NEPHROLOGY AND HYPERTENSION ASSOCIATES, LTD (NPI# 1184802704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184802704 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY AND HYPERTENSION ASSOCIATES, LTD |
| Other Organization Name | NEPHROLOGY AND HYPERTENSION ASSOCIATES, LTD |
| Practice Address |
1542 Medical Park Cir 1542 Medical Park Circle Tupelo MS 38801-6560 |
| Practice Telephone | 6628444711 |
| Mailing Telephone | 6628444711 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | MRS. MISTY D CROSS (INSURANCE/BILLER) |
| Authorized Official Telephone | 6628444711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Nephrology and Hypertension Associates, Ltd | Other Name - Individual/Organization |
| Street Address |
1542 MEDICAL PARK CIR 1542 MEDICAL PARK CIRCLE |
| 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 |
| 1972971679 | Renal Care Group Tupelo LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2015-09-11 |
| 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 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 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 |
| 1902975139 | Nephrology & Hypertension Associates, Ltd. | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-11-06 |
| 1518937044 | Thomas D Wooldridge | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-01-26 |
| 1508836032 | Kenneth M Kellum | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-01-26 |
| 1205806155 | John Martin Lee Jr. | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-01-24 |
| 1780654632 | Christopher D Miller | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-01-24 |
| 1689644510 | Tzonko V Milev | Internal Medicine | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813506 | Uma Mahesh Reddy Avula | Internal Medicine | 2500 N State St Rm L-504, Jackson, MS 39216-4500 | 2020-08-24 |
| 1992276851 | Delta Kidney Alliance LLC | Internal Medicine | 1997 N Medical Park Dr, Greenville, MS 38703-7268 | 2018-12-17 |
| 1649555467 | Cardiac Renal & Vascular Associates PC | Internal Medicine | 5240 Robinson Road Ext, Jackson, MS 39204-4276 | 2011-10-12 |
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1184857534 | Angela Riley, Md, PC | Internal Medicine | 2170 South Lamar Blvd, Oxford, MS 38655 | 2009-09-02 |
| 1275766396 | Samir Gautam | Internal Medicine | 150 Jefferson Davis Blvd Ste 100, Natchez, MS 39120-5120 | 2009-08-24 |
| 1629234463 | Biju Marath | Internal Medicine | 4300 W Railroad St, Suite B, Gulfport, MS 39501 | 2008-07-31 |
| 1811171648 | South Mississippi Nephrology | Internal Medicine | 4405 E Aloha Dr Ste I, Diamondhead, MS 39525-3380 | 2007-12-28 |
| 1518149699 | Naseeruddin A Khan | Internal Medicine | 428 24th Ave N, Columbus, MS 39705-1945 | 2007-11-30 |
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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.