NPIMap

Organization Active NPI

Medplus New Albany LLC

  • Family Medicine Physician
  • New Albany, MS
National Provider Identifier
1154916872
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDPLUS NEW ALBANY LLC
Practice address
180 Park Plaza Dr
New Albany, MS 38652-3127
Phone
(662) 222-2219
Fax
(662) 510-0216
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Mr. Samantha Logan
Title
Authorized Official
Phone
(662) 222-2273

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

180 Park Plaza Dr
New Albany, MS 38652-3127

Mailing address

874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone (662) 841-0002

Other practice location 1

1207 Hwy 182 W
Starkville, MS 39759-9013
Phone (662) 320-7800

Other practice location 2

874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone (662) 841-0002

Other practice location 3

407 Interchange Drive
Fulton, MS 38843-6029
Phone (662) 841-0002

Other names 2

  • MEDPLUS FAMILY AND URGENT CARE Doing business as
  • MedPlus Urgent Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240528001133 MS Part B Supplier - Clinic/Group Practice 6002258720 Receives reassigned benefits from 15 practitioners
Practice locations: Fulton, MS; New Albany, MS; Starkville, MS; Tupelo, MS
O20250422001654 MS DME Supplier - Nurse PractitionerDME Supplier - Physician Assistant 6002258720 Practice locations: New Albany, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medplus New Albany LLC180 Park Plaza Dr, New Albany, MS 38652-3127(662) 222-2273 Canes and/or Crutches|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Apr 19, 2024

National Provider Directory

National Provider Directory

Locations

180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1154916872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARK PLAZA DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523127",
            "telephone_number": "662-222-2219",
            "fax_number": "662-510-0216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 HWY 182 W",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397599013",
            "country_code": "US",
            "telephone_number": "662-320-7800",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "874 Barnes Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388040909",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Interchange Drive",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388436029",
            "country_code": "US",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDPLUS NEW ALBANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-222-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDPLUS FAMILY AND URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedPlus Urgent Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.