NORTH MISSISSIPPI SPINE CENTER, INC (NPI# 1295827004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295827004 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI SPINE CENTER, INC |
| Other Organization Name | NORTH MISSISSIPPI SPINE CENTER |
| Practice Address |
109 Eureka Street Suite B Batesville MS 38606 |
| Mailing Address |
Po Box 1204 Oxford MS 38655-1204 |
| Practice Telephone | 6625637728 |
| Practice Fax Number | 6625634888 |
| Mailing Telephone | 6625637728 |
| Mailing Fax Number | 6625634888 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | MRS. BRIDGETTE ROCKETTE HARMON (MANAGER OF CLINICAL SERVICES) |
| Authorized Official Telephone | 6625637728 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | 542011 | MS | Laboratories |
| N | 335E00000X | Prosthetic/Orthotic Supplier | MS | Suppliers | |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
25C0001060 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00015663 | 05 | |
| MS | 04584863 | 05 | |
| MS | 05001777 | 05 | |
| MS | NSCSSUPP DMEPOS | 5521760001 | 01 |
| MS | 00122658 | 05 | |
| MS | 05621095 | 05 |
| Other Name | Type Code |
|---|---|
| North Mississippi Spine Center | Doing Business As Name - Organization |
| Street Address |
109 EUREKA STREET SUITE B |
| City | BATESVILLE |
| State | MS |
| Zip Code | 38606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1386154458 | Lukeither Denise Morgan | Social Worker | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2017-10-03 |
| 1841724820 | Batesville Regional Medical Center, Inc. | Clinic/Center | 255 Medical Center Drive Suite B, Batesville, MS 38606 | 2017-04-17 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1689979528 | L Cooper Lewis | Physical Therapist | 640 Keating Road, Fairfield, Batesville, MS 38606 | 2011-01-25 |
| Find all providers in zip 38606 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215994280 | Sloan Eye Clinic | Clinic/Center | 10 Hospital Cir, Batesville, AR 72501-7310 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391619 | Madison Spine Surgery Center, LLC | Clinic/Center | 160 Fountains Blvd Ste C, Madison, MS 39110-6380 | 2019-11-22 |
| 1588224802 | Flowood Surgery Center LLC | Clinic/Center | 120 Stone Creek Blvd Ste 400, Flowood, MS 39232-8210 | 2019-06-18 |
| 1912480070 | Sog Surgery Center LLC | Clinic/Center | 1211 S Gloster St Ste B, Tupelo, MS 38801-6535 | 2018-09-13 |
| 1942793823 | Starkville Surgery Center LLC | Clinic/Center | 110 Walker Way, Starkville, MS 39759-6607 | 2018-06-14 |
| 1194214510 | Specialty Surgery & Laser Center | Clinic/Center | 306 Bradley Rd Ste A, Corinth, MS 38834-7047 | 2018-05-02 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
| 1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 38606 |
Please comment or provide details below to improve the information on NORTH MISSISSIPPI SPINE CENTER, INC.
| 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.