NPIMap

Organization Active NPI

North Mississippi Medical Center, Inc.

  • Skilled Nursing Facility
  • Baldwyn, MS
National Provider Identifier
1164539193
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
497 Issued in MS
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Practice address
739 S Fourth St
Baldwyn, MS 38824-2612
Phone
(662) 365-4000
NPI assigned
Aug 24, 2006
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Mr. Bruce Toppin
Title
Corporate Secretary
Phone
(662) 377-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 497 MS Primary

Addresses

Primary practice location

739 S Fourth St
Baldwyn, MS 38824-2612

Mailing address

808 Varsity Dr
Tupelo, MS 38801-4613
Phone (662) 377-2774

Other identifiers 2

IdentifierTypeStateIssuer
000023107MedicaidMS
000080117OtherMSBLUE CROSS

Other names 1

  • NMMC/Baldwyn Nursing Facility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090225000338 MS Part A Provider - Skilled Nursing Facility 9931010600 Practice locations: Baldwyn, MS

Skilled nursing facility certification: CCN 255161

Legal name
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Doing business as
BALDWYN NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1993
Last certification
Jan 9, 2025
Beds
107
Ownership / control type
Nonprofit Corporation
Multi-facility organization
North Mississippi Health Services
Organization structure
CorporationNon-profit
Incorporated
Apr 2, 1982 in DE
Enrollment address
739 Fourth Street South
Baldwyn, MS 38824-2612
Nursing home name
NMMC BALDWYN NURSING FACILITY
Affiliated entity
NORTH MISSISSIPPI HEALTH SERVICES

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
NMMC Baldwyn Nursing FacilityCCN 255161
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
107100.3 residents per day on average
Chain
North Mississippi Health Services2 facilities in the chain
Penalties (3 years)
1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0666009NMMC Baldwyn Nursing Facility739 Fourth St S, Baldwyn, MS 38824Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Anant Shenoy MD65 organizations share this tax ID, including this one
Part of
Anant Shenoy MD

Organizations with this tax ID in the same state 20

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

View all 20

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raymond R Arriola Individual Adp of the SNF Apr 29, 2025
Bruce J Toppin Individual Corporate OfficerCorporate Secretary Mar 16, 2009
Adp of the SNF Mar 16, 2009
Sharon D Nobles Individual Corporate OfficerTreasurer Mar 13, 2017
Adp of the SNF Mar 13, 2017
Michael S Spees Individual Adp of the SNF Feb 1, 2014
Dylan Barrett Individual Operational/Managerial Control Feb 21, 2022
Adp of the SNF Feb 21, 2022
North Mississippi Medical Center, Inc. Organization, Tupelo, MS Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 16, 2009 100%
Operational/Managerial Control Mar 16, 2009
Adp of the SNF Mar 16, 2009

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Childrens Clinic - TupeloTupelo, MS, CCN 258551 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Aug 24, 1992

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 363

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

View all 363

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1164539193",
    "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": "739 S FOURTH ST",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "388242612",
            "telephone_number": "662-365-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI MEDICAL CENTER, INC.",
        "enumeration_date": "2006-08-24",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000023107",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000080117",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMMC/Baldwyn Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwyn, MS

Sources for this page

Verify at the official NPI Registry.