NORTH MISSISSIPPI MEDICAL CENTER


Address: 4566 S Eason Blvd, Tupelo, MS 38801-6540
Phone: 6623774962

NORTH MISSISSIPPI MEDICAL CENTER (NPI# 1790091304) 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) 1790091304
Entity Type Organization
Organization Name NORTH MISSISSIPPI MEDICAL CENTER
Other Organization Name OB/GYN NURSE PRACTITIONERS
Practice Address 4566 S Eason Blvd
Tupelo
MS 38801-6540
Practice Telephone 6623774962
Practice Fax Number 6623772257
Mailing Telephone 6623774962
Mailing Fax Number 6623772257
Enumeration Date 2010-08-20
Last Update Date 2010-08-20
Authorized Official Name MR. JOSEPH A REPPERT (CFO)
Authorized Official Telephone 6623773000
Is Organization Subpart Y
Parent Organization Name NORTH MISSISSIPPI MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
OB/Gyn Nurse Practitioners 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
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
1811089980 North Mississippi Medical Center Internal Medicine 830 S Gloster St, Tupelo, MS 38801-4934 2006-09-28

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 4566 S EASON BLVD
City TUPELO
State MS
Zip Code 38801-6540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235102906 Ginger L Pole Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2006-02-10
1588277685 Bianca Ho Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-08-28
1366062572 Tanya Underwood Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-04-17
1528688819 Carleigh Ballard Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-04-16
1679109458 Kari Anna Adams Nurse Practitioner 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-03-12
1467095869 Jessica Braddock Childs Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2019-10-18
1376107409 Susan Long Newell Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2019-04-24
1922445188 North Mississippi Medical Center, Inc. Obstetrics & Gynecology 4566 S Eason Blvd, Tupelo, MS 38801-6540 2013-05-29
1700141074 Jennifer Caldwell Nurse Practitioner 4566 S Eason Blvd, Tupelo, MS 38801-6540 2012-07-11
1174817340 Preeti Singh Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2011-06-06
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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
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669450425 Melissa L Barnett Nurse Practitioner 1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723 2006-01-03
1801867940 Emily Orgler Nurse Practitioner 1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723 2006-01-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1669762902 Stacey Marie Kreher Nurse Practitioner 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 2011-04-07
1174755359 Innovative Health LLC Nurse Practitioner 501 Marshall St Ste 605, Jackson, MS 39202-1650 2009-08-20
1891814802 Delta Physician Practices Nurse Practitioner 302 Arnold Ave, Greenville, MS 38701-4711 2007-03-29
1629116330 Jean Lawes Nurse Practitioner 701 Yalobusha St, Greenwood, MS 38930-2015 2007-02-02
1831619626 Erica Clanahan Nurse Practitioner 2124 14th St, Meridian, MS 39301-4040 2017-06-22
1699157487 Jada Elyse Vierling Hill Nurse Practitioner 715a Division St, Biloxi, MS 39530-2209 2015-06-29
1396017646 Mary K Fouquier Nurse Practitioner 1207 N West St, Jackson, MS 39202-2018 2012-02-02
1407157118 Carolann Risley Nurse Practitioner 4600 Vega St, Pascagoula, MS 39581-5303 2010-11-11
1639497878 Diane H. Phillips Nurse Practitioner 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 2010-05-12
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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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