NORTH MISSISSIPPI MEDICAL CLINICS INC (NPI# 1710097134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710097134 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Other Organization Name | CHICKASAW MEDICAL CLINIC |
| Practice Address |
208 Country Club Rd Houston MS 38851-9326 |
| Mailing Address |
450 E President Ave Tupelo MS 38801-5599 |
| Practice Telephone | 6624563437 |
| Practice Fax Number | 6624562070 |
| Mailing Telephone | 6623774685 |
| Mailing Fax Number | 6623772755 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GERALD KIMBROUGH (MANAGER) |
| Authorized Official Telephone | 6623774685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09013750 | 05 |
| Other Name | Type Code |
|---|---|
| Chickasaw Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164629747 | North Mississippi Medical Clinics Inc | Family Medicine | 844 S Madison St Ste B, Tupelo, MS 38801-4904 | 2007-06-28 |
| 1568567956 | North Mississippi Medical Clinics Inc | General Practice | 1771 Curtis Drive, Iuka, MS 38852-1130 | 2006-09-13 |
| 1346345741 | North Mississippi Medical Clinics Inc | Internal Medicine | 850 Medical Center Dr, West Point, MS 39773-9305 | 2006-09-13 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1700988037 | North Mississippi Medical Clinics Inc | Family Medicine | 745 South 4th Street, Baldwyn, MS 38824 | 2006-09-05 |
| 1740382852 | North Mississippi Medical Clinics Inc | Obstetrics & Gynecology | 2031 Highway 45 N, University Mall, Columbus, MS 39705-2227 | 2006-09-01 |
| 1780786889 | North Mississippi Medical Clinics Inc | Family Medicine | 353 Mobile Street, Saltillo, MS 38866 | 2006-09-01 |
| 1801998042 | North Mississippi Medical Clinics Inc | Family Medicine | 3985 Second Avenue, Maben, MS 39750 | 2006-09-01 |
| 1235249590 | North Mississippi Medical Clinics Inc | Pediatrics | 201 E Gould Ave, Eupora, MS 39744-2208 | 2006-08-30 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| Street Address |
208 COUNTRY CLUB RD |
| City | HOUSTON |
| State | MS |
| Zip Code | 38851-9326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316477607 | William Morgan | Family Medicine | 208 Country Club Rd, Houston, MS 38851-9326 | 2017-06-19 |
| 1073920328 | Pontotoc Health Services, Inc. | Clinic/Center | 208 Country Club Rd, Houston, MS 38851-9326 | 2014-07-18 |
| 1184725558 | Derek Moeller | Family Medicine | 208 Country Club Rd, Houston, MS 38851-9326 | 2006-09-26 |
| 1093817306 | Angela Furr | Nurse Practitioner | 208 Country Club Rd, Houston, MS 38851-9326 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742073 | Natalie Mitchell | Social Worker | 102 Okolona Cutoff Rd, Houston, MS 38851 | 2017-07-12 |
| 1073041042 | Jan Sherlene Paden | Nurse Practitioner | 8 East Madison St, Houston, MS 38851 | 2017-06-02 |
| 1851772818 | Shell Denece Williams-moore | Religious Nonmedical Practitioner | 901 North Jackson Street, Houston, MS 38851 | 2015-06-16 |
| 1740385491 | Southern Health Corp of Houston Inc | Skilled Nursing Facility | 1000 East Madison, Houston, MS 38851 | 2006-09-14 |
| 1730281809 | Teena Freeman Horn | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-01 |
| 1891776530 | Kunthavai S. Patel | Specialist | 208 Country Club Road, Houston, MS 38851 | 2005-11-09 |
| 1255467726 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | Hwy 8 East, Houston, MS 38851 | 2007-02-26 |
| 1689753485 | Southern Health Corp of Houston Inc | Psychiatric Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1306925102 | Southern Health Corp of Houston Inc | Medicare Defined Swing Bed Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1134212038 | Chickasaw Dental Group L. L. C. | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-10-02 |
| Find all providers in zip 38851 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1871100032 | Umedly | Family Medicine | 708 Main St Fl 10, Houston, TX 77002-3246 | 2020-09-30 |
| 1255945010 | Steven X Nguyen Inc | Family Medicine | 6112 Bellaire Blvd Ste D, Houston, TX 77081-4913 | 2020-08-31 |
| 1871105023 | Health Right Choice | Family Medicine | 17550 W Little York Rd Ste 10, Houston, TX 77084-6321 | 2020-08-19 |
| 1275145625 | Global Health Equity Pllc | Family Medicine | 1232 Westheimer Rd, Houston, TX 77006-2641 | 2020-08-18 |
| 1083223804 | Patricia Nmukoso Enyi | Family Medicine | 2646 S Loop W Ste 270, Houston, TX 77054-5608 | 2020-07-28 |
| 1972121416 | Community Medical Clinic LLC | Family Medicine | 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 | 2020-07-10 |
| 1164048526 | Clinica San Lucas Fuqua | Family Medicine | 11019 Fuqua St, Houston, TX 77089-2510 | 2020-06-22 |
| 1699397240 | Urgent Health Solutions Woodlake | Family Medicine | 9668 Westheimer Rd Ste 600, Houston, TX 77063-3252 | 2020-05-16 |
| 1649899964 | Lermnaim LLC | Family Medicine | 2919 Fm 1960 Rd Ste 120, Houston, TX 77073-2621 | 2020-04-16 |
| Find all providers in HOUSTON | ||||
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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.