NORTH MISSISSIPPI MEDICAL CLINICS INC NPI 1972612984

NPI Information

  • NPI: 1972612984
  • Provider Name: NORTH MISSISSIPPI MEDICAL CLINICS INC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 25D0863063
  • Address: 356 WEST CHERRY STREET
    ACKERMAN, MS
    ZIP 39735
  • Phone: (662) 285-3243

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NPI Details

NORTH MISSISSIPPI MEDICAL CLINICS INC is an obstetrics gynecology in Ackerman, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTH MISSISSIPPI MEDICAL CLINICS INC NPI is 1972612984. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

356 WEST CHERRY STREET
ACKERMAN, MS
ZIP 39735
Phone: (662) 285-3243
Fax: (662) 285-3613

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

The CLIA number assigned to this NPI record is 25D0863063 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102603868MEDICAIDMISSISSIPPI

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: 11/21/2025

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