CLAY COUNTY MEDICAL CORPORATION (NPI# 1164961330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164961330 |
| Entity Type | Organization |
| Organization Name | CLAY COUNTY MEDICAL CORPORATION |
| Other Organization Name | NORTH MISSISSIPPI SURGERY CLINIC |
| Practice Address |
111 Medical Center Dr West Point MS 39773-0428 |
| Mailing Address |
450 E President Ave Tupelo MS 38801-5599 |
| Practice Telephone | 6623774685 |
| Practice Fax Number | 6623772755 |
| Mailing Telephone | 6623774685 |
| Mailing Fax Number | 6623772755 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | BRUCE TOPPIN (SECRETARY) |
| Authorized Official Telephone | 6623774229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 10281 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09930577 | 05 |
| Other Name | Type Code |
|---|---|
| North Mississippi Surgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285184416 | Clay County Medical Corporation | Clinic/Center | 63 Medical Center Dr, West Point, MS 39773-0430 | 2016-10-12 |
| 1508224312 | Clay County Medical Corporation | Clinic/Center | 977 Emergency Dr, West Point, MS 39773-9322 | 2016-02-08 |
| 1639284409 | Clay County Medical Corporation | General Acute Care Hospital | 850 Emergency Drive, Nmmc West Point Pharmacy, West Point, MS 39773 | 2006-08-20 |
| 1124649678 | Clay County Medical Corporation | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2020-05-06 |
| 1831728633 | Clay County Medical Corporation | Surgery | 502 S Chestnut St, Aberdeen, MS 39730-3337 | 2020-04-03 |
| 1184112013 | Clay County Medical Corporation | Internal Medicine | 1205 Highway 182 W, Starkville, MS 39759-9820 | 2018-04-26 |
| 1639684152 | Clay County Medical Corporation | Surgery | 70 Medical Plz, Eupora, MS 39744-4018 | 2017-12-06 |
| 1437504719 | Clay County Medical Corporation | Family Medicine | 328 High St, West Point, MS 39773-2815 | 2016-04-25 |
| 1013318898 | Clay County Medical Corporation | Clinic/Center | 830 Medical Center Dr, West Point, MS 39773-9319 | 2014-09-11 |
| 1659798619 | Clay County Medical Corporation | Hospitalist | 835 Medical Center Dr, West Point, MS 39773-9320 | 2014-03-27 |
| Street Address |
111 MEDICAL CENTER DR |
| City | WEST POINT |
| State | MS |
| Zip Code | 39773-0428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1548809833 | Karen Annabelle Cuesta | Physical Therapist | 1122 N. Eshman Avenue, West Point, MS 39773 | 2020-01-03 |
| 1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
| 1821584673 | Amber L Brasfield | Nurse Practitioner | 5713 Hwy 45 Alt S, West Point, MS 39773 | 2018-07-05 |
| 1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
| 1144685900 | Renal Care Group Tupelo, LLC | Clinic/Center | 1612 West Church Hill Road, West Point, MS 39773 | 2015-12-22 |
| 1326437864 | Amber Orman | Behavioral Analyst | 222 Mary Holmes Drive, West Point, MS 39773 | 2015-01-22 |
| 1972945780 | Point City Drugs LLC | Pharmacy | 7683 Highway 45 Alt N, West Point, MS 39773 | 2013-07-22 |
| 1932409083 | Barbrette A. Baldwin | Obstetrics & Gynecology | 373 Medical Center Cir, West Point, MS 39773 | 2010-10-22 |
| 1801112115 | Dawn M Holmes | Counselor | 223 Court St, West Point, MS 39773 | 2010-04-12 |
| Find all providers in zip 39773 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238961 | North Mississippi Medical Center | Surgery | 735 Medical Center Dr, West Point, MS 39773-9318 | 2012-06-04 |
| 1639244718 | Edward Michael Falta | Surgery | Building 900, Washington Road, West Point, NY 10996 | 2006-11-22 |
| 1780758706 | Hiroji Noguchi | Surgery | 187 Medical Center Dr, West Point, MS 39773-0428 | 2006-11-20 |
| 1881977528 | Elliott Ilya Mitnik | Surgery | 900 Washington Rd, Credentials Office, Keller Army Community Hospital, West Point, NY 10996-1109 | 2011-09-20 |
| 1104834019 | Franciscan Care Services Inc | Surgery | 430 N Monitor St, West Point, NE 68788-1595 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669041 | North Mississippi Medical Center Inc | Surgery | 499 S Gloster St Ste E, Tupelo, MS 38801-5539 | 2020-11-02 |
| 1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1740798503 | Cld Medical Enterprises Pllc | Surgery | 212 Draperton Ct Ste A, Ridgeland, MS 39157-3905 | 2018-01-15 |
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| 1629477526 | Berry Enterprises LLC | Surgery | 756 Luckney Rd, Brandon, MS 39042-8703 | 2014-08-15 |
| 1649687906 | Almaz Kurbanov | Surgery | 1127 Earl Frye Blvd Ste B, Amory, MS 38821-5516 | 2014-07-18 |
| 1184036279 | Hope Burkett | Surgery | 147 Reynoir Street 201, Biloxi, MS 39530-9020 | 2014-05-23 |
| 1235568916 | Thomas Keener Billups Sr. | Surgery | 1929 Allyson Dr, Tupelo, MS 38804-1045 | 2013-11-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 39773 |
Please comment or provide details below to improve the information on CLAY COUNTY MEDICAL CORPORATION.
| 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.