Active NPI
North Mississippi Medical Clinics Inc
Doing business as Hamilton Pediatric Clinic
- Pediatrics Physician
- Hamilton, AL
National Provider Identifier
1285739680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NORTH MISSISSIPPI MEDICAL CLINICS INC
- Doing business as
- Hamilton Pediatric Clinic
- Practice address
- 1200 Military Street South
Hamilton, AL 35570 - Phone
- (205) 952-9824
- Fax
- (205) 952-9815
- NPI assigned
- Sep 13, 2006
- 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
- Gerald Kimbrough
- Title
- Manager
- Phone
- (662) 377-4685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1200 Military Street South
Hamilton, AL 35570
Mailing address
450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015454 | Medicaid | MS |
Other names 1
- Hamilton Pediatric Clinic
National Provider Directory
National Provider Directory- Tax ID family
- North Ms Family Med CL
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.
-
dba Marion Medical Clinic
- Surgery Physician
- Hamilton, AL
- NPI 1053413211
-
dba Hamilton Medical Clinic
- General Practice Physician
- Hamilton, AL
- NPI 1376648774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1285739680",
"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": "205-952-9824",
"fax_number": "205-952-9815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI MEDICAL CLINICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2020-08-22",
"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": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015454",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hamilton Pediatric Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hamilton, AL
- Kelley Lechelle Millwood, PHARM.D
- Jesse Reece Mitchell, BCPPC, DIV, PHD
- James Brown Mixon, DMD
- Nna of Alabama Inc (RCG Hamilton)
- North Mississippi Medical Clinic Inc (Marion Medical Clinic)
- North Mississippi Medical Clinics Inc (Hamilton Medical Clinic)
- Northwest Alabama Hearing Clinic, Inc
- Northwest Alabama Mental Health Center
- Octavian Tomescu MD, PC
- Stephanie F Oliver, DNP, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.