NORTH MISSISSIPPI MEDICAL CENTER, INC. (NPI# 1871101378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871101378 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| Other Organization Name | NEUROLOGY CONSULTANTS INJECTION SERVICES |
| Practice Address |
408 Council Cir Ste B Tupelo MS 38801-4949 |
| Mailing Address |
808 Varsity Dr Tupelo MS 38801-4613 |
| Practice Telephone | 6623773008 |
| Practice Fax Number | 6623773716 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | BRUCE TOPPIN (CORPORATE SECRETARY) |
| Authorized Official Telephone | 6623773000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neurology Consultants Injection Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
| 1740835305 | North Mississippi Medical Center, Inc. | Internal Medicine | 408 Council Cir Ste A, Tupelo, MS 38801-4949 | 2019-08-09 |
| 1689028391 | North Mississippi Medical Center, Inc. | Psychologist | 2704 W Oxford Loop # 110, Oxford, MS 38655-5714 | 2016-04-19 |
| 1164539193 | North Mississippi Medical Center, Inc. | Skilled Nursing Facility | 739 Fourth Street, Baldwyn, MS 38824 | 2006-08-24 |
| 1942317326 | North Mississippi Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 990 S Madison St, Suite 2, Tupelo, MS 38801-6308 | 2006-08-23 |
| 1982669156 | North Mississippi Medical Center, Inc. | Hospice Care, Community Based | 422-b East President Ave, Tupelo, MS 38801-5500 | 2006-04-19 |
| 1003871344 | North Mississippi Medical Center, Inc. | Home Health | 424 East President Street, Tupelo, MS 38801-5500 | 2006-04-19 |
| 1639602014 | North Mississippi Medical Center, Inc. | Neurological Surgery | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-04-04 |
| 1427404235 | North Mississippi Medical Center, Inc. | Social Worker | 961 S Gloster St, Suite A, Tupelo, MS 38801-6343 | 2016-05-11 |
| 1881064517 | North Mississippi Medical Center, Inc. | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2015-10-07 |
| 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 |
408 COUNCIL CIR STE B |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4949 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528029618 | Stephen H Landy | Psychiatry & Neurology | 311 S Gloster St Ste 103, Tupelo, MS 38801-4747 | 2006-03-29 |
| 1427041664 | Justin C. Graff | Psychiatry & Neurology | 609 Brunson Dr, Tupelo, MS 38801-4948 | 2005-08-23 |
| 1962495192 | Samuel D. Newell Jr. | Psychiatry & Neurology | 845 S Madison St, Tupelo, MS 38801-4905 | 2005-08-23 |
| 1033740089 | Landy Headache & Esthetics, LLC | Psychiatry & Neurology | 311 S Gloster St Ste 103, Tupelo, MS 38801-4747 | 2020-01-29 |
| 1447623590 | Rahul Brijballabh Chandak | Psychiatry & Neurology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2015-11-10 |
| 1386039683 | Waqas Israr Gilani | Psychiatry & Neurology | 845 S Madison St, Tupelo, MS 38801-4905 | 2015-04-02 |
| 1417357427 | North Mississippi Medical Center Inc. | Psychiatry & Neurology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2014-08-27 |
| 1407266539 | Iwueke Psychatric Clinic | Psychiatry & Neurology | 1601 W Main St Ste D, Tupelo, MS 38801-3300 | 2014-04-29 |
| 1902175821 | North Mississippi Medical Clinics, Inc | Psychiatry & Neurology | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2011-12-21 |
| 1881910677 | Feras Jeradeh-boursoulian | Psychiatry & Neurology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2010-04-19 |
| Find all providers in TUPELO | ||||
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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.