RENAL CARE GROUP TUPELO LLC (NPI# 1972971679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972971679 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP TUPELO LLC |
| Other Organization Name | TUPELO HOME THERAPIES |
| Practice Address |
1542 Medical Park Cir Tupelo MS 38801-6560 |
| Practice Telephone | 6626809610 |
| Practice Fax Number | 6626809615 |
| Mailing Telephone | 6626809610 |
| Mailing Fax Number | 6626809615 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MARK R FAWCETT (SENIOR VP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tupelo Home Therapies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538271366 | Renal Care Group Tupelo LLC | Clinic/Center | 200 E Frontage Rd, Sardis, MS 38666-1339 | 2006-08-31 |
| Street Address |
1542 MEDICAL PARK CIR |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240599 | Morris R Hamilton | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-01-24 |
| 1487020806 | Amita Maibam | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2015-08-19 |
| 1851657126 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2012-04-11 |
| 1134427719 | Harminder K Atwal | Nurse Practitioner | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2011-03-07 |
| 1972754034 | Patricia Mcknight | Nurse Practitioner | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2008-10-08 |
| 1184802704 | Nephrology and Hypertension Associates, Ltd | Internal Medicine | 1542 Medical Park Cir, 1542 Medical Park Circle, Tupelo, MS 38801-6560 | 2008-02-06 |
| 1063637106 | Jeannie D Pence | Nurse Practitioner | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2007-04-16 |
| 1497800833 | Shannon R Warren | Nurse Practitioner | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2007-01-24 |
| 1902975139 | Nephrology & Hypertension Associates, Ltd. | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-11-06 |
| 1437261260 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-08-31 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
| 1740382126 | Renal Care Group Tupelo, LLC | Clinic/Center | 2978 Mattox St., Tupelo, MS 38801-6309 | 2006-09-05 |
| 1851657126 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2012-04-11 |
| 1437261260 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1013535780 | Fresenius Medical Care Meridian Home, LLC | Clinic/Center | 2400 15th St, Meridian, MS 39301-3951 | 2020-07-09 |
| 1922631837 | Fresenius Medical Care Dogwood, LLC | Clinic/Center | 205b Belle Meade Pt, Flowood, MS 39232-3311 | 2020-02-19 |
| 1669944120 | Fresenius Medical Care Adams County Home, LLC | Clinic/Center | 151 Jefferson Davis Blvd Ste D, Natchez, MS 39120-5140 | 2018-12-21 |
| 1801310768 | Hattiesburg Clinic, Pa | Clinic/Center | 5909 Hwy 49 S, Suite 14, Hattiesburg, MS 39402-2860 | 2017-08-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1417481755 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 656 N State St, Jackson, MS 39202-3303 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RENAL CARE GROUP TUPELO LLC.
| 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.