NORTH MISSISSIPPI MEDICAL CENTER, INC. (NPI# 1427404235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427404235 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI MEDICAL CENTER, INC. |
| Other Organization Name | NORTH MISSISSIPPI BEHAVIORAL HEALTH CENTER- HEMATOLOGY/ONCOLOGY |
| Practice Address |
961 S Gloster St Suite A Tupelo MS 38801-6343 |
| Practice Telephone | 6623772964 |
| Mailing Telephone | 6623772964 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | JOSEPH REPPERT (EXECUTIVE VP) |
| Authorized Official Telephone | 6623773000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| North Mississippi Behavioral Health 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 |
| 1881064517 | North Mississippi Medical Center, Inc. | Nurse Practitioner | 860 S Madison St, Tupelo, MS 38801-4905 | 2015-10-07 |
| 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 |
961 S GLOSTER ST SUITE A |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975521 | Paschal P Wilson II | Internal Medicine | 961 S Gloster St, Tupelo, MS 38801-6343 | 2005-07-13 |
| 1770103053 | Hallie Brianna Carter | Registered Nurse | 961 S Gloster St, Tupelo, MS 38801-6343 | 2020-04-16 |
| 1972084895 | Tiffany Gillespie | Nurse Practitioner | 961 S Gloster St, Tupelo, MS 38801 | 2018-08-28 |
| 1942686324 | North Mississippi Medical Center, Inc | Nurse Practitioner | 961 S Gloster St, Tupelo, MS 38801-6343 | 2015-08-07 |
| 1346658416 | Usman Khan | Internal Medicine | 961 S Gloster St, Tupelo, MS 38801-6343 | 2014-08-01 |
| 1568874790 | Neha Patil | Internal Medicine | 961 S Gloster St, Tupelo, MS 38801-6343 | 2014-05-22 |
| 1104253699 | Ashley Carpenter Gilliland | Nurse Practitioner | 961 S Gloster St, Tupelo, MS 38801-6343 | 2013-09-30 |
| 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 | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012468 | Debra Diann Wuichet | Social Worker | 503 Maury Cir, Tupelo, MS 38801-4109 | 2020-08-09 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1184976557 | Nakimia Agnew | Social Worker | 2123 Crabapple Dr, Tupelo, MS 38801-5164 | 2012-10-10 |
| 1598026353 | Angela Floyd | Social Worker | 499 Gloster Creek Vlg Ste D1, Tupelo, MS 38801-4753 | 2012-06-07 |
| 1306123328 | Kimberly Hill | Social Worker | 5499 Chesterville Rd, Tupelo, MS 38801-7930 | 2011-11-04 |
| 1710168810 | Melissa Ratliff | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2007-11-16 |
| 1629580642 | Gina Smith | Social Worker | 1665 S Green St, Tupelo, MS 38804-6556 | 2017-10-31 |
| 1346782497 | Ellen Marie Frison | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2016-11-07 |
| 1013462258 | Millicent Mcalilly | Social Worker | 4381 S Eason Blvd, Suite 301, Tupelo, MS 38801-6583 | 2016-08-17 |
| 1194128322 | Robert James Smith | Social Worker | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2014-10-02 |
| 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.