NORTH MISSISSIPPI MEDICAL CENTER (NPI# 1710081369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710081369 |
Entity Type | Organization |
Organization Name | NORTH MISSISSIPPI MEDICAL CENTER |
Other Organization Name | PHYSICAL MEDICINE REHAB |
Practice Address |
4381 S Eason Blvd Ste 102b Tupelo MS 38801-6583 |
Mailing Address |
Po Box 4018 Tupelo MS 38803-4018 |
Practice Telephone | 6623776610 |
Practice Fax Number | 6623776614 |
Mailing Telephone | 6623774685 |
Mailing Fax Number | 6623772755 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2007-07-11 |
Authorized Official Name | GERALD WAGES (COO) |
Authorized Official Telephone | 6623773000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 04805315 | 05 | |
MS | MEDICARE GROUP NUMBER | C03168 | 01 |
Other Name | Type Code |
---|---|
Physical Medicine Rehab | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619238961 | North Mississippi Medical Center | Surgery | 735 Medical Center Dr, West Point, MS 39773-9318 | 2012-06-04 |
1730295585 | North Mississippi Medical Center | Psychiatry & Neurology | 4577 S Eason Blvd Ste E F, Tupelo, MS 38801-6590 | 2006-08-22 |
1902381908 | North Mississippi Medical Center | Pediatrics | 830 S Gloster St, Tupelo, MS 38801-4934 | 2018-09-26 |
1992258255 | North Mississippi Medical Center | Clinic/Center | 1301 N 2nd St, Booneville, MS 38829-1028 | 2016-08-03 |
1376960195 | North Mississippi Medical Center | General Acute Care Hospital | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-03-19 |
1376969683 | North Mississippi Medical Center | General Acute Care Hospital | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-03-11 |
1790091304 | North Mississippi Medical Center | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2010-08-20 |
1063739290 | North Mississippi Medical Center | Family Medicine | 830 S Gloster St, 1st Floor East Tower, Tupelo, MS 38801-4934 | 2010-04-28 |
1336328715 | North Mississippi Medical Center | Nurse Practitioner | 830 S Gloster St, 1st Floor East Tower, Tupelo, MS 38801-4934 | 2007-11-01 |
1295932853 | North Mississippi Medical Center | Surgery | 408 Council Cir, Suite C, Tupelo, MS 38801-4949 | 2007-06-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTH MISSISSIPPI MEDICAL CENTER - PONTOTOC | 176 S Main St, Pontotoc, MS 38863-3311 |
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 STE 102B |
City | TUPELO |
State | MS |
Zip Code | 38801-6583 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902914716 | Bernadine Collette Dixon | Nurse Practitioner | 4381 S Eason Blvd Ste 102b, Tupelo, MS 38801-6583 | 2006-08-29 |
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 | 208100000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790909067 | Laura Ann Gray | Physical Medicine & Rehabilitation | 905 Garfield St, Tupelo, MS 38801-5737 | 2007-04-11 |
1689762288 | Jeanette Zurawski | Physical Medicine & Rehabilitation | 637 W Main St, Tupelo, MS 38804-3732 | 2006-10-10 |
1528089513 | Victor John Gray | Physical Medicine & Rehabilitation | 218 S Thomas St, Suite 110, Tupelo, MS 38801-5330 | 2006-07-22 |
1588120943 | Mid-south Rehabilitation & Restorative Medicine Pllc | Physical Medicine & Rehabilitation | 609 Brunson Dr, Tupelo, MS 38801-4948 | 2019-02-11 |
1962972364 | Byron Anthony Stutts | Physical Medicine & Rehabilitation | 90a Clark St, Tupelo, MS 38804-4812 | 2018-11-28 |
1982934311 | Kevin M. Silver | Physical Medicine & Rehabilitation | 4381 South Eason Blvd., Suite 202, Tupelo, MS 38801 | 2010-01-07 |
1427209733 | Jeanette Zurawski, M.d. Pa | Physical Medicine & Rehabilitation | 637 W Main St, Tupelo, MS 38804-3732 | 2008-10-06 |
1295756112 | Spine & Sports Medicine Center Pllc | Physical Medicine & Rehabilitation | 218 S Thomas St, Suite 110, Tupelo, MS 38801-5330 | 2006-07-23 |
1174570881 | Brian Edwin Condit | Physical Medicine & Rehabilitation | 609 Brunson Dr, Tupelo, MS 38801-4948 | 2006-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497367494 | Adrianna Carpenter | Physical Medicine & Rehabilitation | 1020 River Oaks Dr Ste 112, Flowood, MS 39232-9511 | 2020-08-20 |
1700348133 | Collaborative Health and Rehabilitation Services, Inc | Physical Medicine & Rehabilitation | 1068 Buck Cir, Summit, MS 39666-9723 | 2019-04-04 |
1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
1750882080 | Hattiesburg Clinic, Pa | Physical Medicine & Rehabilitation | 2 Southern Point Pkwy Ste 200, Hattiesburg, MS 39401-8025 | 2018-02-22 |
1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
1073746152 | Interventional Spine & Sports Institute | Physical Medicine & Rehabilitation | 105 Asbury Cir Ste B, Hattiesburg, MS 39402-1397 | 2009-08-24 |
1730304585 | Horrell H Townsend IIi | Physical Medicine & Rehabilitation | 11010 David St, Suite B, Gulfport, MS 39503-3481 | 2007-04-16 |
1952462905 | Shawn X Wu | Physical Medicine & Rehabilitation | 14986 Angela Dr, Gulfport, MS 39503-3502 | 2006-12-13 |
1780772871 | Elizabeth Z Bozlee | Physical Medicine & Rehabilitation | 14478 Aerie Rd, Gulfport, MS 39503 | 2006-10-11 |
1770694655 | John R Tait | Physical Medicine & Rehabilitation | 705 N Lamar Blvd, Oxford, MS 38655-3242 | 2006-08-31 |
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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.