NORTH MISSISSIPPI MEDICAL CLINICS INC (NPI# 1104937143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104937143 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| Other Organization Name | PULMONARY CONSULTANTS |
| Practice Address |
830 S Gloster St 4th Floor East Tower Tupelo MS 38801-4934 |
| 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 | 2006-08-31 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | GERALD KIMBROUGH (MANAGER) |
| Authorized Official Telephone | 6623774685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014876 | 05 | |
| MS | 08202571 | 05 |
| Other Name | Type Code |
|---|---|
| Pulmonary Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164629747 | North Mississippi Medical Clinics Inc | Family Medicine | 844 S Madison St Ste B, Tupelo, MS 38801-4904 | 2007-06-28 |
| 1568567956 | North Mississippi Medical Clinics Inc | General Practice | 1771 Curtis Drive, Iuka, MS 38852-1130 | 2006-09-13 |
| 1346345741 | North Mississippi Medical Clinics Inc | Internal Medicine | 850 Medical Center Dr, West Point, MS 39773-9305 | 2006-09-13 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1700988037 | North Mississippi Medical Clinics Inc | Family Medicine | 745 South 4th Street, Baldwyn, MS 38824 | 2006-09-05 |
| 1740382852 | North Mississippi Medical Clinics Inc | Obstetrics & Gynecology | 2031 Highway 45 N, University Mall, Columbus, MS 39705-2227 | 2006-09-01 |
| 1780786889 | North Mississippi Medical Clinics Inc | Family Medicine | 353 Mobile Street, Saltillo, MS 38866 | 2006-09-01 |
| 1801998042 | North Mississippi Medical Clinics Inc | Family Medicine | 3985 Second Avenue, Maben, MS 39750 | 2006-09-01 |
| 1235249590 | North Mississippi Medical Clinics Inc | Pediatrics | 201 E Gould Ave, Eupora, MS 39744-2208 | 2006-08-30 |
| 1710097134 | North Mississippi Medical Clinics Inc | Family Medicine | 208 Country Club Rd, Houston, MS 38851-9326 | 2006-08-30 |
| Street Address |
830 S GLOSTER ST 4TH FLOOR EAST TOWER |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078746 | David Smith Talton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 | 2005-07-29 |
| 1265031561 | Lauren Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1972102275 | Matthew Hester | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-19 |
| 1093313397 | Brent Lee Hallmark | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-09 |
| 1457958282 | Benjamin Johnson | Nurse Anesthetist, Certified Registered | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-10-05 |
| 1144837451 | Kayla Ann Jenkins | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-30 |
| 1720695190 | Kimberly Faye Goss | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4996 | 2020-09-29 |
| 1316554900 | Meaghan Reed | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1659988269 | Anna Elizabeth Roberts | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 1487261954 | Helen Paige Long | Nurse Practitioner | 830 S Gloster St, Tupelo, MS 38801-4934 | 2020-09-28 |
| 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 |
| 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 |
| 1710940176 | David Moore | Internal Medicine | 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2006-04-07 |
| 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.