 38801-4749 | 2019-09-30 |
1538725478 | Kristen Marie Bailey | Nurse Practitioner | 131 Drive 1756, Tupelo, MS 38804-7605 | 2019-05-16 |
1720562762 | Sara Elizabeth Harrington | Nurse Practitioner | 499 S Gloster St Ste A1, Tupelo, MS 38801-5539 | 2018-09-15 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1952609802 | Morgan Barker | Nurse Practitioner | 990 S Madison St Ste 1, Tupelo, MS 38801-6308 | 2011-03-02 |
1760536783 | Lauren Mcgee Babb | Nurse Practitioner | 2633 Traceland Dr, Tupelo, MS 38801-4238 | 2007-01-23 |
1356415244 | Gloster North Family Medical Clinic Inc | Nurse Practitioner | 1714 N Gloster St, Tupelo, MS 38804-1216 | 2006-11-20 |
1851484240 | Nicole M Hindman | Nurse Practitioner | 4381 South Eason Blvd, Tupelo, MS 38801 | 2006-09-30 |
1619984390 | Angel S, Harbin | Nurse Practitioner | 149 N Eason Blvd, Tupelo, MS 38804 | 2006-08-02 |
1699781765 | Zandra Dawn Frans | Nurse Practitioner | 891 Mississippi Dr, Tupelo, MS 38804-0934 | 2006-07-31 |
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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.