NORTH MISSISSIPPI MEDICAL CENTER


Address: 4381 S Eason Blvd Ste 102b, Tupelo, MS 38801-6583
Phone: 6623776610

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 04805315 05
MS MEDICARE GROUP NUMBER C03168 01

Other Provider/Organization Names

Other Name Type Code
Physical Medicine Rehab Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 4381 S EASON BLVD STE 102B
City TUPELO
State MS
Zip Code 38801-6583

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902914716 Bernadine Collette Dixon Nurse Practitioner 4381 S Eason Blvd Ste 102b, Tupelo, MS 38801-6583 2006-08-29

Providers in the same zip code

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 Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City TUPELO
Zip Code 38801

Improve Information

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Dataset Information

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.

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