North Mississippi Medical Clinic Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTH MISSISSIPPI MEDICAL CLINIC INC

Doing business as

Marion Medical Clinic

Practice address

1200 Military Street South
Hamilton, AL 35570

Phone

(205) 921-7602

Fax

(205) 921-7928

NPI assigned

Sep 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gerald Kimbrough

Title

Manager

Phone

(662) 377-4685

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marion Medical Clinic Doing business as

Tax ID family

North Ms Family Med CL51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• North Mississippi Medical Clinics Inc

  dba Hamilton Pediatric Clinic

  • Pediatrics Physician
  • Hamilton, AL
  • NPI 1285739680
  NPD tax ID
• North Mississippi Medical Clinics Inc

  dba Hamilton Medical Clinic

  • General Practice Physician
  • Hamilton, AL
  • NPI 1376648774
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053413211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MILITARY STREET SOUTH",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "35570",
            "telephone_number": "205-921-7602",
            "fax_number": "205-921-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-377-4685"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015454",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie H Miller, CRNP
• Kelley Lechelle Millwood, PHARM.D
• Jesse Reece Mitchell, BCPPC, DIV, PHD
• James Brown Mixon, DMD
• Nna of Alabama Inc (RCG Hamilton)
• North Mississippi Medical Clinics Inc (Hamilton Pediatric Clinic)
• North Mississippi Medical Clinics Inc (Hamilton Medical Clinic)
• Northwest Alabama Hearing Clinic, Inc
• Northwest Alabama Mental Health Center
• Octavian Tomescu MD, PC

• Surgery Physician in Hamilton, AL
• Providers in Hamilton, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.