NORTH MISSISSIPPI MEDICAL CENTER, INC. (NPI# 1053797621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053797621 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| Other Organization Name | NORTH MISSISSIPPI MEDICAL CENTER HEMATOLOGY ONCOLOGY |
| Practice Address |
1205 Highway 182 W Starkville MS 39759-9820 |
| Practice Telephone | 6623208545 |
| Practice Fax Number | 6623208981 |
| Mailing Telephone | 6623208545 |
| Mailing Fax Number | 6623208981 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| North Mississippi Medical Center Hematology Oncology | 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 |
1205 HIGHWAY 182 W |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-9820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285910653 | Melinda Lee Clark | Nurse Practitioner | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2011-10-28 |
| 1184112013 | Clay County Medical Corporation | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2018-04-26 |
| 1730615956 | North Mississippi Medical Center Inc. | Ophthalmology | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-05-08 |
| 1639602014 | North Mississippi Medical Center, Inc. | Neurological Surgery | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-04-04 |
| 1366983934 | North Mississippi Medical Center Inc. | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377226 | Wecare Health Clinic | Nurse Practitioner | 823 Highway 12 W Ste C, Starkville, MS 39759-3593 | 2019-07-09 |
| 1689131401 | Amy Morgan Cain | Nurse Practitioner | 200 White Oak Ln, Starkville, MS 39759-6663 | 2019-02-28 |
| 1740744572 | Klancie Allison Smith | Nurse Practitioner | 1233 Steele Rd, Starkville, MS 39759-4723 | 2019-01-25 |
| 1316196850 | Johnnie Susan Cooper Wijewardane | Nurse Practitioner | 1430 Cedar Creek Ln, Starkville, MS 39759-8488 | 2008-09-09 |
| 1114111978 | Meredith Patton Hartline | Nurse Practitioner | 500 Russell St Ste 3, Starkville, MS 39759-5411 | 2007-09-04 |
| 1992881882 | Bethany Lee Greco | Nurse Practitioner | 732 Whitfield Street, Mississippi State Board of Health District Iv, Starkville, MS 39759 | 2006-10-31 |
| 1508802208 | Courtney Gibson Nickels | Nurse Practitioner | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2006-06-21 |
| 1679174403 | Kimberlin Cotton | Nurse Practitioner | 401 Hospital Rd, Starkville, MS 39759-2164 | 2020-11-06 |
| 1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
| 1376180992 | Catherine Eldridge | Nurse Practitioner | 100 Wilburn Way, Starkville, MS 39759-3692 | 2019-12-02 |
| Find all providers in STARKVILLE | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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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.