Organization Active NPI

North Mississippi Medical Center Services LLC

  • Internal Medicine Physician
  • Tupelo, MS
National Provider Identifier
1275827925
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC
Practice address
4250 S Eason Blvd
Tupelo, MS 38801-6549
Phone
(662) 377-5265
Fax
(662) 377-5260
NPI assigned
May 30, 2011
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4250 S Eason Blvd
Tupelo, MS 38801-6549

Mailing address

4250 S Eason Blvd
Tupelo, MS 38801-6549
Phone (662) 377-5265

National Provider Directory

National Provider Directory
Tax ID family
North Mississippi Medical Center Services LLC2 organizations share this tax ID, including this one
Part of
North Mississippi Medical Center Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1275827925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016549",
            "telephone_number": "662-377-5265",
            "fax_number": "662-377-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016549",
            "telephone_number": "662-377-5265",
            "fax_number": "662-377-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC",
        "enumeration_date": "2011-05-30",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.