NORTH MISSISSIPPI MEDICAL CENTER, INC. (NPI# 1003871344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003871344 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| Other Organization Name | NORTH MS MEDICAL CENTER HOME HEALTH AGENCY |
| Practice Address |
424 East President Street Tupelo MS 38801-5500 |
| Mailing Address |
830 S Gloster St Tupelo MS 38801-4934 |
| Practice Telephone | 6623772138 |
| Practice Fax Number | 6623777983 |
| Mailing Telephone | 6623772138 |
| Mailing Fax Number | 6623777983 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MR. JOSEPH A REPPERT (CFO) |
| Authorized Official Telephone | 6623773978 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 8481 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00070519 | 05 | |
| MS | BLUE CROSS | 000070519 | 01 |
| Other Name | Type Code |
|---|---|
| North MS Medical Center Home Health Agency | 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 |
| 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 |
424 EAST PRESIDENT STREET |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-5500 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891506 | Trucare Sitters LLC | Home Health | 908 Bickerstaff St, Tupelo, MS 38801-6802 | 2020-08-13 |
| 1972509099 | Gilbert's Home Health Agency, Inc. | Home Health | 3402 W Main St, Tupelo, MS 38801-9412 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122733 | Blessing Hearts Private Duty Home Care LLC | Home Health | 105 N Cherry St, Tylertown, MS 39667-2308 | 2020-10-23 |
| 1568061406 | True Alliance Home Healthcare, LLC | Home Health | 6950 Dakota Cir S, Olive Branch, MS 38654-9064 | 2020-10-21 |
| 1043818925 | Home In The Heart Health Care Agency, LLC | Home Health | 5915 Brice Cv N, Olive Branch, MS 38654-3529 | 2020-10-13 |
| 1689271017 | Thompson Healthcare Services, LLC | Home Health | 208 Grace Dr, Flowood, MS 39232-5511 | 2020-10-08 |
| 1760089346 | Natasha Turner | Home Health | 224 Cedar St, Kosciusko, MS 39090-4504 | 2020-10-06 |
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023620887 | Porsche Ann Walley | Home Health | 5101 Orchard Ave Apt 91, Pascagoula, MS 39581-3907 | 2020-08-21 |
| 1750993358 | Tab, LLC | Home Health | 785 Creston Dr, Byram, MS 39272-3001 | 2020-08-17 |
| 1578174553 | Healing Hands of Comfort, LLC | Home Health | 307 Cypress Ave, Hattiesburg, MS 39401-5108 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.