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NORTH MISSISSIPPI MEDICAL CLINICS INC NPI 1053469486


NPI Information

NPI: 1053469486
Provider Name: NORTH MISSISSIPPI MEDICAL CLINICS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
450 E PRESIDENT AVE
TUPELO, MS
ZIP 38801
Phone: (662) 377-4685
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NORTH MISSISSIPPI MEDICAL CLINICS INC is a family medicine in Tupelo, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH MISSISSIPPI MEDICAL CLINICS INC NPI is 1053469486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 E PRESIDENT AVE
TUPELO, MS
ZIP 38801-599
Phone: (662) 377-4685

The provider's authorized official is Gerald Kimbrough .
The authorized official title is Manager and has the following contact phone number (662) 377-4685.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208600000XSurgeryNo
3207RR0500XInternal MedicineRheumatologyNo
4207T00000XNeurological SurgeryNo
5208D00000XGeneral PracticeNo
6207RG0300XInternal MedicineGeriatric MedicineNo
7207RP1001XInternal MedicinePulmonary DiseaseNo
8207QG0300XFamily MedicineGeriatric MedicineNo
9208000000XPediatricsNo
10207V00000XObstetrics & GynecologyNo
112084N0400XPsychiatry & NeurologyNeurologyNo
12207VG0400XObstetrics & GynecologyGynecologyNo
13207RI0200XInternal MedicineInfectious DiseaseNo
14363LF0000XNurse PractitionerFamilyNo
15207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I345OTHERALABAMAMEDICARE GROUP
2C02394MEDICARE PINMISSISSIPPI
3CA7889OTHERMISSISSIPPIRAILROAD MEDICARE GROUP
4F097OTHERALABAMAMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.