NORTH MISSISSIPPI MEDICAL CENTER, INC. (NPI# 1881064517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881064517 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| Other Organization Name | PULMONARY CONSULTANTS |
| Practice Address |
860 S Madison St Tupelo MS 38801-4905 |
| Mailing Address |
450 E President Ave Tupelo MS 38801-5599 |
| Practice Telephone | 6623777150 |
| Practice Fax Number | 6623777155 |
| Mailing Telephone | 6623774685 |
| Mailing Fax Number | 6623772755 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | JOSEPH REPPERT (VICE PRESIDENT) |
| Authorized Official Telephone | 6623773978 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MISSISSIPPI HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pulmonary Consultants | 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 |
| 1871101378 | North Mississippi Medical Center, Inc. | Psychiatry & Neurology | 408 Council Cir Ste B, Tupelo, MS 38801-4949 | 2020-07-21 |
| 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 |
| 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 |
860 S MADISON ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811963127 | Carolyn Estes | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-02-27 |
| 1619574738 | Justin Campbell | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2020-10-01 |
| 1447622196 | Kayla Hood | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2015-10-21 |
| 1144669649 | Ashley Sprayberry Henson | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2013-06-18 |
| 1841554250 | Bobby W Tullos | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2012-06-29 |
| 1508903626 | Kevin Clark Harbour | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2007-01-30 |
| 1093826349 | David Alan Reed | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-08-31 |
| 1689614513 | Paul Marion Perry | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-06-08 |
| 1114984374 | David Witty | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-28 |
| 1932165073 | Robert Stewart | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-26 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528031077 | William R Edmonson | Internal Medicine | 860 South Madison, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2006-02-07 |
| 1811089980 | North Mississippi Medical Center | Internal Medicine | 830 S Gloster St, Tupelo, MS 38801-4934 | 2006-09-28 |
| 1093826349 | David Alan Reed | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-08-31 |
| 1104937143 | North Mississippi Medical Clinics Inc | Internal Medicine | 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2006-08-31 |
| 1689614513 | Paul Marion Perry | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-06-08 |
| 1114984374 | David Witty | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-28 |
| 1932165073 | Robert Stewart | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-26 |
| 1275599656 | Jaime Ungo | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-25 |
| 1972567428 | James Rish | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-13 |
| 1700849965 | Lyndon Perkins | Internal Medicine | 860 S Madison St, Tupelo, MS 38801-4905 | 2006-04-10 |
| 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.