Active NPI
North Mississippi Medical Clinics Inc
- Internal Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTH MISSISSIPPI MEDICAL CLINICS INC
- Practice address
- 808 Varsity Dr
Tupelo, MS 38801-4613 - Phone
- (662) 377-4685
- Fax
- (662) 377-2057
- NPI assigned
- Jan 8, 2007
- Last updated
- Jan 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Toppin
- Title
- Corporate Secretary
- Phone
- (662) 377-4229
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Rheumatology Physician | 207RR0500X | |||
| Neurological Surgery Physician | 207T00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Gynecology Physician | 207VG0400X | |||
| Pediatrics Physician | 208000000X | |||
| Neurology Physician | 2084N0400X | |||
| Surgery Physician | 208600000X | |||
| General Practice Physician | 208D00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
808 Varsity Dr
Tupelo, MS 38801-4613
Mailing address
808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040127000582 | MS | Part B Supplier - Clinic/Group Practice | 6103736665 |
Receives reassigned benefits from 225 practitioners 2 other NPIs on this enrollment Practice locations: Saltillo, MS; Starkville, MS; Tupelo, MS; West Point, MS; Oxford, MS; Pontotoc, MS; Baldwyn, MS; Booneville, MS… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Pulmonary Consultants
- Pulmonary Disease Physician
- Tupelo, MS
- NPI 1104937143
O20040127000582
-
dba The Women's Group West Point
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1588769970
O20040127000582
National Provider Directory
National Provider DirectoryLocations
1294 Military St S
Ste 2
Hamilton, AL 35570
Phone (205) 921-2255
404 Gilmore Dr
Amory, MS 38821
Phone (662) 256-3564
1771 Curtis Dr
Iuka, MS 38852
Phone (662) 423-6014
501 Hospital Rd
Starkville, MS 39759
Phone (662) 323-3162
101 S Gloster St FL 3
Tupelo, MS 38801
1040A S Madison St
Tupelo, MS 38801
Phone (662) 377-5290
219 S Industrial Rd
Tupelo, MS 38801
830 S Gloster St
Fl E
Tupelo, MS 38801
Phone (601) 690-7170
845 S Gloster St
Tupelo, MS 38801
63 Medical Center Dr
West Point, MS 39773
Phone (662) 494-1620
Practitioners & affiliated clinicians
Practitioners 229
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Medicine Physician
- Tupelo, MS
- NPI 1790081156
-
- Family Medicine Physician
- Baldwyn, MS
- NPI 1134356272
-
- Internal Medicine Physician
- Tupelo, MS
- NPI 1891767687
-
- Family Medicine Physician
- Fulton, MS
- NPI 1265404214
-
- Nurse Practitioner
- Tupelo, MS
- NPI 1841613684
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1851398309
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1881472371
-
- Family Medicine Physician
- Starkville, MS
- NPI 1225017239
-
- Obstetrics & Gynecology Physician
- West Point, MS
- NPI 1386089274
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1346390093
-
- Internal Medicine Physician
- Corinth, MS
- NPI 1518464080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1053469486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 VARSITY DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014613",
"telephone_number": "662-377-2774",
"fax_number": "662-377-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 VARSITY DR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014613",
"telephone_number": "662-377-4685",
"fax_number": "662-377-2057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI MEDICAL CLINICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "TOPPIN",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "662-377-4229"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
- North Mississippi Medical Center, Inc. (Pulmonary Consultants)
- North Mississippi Medical Center, Inc. (Maternal Fetal Medicine)
- North Mississippi Medical Center, Inc. (NMMC Home Infusion Service)
- North Mississippi Medical Center, Inc. (North Mississippi Medical Center Hospice)
- North Mississippi Medical Clinics (North MS Neurosurgical Services)
- North Mississippi Medical Clinics Inc (Diabetes Treatment Center)
- North Mississippi Medical Clinics Inc (Pulmonary Consultants)
- North Mississippi Medical Clinics Inc (Worklink)
- North Mississippi Medical Clinics Inc (IMA Tupelo)
- North Mississippi Medical Clinics Inc (West Tupelo Medical Clinic and Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.